Every denied claim is lost revenue. We recover 63% via analysis, appeals, prevention — reducing denials from 15% to under 5%.
15-20% of claims are denied on first submission, requiring extensive rework and creating significant administrative burden on billing staff.
Without systematic tracking mechanisms, denied claims fall through the cracks and go unworked, resulting in permanent revenue loss.
Generic appeal letters without payer-specific strategies and supporting documentation result in low overturn rates and wasted effort.
The same denial reasons keep repeating because root causes are never identified and systemic issues remain unaddressed.
Staff spends excessive time working denied claims reactively instead of implementing prevention strategies proactively.
Up to 65% of denied claims are never reworked due to time constraints, lack of resources, or missing timely filing deadlines.
Advanced tracking and categorization of all denials with detailed root cause identification to understand patterns and systemic issues.
Expert appeal writers use payer-specific strategies and comprehensive documentation to maximize overturn rates and recover revenue.
Proactive measures to address root causes and prevent denials before they occur through upfront validation and process improvements.
Technology-driven processes ensure every denial is systematically tracked, worked, and resolved within optimal timeframes.
Track, categorize, and analyze all denials to identify trends, opportunities, and areas for improvement.
Professional appeal letter preparation with comprehensive supporting documentation for maximum overturn success.
Identify systemic issues causing denials and implement corrective actions to prevent recurrence.
Upfront claim scrubbing and validation to prevent denials before submission.
Our denial rate was 18% and climbing when we brought in Medtransic. Their team not only helped us overturn 75% of existing denials, recovering $450,000, but they identified the root causes and reduced our denial rate to under 5%. The impact on our cash flow has been dramatic.
Contact Medtransic today for expert denial management services. Call 888-777-0860 or visit https://medtransic.com/contact for a free consultation.