Struggling with rising denial rates? In 2025, payers are using AI to reject claims faster than ever. You need a denial management partner who fights back with even better technology.
Our 500+ expert team manages the entire denial lifecycle from identifying the root cause of a rejection to submitting a bulletproof appeal. We don’t just “fix” denials; we stop them from happening again.
The Results Will Amaze You. While the industry average denial rate climbed to 12% in 2024, our partners achieve results that defy the market trend.
| Metric | Performance | Impact |
|---|---|---|
| Net Collection Rate | 93%+ | Maximized revenue retention |
| Denial Rate | 4% | Industry-leading prevention |
| Clean Claim Rate | 98.5% | Faster first-pass payments |
| Timely Filing Success | 99% | Reduced write-offs |
| Patient Collections | 85% | Optimized self-pay revenue |
| Support Availability | 24/7 | Constant momentum |
Deeply examine the payments & financial status of your practice
Identifying the root cause of each denial
Pre-auditing claims before submission
Submitting corrected claims on time
Using denial management software to improve accuracy and efficiency
Tailored Strategies for Every Provider Type.
Enhanced Claim Resolution (ECR) helps our billing team quickly address denied claims and recover outstanding payments for your organization. With ECR, you can secure the revenue you’re owed without the added cost or effort of recruiting and training additional staff.
Triaging Denials for Maximum ROI. Effective denial management isn't about working harder; it's about working smarter. We don't just attack the pile; we use a structured algorithm to determine which denials to address first to maximize cash recovery.
Audit Control
A Closed-Loop System for Denial Elimination. We don't just fix the error; we fix the process that caused it.
We review denials to pinpoint the true origin. Is it a recurring registration error? A specific coder missing modifiers? A payer system glitch?
We mitigate the loss. Our team corrects the specific errors, attaches required documentation, and submits a clean, compliant appeal.
We examine trends, dollar amounts, and aging buckets to quantify the problem. This data drives our strategy: Where is the bleeding worst?
The most critical step. We feed insights back to your front desk or coding team to update workflows, preventing the same denial from ever recurring.
We deliver claim and denial management services for 75+ specialties, covering everything from cardiology, orthopedics, and radiology to behavioral health, surgery, and beyond.
We don't just manage denials; we eliminate the root cause. As a leader in U.S. revenue cycle management, we shift your focus from "chasing payments" to "preventing errors."
Our Satisfied Clients
Discover how physician groups thrive with us.
Frequently Asked Questions
We don’t just fix the claim; we fix the process. We triage denials by priority, identify the root cause (e.g., registration errors), and provide feedback loops to your team. Simultaneously, we submit targeted appeals to recover the cash. This two-pronged approach lowers your future denial rate while recovering current revenue.
We support 75+ specialties. Whether you deal with complex cardiology interventional coding, orthopedic implants, or behavioral health authorizations, we have subject matter experts who understand the specific medical necessity rules for your field.
Our platform uses AI-driven logic to prioritize denials by recoverable dollar value and timely filing limits. It automates work assignments, pre-fills appeal forms, and tracks trends in real-time.
We strictly follow federal and payer guidelines. We maintain complete documentation and audit trails for every appeal submitted. Our staff undergoes regular training on Medicare/Medicaid updates to minimize audit risk.
Absolutely. We operate on HIPAA-compliant systems with AES-256 encryption, role-based access controls, and routine security assessments (SOC 2 standards).
Most clients see a measurable reduction in denial rates and an increase in cash flow within 90 days. We provide a customized ROI estimate after a brief assessment of your current A/R and denial volume.
