HLS attorney’s not only appeal claims but also help the contracting department in understanding the root cause of payer denials. HLS provides payer and issue root analysis which provides managed care department data and substantive documentation for payer contract negotiations. By having quantifiable appeals and issue data based on payer, the client can negotiate and avoid pitfalls in negotiations. HLS reports and documentation help the managed care department develop a better strategy for dealing with payer problematic issues.
Clients have gained insight and have used HLS data in their payer negotiations. HLS has historical results across payers and data at each level of appeal that can be used for negotiating managed care contracts. This results in better understanding of the yield in existing contracts as well as a deeper awareness of solutions that need to be implemented.