Denial Management

Discover Wakefield’s cutting-edge Denial Management services designed to proactively address and prevent future denials for healthcare professionals. Our versatile product line allows customization of the scope based on denial type, Financial Class/Payer (Commercial, Government, etc.), or a strategic blend of both. When patient accounts fall within the defined scope, Wakefield takes charge, thoroughly analyzing and working on placed denials to facilitate reprocessing and drive recovery.

Schedule a quick 15-30 minute call with us for a free consultation to determine your healthcare organization’s needs!

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Unlock the Full Potential of Your Revenue Cycle with Wakefield's Denial Management

Denial Management

In the fast-paced world of healthcare, professionals are constantly navigating the complexities of billing and insurance claims. That’s where Wakefield steps in. Our state-of-the-art Denial Management services are specifically designed to tackle and prevent the common hurdles that lead to claim denials, ensuring your practice thrives financially while providing exceptional patient care.

Tailored Solutions for Every Denial Challenge

Wakefield’s comprehensive approach to Denial Management stands out for its adaptability. Whether you’re dealing with denials based on Financial Class/Payer, such as Commercial or Government, or you need a strategy that addresses a mix of denial reasons, our services are customized to meet your specific needs. Our dedicated team dives deep into each denied claim within the scope, employing their expertise to analyze, rectify, and expedite the reprocessing and recovery process.

Why Choose Wakefield for Denial Management?

Our Denial Management solutions come with a plethora of benefits designed to enhance your financial performance and streamline your billing operations:

  • Increased collections: Maximize your revenue with our focused recovery efforts.
  • Reduced Denials: Proactively address denial reasons, significantly lowering their occurrence.
  • Excellent customer service: Experience unparalleled support and guidance throughout your journey with us.
  • Dedicated Client Manager: Have a go-to expert focused on your account’s success.
  • In-depth Monthly Reporting: Gain valuable insights into your denials and recovery efforts with comprehensive reports.
  • Notes files for ingestion into Client system: Integrate our findings directly into your system for seamless operation continuity.

Comprehensive Coverage of Denial Reasons

Wakefield’s Denial Management services cover a wide array of denial reasons, ensuring no stone is left unturned in safeguarding your revenue. From complex payer policies and inadequate communication to timely filing deadlines and coding errors, our team is equipped to handle challenges across the spectrum. By addressing issues like medical necessity denials, authorization problems, and provider credentialing, we ensure a thorough and effective management process that not only recovers lost revenue but also prevents future denials.

Empowering Healthcare Providers

At Wakefield, we understand the vital role healthcare providers play in our communities. Our goal is to empower your practice by alleviating the administrative burden of denial management, allowing you to focus on what matters most—delivering outstanding patient care. With our contingent pricing model, you can access our expert services without upfront costs. Contact us today for a free quote and discover how we can transform your denial management process, driving your practice towards greater financial health and operational efficiency.

Join the Wakefield Family

Become part of the growing number of healthcare professionals who have revolutionized their revenue cycle management with Wakefield’s Denial Management services. Let us take the reins on managing and preventing denials, so you can dedicate your resources to enhancing patient services and care quality. Together, we can achieve remarkable financial stability and efficiency for your practice.

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Legacy Conversion


Legacy conversion refers to the process of moving data, operations, and functionalities from an outdated or inefficient system to a newer, more advanced system. This transition is crucial for several reasons:

  1. Enhanced Efficiency: Modern systems are developed with the latest technologies, offering faster processing times and more intuitive interfaces.

  2. Improved Compliance: New software systems are often designed to comply with current regulations and standards, helping your organization stay compliant.

  3. Better Data Management: Advanced systems provide superior data management capabilities, allowing for more accurate and accessible patient or customer information.

  4. Increased Productivity: With updated features and fewer system downtimes, employees can work more efficiently, significantly boosting productivity.

There are three primary methods of system conversion: direct conversion, phase-in conversion, and parallel conversion.

  • Direct Conversion: This approach involves completely switching from the old system to the new system at once. It’s fast but carries higher risk if the new system fails.

  • Phase-in Conversion: Here, the new system’s features are gradually implemented over time. It reduces risk but can prolong the total time to full implementation.

  • Parallel Conversion: Running both systems simultaneously for a period ensures the new system operates correctly before fully transitioning. It’s the safest method but can be resource-intensive.

Choosing the right method depends on your organization’s risk tolerance, resource availability, and how critical the system is to your daily operations.

AR Clean-Up is a critical component of the legacy conversion process, ensuring that your accounts receivable management doesn’t falter during the transition. It involves:

  • Reviewing and reconciling outstanding accounts receivable.

  • Identifying and correcting any discrepancies.

  • Streamlining collection processes to improve cash flow.

Implementing AR clean-up before, during, and after a legacy conversion helps maintain financial stability and ensures that your organization doesn’t lose track of owed revenues during the transition.

The main challenges of legacy conversion include data loss, system downtime, employee resistance to change, and budget overruns. To mitigate these challenges:

  1. Thorough Planning: Develop a detailed conversion plan that includes risk assessment and mitigation strategies.

  2. Data Backup: Ensure all data is backed up before beginning the conversion process to prevent loss.

  3. Employee Training: Invest in comprehensive training programs to reduce resistance and ease the transition for your staff.

  4. Budget Management: Allocate resources wisely and plan for unforeseen expenses to avoid budget overruns.

Wakefield specializes in legacy conversion and AR Clean-Up, providing tailored solutions to meet your specific needs. Our services include:

  • Expert Planning and Implementation: We offer strategic planning and implementation support to ensure a smooth transition.

  • Custom AR Clean-Up Projects: Our team tailors AR clean-up projects to fit your organization’s unique requirements, improving your cash flow and accounts receivable management.

  • Training and Support: We provide comprehensive training for your employees to help them adapt to the new system quickly and efficiently.

By partnering with Wakefield, you can ensure that your legacy conversion and AR clean-up processes are managed effectively, allowing your staff to focus on learning the new system without fear of reduced collections or financial instability.

Planning, testing, and training are key phases that can affect the overall timeline. Engaging with a professional service like Wakefield can help streamline the process and reduce downtime.