Denial & AR ManagementServices
Root cause analysis, appeal drafting, and resolution tracking to boost reimbursements. Expert denial management and AR recovery services designed to maximize your revenue.
Insurance claim denials are one of the most costly and preventable problems in medical billing. The average practice loses 5-7% of revenue to unworked denials. MedSure's denial management team identifies denial root causes, appeals every recoverable denial, and implements process changes that prevent the same denials from recurring — driving your denial rate below 4%.
Denial & AR Management Solutions
Comprehensive denial & ar management services designed to optimize your revenue cycle.
Appeal Drafting
Expert drafting of appeals with supporting documentation
Root Cause Analysis
Comprehensive analysis to identify and address denial patterns
Resolution Tracking
Real-time tracking of appeal status and resolution
AR Recovery
Aggressive follow-up and collection of outstanding accounts
Key Features
- Root cause analysis of denials
- Appeal drafting and submission
- Resolution tracking and follow-up
- AR recovery and collection
- Denial prevention strategies
- Comprehensive reporting on denial trends
Benefits
- 85% denial recovery rate
- Reduced denial rates below 2%
- Faster resolution of denied claims
- Improved cash flow and collections
- Proactive denial prevention
- 24/7 monitoring and management
How It Works
Our proven process delivers results for your practice.
Denial Analysis
We categorize every denial by type (clinical, technical, eligibility, timely filing) and payer. Our analytics dashboard identifies patterns — the same denial reason from the same payer signals a systemic issue that needs a process fix, not just a one-time appeal.
Root Cause Investigation
For each denial category, our team traces the root cause back to its source in the workflow. Most denials stem from front-end issues: incorrect eligibility, missing authorizations, or coding errors — not clinical issues.
Appeal & Resubmission
We draft and submit appeals within payer timelines with supporting clinical documentation. Peer-to-peer reviews are coordinated when appropriate. Corrected claims are resubmitted with proper attachments to maximize first-appeal success rates.
Prevention & Training
After resolving denials, we work with your front desk and clinical teams to fix the upstream issues — updating eligibility workflows, authorization checklists, and coding templates to prevent the same denial from recurring.
Frequently Asked Questions
Get answers about our Denial & AR Management services.
What is a good denial rate benchmark?
The industry average denial rate is 9-12%. High-performing practices maintain denial rates below 5%. MedSure clients average a denial rate below 4%, achieved through proactive claim scrubbing and rapid denial management.
How quickly do you appeal denied claims?
We identify and work denials within 24-48 hours of receipt. Appeals are submitted well within payer timelines — typically 30-180 days depending on payer and denial type. We track every appeal through resolution.
What types of denials do you recover?
We work all recoverable denial types including: eligibility and coverage denials, authorization not obtained, medical necessity, coding errors, duplicate claim, and timely filing. We assess each denial for appeal viability based on payer policy and clinical documentation.
Do you handle second-level appeals and external reviews?
Yes. When first-level appeals are denied, we escalate to second-level reviews, peer-to-peer calls, and external independent reviews when warranted. We use every available appeal avenue before writing off a claim.
Ready to Optimize Your Revenue Cycle?
Get a free practice analysis and discover how we can increase your collections by up to 30%.