Denial Recovery Services

Appeal, overturn and minimize future denials like never before.

Denied claims take many forms. Among the more common types are the provisions of care outside of reimbursement guidelines, failure to secure the requisite pre-authorizations, or providing care that’s inappropriately matched with billing codes.

Our Denial Recovery option gives you access to a team of clinicians with decades of experience in effectively appealing and overturning denials on both a retrospective and concurrent basis. We’ll help you:

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

Plus, you’ll have access to a full suite of web-based reporting to enable you to identify trends in denials – by payer, physician, DRG, etc. This sophisticated, quantitative business intelligence offering gives you the power to avoid physician-driven denials and offers important insights to managed care contract strategies.