Identify revenue leakage. Fix the processes causing it.
Denials are a common part of the revenue cycle and often point to opportunities to improve registration, documentation, coding, or authorization workflows.
REDi Health helps hospitals understand where denials are occurring, the upstream processes causing them, and how to remedy those issues before denials ever occur.
Denials IQ is the starting point. We analyze your denial data to identify the patterns, categories, and operational issues driving revenue loss. Using claims data and 835 files, we group denials into meaningful categories such as eligibility, documentation, coding, authorization, and medical necessity.
Rather than overwhelming teams with raw data, Denials IQ highlights the highest-impact opportunities for improvement.
-Denial volume and financial impact
-Trends by department, payer, or procedure
-Categorization using adjustment codes (CARCs)
-Identification of the top 3–5 operational issues
-Focus on the areas with the greatest financial impact
-Estimated revenue recovery potential
-Projection of savings if denial rates improve
-Dashboards designed for CFOs and leadership
-Clear understanding of where revenue is leaking
Outcome
Hospitals quickly understand where to focus first to reduce denials.
Denials Navigator helps hospitals address the root causes behind denial patterns.
Denials often originate upstream—in registration, clinical documentation, coding, or authorization workflows. Navigator connects denial insights to the processes creating them and helps teams implement improvements.
-Connect denial patterns to operational processes
-Identify breakdowns in registration, coding, documentation, or authorization
-Strengthen registration accuracy
-Improve documentation and coding alignment
-Address medical necessity or authorization issues
-Engage registration teams, coders, physicians, and leadership
-Align teams around operational improvements
-Help organizations implement changes effectively
-Use data to guide decisions and reduce resistance
Outcome
Hospitals reduce denial rates by improving the processes that create them and recapturing lost revenue.
What makes REDi Health different is how we work.
We collaborate with the departments affected by change.
We align recommendations with your hospital’s initiatives.
We prioritize what is meaningful for your community.
We help build internal understanding so your team can confidently sustain the strategy moving forward.
When Blue Mountain Hospital partnered with REDi Health to address registration-related denials, the goal was simple: strengthen front-end workflows and prevent avoidable denials before claims were submitted.
By combining denial data analysis with operational improvements in the registration process, the hospital was able to significantly reduce revenue leakage and streamline billing workflows.
Registration denials reduced to $0
Ready to cut down on your hospital’s denials? Let’s start with a conversation about your hospital’s priorities and where opportunity may exist. We’ll walk through how a collaborative, data-backed approach can help you move forward with clarity and confidence.
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Connect with us! Feel free to complete our form below with any questions you may have regarding your hospital’s needs and we will contact you.
