Denial Management Solutions

Versatile

Coding, Modifiers, DRG, APC Validation. We want to occupy your coding “pain points.” Utilizing your encoders or ours, we can assess and customize a series of reports, develop a workflow, and apply our focus in this order.

Decision Making

Clinical Appeals, Readmissions, Medical Decision Denial. Flexible thinking and decision-making. Offers a comprehensive understanding of the revenue cycle, especially the denial processes in the revenue cycle.

Simple and Effective

Easily manage audits from the Letter of Intent to Line-Item Claim Review/Audit (LOI) through adjudication. Web-based, no IT intergration required.

Powerful Tool

Powerful reporting capability and error rate identification along with root cause analysis and corresponding fiscal impacts.

Claim WRX™ is a SaaS application built on the Salesforce Platform that is a force multiplier, a work management tool to recover dollars, contain costs, and analyze your entire Denials Management Process and Outcomes. It just works because its all we do. Built by auditors for auditors.

Claim WRX™ Features

Manage Audits

Easily manage audits from the Letter of Intent (LOI) to Audit through adjudication​.

Track Audit Stages

Track all aspects of audit stages from pending to closed and every stage in between​.

Cloud Based Sync

Synchronizes seamlessly with Outlook HIPAA-HITECH Compliant Cloud Based Rich reporting ability.

Track Error Rates

Tracks error rates by department or even by single line item.

Compliance Audits

Track RAC and other government compliance audits including attaching the entire medical record.

Clinical Appeals

Create clinical appeal letters and track their denial “root cause.”

Defend Claims

Create and defend DRG and APC claims. Defend all types of coding denials.

Audit Scheduling

Simplified audit scheduling with automated process flow and opposing auditor invite and updates.

Data Tracker

Now that we have recovered your hard-earned dollars, let us look at the Data Capture as it occurred within Claim WRX™. Show up to your meetings (or bring us) and we will show your C-Suite, Directors, and Managers this simple truth: Root Cause. Of course, by payer, denial, audit, codes or whatever, our data capture is the best in the industry, easily!

Data Tracker

We Help Healthcare Institutions Save Big with Our Powerful Audit Application and Integrated Auditing Services

Claim WRX

Healthcare audits, when managed carefully and strategically, can be an effective way to keep expenses under control. Medlinks Cost Containment Inc. has developed a solid reputation for itself (since 1997) as one of the most reputable Denials Management, Cost Containment, and Healthcare Staffing Firms in the US. With our powerful Coding, Appeal, Audit tracking SaaS application and smart auditing practices, we have helped healthcare institutions and payers. Stay compliant and save millions of dollars —by bringing clarity to the whole Coding, Appeals, and Auditing process.

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Claim WRX

Anthem Blue Cross Blue Shield
El Camino Health
EquiClaim
King and Spalding
John Muir Health
Sutter Health Plus
Stanford Medicine
New West Health Services
Optum
Sharecare
City of Long Beach
St. Rose Hospital
County of Fresno

Denial Management Survival Kit

with Denial Management Policy Template

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