Hayes Management Consulting, Inc.
 

EDIminer™

With EDIminer™, Hayes is able to quickly ascertain whether your organization is being paid in full on every claim that it sends out. A Hayes consultant loads your organization’s 835 EDI data into our EDIminer™ tool, and prepares a report containing the following:

Denial Trends (Enterprise- Payer – Providers) Listing of adjustment reason codes contained within the 835 files, identifying avoidable denials and trending analysis.

     
  Category Analysis (Enterprise- Payer – Providers) EDIminer™ will categorize like types of denials and report them globally. This will include categories like: Registration, Billing, (Coding or HIM), Timely Filing etc. Consultant will work with the Client’s team to understand any regional variances regarding the true meaning of an adjustment reason code and incorporate that into its findings.
     
Lastly, Hayes' experienced revenue cycle consultants will put together a value proposition based on their review of your data with recommendations, alternatives and action plans.

 
   
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