Medical Denial Management Services
Medical Denial Management Technique Services
We can convert denied claims into dollars.
Denials are routed to the denial analysis department.
Denials are segregated into line items and full denials.
We work with all federal and commercial payers and have strong knowledge of their payment mechanisms.
Our experts-orientated processes are systematic. This cuts back on cycle times. Recover money faster.
All claims are categorized into different follow-up groupings.
Fix denials and resubmit claims for reimbursement.
Over the years, Blss medix has increased the scope of its services to better serve healthcare facilities. Our integrated solutions and services go beyond merely billing and coding for medical services to enhance patient-physician interaction, boost data transmission security, and offer in-depth analysis. Claim denials don’t just slow down your revenue—they cost you real money. At Blss Medix, our Denial Management Services are designed to help healthcare providers quickly identify, analyze, and resolve denied claims while preventing future denials from happening in the first place.
We go beyond simple resubmissions. Our team performs root cause analysis to find out why claims are denied and implements long-term fixes that improve your entire billing process. From front-end coding issues to insurance rules and eligibility, we tackle denials at every level—so your revenue cycle stays healthy and uninterrupted.
The majority of claim denials are avoidable. According to industry data, over 60% of denied claims are never resubmitted. That’s revenue your practice deserves—but may be leaving behind.
Common causes of claim denials include:
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Incorrect or missing patient data
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Invalid or outdated insurance information
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Coding errors or lack of documentation
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Lack of prior authorization
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Duplicate submissions
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Non-covered services
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Timely filing issues
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Blss Medix helps you address these issues at the source while recovering revenue from previously denied claims.
Denial management is most effective when it’s part of a complete revenue cycle management system. Blss Medix integrates denial tracking with your billing,
coding, and accounts receivable processes to provide a complete picture of claim performance and opportunities for growth. We work in all major practice management and billing platforms including Kareo, Athena, AdvancedMD, and more—ensuring no disruptions to your current workflow.
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Denial Tracking & Categorization
We track all denials by payer, reason, and CPT/ICD code to spot trends and systemic issues. -
Root Cause Analysis
We identify where in the revenue cycle errors are happening—whether it’s at scheduling, coding, billing, or follow-up. -
Corrective Action & Re-Submission
Our specialists fix the claim, provide supporting documentation, and re-submit it to the payer promptly. -
Appeals Management
We handle the appeal process from start to finish, including medical necessity letters, forms, and follow-up communication. -
Reporting & Prevention
Regular reports and insights help your practice reduce repeat denials and implement prevention protocols. -
Collaboration with Your Staff
Our denial management team is experienced across a wide range of specialties, including:
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Behavioral and mental health
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Chiropractic and physical therapy
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Primary care and family medicine
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Urgent care and walk-in clinics
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Internal medicine and specialty practices
We also work with Medicare, Medicaid, and all major commercial payers—and understand the unique policies, filing windows, and documentation requirements for each.
Medical Denial Management Technique Services Include:
