Denial Management that recovers — and prevents — lost revenue
Most practices write off 5–10% of net revenue to denials. Medyxis combines root-cause analytics with rapid appeals and prevention frameworks to claw it back.
Denials silently erode collections
- Up to 65% of denied claims are never reworked
- Generic appeals waste staff time and miss deadlines
- No visibility into denial root causes by payer or CPT
- Repeat denials keep happening month after month
A closed-loop denial management system
- Daily denial triage by reason code, payer, and provider
- Specialist-written appeals submitted within 48 hours
- Root-cause dashboards highlighting fix-at-source issues
- Front-end prevention rules pushed back to billing & coding
Fewer denials. Faster recoveries.
- 30–40% reduction in overall denial rate
- 60%+ overturn rate on appealed claims
- Recovery of stale AR previously written off
- Permanent denial prevention through process fixes
How we deliver
A transparent workflow with clear milestones, ownership, and reporting.
Denial audit & baseline
Quantify your current denial rate, top reasons, payer breakdown, and write-off impact.
Triage & categorization
Every denial is categorized by CARC/RARC, payer, and clinical vs technical root cause.
Appeals & resubmission
Specialist-written, payer-specific appeals filed within 48 hours of denial receipt.
Root-cause prevention
Insights feed back to coding, eligibility, and front-desk workflows to stop denials at the source.
Continuous reporting
Monthly denial scorecards track trend, top fix opportunities, and recovered dollars.
Frequently asked questions
Can you work denials we've already written off?+
Yes. Many practices recover meaningful revenue from aged AR we re-engage on appeal, especially within timely-filing windows.
Do you handle clinical denials and medical necessity appeals?+
Yes — we work with certified coders and clinical documentation specialists to craft evidence-based appeals.
How fast will we see results?+
Most clients see a measurable reduction in denial rate within 60–90 days, with cash recovery beginning in the first month.
Related Insights
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