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Denial Management
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Spend less time searching for problematic claims and more time solving them.
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• Identify, manage, and track all of your denied claims in one system
• Ensure that every denied claim is assigned to your appropriate staff
• Automate repetitive tasks to boost efficiency and productivity
• Gain an in-depth analysis of denied claims with integrated reporting
How much of your staff’s time is spent trying to identify and find denied claims as
opposed to working them? Let Rycan’s Denial Management Module do the work for you,
and allow your staff to spend less time searching for problematic claims and more time
solving them. All types of denials, including outright claim denials, zero pays, and
service line denials, are identified within Rycan. Take the burden of finding denied
charges among the hundreds of EOBs your facility receives every day off of your staff;
ensure that all denied claims are found and that all recoupment opportunities are discovered
with Rycan’s Denial Management Module.
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. You govern how our Denial Management Module behaves and
routes claims to your staff. With the functionality to assign claims to specific user workflow
queues based on any information found on an EOB, and the ability to set priority levels for claims
that need to be worked, our solution ensures that your staff is alerted to every denied claim that
your facility receives.
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
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.
Forget about retyping the same message onto multiple claims. Workflow note templates allow users to
insert common remarks and explanations onto reoccurring problem claims.
Paper appeal letters are easily generated within the workflow. Information from the claim and EOB
associated with an appeal is automatically prefilled onto the appeal letter. Appeal letters are
printed with the appropriate EOB attached behind it and automatically saved in a claim’s history
for later reference and review. Similar to paper appeal letters, Rycan customizes patient letters
to fit your 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 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. Additional documents
stored within the workflow help record the appeal process and eliminate the need for paper filing,
as well as reducing the amount of time your staff spends searching for paper documents.
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. Primary, secondary, and tertiary payments, as well as submitted
claims associated with an EOB, are displayed in a single view, bringing all the information related
to a single claim together.
Integrated Reporting: Provide in-depth reports for your 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. Our reports can be exported
as industry-standard HTML, Adobe® PDF, or Microsoft® Office Excel files, and they can be scheduled for
automatic email delivery. We offer unlimited ad hoc reporting that lets your facility create custom reports
to get the insight that you are looking for. Find the underlying cause of your facility’s denied claims and
gather the information you need to make key decisions when you integrate with our Reporting & Data Mining Module.
Rycan does the work of identifying and assigning denied claims, giving your staff more time to fix denials, instead
of searching for them. By automatically routing problematic claims to your staff, Rycan’s Denial Management Module
creates a streamlined workflow with a prioritized to-do list of denied claims. We give you the tools to customize
workflow rules, prefill data onto appeal letters, and create reports that place important information at your fingertips.
Our Denial Management Module is a complete solution for handling all of your facility’s denial needs.
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