Denial management
What you can expect
- Fewer denials over time, as root causes are fixed and denial trends are tracked.
- More revenue recovered from denials that would otherwise be written off.
- A clearer picture of why denials happen and what each part of the practice can do about them.
What’s included
Denial triage
Every denial reviewed and categorized by reason, payer and dollar value so the most important work comes first.
Corrections and resubmissions
Denials caused by fixable errors are corrected and resubmitted without delay.
Written appeals
Well-supported appeals with the relevant documentation, payer policy and coding rationale.
Root cause analysis
Trends traced back to their source, whether front desk, authorization, coding or payer behavior.
Prevention feedback
Practical recommendations for your team and updates to scrubber rules to prevent repeat denials.
How we run it
Capture
We pull denials from remittance advice and payer portals so none are missed.
Prioritize
Denials are sorted by recoverability, value and appeal deadline.
Resolve
We correct, resubmit or appeal each denial and follow it through to a final outcome.
Prevent
Patterns are reported to you with specific fixes, and we confirm whether those fixes are working.
Questions about this service
Talk to us about denial management
Tell us how your practice runs today. We’ll show you where we’d fit in, and what would change.