Why Correspondence Letters are a Major Drain on Denials Mgmt

Correspondence Letters, also referred to as denial letters, represent a variety of health plan/payer communications including: payment denial explanations, additional documentation requests, authorization approvals, authorization rejections, patient medical necessity determinations, bill under review and legal correspondence. It can represent a formidable “paper mountain” to climb.

These friendly letters (who writes letters anymore anyways?) must be manually entered into denial management systems. Additionally, many systems can’t import scanned letters and associate them to specific claims, so they sit on a desk, as a lower priority, until the denials departments has time to organize them and research the item. Sometimes they sit for weeks!

Magic occurs when, systematically, the data is read and extracted from scanned images; the images are placed in an archive for easy retrieval; and a zero dollar EDI 835 file, Electronic Remittance Advice (ERA), is imported into the Practice Management System (PMS) of a group practice or hospital information system (HIS).

The advantages created by solutions like Paper2Post eliminate manual entry of correspondence information, thus reducing costs and cutting posting errors — enhancing denied claim processing by completing the process in 1-2 days.

If you want to learn more about Correspondence Letters, check out OrboGraph’s web page  to learn more about conquering the “paper mountain”!