Digging Deeper Into Denials

Exela’s denials management solution automatically categorizes based on the reason and remark codes, enabling a more thorough analysis. Exela’s process works to continually assess your submissions by analyzing aspects of the denied claim and identifying the root cause.

Submit Clean Claims from the Start with Edit Enhancements

Exela’s denials management solution demonstrates upwards of 30% of all claim line item denials can be avoided. The platform provides immediate guidance for online correction prior to submission. Our edit engines comb through each claim assessing for Payer-specific edits, SNIP edits, Coding & Billing edits, and Compliance edits, streamlining the process into a single, simple workflow, reducing time to complete, and improving accuracy.

Appeals Process that Maximizes Recovery Outcomes

Our payer-preferred appeals process maximizes the probability of recovery and speeds up the appeals process driving quicker resolution.

The PCH Global portal facilitates appeal submissions directly to the payers digitally or through a print-on-demand facility.

Robust Reporting

Dashboard reports powered with analytics tools enable the user to identify areas of revenue leakage, identifying further cost savings. By collecting information over time, our platform provides insights into key trends and tracks down root causes of errors, helping you make informed decisions.