Insurance denials and underpayments are one of the top 5 concerns facing healthcare financial executives -- representing approximately 7-12% of all claims submitted.

Historically, solutions in the denial management marketplace are either a technology solution or a service solution - AHC offers an Integrated Solution. A client-based solution that provides:

Technology - identify, track, and report on denials and underpayments

Recovery Services - to pursue and collect on unpaid/under paid claims

Prevention/Consultative Services - to identify root causes, corrective action planning, and training

A combination of the right resources using the right technology, AHC's Denial Management Program allows clients to:

• Increase Cash - Recover cash associated with denials that you've been unable to identify or unable to recover
• Improve Net Patient Revenue - Increase net revenue by reducing bad debt and the expenses related to pursuing claims internally, or via third party collection agencies
• Take Advantage of Relevant Information and Reporting - Identify your most significant problems (i.e., contractual issues with a payer, or registration issues), in order to determine which areas to target for improvement
• Improve Process/Work flow - Better decide where to deploy your internal resources and when to utilize outsourcing - so the greatest value can be realized

AHC recognizes the necessity and power of technology in the management, prevention, and recovery of denied claims, but additionally understands that technology is only an enabler - not an end result. Success lies in ensuring that the technology is an integrated component of a process-driven solution.