Service
Denial Management
A denied claim isn't the end. We appeal it, and we win more often than you'd expect.
What’s included
Denial Management
- Full denial review and categorization by payer and reason code
- Appeal letter preparation and timely submission
- Supporting documentation gathering (records, authorizations, notes)
- Payer follow-up through each stage of the appeals process
Overview
We don't stop at the first letter.
Payer denials are common, and a large proportion of them are overturnable. The problem is most practices don't have the bandwidth to appeal every denial properly, so revenue gets written off that didn't have to be. We review every denial, categorize it by reason, and build the right appeal, whether that's a clinical justification, a medical records request, or a straightforward reconsideration.
We follow up with payers through the appeals process until the claim is resolved. We don't walk away after the first letter goes out.
What's included
What denial management covers.
Full denial review and categorization by payer and reason code
Appeal letter preparation and timely submission
Supporting documentation gathering (records, authorizations, notes)
Payer follow-up through each stage of the appeals process
Denial trend analysis and prevention recommendations
Write-off review: we flag denials before they're closed
Our process
From onboarding to ongoing revenue, step by step.
We start by understanding where your revenue cycle is today. From there, we take over the day-to-day and keep improving as we go.
- 01
We review your current setup
We look at how your billing is running today: where claims are getting stuck, what's sitting in aging, and where money is going uncollected. We identify the biggest issues and agree on what to tackle first.
- 02
We get your systems in order
If credentialing or payer enrollment is needed, we start there. We also take over or set up your billing systems so everything flows through one consistent, tracked process.
- 03
We take over the day-to-day
From scheduling and verification through to billing, posting, and collections, we run the full cycle. You focus on patients; we focus on making sure you get paid for seeing them.
- 04
We track, report, and keep improving
We send regular performance reports and keep refining the process. If a payer is causing more denials than usual, we address it. If AR days are creeping up, we act on it before it becomes a bigger problem.
Free consultation
Denials getting written off too soon?
Tell us about the denials you are seeing. On a free call we will talk through how we would review, appeal and follow them up.
- Pick a date and time that suits you
- Confirmation and calendar invite by email
- Talk through your billing, denials and collections
Book a call