Denial Management & Appeals
Denials analyzed, corrected, and resubmitted within 48 hours. We track root causes across every denial to prevent them from recurring — and recover 30–50% more from aging AR than industry average.
We Fight Until Every Dollar Is Recovered
48-Hour Resolution
Every denial is reviewed, corrected, and resubmitted within 48 hours of receipt — keeping your AR clean and your cash flow moving.
Root-Cause Analysis
We don't just fix each denial — we investigate why it happened and redesign your process to prevent the same denial from recurring.
Professional Appeal Letters
Our team prepares fully documented, payer-specific appeal letters with supporting clinical documentation to maximize overturn rates.
Denial Pattern Reporting
Monthly denial trend reports identify your top denial reasons, payers, and providers — giving you actionable data to improve performance.
Aging AR Recovery
We pursue old, ignored, or written-off denials that other firms abandon. Persistent follow-up recovers 30–50% more from aging AR.
Payer Conflict Resolution
We handle payer policy disputes, peer-to-peer reviews, and external appeals internally — so your staff never has to deal with difficult payer conversations.
From Denial to Paid — Fast
Denial Identification
Denials are identified through ERA/EOB review and clearinghouse reports — typically within 24 hours of payer adjudication.
Denial Analysis
Each denial is categorized by type (coding, eligibility, medical necessity, authorization, etc.) and assigned to the appropriate specialist.
Correction & Documentation
The claim is corrected, additional documentation gathered, and an appeal letter prepared if required — all within 48 hours.
Resubmission or Appeal
Corrected claims are resubmitted electronically. Appeals are filed through the appropriate payer channel with full supporting documentation.
Root-Cause Prevention
Denial data is tracked monthly. Recurring patterns trigger process changes upstream — in coding, eligibility, or documentation — to stop them from happening again.
Common Questions
Other Ways We Protect Your Revenue
Eligibility & Benefits Verification
Coverage, copays, and deductibles confirmed before the patient arrives. Prevents 30% of denials caused by incorrect insurance data.
Charge Entry & Clinical Scrubbing
CPT, ICD-10, and modifiers verified within 24 hours using 4M+ automated checkpoints. Reduces first-pass rejections by up to 60%.
Same-Day Claim Submission
Every claim scrubbed and submitted same day as charge entry. 95%+ acceptance rate with major payers. Zero claim backlog.
Payment Posting & Reconciliation
Line-by-line ERA and EOB reconciliation daily. Every dollar matched, every discrepancy flagged. Audit-ready books, always.
Patient Helpdesk Support
HIPAA-compliant agents handle patient calls, payment plans, and balance inquiries — reducing your front-desk workload significantly.
Let’s Find the Revenue
Your Practice Is Missing
Start with a free, no-obligation 2-week audit. Most practices uncover $100K–$500K in recoverable revenue.