What We Do
Everything Included in Denial Management
Every step of the process, covered from start to finish.
Same-Day Denial Capture
Every denial flagged and categorized the same day it's received from the payer.
Root Cause Analysis
Denials categorized by type (coding, eligibility, auth, timely filing) so patterns are visible.
Formal Appeal Letters
Professional appeal letters drafted with supporting documentation for complex clinical denials.
72-Hour Resubmission
Corrected claims or appeals submitted within 72 hours of denial receipt.
Payer Pattern Tracking
Denial trends tracked by payer, CPT code, and provider, and reported monthly.
Denial Prevention Feedback
Findings fed back to the billing team to prevent future denials at the source.
Process
How It Works
01
Capture
All denials identified and flagged the same day, so none sit unworked.
02
Root Cause
Denial categorized: coding error, eligibility, prior auth, timely filing, bundling, or other.
03
Correct & Appeal
Claim corrected and resubmitted, or formal appeal drafted with documentation.
04
Track & Prevent
Denial trends reported monthly, with root causes fixed upstream.
95%
Denial Overturn Rate
Why It Matters
Denied Claims Come Back. Every Time.
The national average denial rate is 10 to 15%, and most practices appeal fewer than half of them. Every unworked denial is direct revenue loss. Worse, the same denials keep happening because nobody fixes the root cause.
Common Questions
Questions About Denial Management
Straight answers to what practices ask us most about Denial Management.
All types, including coding errors, eligibility issues, missing prior authorization, timely filing, bundling disputes, coordination of benefits, and clinical medical necessity denials. We handle both technical and clinical appeals.
Free · No Obligation
Ready to get started with Denial Management?
Get a free audit that shows exactly where your practice is losing revenue. We respond within 24 hours with clear data, not a sales pitch.