Denial management
Recover denied claims, then stop the same denials coming back
We work your denials by value and deadline, appeal what can be recovered, and fix the upstream cause so the same denial doesn't happen next month.
Sound familiar?
- Denied claims age past the appeal deadline.
- The same denial reasons repeat month after month.
- Nobody has time to write appeal letters.
Six months with denial management
Denial rate
Before 12% · After 4%
Net collection rate
Before 88% · After 97%
What's included in denial management
Denial triage
Every denial categorised by reason code, value and appeal deadline.
Corrections and appeals
Corrected claims resubmitted and written appeals sent with supporting documentation.
Root-cause fixes
Front-desk, coding or payer-rule causes fixed where they start.
Denial reporting
Denial rate by payer and reason, recovered dollars and trends.
How it works
- 01
Backlog review
We size your open denials and prioritise by value and deadline.
- 02
Recover
Corrections and appeals go out, oldest high-value first.
- 03
Prevent
We change the rules, templates or workflows that caused the denials.
- 04
Monitor
Monthly denial report tracks recoveries and new-denial rate.
Results we work toward
Targets we agree with you from your audit baseline and report against every month.
Denial rate after six months, down from 12% (illustrative)
4%
Appeal success target
70%
Target time to work a new denial
7 days
Specialties we serve
Questions about denial management
Appeals include clinical documentation, so they are prepared only inside HIPAA-compliant systems under a BAA.
See what better denial management would recover for your practice
Our free audit reviews a sample of your recent claims and shows you the biggest fixes.