Denial Management Services to Recover Your Lost Revenue
Denied claims silently drain your revenue. Recurring modifier misuse, ICD-10/CPT mismatches, and payer edits inflate accounts receivable. Our Denial Management Services in the USA identify root causes, correct claim logic, and build payer-specific appeal workflows to recover payments faster. We turn denial patterns into prevention systems, so your practice sees fewer rejections, quicker reimbursements, and predictable collections.
HIPAA Compliant
Full A/R + Denial Support
30–50% Denial Reduction
Specialty-Focused Expertise
Get a FREE Denial Trend Report
Why Clinics Choose Our Denial
Management Specialists
Fast Denial Recovery
Clean coding → clean
claims → faster
reimbursement.
Root-Cause Accuracy
CMS rules, modifiers, NCCI,
LCD/NCD — fully aligned.
Payer-Smart Strategy
Trained in specialty
terminology &
documentation.
Lower A/R Buckets
30/60/90+ day claims
recovered aggressively with
consistent follow-up.
Denial Management Services
Denial
Identification
CO, PR, OA
codes reviewed
by payer.
Documentation &
Coding & Review
ICD-10, CPT,
modifiers,
necessity
verified.
Root-Cause
Diagnostic Audit
Denial patterns
and payer rules
analyzed.
Claim
Correction
Coding, modifiers,
and eligibility
corrected.
Appeal
Management
Policy-supported
appeals prepared
and submitted.
Payer
Follow-Up
30/60/90/120+
day claims
followed up
Denial
Prevention
Workflows
implemented
to stop repeat
denials.
Denial
Reporting
Real-time
trends and
financial impact
visibility.
We Resolve All Major Denial
Categories
Whether caused by coding, documentation, eligibility, medical necessity, or payer
rules, our team handles every denial type with accuracy and speed.
Coding
Denials
Incorrect CPT/ICD codes, modifiers and NCCI edits
Documentation-
Based Denials
Insufficient notes, missing signatures, unclear medical necessity
Eligibility &
Coverage Denials
Inactive plans, wrong payer, missing referrals
Medical Necessity
Denials
LCD/NCD issues, unsupported diagnoses
Timely Filing
Denials
Expired claim windows (we fix + request reconsiderations)
Duplicate Claim
Denials
Clearinghouse, payer, or system-based duplicates
Billing &
Charge Errors
Incorrect units, unbundling, improper POS
How Our Denial Resolution
Process Works
Simple, Transparent Pricing
Most practices pay 3%–6% of collected revenue for denial + A/R recovery support.
Zero hidden fees. Cancel anytime.
Specialty-Focused Denial
Management
Every specialty has unique audit risks — coding levels, documentation
depth, payer rules and medical necessity requirements.
Our auditors are trained across 40+ specialties.
Works With Every Major EHR,
EMR, PM & Clearinghouse
Our denial experts work directly inside your existing software — no
training, no disruption, no added workload.
Denial Management Services Across
the USA
New York
North Carolina
South Carolina
Florida
Alabama
Massachusetts
Why Fixing Denials Should Be
Your Top Revenue Priority
Denials steal 5–15% of total practice revenue
65% of denied claims never get reworked (industry average)
Most denials are preventable (coding, documentation, eligibility)
Strong denial workflow improves cash flow stability.
Preventable denials slow down payments by 25–40%
Clean claim improvement reduces overall A/R ageing.
Faster reimbursements improve practice liquidity
Stop Losing Money to
Preventable Denials
Get a free denial trend report and see how much revenue you can recover in the next 30 days.
Frequently Asked Questions
Identifying, correcting, appealing, and preventing claim denials to protect your revenue.
Coding issues, documentation gaps, eligibility errors, late filing, payer rules, or missing medical necessity.
Most practices see recovery results within 7–14 days.
Yes, we draft, submit, track, and escalate payer appeals.
Yes, we integrate with all major platforms.
Coding, medical necessity, documentation, eligibility, duplicates, bundling, and more.
Yes, we handle 30/60/90 and 120+-day buckets.
