Denial Management
Expert denial analysis and swift appeals to recover lost revenue.
About Denial Management
A denied claim is not a closed case — it's an opportunity to recover revenue your practice has already earned. The key is knowing why claims are denied and acting quickly.
Our denial management team analyzes every rejection, corrects the underlying issue, and submits appeals with full supporting documentation. Proactive scrubbing prevents many denials from happening at all.
What's Included
- Real-time denial tracking
- Root cause analysis by denial code
- Corrected claim preparation
- Appeal letter drafting
- Supporting documentation assembly
- Timely filing deadline monitoring
- Payer policy research
- Denial trend reporting
- Proactive claim scrubbing
- Appeals outcome tracking
How We Do It
- Capture and categorize every denied claim by payer and denial code.
- Identify the root cause — coding error, missing auth, eligibility, or untimely filing.
- Correct the claim or prepare a formal appeal with supporting documentation.
- Submit the corrected claim or appeal within 24 hours of denial receipt.
- Track all appeals through final adjudication.
- Report denial trends monthly so systemic issues can be fixed upstream.
Common Questions
What denial rate can we expect?
Our proactive scrubbing process keeps rejection rates under 2% for most clients. For claims that are denied, our appeals process recovers the majority.
How do you handle payers that routinely deny specific codes?
We track payer-specific denial patterns and build pre-submission rules to catch those triggers before claims go out.
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Ready to Improve Your Revenue Cycle?
Talk to a billing specialist about how Denial Management can work for your practice.
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