TREND Technology

Denial Management

Clinical denial backlogs happen, but we’re here to help. TREND Health Partners’ flexible model allows us to supplement your denial management team when, where, and as you need it.

A 90+% Overturn Success Rate

Choosing the right denial management partner can help your organization reduce time to revenue and decrease the cost to collect. With best-in-class technology and deep clinical experience, TREND Health Partners can not only help manage your organization’s current denials but serve as a partner to strategically prevent your denials, as well.

Why Use TREND for Denial Management?

Clinical Expertise

Our dedicated team of RNs have experience in several specialized fields including cardiology, NICU, PICU, oncology, and wound care. This ensures that we can provide a comprehensive level of service to your organization based on your individual needs.
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Industry-Leading Technology

Root cause reporting and analysis are at the core of denial prevention, and at TREND, that begins with our Optics platform. Optics brings together all of your 835 & 837 claim and denial data to be viewed in easily understood dashboards.
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Strategic Partnerships

TREND can accommodate specific times, days, or review types to eliminate gaps in nurse reviewer coverage.

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Comprehensive Defense

In the unlikely event of a denial, TREND defends our work throughout the life of the claim – at no additional cost.

Denial Management Solutions

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VALIDATING MEDICAL NECESSITY

In 2022 TREND Health Partners recovered $1.3MM on average for our hospital and health system partners of all sizes: small, medium, and large. Increase overturned denials and recover more of your organization’s revenue by leveraging our expertise in validating medical necessity.
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Combat Prior Authorization Denials

Prior authorization is one of the top causes of claim denials for hospitals and health systems, leading to millions of dollars in lost revenue every year. TREND Health Partners has the clinical expertise and the technology to help your organization combat prior authorization denials.
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DRG and Clinical Validation

Optimize your clinical coding and documentation for optimal reimbursement with TREND Health Partner’s industry-leading technology and deep clinical knowledge.
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“The quality of the denial letters are stellar, citing the most up-to-date evidence-based literature. The feedback that the TREND team provides serves as a clinician education opportunity so that history does not repeat itself… I find their results effective and their costs reasonable considering their expertise in their field.”

– Director of Case Management, Regional Health System

What makes TREND Different?

Monthly Status Report

Details your claim inventory status, providing a claim roll-up of the activity taken on the claims, where they currently reside in the process, and final claim resolution.

Executive Summary

Overviews metrics for designated period and may show trends not easily seen within the project. Helps escalate any issues or opportunities for both TREND and client.

On-Trend Report

Case-by-case review to determine appeal opportunities. Aggregates and outlines the story of your denials plus our recommendations for addressing root causes.

Infographic Reporting

Illustratively depicts claims appealed and recovery results. Specific graphs can include appealed amounts by payer and/or denial type plus closures by reasons and/or payers.