Moses Taylor Hospital, a 173-bed facility located in Scranton, Pa., plans to implement denials management software in an attempt to increase billing effectiveness, improve cash flow and generate net new revenue.
The community-based healthcare facility will deploy the InSight Denials tool from Murfreesboro, Tenn.-based ClaimTrust. InSight Denials is designed to analyze, track, trend and report on denial data to uncover the root causes leading to denials and provide best practices to repair them.
Tina Zukowski, contract manager at Moses Taylor, said the hospital would use the solution to help uncover problems that lead to denials, identify and implement process improvements and permanently prevent specific denial types.
"We needed a Web-based denial management reporting tool to supplement our core systems and processes," said Zukowski. "Our revenue cycle managers have already used the tool to make several process improvements based on the analysis of our 835 remittance data. Additionally, we have already improved the time it takes to correct and resubmit denied claims by almost five days."
According to Joe Ferro, ClaimTrust's president and CEO, the company focuses exclusively on hospital revenue cycle tools. ClaimTrust's InSight revenue cycle solution is a suite of Web-based products that target the key revenue cycle inflection points that have the greatest impact on the bottom line.
"Moses Taylor will be able to identify the root causes of all its denials, enabling them to learn how to avoid similar denials in the future, ultimately leading to an increase in revenue as well as improve the efficiency of its organization," said Ferro.
Ferro said InSight Denials leverages an intelligent workflow engine that applies client-specific logic to distribute denied claims requiring resubmission to departments and individual team members, while maintaining a detailed history of actions on all claims.