Denial Management

Young female doctor and African American businessman working together.
Denials are a major threat to the financial health of most practices and must be effectively managed to achieve financial success. It’s estimated that 10% of physician revenue is lost due to the absence of proper denial management processes.

Our billers are experts in denial management analysis, which helps prevent denials and minimize revenue losses. However, if you have past denials, let our billers and coding experts handle them and ensure they get paid quickly.

The key to denial management is analysis. Once the root cause of the denial is identified, correcting it and securing payment becomes straightforward. A specialist’s expertise is essential to thoroughly analyze each claim and achieve the best possible outcome.

Our billers are specially trained to recover collectibles from:

  • Worker’s Compensation

  • Medicare

  • Medicaid

  • Attorneys

Denial claims often require appeals, which are requests for an explanation of a previously submitted claim and the conditions under which the claim is now eligible for payment.

Some appeals are time-sensitive. Our billers review your most frequently denied claims, prioritizing them based on both volume and dollar value, and ensure they are filed promptly.

Our billers also consider the cost of appealing claims, both in terms of time and money, when deciding whether to pursue an appeal. While not every claim is appealed, they understand that many practices lose significant income each year because they don’t appeal denied claims.

Get in touch with us for more information.