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Denial Management to Optimize What You Deserve

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Minimizing your claim denials and sustaining the revenues

At DigiMedix, our team of professionals are from professional backgrounds and cater to all your needs relates to the smooth handling denial management needs of healthcare service providers. No matter if you are a part of the largest healthcare system or are practicing on your own, you can reach out to us. Our area of operations includes making use of crucial data for uncovering the cause that results in denials.

Our procedures help physicians for an easier pay method post-claim submission Paid Faster After Our Corrected Claim Submission

Help the providers in recognizing the opportunities helpful in identifying the right issues for claims

Classification of denials in the name of the reason, department, and sources for a simplified process

Implementation and development of creative strategies unsubstantiated

Ensuring the use of updated knowledge belonging to various windows required by any of the third parties for the prevention of future denials

Denial Management Process

Identifying Key Denial Reasons

Going to the root cause of denial reasons

Categorizing Denials

Allocation of the department for the denials

Establishing Tracking Mechanism

Adopting a reliable tracking management system

Monitoring And Preventing

Surveying and taking precautionary steps

What is our specialization?

Interpretation of the patterns

Our specialists distinguish the underlying driver of denials by gathering and interpreting patterns. At DigiMedix, we understand the prevalence of patterns that have an important role to play in filing for claims and insurance. So, we focus on proper and systematic collection. When the patterns have been collected, they are measured to check their monetary effect on the companies and the related benefits. We make sure to interpret them in the best possible way.

Collection of data

As a feature of our services, our group of specialists will help you assemble data on denial claims. While catering to the claims, data correctness is important. It should not contain any errors or discrepancies and we make sure of them by cross-verifying the same. Further, our team is well equipped to assist you with understanding where the discomfort lies and catering to the same with our services.

Enhanced reporting

We give claims handling reports that contain rejection causes. We cater to these since the initial stage that helps in eliminating the risk and proper enhancement of reports. Our professionals conduct this as we believe that it should be settled before cases and thus, can be sent to business insurance agencies or government bodies. At DigiMedix, we believe that reports should be compiled properly and all the possible rejection causes should be well taken care of.

Denial tracking

To further back the process of report enhancement taken forward by us, we offer the services related to denial tracking as well. We likewise focus, on target, with case references that favor the offers. This helps us in identifying the loopholes and taking care of them beforehand. We guarantee that we record and file the appeals in a timeline of seven days so that there is no delay in the process of reimbursements. We aim to put the customer in a comfortable state in the best possible way.

Sorting denials

Our group sorts denials in clinical bills by classifications. To sort the denials, we aim to find opportunities that can bring a change in the work processes and reexamine existing cycles. Also, we cater to the requirements like re-training the doctors, representatives, and suppliers to comply with the requirements when it comes to sorting and dissolving the potential denials.

Recognizing the process improvements

The professionals at DgiMedix, are well-trained to separate every class and drill into the particular cycles. The main purpose behind this is to distinguish where in the process the denials are coming from. This has a futuristic effect as well because similar steps can be implemented. Prior implementation will help in catering to developing and leading better and improved processes.

Specialties We Deal

  • Acupuncture
  • Allergy / Immunology
  • Andrology
  • Anesthesiology
  • Audiology
  • Bariatrics
  • Cardiology
  • Clinical Virology
  • Dentistry
  • Dermatology
  • Emergency Room
  • Emergency Medicine
  • Endocrinology
  • Environmental Medicine
  • ENT Neurology
  • Family Medicine
  • Forensic Medicine
  • Gastroenterology
  • Genetics
  • Geriatrics
  • Hematology
  • Internal Medicine
  • Infectious Disease
  • Mental Health
  • Neonatology
  • Nephrology
  • Neurology
  • Nuclear Medicine
  • Occupational Therapy
  • Obstetrics/Gynecology
  • Occupational Medicine
  • Otolaryngology
  • Ophthalmology
  • Optometry
  • Orthopedics
  • Osteopathy
  • Otolaryngology
  • Pain Management
  • Pathology
  • Pediatrics
  • Plastic Surgery
  • Psychiatry/Psychology
  • Radiology
  • Physiotherapy
  • Plastic Surgery
  • Podiatry
  • Preventive Medicine
  • Pulmonology
  • Rehabilitation Medicine
  • Reproductive Medicine
  • Rheumatology
  • Speech Therapy
  • Sports Medicine
  • Urology
  • Vascular Medicine

Why We Are Regarded as an Industry Authority in Denial Management


We cater to the rigid documentation protocols for meeting the HIPAA guidelines and official compliances

Data Security

We make use of firewalls that help in securing the transmission models for communication.

Extensive Training

Our staff is provided with regular training to know the rules adopted by a variety of payers

Rigorous Claims Audits

We make sure that we are offering detailed audits for the denied claims and remove any errors.

High Accuracy

We strive for excellence by opting for the provision of accrual denial analysis to our clients

Technology Capabilities

We make sure to lever advanced analytical capabilities that will alert clients on potential denials and unforeseen issues and problems.

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FAQ's on Denial Management

What Is Denial Management in Healthcare?

Denial management is the process by which healthcare providers deal with denied claims. Effective denial management helps healthcare providers determine what is causing these denials, avoid denials due to recurring errors, get paid faster, and improve patient satisfaction.

What Is Meant by Denial Management in Medical Billing?

Denial management in medical billing is the process by which physicians and facilities manage denied claims and resubmit them for approval. It consists of many services from AR follow-up and claims status checks to preparing appeal letters and categorizing denials according to the root cause and source of the denial. The entire purpose behind denial management is to collect all the dollars due for medical services rendered.

What Are the Major Denials In Medical Billing?

There are a host of major sources of claims denials for every healthcare provider. Major denials that are common to all healthcare organizations include coding errors, duplicate claims, and non-covered charges. Other sources of claims denials include untimely claims filing, missing information, and incorrect patient identifier information.




HIPAA Compliance


Clean Claims On First Submission


Increase in Collections

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