Denial Management Services
What Is Denial Management in Healthcare?
Denied and rejected claims are often confused — but both represent significant revenue challenges.
- Rejected claims are returned due to errors and never reach the payer’s adjudication system.
- Denied claims, on the other hand, are reviewed but not approved for payment.
While rejections require resubmission, denials demand a deeper dive. At MedRev, we go beyond basic rework to uncover the root cause, correct errors, and pursue appeals — maximizing your reimbursements and minimizing revenue leakage.
What MedRev Offers
Our Denial Management team consists of seasoned professionals who:
- Thoroughly investigate each denied claim
- Identify root causes and resolve coding or documentation issues
- Resubmit corrected claims promptly
- File payer-specific appeals with strong supporting documentation
We understand that each denial is unique. That’s why we:
- Provide customized resolution strategies
- Correct and refile claims with precise documentation
- Appeal denied authorizations when applicable
- Communicate directly with patients if necessary
- Act as an extension of your billing office to reduce your overall denial rate over time
Our Denial Management Workflow
Track Claim Status
We follow up with insurance payers to monitor claim progress and gather status updates.
Identify Denial Issues
Our team investigates denial reasons, checks for missing or incorrect info, and ensures issues are resolved quickly.
Refile the Claim
We submit corrected claims and initiate timely follow-ups. If necessary, we handle secondary insurer billing too.
Resolve & Appeal
From tracking to resolution, we stay on top of each claim — filing appeals when needed and pushing until reimbursement is secured.
Why Choose MedRev for A/R & Denial Management?
Results-Driven Resolution
We don’t just track — we resolve. By integrating web portal tools, our team reduces claim follow-up time while boosting success rates.
Process Automation
Our smart automation tools reduce manual effort and improve efficiency in claim status checks and documentation handling.
Workflow Optimization
Our structured claim queues and web-based workflows ensure accurate responses for each payer’s status codes, leading to faster resolutions.
Dashboards & Metrics
RevMed provides advanced reporting and analytics to track key A/R metrics, identify trends, and focus efforts where they matter most.
Boost Collections & Reduce A/R Days
Our clients typically see:
- 20% reduction in days in A/R
- 5–7% increase in collections