Denial Recovery Services

Appeal, overturn, and minimize future denials like never before.

Denied claims take several forms; among the more common types are the provisions of care outside of reimbursement guidelines, failure to secure requisite pre-authorizations, and providing care that is inappropriately matched with billing codes.

Our Denial Recovery Service gives users access to a team of clinicians with decades of experience in effectively appealing and overturning denials on both a retrospective and concurrent basis.

We will help to:

• Identify the root cause of denials broken out by payer, physician, DRG, and more.
• Provide the data needed to help overturn denied claims and secured payment where possible.
• Gain intelligent strategies and processes to help minimize future denials.

Additionally, user have access to a full suite of web-based reporting, enabling easy identification of physician, DRG, etc. This sophisticated quantitative business intelligence offering provides the power to avoid physician-driven denials, and offers important insights to managed care contract specialists.