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Denial Management
Denial Management Services

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.

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Rejected Claims

Claims returned due to errors that never reach the payer's adjudication system.

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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.

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Thorough Investigation

We thoroughly investigate each denied claim to identify the root cause.

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Root Cause Analysis

We identify and resolve coding or documentation issues that led to the denial.

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Prompt Resubmission

We resubmit corrected claims promptly to minimize revenue cycle delays.

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Detailed Appeals

We file payer-specific appeals with strong supporting documentation.

We understand that each denial is unique. That's why we:

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Customized Resolution Strategies

We develop tailored approaches for each denial type and payer.

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Precise Documentation

We correct and refile claims with accurate, complete documentation.

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Authorization Appeals

We appeal denied authorizations when clinical justification exists.

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Patient Communication

We communicate directly with patients when necessary to resolve issues.

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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.

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Identify Denial Issues

Our team investigates denial reasons, checks for missing or incorrect info, and ensures issues are resolved quickly.

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Refile the Claim

We submit corrected claims and initiate timely follow-ups. If necessary, we handle secondary insurer billing too.

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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?

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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.

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Process Automation

Our smart automation tools reduce manual effort and improve efficiency in claim status checks and documentation handling.

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Workflow Optimization

Our structured claim queues and web-based workflows ensure accurate responses for each payer's status codes, leading to faster resolutions.

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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:

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20%

Reduction in days in A/R

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5–7%

Increase in collections