Denial Management Services

Remove Claim Denials Root and Stem Because All Denials Are Preventable.

100+ Denial management experts skilled in state, federal, and commercial payers.
Resolve soft, hard, clinical, and administrative denials.
Reduce denials with our analytics expertise.
Denial management system.
Automated denial management services.

Save time, money, and energy by outsourcing the denial management service.

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Why do you need denial management services?

90% of all claims denials can be prevented or resolved. Most claims denials are a direct result of staff oversight. We at BillingParadise are equipped with the best medical coding and billing professionals, hand-picked for their expertise in the domain.

Best Denial Management Practices We Follow:

Categorizing Denials
Identifying Denial Causes
Pre Auditing Claims Before Submission
Timely Resubmissions
Using Denial Management Software

Our Denial Management Service Workflow

Denial Manager gives complete and immediate visibility into each claim and denial

Apart from our successful denial management service workflow, we provide our denial management templates
that can categorize, sort, and identify the different types of denials according to priority saving you time and energy.

BillingParadise’s Denial Management Service Results

Denial management services by Billing Paradise for efficient healthcare revenue cycle

72%

Decrease in the denial rate.

72%

Productivity improvement.

45%

Reduced operational costs.

36%

Reduction in aged A/R.

32%

Reduction in DNFB accounts.

98%

Achieve net collections.

The key elements we focus on during Denial Management Service

Identify

Identify chances to rectify or correct the problems that cause claims to be denied by insurance companies.

Manage

Categorize denials by reason, cause, source, and other underlying factors.

Monitor

Monitor the root causes and construct effective denial management service strategies.

Illustration of shield protecting against revenue loss with Billing Paradise

Prevent

Implement preventive measures and other post-denial techniques to effectively appeal and resolve unfounded denials.

Our Denial Management Service Highlights

All denials are routed to the denial analysis department. Denials are segregated into line item and full denials

DenialAnalyzer, our denial management service and reporting app, gives you realtime insights

All claims are categorized into different follow-up groupings.

We work with all federal and commercial payers and have strong knowledge of their payment mechanisms

Redundant processes are automated. This cuts back on cycle times. Recover money faster.

Software that identifies, isolates, quantifies and categorizes denials to help you lower your denial rate and spot revenue leakage sources.

Know more about Our Denial Software

Appeal Automation

Appeal forms for most of the payers are listed. If the required appeal form it is uploadable?
Denied claim information is automatically populated in the appeal form.

Audit Control

The audit control system tracks the entire claim history from the first submission to the end of denial or payment. So no need for jumping from PMS, and EHR to the denial tool.

Skilled Denial Management Staff

Image of expert eligibility staff verifying patient eligibility for accurate healthcare revenue management

BillingParadise’s seasoned denial management specialists with over 5 years of experience across various specialties, insurances, and states, giving them a superior advantage in understanding insurance guidelines and preventing denials.

Our Denial Management Tool

Screenshot of an all-in-one eligibility platform streamlining patient eligibility verification for efficient revenue cycle

Our denial management tool has an inventory for more efficient response, with analytics creating 13 default pre-set denial maps. The tool is customizable for unmapped denials & It can auto-populate errors & denials & provides resolution for denied claims.

RPA Denial Management Technology

Illustration showcasing robotic process automation (RPA) technology for fast and accurate patient eligibility verification

BillingParadise’s RPA denial management technology has proven increased productivity, quality, and efficiency compared to denial management staff (FTE) allowing your healthcare organization to continue denial management operations 24/7 365 days a year.