Compliance Isn’t Optional – That’s Why We’re HIPAA Certified.
Smarter Denial Management for Maximized Collections
- Quick Identification & Root Cause Analysis
- HIPAA-Compliant Resolution for U.S.-based Healthcare Billing
- HIPAA-Compliant handling of all denial-related PHI
- Real-Time Denial Tracking for faster resolution
- Integrated workflows to reduce recurring denials
COMPLIANCE
HIPAA
Fully HIPAA-compliant operations to safeguard sensitive health information with confidence.
ISO
ISO-certified systems that ensure consistent quality, security, and operational excellence.
HBMA member
Active member of HBMA, upholding industry-leading standards in medical billing and RCM.
Fast Turnaround Time
Experience fast, reliable service delivery with timelines you can count on.
Dedicated Account Manager
A dedicated account manager focused on your success, support, and smooth coordination.
FTE Based Pricing
Choose from FTE-based or transaction-based pricing models tailored to your business needs.
What’s Included in Our Denial Management
Denial Identification & Classification
Categorize denials by type (CO, PR, etc.) and reason codes for quick action.
Root Cause Analysis
Analyze patterns to determine underlying causes like coding, eligibility, or auth.
Corrective Action Initiation
Resolve denials through adjustments, corrections, or re-submissions.
Coordination with Coding & Charge Teams
Communicate with upstream teams to fix charge/coding errors at the source.
Appeal Letter Drafting & Submission
Prepare and submit compelling appeals with supporting documentation.
Timely Resubmission of Corrected Claims
Rebill corrected claims within payer-specified time limits.
Denial Rate Monitoring & Reporting
Track trends and report denial metrics by payer, provider, and denial type.
Payer Policy Adherence Checks
Stay updated with changing payer rules to minimize future denials.
Escalation Management
Escalate persistent or high-dollar denials to internal or payer leadership.
Audit-Ready Documentation
Keep a full audit trail of actions taken for every denial resolution.
WHO WE SERVE
From Eligibility to Collections - We've Got You Covered
Smarter Verification. Stronger Revenue. Prevent Denials with Accurate Verification. - Know More >
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