RelayHealth Financial launches new module for its cloud-based suite to help providers work denied claims
McKesson's RelayHealth Financial is going after those denied claims with the goal of boosting revenue for its clients.
The company launched RelayAssurance Appeals Assist, a new automation tool that company executives say gives providers a way to identify, create, file and track appeals for denied claims – the better to collect the money owed.
While several news reports have speculated recently that McKesson is looking to sell its IT unit to Change Healthcare – formerly named Emdeon – to concentrate on its pharmaceutical enterprise, RelayHealth Financial appears to be going full steam ahead with development of new IT products.
Payers deny an estimated 6.4 percent of all provider-submitted claims, according to RelayHealth calculations. However, two thirds of those claims are recoverable, RelayHealth claims.
[Also: Kalorama: Cerner, McKesson earn EHR marketshare lead, Epic and Allscripts follow]
The new technology, RelayAssurance Appeals Assist, flags denied claims, completes the appropriate appeal forms and tracks the progress.
"Despite providers' best efforts to submit clean claims, a substantial number still get denied," Marcy Tatsch, vice president and general manager, Reimbursement Solutions, for RelayHealth Financial, said in a statement. "An effective denial prevention strategy doesn't just focus on pre-submission, but also on the other points along the claims continuum."
RelayAssurance Appeals Assist is the newest module of RelayAssurance Plus, RelayHealth Financial's cloud-based, analytics-driven claims and remittance management solution.
Twitter: @Bernie_HITN
Email the writer: bernie.monegain@himssmedia.com
