Recover Millions of Lost Revenue With Expert Denial Management Services
When denials pile up, they choke your cash flow and overwhelm your staff. Most teams are stuck reacting, spending hours chasing old claims instead of preventing new denials.
Medmax turns denial management into a proactive process. We analyze every denial, fix the issue, and resubmit claims within days, while implementing long-term prevention strategies. Practices we support typically recover up to 35% more revenue from previously lost claims and see fewer repeat denials within the first 60 days.
Denial Analysis
We perform denial management analysis to identify coding errors, payer-specific issues, and process gaps that block your payments, giving you a clear roadmap to faster approvals.
Denials Fixed Within 48 Hours
Our denial management services correct errors and resubmit within 24-48 hours to recover revenue fast. Quick action ensures cash flow stays stable while aging AR doesn’t pile up.
Prevention Strategy
Fixing denials is half the battle, stopping them is where we excel. We create payer‑specific denial management solutions that reduce future denials and protect revenue long‑term.
Why Choose Us
Turn Every Denial Into Revenue With Our Proven Solutions
Denied claims aren’t just paperwork delays, they are lost revenue, cash flow gaps, and hours of staff overtime. Most practices don’t have the bandwidth to track every denial, meet appeal deadlines, and prevent the same issues from happening again.
We take a proactive approach to denial management, combining real-time tracking, expert analysis, and rapid resubmissions to keep your AR clean. Our team focuses on root-cause analysis, so denials don’t just get fixed, they get prevented in the future.
- Many medical billing services leave denials unresolved or give up after one attempt.
- We’ve recovered 65%+ of previously written-off AR by aggressively working denials within 24- 48 hours of receipt.
Tired of chasing denied claims that keep coming back?
We handle every claim denial with precision, correcting errors, appealing quickly, and preventing future denials.
- 95% denial resolution rate
- 24-hour claim review turnaround
- Proven payer follow-up process
- Clear communication and reports
80% Denials Resolved on First Rework
Keeps your AR clean and accelerates cash flow.
35% Drop in Recurring Denials
We fix root causes, so the same denials don’t return.
24–48 Hour Denial Resubmission
Rapid corrections ensure payers process claims quickly.
Complete Denial Trend Reporting
Gives you clarity on why denials happen and how they’re prevented.
Workflow Responsive Layout 1
Slow Claim Turnaround
Claims sit in queues, waiting for batching, approvals, or manual checks, causing cash flow delays.
Daily Claim Submission
Every claim is scrubbed, coded, and submitted within 24 hours, reducing bottlenecks and speeding up payments.
Weak AR Follow-Up
Others often give up after a few follow-up attempts, leaving revenue stuck in aging AR.
Persistent AR Recovery
We follow up until resolution, not just once or twice. That’s why we recover 30–50% more from aging AR than industry average.
Basic Reporting
Most firms offer generic month-end summaries that don’t show where your revenue is stuck.
Real-Time KPIs & Reports
Our reports show what was billed, what’s paid, what’s pending, and why. Weekly, bi-weekly, monthly, your call.
Generic Coders for Every Specialty
No matter the specialty, they use the same team. This leads to undercoding, rejections, and audit risk.
Certified Coders by Specialty
You’re assigned coders who know your field, psych, ortho, nephro, or urgent care.
High Denial Rates, No Pattern Fixing
They fix denials but don’t stop them from happening again.
Denial Prevention & Pattern Solving
We don’t just fix, we track root causes and redesign your process to stop the denial from coming back.
Unsatisfied Patients
No support for billing questions, no payment flexibility, no patient helpline.
Live Patient Helpdesk
Your patients get a real billing support team to answer questions, set up plans, and resolve balances, all with your approval.
Only Work on Their Own Software
Locked-in platforms that don’t fit your clinic or preferences.
Work With Any Software
We support the software you already use or offer our advanced system with EHR and full transparency built in.
Little to No Compliance Oversight
No process for checking coding risks or documentation accuracy.
Audit-Ready & Compliant
We cross-check every CPT, ICD-10, and modifier with encounter notes and payer policies to keep you clean and audit-proof.
Fewer Denials, Faster Payments,
Fix, Prevent, and Recover With Smarter Denial Management
Every denied claim tells a story. Our team reviews each claim denial to pinpoint the exact reason and identify trends that affect your revenue. This Denial Management step helps you understand why payers said “no” and how to prevent repeat issues.
Appealing and Resubmitting Claims
Every denied claim is reviewed, corrected, and resubmitted with a clean, well‑documented appeal. We handle the entire process, ensuring payers have zero reason to reject again. This complete denial management service turns potential losses into recovered revenue quickly.
Meeting Appeal Deadlines
Missed deadlines are the silent killer of revenue. Our denial management team tracks every payer’s unique window for appeals and ensures nothing slips through the cracks. By never missing a deadline, providers stay compliant and see faster claim resolution.
Following Up and Checking Status
Submitting an appeal is only half the work, denial management requires persistence. We follow up with payers consistently, track each denied claim until payment is posted, and keep providers fully informed with real‑time status updates.
Denial Management Experts for 50+ Specialties
Our denial management services cover every specialty, identifying why denied claims happen and fixing them fast. We handle payer-specific rules to recover revenue without delays.
Common Denial Management Issues & How We Resolve Them
When claims get denied, we don’t just resubmit, we investigate. Our Denial Management process ensures every denied claim is analyzed, corrected, and resubmitted accurately.
Our Denial Management process combines expert analysis with intelligent automation. Each denial is categorized by type, coding error, missing documentation, or payer rule, so our teams can address it immediately. With integrated detailed medical billing checks, we ensure every corrected claim meets payer compliance before it goes back out.
We maintain detailed logs for every denial worked, ensuring full transparency in recovery progress. From appeal submission to final resolution, our approach minimizes turnaround time and improves claim accuracy, helping practices stay financially stable and audit-ready at all times.
Frequent Claim Denials
A high volume of denied claims slows cash flow and increases rework for your team.
Proactive Denial Tracking
Our Denial Management Services identify root causes early and fix them before the next submission, reducing denial rates over time.
Incorrect or Incomplete Documentation
Missing codes, modifiers, or details often trigger unnecessary claim denial from payers.
Documentation Review Support
We verify all documentation and medical coding details before submission to ensure each claim is fully compliant.
Delayed Denial Follow-Ups
When denied claims aren’t followed up quickly, revenue losses multiply.
Fast Resubmission Workflow
Our Denial Management specialists correct, appeal, and resubmit all rejections within 48 hours to recover payments faster.
Lack of Denial Insights
Without clear reporting, practices can’t see recurring denial trends or payer patterns.
Denial Analytics & Reporting
We deliver real-time dashboards through our Denial Management Services, showing top reasons for denials and recovery timelines.
Coding and Billing Errors
Even small coding mistakes or charge entry issues can lead to repeated claim denial.
Clean Claims with Coding Accuracy
Our medical billing and coding audits ensure claims meet payer rules before submission — minimizing rejections.
Payer Policy Changes
Frequent payer rule updates can cause new denials that go unnoticed.
Policy Monitoring System
Our Denial Management team stays updated with payer changes to ensure compliance and prevent avoidable denials.
