Turn To The Experts Who Intimately Understand Both Sides of The Coin.
As a result of our long-standing fluency dealing with out-of-network claims for ASCs, GENASCIS has assembled a group of genuine appeal specialists. Our experts are notably adept at taking contested claims to the highest allowable level. We conduct appeals to the department of insurance, administrative law judges and insurance commissions. No other vendor can begin to approach this level of appeals follow-through. Accordingly, this special set of skills makes us equally well suited to work denials and the underpayment of in-network claims.
Our ability to track denials by reason and provide feedback to facilities further enhances our capacity to maximize reimbursement. We swiftly identify variances between actual payments and contracted amounts and are empowered to take action when payers are deemed to be hedging their contractual obligations.
The insight GENASCIS provides with regard to contract negotiation includes contract modeling and decision support based on thorough historical data analysis. Our in-network specialists are fully versed in the myriad of potential contracting scenarios. So we quickly recognize contractual nuances that will be either advantageous or costly for an ASC. And ultimately our day-in, day-out collections experience in both spheres ties everything together to drive deeper value for ASCs.