Stop Losing Revenue to Preventable Claim Denials with Cutting-Edge Denial Management Services in Ohio, USA We identify, fix, and prevent claim denials by applying strict adherence to NCCI edits, Medicare guidelines, and analyzing payer trends to ensure your revenue flows uninterrupted. Serving providers across Ohio and beyond.
Schedule a Free Medical Claim Denial AuditDenied claims are more than temporary setbacks—they're long-term revenue drains. If your denial management strategy lacks precision, you're not just missing payments—you're extending AR cycles and increasing administrative costs.
5–10% of claims are denied on first submission
Long accounts receivable cycles due to poor follow-up
Bloated AR cycles due to weak follow-up
Inaccurate interpretation of denial reason codes
Repeated claim rejections from unresolved root causes
We perform detailed denial code analysis to identify claim rejection patterns and categorize denials by type, payer, and specialty for targeted resolution. This helps reduce first-pass denial rates and streamlines rework.
Our team crafts timely, payer-compliant appeals and reconsideration letters using carrier-specific guidelines and denial reason codes to maximize overturn success.
We audit and validate clinical documentation to support medical necessity, ensuring it aligns with payer policy to prevent denials related to insufficient records.
Clean claim resubmissions are made with accurate CPT/ICD-10 codes, modifiers, and demographic corrections, improving your clean claim rate and reducing reimbursement delays.
We work closely with certified medical coders to correct coding errors, apply modifier changes, and ensure claim accuracy for both compliance and reimbursement.
Our denial management team performs aggressive accounts receivable follow-ups and escalates unresolved claims with insurance carriers to reduce aging AR and improve cash flow.
Every dollar deserves to be counted. We will review each line item of your denied claims to give you clarity with solutions. Get a comprehensive audit report backed by CPA review and advanced dashboards that make denial trends crystal clear.
Missing Authorizations and Referrals
Incomplete eligibility and benefits.
Medical Necessity Denials
Incorrect or Outdated Coding (ICD, CPT, Modifiers)
Timely Filing Limit Exceeded
Coordination of Benefits (COB)
Bundled Services Denials
Duplicate Claim Rejections
At Medivantek, we don't just resubmit denied claims—we prevent future denials by identifying and addressing the root causes. Our comprehensive denial management services in Ohio and across the nation combine data-driven insights with expert claim correction, so you capture more revenue faster:
Claim-level root cause analysis to identify denial trends
Corrective actions involving coders and billing teams
Certified coders and billing consultants with experience of a decade.
Timely and well-documented appeal submissions
Regular denial analytics and payer behavior reports
Based in Ohio and serving providers across the USA, we offer specialty-specific denial management solutions that align with payer guidelines and optimize reimbursement. Our expertise spans diverse clinical areas to help reduce denials and accelerate cash flow.
Our team has proven success with: