Denial Management

Stop Reworking the Same
Denials Every Month

Most denial management is reactive โ€” rework the claim, resubmit, repeat. We take a root-cause approach: identify why denials are happening and fix the upstream process so they stop recurring.

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Top Denial Reasons in Fertility Billing

Approximate distribution based on EasyRCM internal data. Your practice's mix will vary by payer and specialty.

Authorization missing or expired28%
Coverage not in effect21%
Coding or modifier error18%
Duplicate claim12%
Missing documentation11%
Coordination of benefits10%

Root-Cause Analysis

Every denial is categorized by payer, code, and reason. Monthly reports show trends โ€” so we can see when a single payer change is driving a spike.

Payer-Specific Appeals

Appeals are written with the specific language and documentation each payer responds to โ€” not a generic template.

Process Fix Loop

When a denial pattern is identified, we trace it to the source โ€” scheduling, eligibility, auth, or coding โ€” and work with your team to fix it.

How much revenue is sitting in denied claims?

Our free audit reviews your denial rate, top denial reasons, and recovery potential โ€” with actionable next steps.

Book Your Free Audit โ†’