Denials

Advantages

• Doctors, nurses, and clinicians on staff
• Timely appeals
• Increased revenue
• Decreased A/R
• Process improvement

Solution

MAMI and its business partner, UR Solutions, have extensive experience in managed care organization, commercial, and Medicaid revenue cycle solutions with a commitment to aiding hospitals and healthcare systems through every step of the denial, retrospective review, and appeals process. This includes inpatient, outpatient, and emergency department denials.

Our team of denials management, clinical, legal, and follow-up experts deliberately and effectively analyze each individual case, formulating the unique argument for strong appeals at both the medical necessity level and rate level, thus increasing the likelihood of receiving an overturn on denials.

All of our solutions include an extensive compliance process including HIPAA and other applicable regulations.