Claims Research & Recovery Services

Let DuvaSawko Handle Your Claims Research And Recovery

Nearly every emergency medical department has or will experience denied healthcare claims for a myriad of reasons.

A clean claim denial rate can be calculated based on the count of claims denied divided by the count of claims submitted. DuvaSawko has a clean claim rate of 92% with 8% errors, including registration errors and technical issues. Obviously, the lower your EM department’s denial rates the better, as this results in a consistent and more timely cash flow.

However, in the last decade, health insurance claims have been getting progressively harder to process. Reimbursement rates are declining,  , procedures are bundled with increasing frequency, requests for documentation to support the billed charges are becoming more and more routine. Handling complex ED claims requires expertise, and the expansion of higher-deductible health plans mean that the margin of error for submitting claims that will be declined for patient responsibility is growing.

Emergency Medicine practices that try to keep up with these challenges often struggle to maintain consistent cash flow and are plagued by revenue cycle management hurdles that threaten overall practice health.

The experts at DuvaSawko dedicate significant personnel resources to unpaid claim tracking for AR management. Our detailed and accountable process gives us the ability to aggressively pursue unpaid claims to ensure maximum revenue capture and ultimately, ROI.

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WHY SHOULD YOUR EM PRACTICE OUTSOURCE THE HANDLING OF CLAIMS RESEARCH AND RECOVERY?

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The goal of DuvaSawko’s dedicated Claims Research and Recovery (CRR)department is to effectively manage the reimbursement process for complex auto accident and worker’s compensation claims .

Emergency Medicine practitioners, are often focused on running the business, and are not dedicated to continuous improvement in the claims management process. DuvaSawko will expertly manage your Worker’s Compensation, No Fault MVA, and Fault/Tort MVA claims. Our CRR team’s core areas of expertise are state-specific auto and worker’s compensation regulations and practices and effective communication with these carriers for optimal reimbursement.

What You Get With DuvaSawko’s Claim’s Management

  • Dedicated staff that undergoes constant training and industry best-practices to support professional fee billing
  • Accountability that is shared between front-end and back-end staff
  • Superior reporting of your key performance metrics
"DuvaSawko reports are objective, accurate, timely. Prior to our engagement with DuvaSawko, coding, billing, and collecting was a great deal of effort for us. Since we have been associated, the burden of trying to make sure the system continues to work has simply been lifted from us."
Richard Stromberg, M.D.
Emergency Resources Group

Get Your Complimentary Practice Analysis Today

Awareness of your practice’s financial health will help determine just how profitable your practice can be. The team at DuvaSawko knows what it takes to be a successful Emergency Department practice.

We have shown practices how to positively impact revenues by between 10 and 30% annually.

Don’t leave any more money on the table. Talk to the team at DuvaSawko today and schedule your complimentary practice analysis.