Many denials are recoverable when the root cause is coding, documentation or authorization. We sort out which ones are worth appealing, work the appeals and fix the cause so they stop repeating.
A systematic approach from denial report to resolved claim
We analyze your denial reports and categorize each denial by root cause using our proprietary classification system.
Our specialists determine why each claim was denied and develop a targeted recovery strategy based on payer-specific rules.
We gather necessary documentation, correct coding errors, and prepare compelling appeal letters with supporting evidence.
Our team directly contacts payer representatives, submits appeals, and persistently follows up until resolution.
We provide actionable recommendations to prevent future denials of the same type.
Expert insights on denial recovery and prevention strategies
Pricing depends on denial volume, age and complexity. We quote after reviewing your denial reports, before any work starts.
We excel at complex denials that internal staff struggle with: medical necessity denials, bundling/unbundling issues, timely filing exceptions, coordination of benefits disputes, and payer-specific policy denials. We also handle simple clerical errors efficiently.
We start once we have your denial reports and the access we agree on. We work the highest-value denials first and the ones closest to their appeal deadline, so time-sensitive revenue isn't lost.
Yes. We work denials through each payer's reconsideration and appeal process, including phone follow-up, portal submissions and written appeals with supporting documentation.
After recovering past denials, we provide a detailed root cause analysis and implement prevention strategies: staff training on common errors, custom claim scrubbing rules for your practice, and regular denial trend monitoring with proactive alerts.
Get a complimentary analysis of your current denials and a prioritized list of the ones worth appealing. No obligation, no cost.