Clinical and Other Denials Recovery Program

Medical Necessity • No Authorization • Level of Care • Coding • Experimental

RSource chart showing an actual client’s clinical denial program recovery rate improving from a rate of 29.3% before RSource to 57.9% after RSource.

Key Benefits:

  • Increase revenue
  • Save valuable staff time
  • Reduce claims going to bad-debt
  • Identify and recover underpayments
  • Reduce future denials by reporting on root causes and trends

Clinical Denials Case Study – Denial Recovery Percentage

RSource chart showing an actual client’s clinical denial program recovery rate improving from a rate of 29.3% before RSource to 57.9% after RSource.