InSight Denials is the most powerful tool available today for drilling into your 835 remittance data to uncover the root causes leading to denials. It analyzes, tracks, trends and reports on denial data. It identifies unpublished rules and recommends fixes for individual denied claims, while helping you identify and implement process improvements to permanently prevent specific denial types. 

With InSight Denials, you can zero in on your denials management function and eliminate recurring denials to get all of the revenue your organization is entitled to.

Root-Cause Analysis

Insight Denials helps uncover problems that lead to denials, both inside and outside the hospital, and provides robust tools to repair and resubmit denied claims and eliminate the root causes of denials within your revenue-cycle process. Hospitals can increase revenue, reduce denials and achieve efficiencies that were never before possible.

Workflow Distribution

InSight Denials also leverages the power of InSight Workflow & Claim Editor™ to help cross-departmental teams expedite the repair and resubmission of denied claims.  Our intelligent workflow engine applies client-specific logic to efficiently distribute denied claims requiring resubmission to the right departments and individual team members, while maintaining a detailed history of actions on all claims.

Since many claims involve multiple teams, the intelligent workflow engine also supports communication and corrections across departments and facilities and continues tracking denied claims until they are resubmitted to the payor.

Denials Feedback Loop for Continuous Improvement

When used in conjunction with InSight Compliance™, InSight Denials creates a powerful continuous learning mechanism that can dramatically increase billing process effectiveness and significantly impact cash flow and net new revenue.

HIPAA 5010 and ICD-10

The deadlines for HIPAA 5010 and ICD-10 will be here before we know it. Providers will be required to submit transactions with 5010 on Jan. 1, 2012, and convert to ICD-10 by Oct. 1, 2013. ClaimTrust will be ready to test HIPAA 5010 transaction sets and ICD-10 codes well ahead of these deadlines and will offer concurrent support for the 4010A and ICD-9 during your transition. If you have any questions about our transition to 5010 or ICD-10, please contact info@claimtrust.com.