Elevate Your Revenue Cycle Efficiency with Suma Soft’s Denial Management Services

Claim denials remain one of the biggest challenges in healthcare revenue cycle management, directly impacting cash flow, operational efficiency, and financial stability. Without a structured approach, denied claims can quickly turn into lost revenue and growing accounts receivable.

This presentation highlights how Suma Soft’s Denial Management Services help healthcare organizations reduce denials, accelerate reimbursements, and build a stronger, more resilient revenue cycle.

Inside this PDF, you’ll discover:

1. Common causes of claim denials and how they affect revenue performance

2. A structured, end-to-end denial management process—from identification to appeal and recovery

3. How root-cause analysis and data-driven insights help prevent repeat denials

4. The role of automation, accurate coding, and proactive payer follow-ups in improving turnaround times

5. Measurable business outcomes, including reduced operational costs, lower aged A/R, and improved net collections

Backed by more than 25 years of healthcare back-office experience, Suma Soft combines domain expertise, analytics, and proven workflows to help providers regain control of their revenue cycle while improving efficiency and compliance.

Whether you’re facing rising denial rates or looking to optimize your existing RCM operations, this presentation offers practical insights into building a denial management strategy that supports long-term financial health.

Transcript

1. Elevate Your Revenue Cycle Efficiency with Suma Soft’s Denial Management Services Suma Soft – Proprietary and www.sumasoft.co
2. • At Suma Soft, we empower healthcare organizations to reduce claim denials, accelerate reimbursements, and achieve greater financial control. • With over 25 years of experience, our denial management solutions combine expertise, technology, and customized strategies to recover lost revenue and prevent future denials. • We make your revenue cycle stronger, faster, and future-ready. Suma Soft – Proprietary and www.sumasoft.co Streamline, Optimize, and Strengthen Your Revenue Cycle with Expert Denial Management Services
3. Suma Soft—Your Trusted Denial Management Partner • At Suma Soft, we specialize in healthcare back-office solutions with a strong focus on denial management. • Our team of experienced professionals tackles every claim with precision to ensure quicker reimbursements and long-term revenue stability. • We integrate best practices, advanced analytics, and deep domain expertise to deliver measurable financial improvements. Who We Are Suma Soft – Proprietary and www.sumasoft.co
4. www.sumasoft.com Problems & Solutions Suma Soft – Proprietary and Confidential Challenges Lenders Face: Suma Soft’s Solutions: • Complex loan applications with tight regulatory compliance • Delayed turnarounds hurting borrower experience • High operational overheads and risk of errors • Expert support across origination, processing, and post-closing • Automation-led workflows reducing TAT & error rates • Strategic resource allocation to focus on business expansion • 24/7 support & seamless communication with all stakeholders
5. www.sumasoft.com Suma Soft – Proprietary and Confidential Powering Financial Health with Denial Management • 70% Reduction in operational costs with optimized denial processes • 80% Improvement in productivity through workflow automation • 50% Decrease in aged accounts receivables by addressing denials promptly • 90% Improvement in net collections with strategic interventions
6. www.sumasoft.com The Denial Management Process Suma Soft – Proprietary and Confidential Denial Identification: Early detection of denied claims using advanced analytics. Root Cause Analysis: Pinpointing errors like coding issues or missing documentation. Appeal Preparation: Crafting strong, data-backed appeal letters with clinical evidence. Payer Follow-up: Proactive engagement with payers for faster resolution. Continuous Monitoring & Improvement: Tracking denial trends and evolving strategies to minimize future risks.
7. Suma Soft – Proprietary and Confidential www.sumasoft.com . . . . Delivering Denial Management Success . . Patient Eligibility Verification to reduce upfront denials Prior Authorization Management for hassle- free approvals Accurate Medical Coding & Claim Submission minimizing errors Medical Necessity Determination aligned with insurer policies Denial Analysis, Appeals & Resubmissions for revenue recovery Continuous Process Improvement based on denial trends
8. Suma Soft – Proprietary and Confidential www.sumasoft.com Follow Us On United States 300 Delaware Ave. Suite 210 #324 Wilmington DE 19801 India HQ 3rd Floor, Westend Icon, Westend Mall Complex, Aundh, Pune - 411007, Maharashtra, India Reach US For USA +1-281-764-1825 +1-281-408-4861 For India +91-20-40130400 Let’s streamline your revenue cycle for long-term success. Contact us today for a free consultation! Mumbai, India Kontor Space , 9th floor, Ashar IT park, Jayashir Baug, Road no 16, Wagle Industrial Area, Thane - 400604, Maharashtra, India