Denial Management Services
Turn Denied Claims Into Recovered Revenue with Medix Revenue Group
Medix Revenue Group offers specialized denial management services in USA that help you identify root causes, recover payments faster, and stop revenue leakage for good.
Why Denial Management Matters
Now More Than Ever
With tightening insurance rules, changing payer policies, and rising billing complexity, claim denials have become a constant threat to your bottom line. Unfortunately, most providers don’t realize how much money they're losing until it’s too late.
According to MGMA, the average denial rate in healthcare is between 5%–10%—but best-in-class practices keep it under 2%. Let’s help you get there.
Whether you're a small physician-owned practice or a multi-specialty group, Medix Revenue Group helps you:
- Analyze denial trends and reduce rejections at the source
- Recover maximum reimbursement on previously denied or underpaid claims
- Speed up cash flow and decrease AR days
- Maintain payer compliance and avoid repeated errors
Our Denial Management Services
Our denial experts don’t just "work" your claim denials—they prevent them from happening in the first place.
Here's what our full-service offering includes:
Denial Root Cause Analysis
We investigate every denial by payer, code, or provider—to find patterns and fix issues upstream.
Automated & Manual Denial Tracking
Real-time dashboards plus hands-on follow-up ensure no claim falls through the cracks.
Corrected Claim Submission & Resubmission
We fix and resubmit claims with accurate documentation and coding fast.
Appeals & Payer Follow-Up
From writing appeal letters to direct payer negotiation, we fight for your revenue until the job’s done.
Denial Reporting & Trend Analysis
Stay informed with monthly reports that highlight risks, wins, and opportunities to improve.
Compliance & Coding Guidance
Ensure every claim is aligned with payer-specific rules, ICD-10, CPT, and Medicare billing guidelines.
Common Denials We Resolve
Whether it's a $60 lab test or a $6,000 surgical claim, we treat every denial like your revenue depends on it—because it does.
We resolve the claim denials like:
Missing or incorrect CPT/ICD-10 codes
Lack of pre-authorization
Duplicate claim denials
Eligibility or coverage issues
Bundling/unbundling errors
Medical necessity denials
Timely filing denials
Who We Help
Our denial management services are tailored for:
- Hospitals and Health Systems
- Independent Physician Practices
- Specialty Clinics (Cardiology, Oncology, Ortho, etc.)
- Laboratories and Diagnostic Centers
- Ambulatory Surgical Centers (ASCs)
- Medical Billing Companies looking to scale denial recovery
How Our Denial Management Process Works
Free Denial Audit
We start with a full review of your current denials, payer mix, and billing workflows.
Custom Recovery Strategy
We create a plan of attack based on your specific needs.
Hands-On Executions
Our experts jump in, manage the backlog, and improve your first-pass resolution rate.
Ongoing Optimization
You receive monthly reports, denial KPIs, and real-time dashboards.
Want to see how many denials we can recover for your practice this quarter?
Why Should You Hire Us?
Proven Recovery Rates
We’ve helped clients recover up to $500K+ in denied claims within months.
Certified Coders & Billing Experts
Deep experience in ICD-10, CPT, and payer-specific denial rules.
Smart Tech + Human Insight
We use denial automation tools—but it’s our people who close the loop.
Compliance First
Everything we do aligns with HIPAA, Medicare, and commercial payer standards.
Dedicated Support
You’ll always have a real person ready to answer your questions and escalate when needed.
Stop chasing payments.
Start reclaiming revenue.
Whether you're buried in backlogged denials or just want to tighten up your billing system, we’re here to help.
Let’s fix your denials and future-proof your revenue cycle.
AR follow-up tracks outstanding claims. Denial management goes deeper—it identifies why claims were denied, fixes issues, and appeals for payment recovery.
We can typically begin within 5 business days after onboarding and system access.
Yes. While some timely filing limits apply, we’ve successfully reopened and recovered claims with appropriate documentation and payer engagement.
Yes. We work with most major EMR/EHR and billing platforms, and provide real-time denial tracking dashboards.
YPricing depends on claim volume and service level. We offer custom packages with flat-rate or performance-based pricing.