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Service Denial Management Every denial categorized, worked and traced back to its cause, so the same denial does not come back next month. Service Medical Billing … from the first claim. Practices that want billing and denial management from the same team, under one rate. Claims that go out late or never Encounters completed but never … Service RCM Audit & Revenue Leakage Analysis … encounters, coding backlog, submission gaps, rejection and denial patterns, posting issues, AR observations and operational bottlenecks, delivered as a findings report with … Service Medical Coding … never quite clears and a steady trickle of coding-related denials that nobody has time to analyze. Revelrex coding works from your documentation, inside your EMR where possible. … Service Credentialing & Provider Enrollment … of receipt. Scheduled follow-up until approval, denial or closure, with every contact logged. Handling of requests for additional information. Effective-date and …

Page Services Medical billing, coding, denial management, credentialing, PCMH transformation, RCM audits and healthcare websites. Page Training programs Live online courses in medical billing, coding, denial management, RCM fundamentals and HIPAA, with a bundled program.

Lookups Denial Code Translator Type any CARC or RARC code and get the official text, plain English, the usual causes and whether to appeal or correct and resubmit. Checklists Free Denial Autopsy Send one month of de-identified denials. We group them by reason, payer and dollars and show you what was never reworked. Calculators Revenue Leak Estimator See how much your practice may be leaving on the table each month: unbilled visits, unworked denials, underpayments and slow AR.

Billing and denials · 4 pages Denial Prevention Checklist The 25 checks, from scheduling to appeals, that stop the most common denials at the point where they start. Billing and denials · 3 pages Biller Scorecard Billing and denials pdf download checklist guide Billing and denials · 3 pages Prior Authorization Log Billing and denials pdf download checklist guide

Course Denial Management A structured method for denials: capture and categorization, root-cause analysis, corrections, appeals with documentation, payer policy research and prevention programs that reduce denial volume. Add-on Hands-On RCM Simulation & Practice Lab An add-on to any course. Run a simulated practice for six weeks: register patients, verify eligibility, review encounters, code, build and submit claims, handle rejections and denials, post payments, work AR and solve t… Course EMR Training … not just the buttons: how registration errors become denials, how a signed note becomes a charge, and how the billing team sees what you entered. You practice each role's … Course Medical Billing … real ones do, including rejections, partial payments and denials, so you learn to handle them before your first job depends on it. People preparing for a medical biller, …

Denial Management · Aug 24, 2026 · 8 min Denial Root-Cause Analysis vs Denial Follow-Up: Why You Need Both Follow-up fixes the claim on your screen. Root-cause analysis finds the forty others like it and stops the next forty. Most practices only do the first. Here is how to do the second with a denial log, eight categories a… Denial Management · Aug 13, 2026 · 8 min Denial Prevention for Surgical Practices: Modifiers, Globals and Authorizations Surgical denials are expensive because each one is large and the fix usually needs the surgeon. Most trace to four causes: a missing or wrong modifier, a visit billed inside a global period, an authorization for a diffe… Denial Management · May 8, 2026 · 8 min Denial Appeals That Quote the Payer's Own Policy Back to Them: A Working Method The appeals that get paid are the ones that cite the payer's published policy by name, section and effective date, and show the claim meets it. Here is how we build that appeal in under 30 minutes, where to find the pol… Denial Management · Sep 2, 2026 · 9 min The Fourth-Quarter Denial Sweep: Appeal What You Can Before Deadlines Close September is the last comfortable month to rescue denials from the first half of the year. Here is how we run a fourth-quarter denial sweep: which remark codes to pull first, how to sort by appeal deadline instead of do… Industry News · Jun 12, 2026 · 8 min AMA 2026 Annual Meeting: The New Prior Authorization Policy on AI Denials At its Annual Meeting in Chicago, June 5 to 10, 2026, the AMA House of Delegates adopted policy pushing for AI-informed coverage denials to be reviewable by a licensed physician in the same specialty. Here is what was a… Denial Management · May 3, 2026 · 9 min The Most Common Denial Codes in a Medical Practice and the Fix for Each One CO-16, CO-97, CO-4, CO-18, CO-29 and their neighbors make up most of what lands on a remittance. We explain what each of the most common denial codes means, the RARC that usually travels with it, where in the practice i… Denial Management · Apr 15, 2026 · 9 min Building a Denial Work Queue That Pays: Sort by Dollars, Deadline and Fix Type Most billing teams work denials oldest first, which is how $14 balances get touched while $2,400 authorization denials pass their appeal deadline. Here is how we build a denial work queue sorted by expected payment, day… Denial Management · Apr 10, 2026 · 8 min CO-50 Medical Necessity Denials: How to Appeal Them and Stop the Next One CO-50 is the payer saying the service was not medically necessary, and in our experience most of them are really diagnosis coding or coverage policy problems. Here is how to read the remark codes, find the LCD or payer …