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Audits and Denials Management Coordinator
When it comes to audits, the process typically begins with Additional Documentation Requests (ADRs) that are mailed to your locations. Request letters can be for single or multiple claims and can be pre or post-payment. Audits can be performed by the payer or by a third party that works for them, which is becoming more common.
Unfortunately, providers often manage audits with other non-audit documentation requests, which can make it difficult to understand the full impact on revenue. This can result in various denials, including missed ADR responses due to lost or missed request letters, inaccurate entry of information from an ADR Letter, not responding before the audit deadline, and failure to confirm the delivery of the ADR with the Payor/Auditor.
At OnTarget Revenue, we offer a solution that can help prevent these denials. Our software can help your team be more productive, ensuring that ADR responses are accurate and complete, which is one of the best ways to reduce denials, payment reductions, and appeals.
Moreover, in case of denial or payment reduction, we also offer a great appeal solution. Our software can help you effectively manage the appeal process and ensure that all necessary steps are taken to appeal the denial or payment reduction. With OnTarget Revenue, you can rest assured that your revenue management processes are streamlined, efficient, and optimized.