McKesson's RelayHealth Financial is going after those denied claims with the goal of boosting revenue for its clients.
The company launched RelayAssurance Appeals Assist, a new automation tool that company executives say gives providers a way to identify, create, file and track appeals for denied claims – the better to collect the money owed.
While several news reports have speculated recently that McKesson is looking to sell its IT unit to Change Healthcare – formerly named Emdeon – to concentrate on its pharmaceutical enterprise, RelayHealth Financial appears to be going full steam ahead with development of new IT products.
Payers deny an estimated 6.4 percent of all provider-submitted claims, according to RelayHealth calculations. However, two thirds of those claims are recoverable, RelayHealth claims.
[Also: Kalorama: Cerner, McKesson earn EHR marketshare lead, Epic and Allscripts follow]
The new technology, RelayAssurance Appeals Assist, flags denied claims, completes the appropriate appeal forms and tracks the progress.
"Despite providers' best efforts to submit clean claims, a substantial number still get denied," Marcy Tatsch, vice president and general manager, Reimbursement Solutions, for RelayHealth Financial, said in a statement. "An effective denial prevention strategy doesn't just focus on pre-submission, but also on the other points along the claims continuum."
RelayAssurance Appeals Assist is the newest module of RelayAssurance Plus, RelayHealth Financial's cloud-based, analytics-driven claims and remittance management solution.
Twitter: @Bernie_HITN
Email the writer: bernie.monegain@himssmedia.com
