Denial Management

Reduce payor denials and increase revenue

We work to identify and quantify root-cause issues that contribute to denials, re-work, and lost revenue. Nordic will partner with you for successful implementation across departments and disciplines identified as key contributors.

Identify benefit

Review of denial and final adjustment data
Assignment of root cause and avoidable designations
Calculation of achievable net revenue improvement potential

Implement solutions

Action-oriented denials task force creation/re-design
Direct work/change management across contributors: patient access, clinical, vendors, coding, IT, and more

Monitor and sustain results

Data-driven accountability
Tailored education and training
Structured process to resolve new denial issues beyond the initial project period

Success stories

Regional health system

Reduced incoming denials by 25% following root-cause identification and resolution efforts
Implemented follow-up processes to reduce time to work denials by 50%

Multi-state hospital system

Annual net revenue improvement of $28M
Comprehensive denial implementation, with an in-depth redesign of case management
Process, communication, productivity, and analytics changes key to overall realization

The Nordic difference

Data and analytics

We offer extensive data review, including claims, charges, and reimbursement to identify opportunities and monitor progress.

EHR expertise

We’ll partner with you to apply our deep knowledge of EHR builds, and design better workflows for your staff.

Operational experience

Our team of consultants averages over 10 years of experience helping optimize medical group and hospital operations.

Big-picture strategy

We have a strong track record of helping organizations break down complex and system-wide problems to establish a mission-driven strategy and vision for patient access to care.

Detailed execution

We help implement our strategies with in-person, elbow-to-elbow support, accelerating timeframes to maximize your investments in technology and people.

235Consultants with Epic revenue cycle module experience

130Consultants with operational (finance or clinical) backgrounds

2-6%Typical net revenue improvement realized by health systems across the U.S.

We are at least a year ahead of where we would have been, and we now have standardized system reports and metrics. Through the increased net revenue alone, the project has more than paid for itself. I am very happy.

CFO, Large Multi-Hospital System

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