Denials Management

Bristol Healthcare’s Denials Management decreases your AR days and increases your collections. Our specialty-specific guidelines are designed to resolve denials effectively. We study and analyze no-pays and low-pays and get to the root of the problem. Our experts not only fix a denied claim but proactively make changes to our processes to avoid future denials. Our AR team works very closely with our coders to fix and eliminate coding-related denials.

Bristol Healthcare’s denials management strategy follows principles of tracking, categorizing and analyzing.

Tracking : We review the explanation of benefits received from all payers. We track all partial payments and non-payments.

Categorizing : We categorize denials by type and assign a denial code to them. Our categorization determines and lists down common denials.

Analyze : We analyze the types of denial and list them based on numbers and claim value. Our experts conduct root cause analysis for each denial category and fix them immediately. Our standard operating procedures are modified/updated to avoid and eliminate these denials in the future.

Our Denials Management helps you to

  • Increase Collections
  • Reduce AR Days
  • Reduce Rejections and Denials
  • Accelerate Cash Flow
  • Improve Operational Efficiency

  • Real-time claim tracking dashboard
  • Denials reduced up to 90%