Denial Management

Denial Management That Gets You Paid — Fast.

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 Audit

The Hidden Cost of Claim Denials Is Hurting Your Bottom Line

Denied 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

Our Denial Management Services Include

Initial denial analysis and categorization

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.

Payer-specific appeals and reconsiderations

Our team crafts timely, payer-compliant appeals and reconsideration letters using carrier-specific guidelines and denial reason codes to maximize overturn success.

Medical necessity documentation revie

We audit and validate clinical documentation to support medical necessity, ensuring it aligns with payer policy to prevent denials related to insufficient records.

Resubmissions with corrected data

Clean claim resubmissions are made with accurate CPT/ICD-10 codes, modifiers, and demographic corrections, improving your clean claim rate and reducing reimbursement delays.

Coordination with coding teams for fixes

We work closely with certified medical coders to correct coding errors, apply modifier changes, and ensure claim accuracy for both compliance and reimbursement.

AR follow-ups and escalation

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.

Before You Submit Another Claim, Let’s Audit What’s Going Wrong

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.

How Medivantek Billing Transforms Your Denial Workflow

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

We Support Denial Management Across Specialties

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:

Primary & Urgent Care

Cardiology & Gastroenterology

Mental Health & Psychiatry

Orthopedics & Physical Therapy

Home Health & Hospice

Podiatry & Dermatology

Family Medicine

Pain Management & Surgery

Tired of Writing Off Denied Claims? Let's Turn Them Into Revenue.

Stop leaving money on the table. Medivantek Billing helps healthcare providers across Ohio and the USA recover lost revenue with aggressive denial resolution, payer-specific appeals, and specialty-driven prevention strategies. Our proven denial recovery process increases clean claim rates and shortens AR cycles—so you get paid faster.

Get Denials Under Control Today

Frequently Asked
Questions (FAQs)

Denials are processed claims that are not paid; rejections are returned without processing. We handle both.

We begin appeal/resubmission processing within 24–48 hours of denial posting.

Yes. We help compile documentation, provider notes, and literature to support the necessity.

our team leaders with a decade of experience. Provide detailed denial reason codes, appeal status, and weekly reports on patterns.

Yes. We adapt to your current system and workflows for full transparency and compliance.

Over 85% of denials are recovered successfully on the first or second submission.