You can achieve a final denial rate of < 1%.
We do 100% of the work.
Navigating clinical denials can be daunting for hospitals, as what was once approved may now face denials, delays, reduced payments, and added strain on your staff. Hospitals need a proven, experienced partner with expertise and strategies to level the playing field and overcome payer complexities. That’s Guidehouse.
Real payer experts to help you get paid right.
Guidehouse addresses clinical denials effectively to help you reduce staff burden and increase ROI yield. We have enabled our clients to achieve:
- A final denial rate below 1%
- A/R days below 50
- RCM staffing vacancy rate below 5%
Let’s talk about how we can help you overcome your clinical denial challenges.
Connect with an expert and see how much your current RCM gaps are costing you.
Our impact: Leading southeast academic health system
Challenge
Despite maintaining a high-functioning revenue cycle team, the health system was experiencing significant payer challenges and high denial rates
Approach
End-to-end revenue cycle outsourcing with a focus on denials management to reduce write-offs and increase overall yield
Impact
< 1% write-offs
28% decrease in A/R days
$17.8% | $324M increase in net collections in 12 months
We weren’t looking to outsource. Guidehouse has improved our quality and efficiency, and our employees have been happy working with Guidehouse. Choosing to work with Guidehouse was a great move for us.— Health System CEO/President
Get clinical denials under control.
Our team has the insider industry experience and knowledge of advanced tools to tailor a solution to your specific needs.
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