Adreima offers a full complement of technical and clinical expertise to handle any denied claim, both concurrently and retrospectively. Our team is unsurpassed in its ability to provide thorough and accurate analysis of clinical and financial aspects of patient accounts from presentation to resolution. We partner with hospitals and health systems to transition the organization from denial management to denial prevention. The Adreima team uses analytics regarding historical and specific payer behavior and departmental denial data, to define approaches to preventing denials, including improving front-end processes such as authorization and registration, documentation, improvement, and physician behavior.
91% overall appeal success rate on clinically related denials
Our Clinical Review Team consists of nurses, physicians, and medical coders, many of whom are specialists in areas such as NICU/Peds, Trauma, Cardiology, and Orthopedics. The team’s rigorous approach to every claim includes an in-depth investigation from the unique perspective of our significant clinical, technical and financial expertise. We offer insights that provide strategies to improve clinical and revenue cycle processes. Whether working to prevent denials, or fighting for payment of a clinical denial, we ensure no stone goes unturned.