Why Brundage Group
Payor denials are increasing at an alarming rate and hospitals must be proactive in securing denials management support. Our organization has extensive subject matter expertise in denial resolution to ensure accurate reimbursement.
When claims are denied, timing is critical to determine whether there is merit for an appeal. With a focus on effective overturn rate, our physician advisors help hospitals quickly and effectively determine which cases to review, when to review the cases, and when to appeal.
Our experienced physician advisors have completed thousands of peer-to-peer cases, gaining insight into payor tactics. We utilize this expertise to effectively and compliantly secure your earned revenue.
Clinical Validation: Understanding Why Hospitals Are Vulnerable to Denials
Is your hospital receiving a high volume of clinical validation denials?
Optum (UHC) Profits from Denying ED Payments
Emergency departments (EDs), the US healthcare system “safety net”, are seeing...
Take control of Medicare Advantage denial challenges
The National Association of Healthcare Revenue Integrity (NAHRI) recently asked our...
Guest Blog: A Rebeginner’s Guide to Peer-to-Peer Appeals
Suggestions for conducting peer-to-peer appeals for denials. If you are wondering why...
Physician Advisor Perspective to Avoid a Potential DRG Clinical Validation Downgrade Denial of DRG 853
DRG 853 Infectious and Parasitic Diseases with OR Procedure w/MCC is Under Attack!