Denial Management

Mitigate Denials & Improve
Your Reimbursements

Get Started
Doctors

Industry statistics reveal that over 15% of all medical claims are denied, rejected, or underpaid. Alarmingly, up to 65% of these denied claims are never reworked, leading to substantial revenue loss for healthcare providers. An effective denial management process ensures appropriate reimbursement, strengthens the revenue cycle, and maximizes financial outcomes.

At DigiMedicus, we provide comprehensive denial management solutions designed to help medical practices of all sizes—from small clinics to large physician groups, urgent care centers, and DME suppliers. Our expert team works diligently to resolve claim denials efficiently and proactively address recurring errors, reducing the likelihood of future denials.

PRACTICES DENIAL
OUR BEST PRACTICES FOR
DENIAL MANAGEMENT

We ensure faster and more accurate reimbursements by implementing an effective claims denial management process. Our approach involves in-depth analysis and resolution of denied claims while focusing on continuous improvement through denial trend analysis. Here are the key steps we follow:

  • Categorize Denials : Classify by payer, amount, and reason code for effective resolution.
  • Engage with Payers & Patients : Communicate with stakeholders to gather missing information.
  • Claim Correction & Appeals : Rectify claim errors and submit appeals promptly.
  • Appeal Tracking : Monitor appeal statuses and ensure timely follow-ups.
  • Denial Trend Analysis : Identify patterns and provide feedback to minimize future denials.

Performance Measurement & Analytics

Our denial management services are backed by robust analytics and performance measurement tools that provide real-time insights into claim statuses, reasons for denials, and accounts receivable trends. We offer regular updates on key financial metrics to ensure transparency and optimization:

Turnaround Time
for Appeals

Fast resolution and
reprocessing of denied claims.

Denial Resolution
Efficiency

Tracking time to resolution and
collection rates.

Claims Denial
Rate Monitoring

Identifying patterns and
preventing recurring denials.

Denial Benefits

GUARANTEED OUTCOMES &
BENEFITS

Our proven denial management solutions ensure maximum reimbursement, reduce claim denials, and improve overall revenue cycle efficiency. Partnering with us provides significant advantages:

  • Increased Collections & Cash Flow : Faster and more effective claim resolution.
  • Reduced AR & Aging Accounts : Lower outstanding balances and improved revenue realization.
  • Minimized Denial Rates : Addressing root causes to prevent future claim denials.
  • Enhanced Efficiency in Revenue Cycle : Optimized workflows for improved financial outcomes.
  • Higher Patient Satisfaction : Efficient billing processes ensure a seamless experience.

Why Partner with DigiMedicus?

Our dedicated team serves as an extension of your existing billing setup, handling the complexities of denial management while allowing you to focus on patient care. We take a proactive approach, providing expert revenue cycle management support with measurable results.

  • Increased Reimbursement & Cash Flow – Maximizing financial returns with streamlined denial resolution.
  • 100% Data Security & HIPAA Compliance – Ensuring full regulatory adherence and confidentiality.
  • Scalability On-Demand – Flexible solutions to accommodate business growth.
  • Seamless & Cost-Free Transition – Hassle-free integration into your existing processes.
  • Customizable Pricing Plans – Flexible and unbeatable pricing to fit your needs.
Cardiology

Optimize your revenue cycle and ensure maximum reimbursements with our expert denial management solutions. Don’t let claim denials affect your financial health—partner with us for seamless revenue recovery and long-term financial success.