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Denial Management
Expert Solutions for Healthcare Providers

The average practice loses 5-10% of revenue to unresolved denials. Our denial management team fights for every dollar owed — from root cause analysis to final appeal resolution.

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  • Denial Categorization & Root Cause Analysis
  • Timely Appeals & Reconsiderations
  • Payer-Specific Follow-up
  • Denial Trending & Prevention Reports
  • External Appeals When Needed
  • Staff Education on Denial Patterns
  • AR Aging Report Management
  • Underpayment Recovery
Denial Management

Denial Management Services

The average practice loses 5-10% of revenue to unresolved denials. Our denial management team fights for every dollar owed — from root cause analysis to final appeal resolution.

  • ✓100% of denials reviewed within 24 hours of receipt
  • ✓Categorized by denial reason, payer, provider, and service type
  • ✓Appeals filed within payer timely filing windows
  • ✓Monthly denial analysis report with prevention strategies
  • ✓Coordination with clinical staff for documentation improvement
  • ✓Track and recover revenue from aged AR accounts (90+, 120+, 180+ days)
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FAQ

Denial Management FAQ

What is your denial overturn rate? +
Our average denial overturn rate is 87%. We analyze every denial to identify the root cause and build the strongest possible appeal. For clinical denials, we coordinate with your physicians for supporting documentation.
How quickly do you respond to denials? +
All denials are reviewed within 24 hours of receipt. Appeals are filed within payer timely filing guidelines — typically 30–180 days depending on the payer and denial type.
What types of denials do you handle? +
We handle all denial types including: medical necessity, coding errors, timely filing, duplicate claims, authorization missing, eligibility issues, and coordination of benefits.
Do you track denied claim trends? +
Yes. We provide monthly denial trend reports identifying top denial reasons by payer, provider, and service type. These insights help prevent future denials through proactive workflow improvements.

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