Maximizing Your Reimbursements
We go beyond basic rework to uncover the root cause of denials, correct errors, and pursue appeals — maximizing your reimbursements and minimizing revenue leakage.
What Is Denial Management in Healthcare?
Denied and rejected claims are often confused — but both represent significant revenue challenges.
Rejected Claims
Claims returned due to errors that never reach the payer's adjudication system.
Denied Claims
Claims that are reviewed but not approved for payment by the insurer.
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 tackle claim denials with expertise and precision.
Thorough Investigation
We thoroughly investigate each denied claim to identify the root cause.
Root Cause Analysis
We identify and resolve coding or documentation issues that led to the denial.
Prompt Resubmission
We resubmit corrected claims promptly to minimize revenue cycle delays.
Detailed Appeals
We file payer-specific appeals with strong supporting documentation.
We understand that each denial is unique. That's why we:
Customized Resolution Strategies
We develop tailored approaches for each denial type and payer.
Precise Documentation
We correct and refile claims with accurate, complete documentation.
Authorization Appeals
We appeal denied authorizations when clinical justification exists.
Patient Communication
We communicate directly with patients when necessary to resolve issues.
Billing Office Extension
We 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
MedRev 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 significant improvements in their revenue cycle metrics:
20%
Reduction in days in A/R
5–7%
Increase in collections