Denial and Audit Management



Denial and Audit Management

Denial and Audit Management

Denial and Audit
            Management


Spend less time searching for problematic claims and more time solving them.

• Identify, manage, and track all of your denied claims in one system
• Utilize a single system to identify and resolve your denied and audited claims
• Route claims using any EOB criteria for improved efficiency
• Easily generate appeal letters that auto-populate with patient and payment data with our appeal wizard
• All notes, changes, edits and appeals are recorded within the workflow history
• Gain and in-depth trending analysis of denials and audits with integrated reporting
• Cross-departmental workflow tools help maximize efficiency

Identify, track and manage your denied and audited claims while uncovering the root causes of repetitive problems with Rycan’s Denial and Audit Management solution. Your staff will be able to respond to audit requests, reduce unnecessary write-offs and increase reimbursement, all while potentially preventing future rejections. Cross-departmental workflow efficiency and productivity is increased with prioritized work lists that pinpoint denials and audits, isolating lost revenue. Rycan’s Denial and Audit Management assists facilities through the tedious process of appealing denied claims and working both pre- and post-payment audits by automatically generating appeal letters and tracking the documentation needed for prompt adjudication.
Module identify, route, track, and automate your Revenue Cycle to achieve your financial goals.
User Workflow Queues: Give your staff a dynamic, prioritized to-do list of denied and problematic claims. Rycan’s user workflow queues are interactive work lists that provide automated tools, electronic tracking, and follow-up reminders. Users are able to filter and search within their work queues, as well as adjust what data is displayed in their results table, keeping the information they need always at hand.
Note & Letter Templates: Save time and eliminate the repetitive process of manual data entry by using our integrated workflow note, appeal letter, and patient letter templates in our Denial and Audit Management Module. Patient and payment information from claims and EOBs is automatically inserted onto notes and letters to save time and increase consistency in communication between departments. Rycan also customizes patient letters to fit your healthcare facility’s needs. We offer templates that automatically populate patient information from an EOB, directly onto the letter, so your customers get a clear overview of the payment information for their claim.
Additional Documentation: As your staff works with denied and audited claims, they will occasionally need to reference additional documents. Scanned copies of letters and faxes can be stored within our system to keep all information pertaining to a denied claim together, in one place.
Workflow History: Provide your staff with a detailed history of how a claim has moved through the workflow. Rycan gives your users the ability to view all activity and payment information related to a claim in a single interface.
Integrated Reporting: Provide in-depth reports for your healthcare facility’s administration and staff by integrating with our Reporting & Data Mining Module. Rycan offers a wealth of standard reports and visual charts and graphs to give you an overview of what is causing your facility’s denied claims, current and potential bottlenecks in the workflow process, and how claims are advanced and worked.
Rycan does the work of identifying and assigning denied and audited claims, giving your staff more time to fix denials and respond to audits, instead of searching for them and the information needed. By automatically routing problematic claims to your staff, Rycan’s Denial and Audit Management Solution creates a streamlined workflow with a prioritized to-do list of denied claims.
Additional Documents

Complex Flow Chart

Identify, track and manage your denied claims in a single system!

Identify, track and manage your denied claims in a single system!


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