Don't let denied claims write off your hard-earned revenue. Our expert denial management services analyze root causes, launch aggressive appeals, and recover unpaid claims, turning complex payer denials into collected cash.
A denial occurs after a claim has been processed and rejected for payment by the insurance company. Utilizing specialized denial management services ensures these claims are not just written off. Following industry standards from the HFMA, we root out the cause, appeal effectively, and recover the funds you are rightfully owed.
Identify the root causes of both clinical and administrative denials
Launch aggressive, documentation-backed appeals within filing limits
Provide feedback to clinical staff to prevent future occurrences
A dedicated team of AR specialists and clinical coders that fights insurance companies to recover your unpaid claims.
We analyze CARC and RARC codes to determine exactly why a claim was denied, identifying if it was a coding error, eligibility issue, or medical necessity.
We handle the entire lifecycle of a denied claim, from initial investigation to drafting appeals and following up until payment is secured.
Our certified coders extract operative reports and clinical notes to craft strong, evidence-based appeals for claims denied for medical necessity.
We relentlessly pursue payers via portal, phone, and written correspondence, refusing to let high-value claims age out of timely filing limits.
Fixing claims denied for invalid CPT/ICD-10 combinations or missing modifiers, and resubmitting them as clean claims immediately.
When payers underpay or deny claims contrary to your negotiated contract, we escalate the issue to provider reps to enforce your fee schedule.
We download your 835 ERAs and instantly categorize denials by payer, reason code, and timely filing deadlines.
Our team dives into the clinical documentation and original claim to find exactly where the breakdown occurred.
We draft customized appeal letters with supporting clinical evidence or correct the coding errors for rapid resubmission.
We aggressively track the appealed claim's status until the payer overturns the denial and remits payment.
Ignoring denied claims is the fastest way to lose money. We act as your revenue recovery task force, turning complex payer pushback into cash in the bank.
Our tailored denial management services include specialized coding knowledge and robust appeal strategies across 40+ practice types.
See how we’ve helped medical centers overturn complex denials and recover lost revenue.
"Since Synergy took over our denial management, our write-offs have plummeted. They recovered hundreds of thousands in aged claims we thought were lost."
"Their clinical coders are amazing at overturning medical necessity denials. The evidence-based appeals they write are incredibly effective."
"They don't just appeal the claim; they find the root cause. Their feedback helped our front desk fix an eligibility issue that stopped 30% of our future denials."
"Aggressive AR follow-up is exactly what we needed. They never let a payer off the hook, significantly reducing our days in accounts receivable."
"Since Synergy took over our denial management, our write-offs have plummeted. They recovered hundreds of thousands in aged claims we thought were lost."
"Their clinical coders are amazing at overturning medical necessity denials. The evidence-based appeals they write are incredibly effective."
"They don't just appeal the claim; they find the root cause. Their feedback helped our front desk fix an eligibility issue that stopped 30% of our future denials."
"Aggressive AR follow-up is exactly what we needed. They never let a payer off the hook, significantly reducing our days in accounts receivable."
Get a free consultation to see how our denial management services can analyze your rejections, launch successful appeals, and recover your lost revenue.
