Denials happen but how you respond to them determines your revenue. At Ethical RCM Services, we treat denials like opportunities.
Our Proven Denial Management Process for Maximum Recovery
Every denied claim is reviewed, analyzed, and appealed (if applicable) with proper documentation. We maintain a 95% resolution rate on claim denials by identifying root causes and preventing repeat issues.
Our denial management process includes:
- Root-cause analysis
- Tracking payer trends
- Correcting and resubmitting claims quickly
- Educating providers on documentation improvements
For example, one of our clients had consistent denials for time-based codes. We implemented a structured documentation format, and within a month, denial rates dropped by 80%.
We don’t just fix problems — we prevent them.
