Denial & Appeal Management

7 Strategies to Drive Cash Flow Series Part 2

In this ebook, we’ll cover various strategies for understanding and staffing for your denials, automating denial and appeal management, and more!


7 Strategies to Drive Cash Flow Series Part 1

In this ebook, we’ll cover various strategies for slashing your denial rate such as catching claims that will be denied, zoning in on remits and EOBs and more!


Denial Management: Take Control of Your AR

Overcome denial bottlenecks & get your AR back on track by arming your staff with tools they need to effectively prioritize & quickly appeal denials


Denial Management By the Numbers

Learn how the challenges of denial management can turn into opportunities in this infographic


Denial Productivity ROI Fact Sheet

Learn step by step how denial management solutions work to save you time for each denial and appeal


Predictive Analytics in Leveraging Revenue Cycle Management

Paul Bradley, ZirMed’s Chief Data Scientist, shares his insights on the growing importance of using predictive analytics in revenue cycle management. Read the article and listen to the podcast.


Claims Management Solution Overview

Filing claims & collecting payments from commercial & government payers is the financial lifeblood of your healthcare organization.

Powered by insights drawn from our network of hundreds of thousands of providers, ZirMed’s Claims Management solution streamlines & automates your entire workflow for faster, more complete payments, lower costs, & higher efficiency under both Fee for Service (FFS) & Fee for Value (FFV) payment models.


Denial & Appeal Management Overview

Managing denials is time-consuming and complicated. ZirMed’s Denial & Appeal Management platform can help save time and increase efficiency, all while helping you receive the reimbursements that are rightly yours.


How Predictive Analytics Helps Hospitals Avoid Denials

Join ZirMed’s Ryan Feldt to see how cloud-based software combining data science and predictive analytics is helping hospitals avoid denials


Software Solutions to Improve Your Denial and Appeal Management

Join ZirMed’s Ryan Feldt to learn more about ZirMed’s Denial and Appeal Management and how it can transform your organization’s approach to working denials.


Strategies to Improve Denial Management

Join Judy Monestime to review key denial-related benchmarks and examine ways to improve prospective denial avoidance to improve your denial management workflow


Moving from Denial Management to Denial Avoidance – The Role of CDI

Join Glenn Krauss to deepen your understanding of CDI’s role in the revenue cycle and learn practical strategies to apply these insights into daily work


7 Strategies to Slash Your Denial Rate eBook

Denial management in healthcare continues to be a challenge—in part because the traditional way of working denials is time-consuming, costly, and prone to error. Denials eat up as much as 3-5% of provider revenue, and according to some projections denial rates trend as high as 20%.

In this ebook, we’ll cover various strategies for slashing your denial rate such as catching claims that will be denied, zoning in on remits and EOBs and more!


Undeniable Challenges—The Reality of Healthcare Claims Denials

Denial management in healthcare continues to be a challenge for providers—in part because the traditional way of working denials is time-consuming, costly, and prone to error. ICD-10 sparked additional denial management-related worries in October of 2015, based on projections that denial rates might increase 100%-200%. Ultimately that didn’t occur (though the CMS grace period may have been an influencing factor)—but nonetheless, denials continue to eat up as much as 3-5% of provider revenue, and according to some projections denial rates for providers trend as high as 20%.


Introduction to Denial & Appeal Management

ZirMed’s Denial & Appeal Management solution provides a streamlined, results-focused workflow for managing denials—and delivers the insights you need to make sustainable reductions in your overall denial rate.
This webinar will discuss how ZirMed’s business analytic platform can help organizations gain insight to help optimize revenue cycle processes by reducing denials and rejected claims.


Denials Deconstructed: Getting Your Claims Paid

Getting paid what your physician deserves—that’s the goal of every biller. Yet even for the best billers, achieving that success can be elusive when denials stand in the way of success, presenting challenges at every turn. Denials aren’t going away, but you can learn techniques to manage and even prevent them.


Effective Denial and Appeal Strategies

Getting paid what your physician deserves—that’s the goal of every biller. Yet, this can become challenging when 15 to 20 percent of gross charges are denied. Denied claims are a costly industry-wide challenge and can stand in the way of success. 90% of denials are preventable and 65% are recoverable. In this session, national healthcare consultant Dr. Deborah Walker Keegan shares best practices in claim denial prevention and management


Denials Deconstructed Webinar

Getting paid what your physician deserves—that’s the goal of every biller. Yet even for the best billers, achieving that success can be elusive when denials stand in the way of success, presenting challenges at every turn. Denials aren’t going away, but you can learn techniques to manage and even prevent them. Join practice management expert […]


Consolidated Health Services

Previously, Consolidated Health Services’ collectors were forced to work from aging reports because their service platform doesn’t allow zero-pay transactions to be posted. “With ZirMed, we’ve been able to bring together our collectors’ work from multiple accounts and multiple payers into a single place,” said Donald Hoskins, Revenue Cycle Support Manager.

“Denial & Appeal Management gives us line of sight to each work queue, which makes us much more efficient. For the first time ever, we can see denials quickly
and get to work on them right away.” By helping the company’s collectors monitor their own results, ZirMed has empowered them to get ahead of their AR.


Best Practices for Increasing Patient Collections

Join ZirMed Product Manager Jay Garmon and Knoxville Orthopaedic Surgery Center’s Teresa Copeland for an in-depth look into ZirMed applications applications that will help you, accommodate the ever-rising amount of patient self-pay, accurately estimate total patient financial responsibility up front—then collect it before you provide service, quickly and easily set up automated payment plans for patients who can’t pay their full responsibility immediately, and collect post-visit patient payments more easily and reduce bad-debt write offs


Cleaner Claims through Cloud-Based Technology

In this webinar, Betsy Nicoletti will enable participants to, assess the adequacy of claim submission tools currently used in their practice, describe key indicators in denial reports that show exactly where and how they can get “the most bang for their buck” through process improvements, identify payment variance between the amount paid on a claim and the amount owed under the appropriate payer contract


Bariatric Medical Institute of TX

How Bariatric Medical Institute of TX reduced denial rates, cut AR days, and increased clean claims rates by using ZirMed.


Reform Your RCM: Best Practices and Beyond

Healthcare continues to buzz with new strategies related to the pre-visit, time-of-service, and post-visit collection processes, as well as best practices for denial management. While these are no doubt important, they don’t always empower you to be proactive rather than reactive—and staying ahead of the curve is imperative in the ever-changing world of healthcare.

In this webinar, ZirMed group product manager Dustin Hamilton will provide real-world, actionable guidance designed to help you manage and conquer RCM challenges in 2016 and beyond—so you transform your organization’s financial performance and chart your course to continued success!


Best Practices in Revenue Cycle Management

2016 brings a host of challenges in revenue cycle management. Health care reform, high deductibles, and the uninsured are all having an impact on your revenue cycle. To help you with these challenges, this fast-paced and succinct session will focus on ten proven ways to enhance your revenue cycle.


Using Business Analytics to Optimize Revenue Cycle Processes

Identifying key performance indicators is not a trivial task. KPIs are tied to the goals of the organization and determine their performance by showing trends to demonstrate the improvements that are being made over time. Focused business analytical applications can help your organization reach business goals.

This webinar will discuss how ZirMed’s business analytic platform can help organizations gain insight to help optimize revenue cycle processes by reducing denials and rejected claims.


ZirMed Expands Denial Management Solution with Robust Appeals Capabilities

Company Adds to its Proven Denials Management Technology to Deliver a Comprehensive Solution that Enables Healthcare Organizations of All Sizes to Prevent and Recover Denials Louisville, KY – June 22, 2015 – (HFMA ANI Booth #417) – ZirMed®, the premier cloud-based enterprise financial and clinical performance management provider for healthcare, today unveiled it is launching […]


Using Predictive Modeling To Detect Meaningful Correlations across Claims Denials Data

The reasons claims are denied are so varied that managing denials can feel like chasing a thousand different tails. This situation is not surprising given that a hypothetical denial rate of just 5 percent translates to tens of thousands of denied claims per year for large hospitals—where real‐world denial rates often range from 12 to […]