MaximusEHR streamlines medical claims follow-up and denial management to ensure a healthy revenue cycle. Our system automates claim submissions, including services, patient details, and billing codes (CPT, ICD-10), while real-time tracking tools monitor claim statuses for timely processing. If delays occur, the platform simplifies communication with payers for quick updates, keeping the process efficient.
MaximusEHR identifies and resolves claim denials by analyzing issues like coding errors or incomplete information, which helps in denial management. The system supports appeals with corrective actions and resubmissions, while root cause analysis helps uncover patterns to prevent future denials through staff training or improved documentation.
