Medical & Administrative Claims Appeal Processing

Syrus Financial Services was incorporated on August 7, 2003 to assist and provide our clientele with an alternative to processing denied claims in-house. We specialize in medical claims appeal processing that results in over-turning denied claims.

We process all types of claims including medical necessity, administrative, legal and timely filing issues for managed care, Medicare and Medicaid. We handle every tier of the denial stage including 1st, 2nd and 3rd level appeals as well as any  escalation to the private sector including independent boards or groups that review claims past the third stage of the appeal process.

We specialize in both Physician billing (1500) and Hospital Billing (UB92) claims.

What Makes Syrus Successful?

Our company consists of highly trained and experienced medical doctors, nurse auditors, insurance and appeal specialists that have the accreditation (all employees must be CPAT & CCAT Certified through AAHAM) and expertise to review, appeal and overturn a wide spectrum of clinical and administrative denials.

All medical necessity appeals are processed through DBSS, reviewed and written by our on staff medical team which is overseen by our Chief Medical Director, Doctor Ronald Grossman. 

Technological Advances:

The most exciting and recent technological advance to Syrus Financial Services is the implementation of our Denial Based Service Solution aptly named DBSS.

DBSS is a major upgrade to our internal processing system. We have invested our financial resources, knowledge of claims and contracts and combined them to create the most sophisticated and efficient system for tracking and overturning denied claims.

We added DBSS as an adjunct to our proprietary encoding module to better serve our clients by over-turning a higher percentage of denied claims. 

Syrus has experienced tremendous results for our customers especially for recoveries on extremely difficult claims (not to mention extremely difficult payors) including various nuances and carve outs in the managed care contracts that otherwise may have gone unnoticed, unpaid and stayed denied.

Customized Appeal Letters Only!

Each claim is reviewed and processed by a certified claims specialist or physician who writes the customized appeal letter.

This ensures that no form or canned appeal letters are submitted.  

Why Outsource With Syrus?

We are just getting started where others quit. Our firm has the drive, knowledge and persistence to get claims paid. 

Outsourcing with Syrus also allows your staff to focus on the new patient accounts coming out of the shoot while not being bogged down with claims that potentially may never be recovered. 

Our goal is to act as an extension to your business office by providing integrity, dignity and a roll-up our sleeves attitude to get the job done.

Simply put, our bottom line depends  on how well we improve your bottom line. 

For The Record:

We have a proven track record which gives you a successful alternative to writing off your denied claims to bad debt and potentially overloading your staff and resources to work the more tedious accounts.

We currently have an overall turnover success rate of 65.7% of appealable claims.

While you focus on providing the best healthcare services for your patients, we'll focus on making sure that you are getting paid for them.

No matter how financially healthy your facility is, Syrus Financial Services will ultimately help your organization to improve your average percent of denied claims while improving your cash flow and bottom line.