Denial Managements Services
Denial Managements Services Maximize Reimbursements, Minimize Delays
Are claim denials hurting your cash flow?
At Apple Billing and Credentialing (ABC), we understand that denial management is one of the most critical components of the medical billing and revenue cycle management (RCM) process. Every denied or unpaid claim represents lost revenue and wasted time—unless addressed swiftly and strategically.
Our denial management experts specialize in identifying, correcting, and appealing denied claims to ensure you get paid—faster and more accurately.
Why Denials Occurs
Claim denials occur due to various preventable errors, including:
● Incorrect or incomplete patient insurance information
● Missing or invalid pre-authorization numbers
● Filing claims past payer deadlines
● Provider credentialing or enrollment issues
● Services marked “not medically necessary” by payers
What ABC’s Denial Management Team Does
At ABC, we don’t just react to denials—we prevent them. Our proactive denial resolution process helps reduce denial rates, improve first-pass acceptance, and boost overall collections.
Analyze & Identify Root Causes
We review all denied claims to uncover patterns and trends—by payer, CPT codes, ICD-10 usage, or HIPAA coding errors.
This data-driven approach helps in identifying the exact cause of denials.
Timely Re-Submission & Follow-Up
We prioritize claims based on payer deadlines and revenue impact. Claims nearing timely filing limits are fast-tracked for correction and re-submission to maximize recoveries.
Expert Appeals & Reconsideration
For denials marked “not medically necessary,” our team drafts customized appeal letters backed by medical documentation to challenge and reverse the decision.
Real-Time Denial Reporting & Monitoring
We provide comprehensive denial reports and claim alerts so you always have a clear view of denial trends, root causes, and resolutions.
Prevent Future Denials
Our team updates incorrect patient demographics, fixes insurance data issues, and ensures payer-specific requirements are met before claim submission. We also educate your providers on common denial triggers.
Contract Review & Payer Collaboration
ABC engages with payers directly to review denial causes and renegotiate contract terms if needed—eliminating recurring obstacles and improving your reimbursement strategy.
Focused Recovery on High-Value Claims
We strategically target appeals on high-revenue claims, ensuring maximum ROI and avoiding unnecessary adjustments to low-dollar denials.
Our Denial Management Tools & Capabilities
Let’s Eliminate Your Denials—For Good
- With Apple Billing and Credentialing’s end-to-end denial management services, you’ll prevent lost revenue, reduce denials, and experience faster, cleaner claim approvals. Let our experts handle the denials—so you can focus on patient care.
Book Your Free Denial Audit Today
Start recovering your revenue. Click below to schedule a free consultation with our denial management team.
