Denial Management Services
Fewer Denials • Faster Reimbursements • Stronger Cash Flow
Recover lost revenue and prevent future claim rejections with our Denial Management Services powered by data analytics, process expertise, and proactive payer follow-up.
HIPAA-Compliant | 98 % Re-submission Success | Trusted by Providers Nationwide
Serving Healthcare Practices Across the U.S.
Why Denial Management Matters
Every denied claim represents delayed revenue or worse, permanent loss. On average, U.S. healthcare providers lose 3–5 % of annual revenue to unresolved denials. Most of these are avoidable: coding errors, missing authorizations, or outdated eligibility data.
At Expert Medical Billing Services, we help you identify the root cause, correct the process, and recover revenue fast. Our specialized denial management team combines automation with expert analysis to rework claims quickly and eliminate repeat issues ensuring your practice maintains a predictable, healthy cash flow.
Our Denial Management Process
Denial Identification & Categorization
We capture denial data from ERA/EOB files in real time and categorize issues by payer, denial code, and claim type for precise root-cause analysis.
Root-Cause Analysis
Each denial is reviewed by certified coders who determine whether it stems from eligibility, coding, authorization, or submission errors.
Corrective Action & Re-submission
Our team corrects and resubmits eligible claims within 24–48 hours, following payer-specific rules to maximize acceptance.
Payer Communication & Appeals
We directly contact payers, submit supporting documentation, and handle follow-ups until payment is released no claim left behind.
Prevention & Reporting
Monthly denial trend reports identify recurring issues and guide staff training, helping you prevent similar errors in the future.
Why Choose Expert Medical Billing Services?
| Advantage | What It Means for You |
|---|---|
| 98% Re-submission success | Recover revenue that otherwise writes off |
| Dedicated denial specialists | Multi-payer + multi-specialty experience |
| Automation + human review | Faster identification, zero guesswork |
| Detailed denial analytics | Trends by payer, code, source |
| Nationwide coverage | Serving providers in all 50 states |
| Compliance guaranteed | HIPAA-secure data handling |
Our Denial Management Service Includes
- Daily monitoring of ERAs/EOBs for new denials
Denial categorization by payer, code, and reason
Root-cause analysis and corrective resubmission
Insurance carrier follow-ups and appeals
Secondary claim filing and underpayment tracking
Trend and cause analytics reporting
Staff feedback and denial prevention training
Compliance verification (HIPAA, CMS)
Integration with billing & EHR systems (Athenahealth, Kareo, AdvancedMD, eClinicalWorks, NextGen)
Compliance and Regulation Expertise
Endocranology
Expertise and Specialization
Data-Driven Insights
Enhanced Accuracy
OB/GYN
Specialties We Support
We support all major medical and dental EHR and billing platforms, including Athenahealth, Kareo/Tebra, eClinicalWorks, AdvancedMD, OfficeAlly, Epic, Cerner, OpenDental, Dentrix, Eaglesoft, CurveHero and more.
Proven Results for Our Clients
70 % Reduction in Denials within the first 90 days
25 % Increase in Collections through proactive re-submission
40 % Faster Claim Resolution
Get a Complimentary Financial Health Audit for Your Practice
Features You Can Rely On
Denial Analytics
- Gain clear visibility into important denial-related metrics such as denial rates, AR by payer, and re-submission progress, all updated in real time so you always know where your revenue stands.
- This dashboard helps you quickly evaluate your practice’s financial performance and understand how effectively your billing team is managing claim follow-ups.
- You can also view daily appointments and patient balances, giving you the insight needed to improve collections at the time of service and reduce preventable denials.
Preventing Front-End Denials
- Eligibility and benefits are verified automatically in real time, helping your team avoid the front-end errors that often lead to denials.
- Staff can access updated coverage and patient responsibility details right at check-in, making it easier to collect accurate copays and reduce payment delays.
- This simple, proactive step strengthens your overall workflow and supports better financial results by preventing issues before claims are even submitted.
Avoiding Coding & Documentation Denials
- Our e-super bill helps reduce coding-related denials by suggesting appropriate codes and reminding providers of missing details needed for clean, accurate claims.
- This feature supports complete documentation from the start, which improves the chance of the claim being accepted the first time it’s submitted.
- By making charge capture smoother and more accurate, it helps eliminate unnecessary rework and keeps your revenue cycle moving efficiently.
Identifying Denial Trends
- Advanced reporting tools give you clear insights into denial trends, allowing you to see which payers, codes, or processes are causing the most issues.
- These detailed reports help you identify recurring problems quickly so your team can make timely improvements and prevent future denials.
- With easy access to meaningful data, you’re better equipped to strengthen your revenue cycle and support consistent, predictable cash flow.
Our Clients Are Making Healthcare Better
Frequently Ask Questions
Eligibility errors, incorrect CPT/ICD-10 codes, missing authorizations, and late submissions are the top reasons — all of which our process addresses immediately.
Most claims are corrected and re-submitted within 24–48 hours of denial receipt.
Yes. We work within your current EHR/EMR environment to minimize disruption.
Absolutely. While our offices are in Florida and Virginia, we serve providers across the U.S. through secure remote access.
We provide monthly trend analysis, staff training, and process optimization to eliminate recurring denial patterns.
Contact Us
- (321) 594-2213
- info@expertmedicalbillingservices.com
- 915 N Hastings St, Orlando, FL 32808, USA
- 2239 Sherwood Ave SW. Roanoke, VA, 24015