Denial Management Services
At Claims Med, we deliver proactive denial management solutions that help healthcare providers recover lost revenue and reduce claim rejections. Our experienced team analyzes root causes, resolves issues quickly, and prevents future denials—ensuring faster reimbursements and a healthier revenue cycle for your practice.
We specialize in managing aged claims—those stuck in “reject/resubmit” status and delayed beyond 60–90 days. Our services are crucial for facilities facing staffing or operational constraints that hinder timely claim follow-ups. At Claims Med, we recognize the value of recovering these revenue opportunities and use strategic expertise to improve outcomes, even with older claims.
With many states enforcing strict timelines for payment, our tailored solutions help practices overcome the common challenge of reprocessing aged claims. We reduce the financial strain of uncollectible accounts and protect your bottom line with focused denial auditing and recovery.
WHAT SERVICES CLAIMS MED PROVIDES?
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Denial Analysis
Complete assessment and root cause identification for every denied claim, ensuring accurate reprocessing and follow-ups.
Insurance Follow-Ups
We categorize claims using aging reports, prioritize based on oldest/highest value, and engage directly with insurers for resolution.
Patient Follow-Up
Our team works with patients to clear balances and ensure all financial responsibilities are fulfilled professionally.
Benefits
1 - Avoids premature collections.
2 - Recovers full claim value even after initial denial.
3- Maintains provider–patient trust and communication.
Medical Billers
1 - Submits complete medical documentation.
2 - Coordinates form completion with patients.
3 - Corrects and resubmits improper billing data.
Two-Pronged Strategy
1 - Active follow-up with insurers on all denied or rejected claims.
2 - Detailed denial categorization and strategy based on rejection reasons.
Claims Med offers targeted follow-up for claims beyond 60–90 days that are ineligible for collections. We help providers recover this lost income without damaging relationships or rushing into collections. Our team provides the resources and bandwidth your internal team may lack—giving your facility the ability to handle both aged and new claims with equal efficiency.
With a proven strategy, we reduce the burden of write-offs and improve your overall claim success rate while maintaining compliance.
We meticulously track and document every denial, including reason codes, adjudication status, and required corrective actions. Our process includes:
- Pre-adjudication: Monitoring accepted or rejected statuses.
- Development Requests: Following up on claims that require additional documentation
- Finalization: Ensuring claims reach payment-ready status with no errors left unresolved.