Maximize Your Revenue Recovery
Our Denial Management Service is focused on recovering lost revenue by efficiently handling denied claims.
We identify the reasons behind each denial, conduct a detailed analysis to fix the issues, and then appeal and resubmit the claims to ensure payment.
Beyond just resolving current denials, we proactively implement strategies to prevent future denials, helping to streamline your billing and coding process and improve your practice’s financial health.
Get consistent cash flow
Partnering with us will bring your practice a steady and reliable cash flow.
By promptly addressing denied claims and preventing future issues, we ensure that your payments are received consistently.
This stability allows you to plan confidently, reinvest in your services.
With our expertise, financial uncertainty becomes a thing of the past, giving you the peace of mind that your revenue is secure and predictable.
Get Faster Claim Resolution
Working with us means your denied claims are resolved quickly and efficiently.
We understand that time is money, so we correct and resubmit claims fast, ensuring you receive payments sooner.
This speed improves your cash flow and helps you avoid a backlog of unresolved claims.
Reduce Your Staff’s Burden
Lighten the load on your staff. Managing denied claims can be time-consuming and stressful for your team.
We take on this complex and tedious work, allowing your staff to focus on more critical tasks.
Our Denial Management Process
Denial Identification and Categorization
We start by identifying denied claims and categorizing them based on the reason for denial, whether it’s due to coding errors, missing information, or eligibility issues.
Root Cause Analysis
Next, we conduct a thorough investigation to determine the underlying causes of each denial. This analysis helps us address the specific issues and implement strategies to prevent similar denials in the future.
Appeals and Resubmission
After identifying and correcting the errors, we prepare the necessary documentation to appeal the denial. We then resubmit the corrected claim to the insurance company for payment.
Continuous Monitoring and Reporting
We continuously monitor the status of resubmitted claims and generate detailed reports that track denial trends, resolution rates, and areas for improvement. This ongoing process helps us reduce future denials and keep your revenue cycle running smoothly.
Let's Resolve Your Denial Management Issues
During our free consultation, our California-based staff will discuss your needs and let you know how we can help.
Get in Touch
At CHB, we have a clear denial management process aimed at improving reimbursement and stopping revenue loss. We start with a detailed claim analysis that allows us to spot denial patterns and find root causes using analytics. Once we identify issues, our team prepares and submits tailored appeals with supporting documents to build the strongest case possible.
We continue our work after submitting the appeals. Our team follows up with payers to make sure resolutions happen promptly and reimbursements are accurate. Every denial is tracked and recorded for deeper insight, helping us develop prevention strategies for the future.
To further improve performance, CHB uses specialized tools and denial prevention methods to streamline workflows, highlight high-risk claims, and ensure payer compliance. This tech-driven approach reduces denial rates, speeds up revenue recovery, and enhances cash flow for your practice.
Partner with CHB to get a proactive denial management strategy backed by data that delivers real results.
| Denial Area | What It Means | Why It Matters to Your Revenue |
|---|---|---|
| Denial Identification | Systematic tracking of rejected or denied claims by payer, code, or reason. | Helps practices recognize trends and address recurring errors. |
| Root Cause Analysis | In-depth review of coding, documentation, or billing issues behind each denial. | Prevents repeated mistakes and improves future claim accuracy. |
| Corrective Action & Reprocessing | Timely correction and resubmission of denied claims with the right codes, modifiers, or documents. | Recovering denied revenue before it’s lost permanently. |
| Appeals Management | Preparation and submission of appeal letters with supporting documentation. | Essential for high-value claims or unfair payer decisions. |
| Payer Policy Monitoring | Keeping up with Medicare, Medicaid, and commercial payer rules that affect reimbursement. | Avoids denials tied to outdated billing practices or LCD changes. |
| Documentation Education | Training clinicians on notes required for services commonly denied (e.g., modifier use, medical necessity). | Strong documentation equals stronger billing and fewer rejections. |
| Analytics & Reporting | Dashboards showing denial rates, reasons, appeal outcomes, and preventable categories. | Gives visibility into how much revenue is at risk and how to recover it. |
FAQ
Is a denial management specialist like a financial superhero?
Why choose a denial management company like ours instead of fighting denials solo?
How does CHB handle denied medical claims?
What is the process for appeal management?
I would like to recommend you and your company Certified Healthcare Billing to anyone interested in exceptional results from medical billing. It has always been a pleasure to work with you and your team. I would like to thank you for all the work you have done for me in the children’s cardiac medical clinic. I would be happy to speak to anyone who wishes more information.
Certified Healthcare is one of the most effective medical billing firms I have ever worked with. They are fast paced, communicative, incredibly effective, and their innovation sets them apart in this day and age. They are extremely professional and pleasant, and are always available when I have a question. When I speak with their billers, I feel like they work for me. I recommend CHB to all clinics and medical facilities looking to save money and gain more time with patients.