Denial Management
Denial management that fixes the cause.
Denial management for independent practices: we group denials by CARC/RARC cause, payer and owner, then fix the repeat problems behind them.
The practical problem
A worklist, not a promise.
You can win appeals one at a time and still get the same CO-197 authorization denial next month. Recovering a claim isn't the same as stopping the cause.
What we do
- Denials sorted by CARC/RARC code, payer and appeal deadline
- Corrected claims and written appeals
- Root-cause review across eligibility, prior authorization, coding and charge entry
- Prevention steps, each with a named owner
What your practice receives
A clear record of the work, and the next decision.
01
A denial inventory by code, payer and value
02
Cause and payer patterns
03
Recovery actions and appeal status
04
Prevention recommendations your team can act on
The Free Revenue Review is the first step. It confirms the scope before either of us commits to an engagement.
Other services
One team across the whole revenue cycle.
Not sure which service you need?