Denial Management Services – Recover Revenue & Prevent Future Losses
Our specialists analyze, appeal, and resolve denials to maximize reimbursements – no bots, AI, Just proven expertise.
a critical safeguard in end-to-end RCM solutions and Medical Billing for healthcare providers.
How We Tackle Denials for Your Practice
Denial Root Cause Analysis
- Identify top denial drivers (coding, eligibility, prior auth) with detailed reports.
- Fixes 80% of recurring denial issues.
Aligns with medical coding and insurance eligibility workflows
Appeals & Resubmissions
- Craft persuasive appeals and submit corrected claims with payer-specific rules.
- Recovers 85% of denied claims within 30 days.
Integrates with claim submission and A/R follow-up protocols
Staff Training
- Train your team on best practices for denial prevention and payer compliance.
- Reduces future denials by 40% through education.
Strengthens patient documentation and charge entry accuracy
Underpayment Recovery
- Audit underpaid claims and negotiate with payers for accurate reimbursements.
- Recovers $50K+ annually in missed revenue.
Syncs with payment posting data for full-cycle transparency
Trusted by 100+ Providers to Slash Denials
✅ AAPC-Certified Coders | ✅ HIPAA Compliant | ✅ Payer-Specific Expertise (Medicare, Medicaid, Commercial)
50% reduction in denial rates within 90 days.
98% success rate on first-pass appeals.
“EliteMed recovered $150K in denied claims for our cardiology clinic. Their denial analysis uncovered medical coding errors we’d missed for years – key to our RCM success!”
— Dr. Sarah Lin
Denial Management FAQs
Plans start at 3% of overall practice collection amount for complete medical billing services. Most clinics recover 5x their investment in denied revenue.
Yes! We resolve denials across all payers, including Medicare Advantage and Medicaid MCOs. We specialize in resolving denials tied to prior authorization and payer credentialing
Most practices reduce denials by 30% in 60 days when paired with claims scrubbing.
Absolutely. We provide monthly workshops and custom playbooks for your team.
100%. All claims and appeals are handled via encrypted, audited workflows. We follow RCM compliance protocols and encrypt all appeals.
Ready to Stop Losing Revenue to Denials?
📞 Schedule a Free Denial Audit (Includes root-cause report)
📩 Request Our Denial Prevention Playbook”