Expert Denial Management to Maximize Claim Recovery
Denial Management Reclaim Lost Revenue
Our Denial Management service provides root cause analysis and resubmission of denied claims with proper documentation. We don’t just process denials; we analyze trends to prevent them, ensuring your practice efficiently recovers payments and maximizes your revenue.
What We Do
We turn denials into revenue by meticulously analyzing rejections, correcting issues, and aggressively pursuing payment.
Claim Correction and Documentation
Rapidly correct claims and gather proper documentation required by the payer for successful appeal or resubmission.
Timely Claim Resubmission & Appeals
Execute timely resubmission of corrected claims or file formal appeals with payers according to their specific guidelines.
Trend Identification
Track and report denial patterns (by payer, code, or service) to provide actionable feedback that improves your front-end billing processes and reduces future denials.
Root Cause Analysis
Thoroughly investigate the reason for every denied claim (lack of documentation, incorrect eligibility) to identify the core issue.
Higher Claim Recovery Rate
Our expert knowledge of payer rules and appeal processes maximizes the chance of getting paid on denied claims.
Proactive Prevention
By identifying denial trends, we help you implement changes that reduce future revenue leakage.
What clients say about AICura