Successfully Providing Business Solution from 20 years

Denial Management

Denial management is essential in Offshore medical billing as it helps in reducing the rejection of the claim by a payer. By having a reduction in rejection of claims, the healthcare service providers can receive their payment on time for the valuable service rendered to their patients.

 

Denial Management processing is quite a troublesome process that involves lots of paperwork and communication with multiple parties like patients and the insurance provider. However, We at Bristol Healthcare Services will ensure that this highly essential process doesn’t dent your operations.

Our Denial Management Services

We offer the following solutions as part of our Effective Denial Management service.

Appeal

We appeal when an insurance company rejects a claim. Our team will prepare the necessary documents such as appeal letter, medical records, and then send it to the insurance company

Follow-up

The team of dedicated experts here at Bristol Healthcare services will call up the patients to obtain essential documents such as outstanding dues, missing demographic, and insurance information

Credit Balance Audit

Our team will do a periodical audit of the accounts and will identify unidentified and duplicate payments. Once identified, we will take necessary actions such as refund or adjustment.

The Benefits Of Our Denial Management Services

We offer the following solutions as part of our Effective Denial Management service.

Improved Collections

Improved Collections

Accelerated Cash Flow

Accelerated Cash Flow

Faster AR Processing

Faster AR Processing

Reduced Denial Rate

Reduced Denial Rate

Improved Efficiency

Improved Efficiency

Lower claim Rejections

Lower claim Rejections

The Process We Follow

We follow a 3 step process to ensure proper incorporation of Denial management in medical billing.

We Track all the claims and the explanation given by the insurance company for the denial of a claim. Tracking is also very essential to know if a payment is made partially or not.

There are various reasons behind the denial of claims; our team will understand the causes and categorize them. Once the denied claims are classified, a denial code is assigned.

All the denied claims are listed, and our experts analyze the root cause of its denials. After the reason is analyzed, they do the required actions that are essential to fix it.