Denial Management Services
Denied claims don’t just slow payments; they also increase costs. They quietly drain revenue, overwork staff, and create uncertainty in your cash flow. For many practices, denials pile up faster than they can be fixed—until unpaid claims start to feel permanent.
Medhasty Denial Management Services help healthcare providers across the United States recover lost revenue, reduce future denials, and bring stability back to the revenue cycle. We don’t just work on denials—we fix the reasons they happen.
Across the U.S., payers are tightening requirements, automating claim reviews, and denying more claims at first pass than ever before. What used to be minor billing issues now trigger automatic rejections.
Without a structured denial strategy, practices lose revenue they have already earned.
National denial rates now average 15–20%, with some specialties seeing even higher numbers
More than 60% of denied claims are never appealed, not because they’re invalid, but because staff don’t have time
Simple issues—missing modifiers, eligibility gaps, documentation mismatches—account for over 70% of denials
Each denied claim can delay payment by 30–45 days, damaging cash flow
Many billing companies treat denials as cleanup work. Medhasty treats them as warning signs. Every denial tells a story—and when you listen closely, patterns appear.
We combine hands-on denial recovery with root-cause correction, so your practice doesn’t keep repeating the same mistakes—the result: fewer denials, faster payments, and a stronger revenue cycle month after month.
We treat credentialing as a project with defined milestones, accountability, and escalation paths.
We review every denial and categorize it by payer, reason, service type, and financial impact. This allows us to prioritize high-value claims and act quickly before filing deadlines expire.
Each denial is traced back to its source—coding, documentation, eligibility, authorization, or payer policy. We don’t guess. We identify exactly why the claim failed.
Our team prepares clean resubmissions and detailed appeal packets, including corrected codes, clinical documentation, and payer-specific justification. Appeals are submitted on time and aggressively followed up on.
Not all denials are obvious. We identify underpayments and short-paid claims by comparing reimbursements against contracted rates and fee schedules.
We track payer behavior across the U.S. and adjust billing strategies as policies change—before denial rates spike.
You receive clear reports showing denial rates, recovery performance, payer trends, and areas needing improvement—so you always know where your revenue stands.
Fixing denials is only half the job. Preventing them is where real growth happens.Medhasty works closely with your practice to:
Improve first-pass claim acceptance
Strengthen coding accuracy and documentation
Tighten eligibility and authorization workflows
Reduce repeat denials from the same payers
Shorten payment turnaround times
Most clients see 30–50% fewer denials within the first 90 days, along with noticeable improvements in cash flow.
We follow a structured, repeatable process that protects revenue and avoids missed opportunities:
Denial Intake & Review – All denied claims are logged and reviewed promptly
Categorization & Prioritization – High-value and time-sensitive claims move first
Root-Cause Investigation – We pinpoint why the denial occurred
Correction & Documentation – Codes, modifiers, and records are fixed
Appeal or Resubmission – Claims are sent back clean and compliant
Payer Follow-Up – We track every appeal until payment is received
Prevention Strategy – We apply lessons learned to future claims
Medhasty provides denial management services nationwide, supporting:
Independent practices
Multi-provider clinics
Specialty groups
Hospital-based providers
Multi-state healthcare organizations
Our team understands Medicare, Medicaid, and commercial payer rules across the U.S., ensuring claims are handled correctly no matter where your practice is located.
Every Medhasty workflow is built around strict compliance standards:
Fully HIPAA-compliant denial management
Encrypted data handling and secure access controls
Audit-ready documentation and reporting
Confidential handling of all patient and financial data
Your data stays protected at every step.
If denied claims are piling up—or if you’re not sure how much revenue you’re losing—Medhasty can help. Our denial management specialists will review your current denial trends and show you where recoverable revenue is hiding.
FAQS
We manage denials related to coding errors, missing or incomplete documentation, eligibility issues, medical necessity, authorization gaps, bundling, and underpayments. Each denial is reviewed individually to determine whether correction, appeal, or escalation is required. This ensures recoverable revenue is not written off prematurely.
Denials are analyzed for patterns across payers, providers, and services. Once trends are identified, we correct the root causes through coding adjustments, documentation guidance, and workflow improvements. This approach helps prevent the same denial reasons from appearing month after month.
Denied claims are prioritized based on filing limits and financial value. Most claims are reviewed within 24–48 hours of denial posting. Time-sensitive appeals are handled first to avoid missed deadlines and unnecessary revenue loss.
Our denial management process integrates with most billing systems and EHRs. We can operate as a full-service denial team or support your in-house staff with overflow and complex appeals. Collaboration is structured to reduce workload, not disrupt operations.
Recovery rates, appeal outcomes, and turnaround times are tracked through detailed reports. These insights show which denials are being overturned, where revenue is recovered, and which payers require closer attention. Reporting keeps performance measurable and transparent.
Let our medical billing experts optimize your revenue cycle management. We enable healthcare practices to increase cash flow and avoid denials. Permanently!
