Claim denials involve time-consuming appeals, increased gross days outstanding, reduced cash flow, and increased allowances for denied claims. Not knowing what claims have been denied and the reason for the denial means delayed payment or even lost revenue. The INVISION® Denials Management solution can assist to alleviate denials in the business office by allowing for a standard operating procedure to process denials more efficiently and identify where organizational denials are generated. This gives providers the tools to efficiently track claims from patient scheduling and registration until payment is received.

This solution effectively supports each of the following functions:

• Obtain correct patient information at the front end
• Track claims throughout the billing and collection process
• Identify the cause of denied claims
• Create a denial database that tracks and trends denied claims

Through the use of Siemens Decision Support System (DSS), users also have additional capabilities to track and trend their denial information.