
• 📌 Check for Timely Filing & Appeal Deadlines
We assess whether denied claims are still within timeframe for appeal or reconsideration.
• 📄 Review of Denial Codes & Reasons
We analyze payer denial reasons and group them into categories like documentation, eligibility, coding, or technical issues.
• 🧾 Evaluation of Documentation & Coding Gaps
We identify if missing or mismatched codes, modifiers, or chart notes contributed to the denial.
• 🏥 Assessment of Payer-Specific Appeal Viability
We determine if the claim has a realistic chance of reversal based on the payer’s appeal policy.
• 💸 Estimate of Recoverable Revenue
We provide a ballpark estimate of how much revenue may still be recovered with the right action.
• 🔄 Recommendations for Next Steps
Whether it’s re-submission, appeal, corrected claim, or write-off—we’ll tell you exactly what can be done.
Let’s discuss how we can help your practice run smoother and more profitable.
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