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If you're interested in partnering with Change Healthcare, please fill out the form below and we’ll be in touch soon.

We have a long history of helping clients, customers, and partners navigate the changing landscape of healthcare.

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We appreciate your interest in Change Healthcare. A member of our team will contact you to better understand your needs and discuss potential solutions.

Together, we are accelerating the journey toward improved lives and healthier communities.

Service

Denials and Appeals Management Services

Outsourced denials and appeals management services for hospitals that want to improve their clean-claims rate, better manage denied claims, and have expert assistance in handling appeals.

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What’s included in Denials and Appeals Management Services

Denials and appeals management services
- Facilitate the successful appeal of denied claims
- Access our expertise in analyzing payer adjustment codes from remittance advice
- Includes case management and utilization review
- Enable our experienced staff to advocate on your behalf with payers
- Get help resolving underpayments related to interpretations of contract, policy, or documentation
Payer audit services
- Leverage our expertise in appealing Medicare notifications
- Rescind payments via the Medicare Recovery Audit Contract Program (RAC)
- Address other commercial and government payment audits
- Rely on our team to coordinate medical chart reviews and meet appeals deadlines
- Alleviate the administrative drain on staff in patient financial services, case management, and health information management
Ongoing system edit and workflow maintenance
- Help keep your team informed of regulatory changes
- We’ll review and implement payer bulletins to educate your staff
- Get tutorials to facilitate a proactive approach to denials management
- Get ongoing edits maintenance, workflow modifications, and system cleansing
- Help ensure your claims submissions reflect payer compliance updates and regulatory changes
Detailed denials management process reporting
- Gain valuable trending insights and recommendations
- Address the root causes of denials and help increase clean claims
- Leverage detailed reports on denials and underpayments during payer contract negotiations

Help minimizemedical billing denials

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Denials management in healthcare to help improve clean-claims rates

Get help identifying and correcting root causes of denials to improve your clean-claims rate. Our healthcare denials management services help streamline workflows for greater efficiency, faster appeals, and improved cash flow. You’ll get specific recommendations for documentation, edit improvements, claims management, and process improvements.

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Use our compliance program to help reduce regulatory risk

Our healthcare and hospital denials management services help reduce regulatory risk with improved compliance. Our custom “Gold Standard” compliance program aligns with the requirements of the Office of Inspector General.

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Leverage our experts to reduce staff burden

Help reduce your cost of managing denied claims and the administrative burden on staff. Our clinical and technical experts include skilled nurses and revenue cycle experts, and because our services are system-agnostic, these staff can work onsite or remotely within your existing billing system and EHRs. Rely on our expertise to resolve underpayments.