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 are one of the biggest challenges in medical billing, costing practices millions in lost revenue annually. Our denial management services are designed to not only recover denied claims but also prevent future denials through systematic analysis and process improvement.
With our expertise in denial management, we help practices identify root causes, implement corrective actions, and establish proactive measures to minimize denials and maximize revenue.
85%
Recovery Rate
65%
Reduction in Denials
48h
Average Resolution Time
Precision Payment Posting for Optimal Revenue Cycle Management
Accurate payment posting forms the foundation of effective denial management and revenue integrity
Our meticulous payment posting service ensures every dollar received is properly accounted for, reconciled, and applied to patient accounts with precision. We understand that payment posting errors often cascade into denied claims, creating unnecessary rework and revenue leakage.
Through our systematic approach, we capture and record payments from all sources including insurance payers, patient payments, and third-party reimbursements. Our team cross-references each payment with the original claim, identifying discrepancies, underpayments, and contractual adjustments that require immediate attention.
Our Payment Posting Process Includes:
- Daily processing of ERA/EOB documents with 99.97% accuracy
- Identification of underpayments against contracted rates
- Reconciliation of patient responsibility amounts
- Application of appropriate adjustments and write-offs
- Timely follow-up on payment discrepancies
Payment Posting Accuracy Metrics
Preventing Denials Through Accurate Payment Posting
Proper payment posting creates a clean accounts receivable foundation that significantly reduces denial rates. When payments are posted correctly the first time, it eliminates downstream errors that trigger denials. Our team identifies patterns of underpayments and systematic errors that often go unnoticed, addressing them before they create larger revenue cycle problems.
Advanced Technology Integration
We utilize advanced payment posting technology that automates data extraction from ERAs and EOBs, reducing manual entry errors by 72%. Our systems automatically flag discrepancies, underpayments, and non-contractual adjustments for immediate review. This technology-driven approach ensures consistent accuracy while freeing your staff to focus on patient care rather than administrative tasks.
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
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