Expert Denial Management Services
Recover lost revenue and prevent future claim denials with our comprehensive denial management solutions.
Get Free ConsultationTransform Denials into Revenue
Claim denials present one of the most significant revenue cycle challenges healthcare practices face today. Each denied claim represents potential revenue that requires additional resources to recover. Our denial management approach goes beyond simple appeals to address the underlying causes systematically.
We've developed specialized techniques that help medical practices not just recover funds but fundamentally strengthen their revenue cycle processes. By implementing strategic improvements and staff education, we help create sustainable systems that minimize future denials while maximizing appropriate reimbursement.
85%
Recovery Rate
65%
Reduction in Denials
48h
Average Resolution Time
Common Denial Reasons We Address
Understanding the root causes of denials is the first step toward prevention
Eligibility Issues
Coverage termination, inactive policies, or non-covered services that lead to claim denials.
Timely Filing
Claims submitted after payer-specific deadlines resulting in automatic denials.
Authorization Issues
Lack of pre-authorization or referral requirements not being met before services.
Coding Errors
Incorrect CPT, ICD-10, or modifier usage that leads to claim rejection.
Documentation Issues
Insufficient medical documentation to support the medical necessity of services.
Data Entry Errors
Incorrect patient information, policy numbers, or other data inaccuracies.
Our Denial Management Approach
A systematic process to identify, address, and prevent claim denials
Comprehensive Denial Analysis
We perform a detailed analysis of all denied claims to identify patterns, root causes, and systemic issues affecting your revenue cycle.
Customized Action Plan
Based on our analysis, we develop a tailored strategy to address your specific denial challenges and implement corrective measures.
Proactive Appeal Management
Our team handles the entire appeals process, from preparing necessary documentation to following up with payers until resolution.
Performance Monitoring
We continuously track denial rates, appeal success rates, and other key metrics to measure improvement and identify new trends.
Staff Education
We provide training to your front-end staff on common denial triggers and how to prevent them at the point of service.
Preventive Measures
We implement systems and processes to prevent common denials before they occur, reducing future write-offs.
Proven Results
Our denial management services deliver measurable outcomes for practices
Average reduction in denial rates for our clients
Recovery rate on appealed claims
Faster resolution time compared to in-house teams
Recovered revenue for clients in the past year
Real Practice Improvements
One multi-specialty practice we worked with was struggling with a 18% denial rate that was crippling their cash flow. After implementing our denial management system, they reduced denials to just 6% within six months. This transformation recovered over $380,000 in previously lost revenue and established processes that prevented future losses.
Another client, a busy orthopedic surgery center, faced persistent authorization denials that delayed patient care and payment. Our team identified the specific breakdown points in their authorization process and implemented a verification protocol that reduced authorization-related denials by 72% in the first quarter.
Transparent Pricing
Flexible options tailored to your practice's needs
How do you charge for denial management services?
We offer flexible pricing models based on your practice's specific needs and denial volume:
Percentage Model
Pay only for results with a percentage of recovered revenue
Ideal for: Practices with high denial volumes
Per Claim Model
Flat fee per claim appealed, regardless of recovery amount
Ideal for: Predictable budgeting
Retainer Model
Monthly fixed fee for comprehensive denial management
Ideal for: Ongoing denial prevention
Frequently Asked Questions
Get answers to common questions about our denial management services
Ready to Reduce Denials and Increase Revenue?
Our denial management experts are ready to help you recover lost revenue and prevent future claim denials.
Get Started Today