Line Item Denial (APC) Recovery

Jzanus specializes in Outpatient Line Item Denial Recovery.  These denials are often due to medical necessity, coding, documentation or related issues and in the aggregate result in a significant loss of reimbursement to your facility. Sometimes a minor error in coding for a single ancillary service can result in the denial of a significant outpatient claim. Jzanus has the experience to review and correct the issues that caused the claims to be denied so that the claims can be resubmitted and ensure that your hospital receives the appropriate level of reimbursement to which you are entitled. In addition, as the Jzanus professionals review the denied claims, they will identify and communicate the specific issues to Hospital management that caused the claims to be denied.