Increase your revenue with efficient denial management solutions

A simplified approach is used by our experts to track every claim for effective aging AR recovery

 

We are here to help you

WFK Solutions INC team has worked with practices throughout the United States to increase revenue and achieve their goals for over a decade. Using WFK Solutions INC one-of-a-kind Practice Management Software, you will be able to eliminate a variety of time-consuming tasks as you notice a significant increase in productivity. Here are some of the benefits:

1. Determining the reasons for denial

In order to understand why the claim was denied, we investigate the root cause.

2. Identifying and categorizing denials

Once the reasons have been identified, they are categorized and assigned to the appropriate teams for correction.

3. Claim resubmission

We resubmit the claims once we receive them from the respective departments.

4. Establishing a tracking mechanism

Regularly monitoring the status of resubmitted claims.

5. Implementing a prevention strategy

Creating a handy checklist of the most common denial reasons.

6. Keeping an eye on future claims

Establishing a second level of check based on the reasons for denial in order to avoid future rejections.

Make sure denied claims are minimized & reimbursements are received in a timely manner

As a WFK Solutions INC, we make sure that our clients receive payment faster by providing efficient Denial Management solutions that resolve, as well as, address the root causes of denied and rejected claims. In order to expedite the payment of insurance claims, our dedicated team investigates and reviews denials, efficiently resolving and submitting insurance claims. Our team identifies and addresses the issue in a systematic manner in order to ensure timely payment.

Clinicians, practices, and hospitals can benefit from our comprehensive medical billing and revenue cycle management services.

Reporting on a customized basis

Our complete medical billing solution includes frequent follow-up on every claim submitted to the insurance company until it has been processed and resolved. WFK Solutions INC A/R Follow-Up services are designed to ensure that your practice receives the highest level of reimbursement for your services regardless of how large or small the case may be.

Improved collection rates

By identifying the root cause of all denied claims and providing the necessary tools to facilitate timely resolution, our Denial Management team can assist you in increasing payment recovery. Through MediFusion, the integrated suite of software we provide automates the routing of denied claims to appropriate staff members for immediate follow-up and systematic corrections.

Providing reliable AR management services

Providing top-of-the-line and quality Medical Billing AR services, WFK Solutions INC can help you submit error-free claims, analyze rejected claims, and track down non-payments. Our Medical Billing AR services include:

Improve provider documentation and data reporting In network and out-of-network AR follow-up

Workers’ Compensation follow up

Negotiations with claims adjusters

Sending out different levels of appeal when claims are not paid

Patient AR follow up

Credit balance cleaning and audit

Old accounts receivable

Denial prevention based on rules

We utilize a top-of-the-line claim scrubbing tool to ensure not only that claims are spotted before submission, but that they are also systematically corrected. In addition to preventing denials based on coding, LCD policies, payers, gender-specific rules, or any other rule that may be specific to your practice or specialty type, our fully customizable rule-based system can be customized according to your specific needs.