Primeau consultants will perform root cause analysis to determine the top contributing factors of your facility’s denials. Our team will work with your organization to build a successful denial prevention taskforce to decrease front-end and back-end denials. Educate clinical and non clinical staff on the importance of denial prevention and assist with the appeals process for denied encounters. Coverage includes:

• DRG Clinical Validation
• Inpatient and Outpatient Coding
• Medical Necessity
• ED facility level downgrades
• Root cause analysis of denials