For healthcare providers, claim denials are just a routine part of business. It seems you can’t completely escape them no matter how hard you try. You’ve heard the statistics: The average claim denial rate across the healthcare industry falls between five and 10 percent, according to an American Academy of Family Physicians (AAFP) report.
On any given weekend, Andrea Munson is like any other mom, spending her “free time” balancing her daughter’s sporting events, cleaning house and catching up on her favorite Netflix shows. But her work at eSolutions is never far from her thoughts.
As Director of Implementation and Projects, Andrea is responsible for the Implementation, Enrollment, and Strategic Operations teams. She is always busy making sure her teams and managers are firing on all cylinders when it comes to helping eSolutions’ employees assist clients. She also makes sure that any system that can be automated is, to make eSolutions’ products work as seamlessly as possible for new and existing clients.
A Message from our CEO
In just the few short months since coming on board as eSolutions’ CEO, I am truly energized by our dynamic employees and the value our products bring to thousands of providers. Now, more than ever, eSolutions is putting resources and focus behind a growth strategy that enables clients like you to further optimize your performance.
While eSolutions has grown tremendously over the years, our innovative products and committed team position us to evolve into something even greater than our founders could have imagined nearly 20 years ago. After months of comprehensive planning, we know exactly where eSolutions is going and how we’re going to get there.
Payer denials, write-offs and claim rework can really hit a healthcare organization where it hurts the most – right in its bottom line.
Medical necessity is among the top-five reasons medical claims get denied, and those denials cost providers millions each year. In fact, medical necessity denials accounted for nearly 3 percent of all denials recorded in eSolutions’ TITAN performance insights tool, resulting in more than $8.9 billion in denied billed revenue since TITAN launched in 2011.
A practice management (PM) system is the glue that binds a healthcare provider practice. It’s the primary tool office staff count on for effective communication and streamlined coordination between patients, providers and systems. A PM system tracks many moving parts of your business, and your patients are counting on your office to run smoothly.
As CMS is expected to soon release a start date for Review Choice Demonstration for home health providers in Illinois, we're excited to announce the launch of our latest product. Our RCD product is an update to the Pre-Claim Review product from 2016 and is designed to assist home health agencies who choose pre-claim review to affirm their claims.