Gone are the days when healthcare providers readily accepted denials resulting from payer disputes. Providers now go to great lengths to overturn denials by creating denial management (DM) teams and establishing DM workflow processes. Furthermore, industry organizations are providing hospitals with tools and resources to teach effective denial management, making it easier than ever for providers to manage denials.

To help payers combat such denial management practices, FAIRPAY Solutions makes a concerted effort to stay abreast of the latest denial management strategies. We are committed to helping clients minimize unwarranted denials and have established comprehensive processes to address both small and large dollar disputes. For workers’ compensation payers, we proactively identify and filter automated provider reconsiderations and combat them with the appropriate legal, medical and financial responses on behalf of our clients.