Denial Management & A/R Recovery
A denial is a signal. We work every denied and aged claim, group the causes, and fix the processes that created them so the same denial stops coming back.
Problems we solve
- Denied claims written off because no one has time to appeal
- Aged accounts over 90 days with no clear owner
- The same denial reasons repeating month after month
How it works
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Categorise
Every denial is tagged with its reason code and payer.
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Correct or appeal
Simple errors are corrected and resubmitted. Others are appealed with evidence.
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Follow up aged claims
Open claims are worked on a set schedule by age and value.
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Fix the root cause
Monthly trends are shared so front-end processes can be changed.
What you will see in reporting
- Denial rate by reason and payer
- Aged A/R by bucket
- Recovered amounts
Who it suits
A common starting point for practices with a growing backlog of unpaid claims.
Specialties we support
- Primary Care
- Dental Practices
- Orthopedics
- Cardiology
- Mental Health
- MSOs & DSOs
- Urgent Care
- Dermatology
- Physical Therapy
- Ophthalmology & Optometry
Related guides
Understanding Common Denial Codes (CO-16, CO-45, CO-97)
What group codes and reason codes mean, the denials you will see most, and how to respond to each.
2 min read
Days in A/R Explained: How to Read and Improve It
How to calculate days in accounts receivable, what a good number looks like and how to bring it down.
2 min read
Frequently asked questions
How far back can you work old claims?
That depends on each payer's timely filing and appeal limits. We review your backlog first and prioritise what can still be recovered.
Do you only appeal, or also prevent?
Both. Prevention is the goal, so we feed denial trends back into registration, coding and scheduling.
Book a free consultation
Tell us about your practice and the support you are looking for. We will arrange your free consultation.