Say goodbye to missed appointments and denied claims. We ensure every patient is scheduled accurately and financially cleared before they walk in the door.
Denied or rejected claims slow down your revenue, increase your administrative workload, and frustrate patients. If not handled correctly, they lead to major revenue loss and compliance risks. Our fixation service ensures each denial is analyzed, corrected, and resubmitted efficiently while helping you avoid similar issues going forward.
Denials and rejections can significantly impact a healthcare provider’s revenue stream. At Medipro Billing, our Denial and Rejection Fixation Services are designed to help you recover revenue that would otherwise be lost due to incorrect, incomplete, or delayed claims. We don’t just resubmit we dig deep to fix the real issues causing claim failures and optimize your process to prevent them in the future.
Our expert team analyzes patterns in claim rejections and denials, identifies payer specific requirements, and implements customized fixes for your workflow. From eligibility errors to coding mismatches and documentation gaps, we address every issue with precision and speed. With our support, you’ll see fewer denials, faster payments, and greater financial stability across your revenue cycle.
Each of our services is tailored to meet the specific needs of your practice, specialty, and payer mix
Our experts analyze historical claim data to identify recurring denial reasons, uncover process flaws, and guide your staff in avoiding similar issues. This strategic insight reduces future denials and improves overall claim approval rates while keeping your revenue cycle stable and predictable.
We review rejected claims in detail, correct errors in patient data, coding, or documentation, and resubmit them promptly. This service maximizes your reimbursement potential by ensuring claims meet payer guidelines on the second attempt, minimizing revenue loss from preventable rejections.
Our team manages the entire appeal process, from preparing formal letters to submitting supporting documentation and following up. We handle first level and secondary appeals with payers to recover revenue on claims that were denied unfairly or due to administrative errors.
We verify insurance details before claim submission to ensure services are covered and policies are active. This prevents common denials caused by eligibility errors, policy lapses, or lack of prior authorization—protecting your revenue and improving front-end accuracy.
Our certified coders examine your denied claims for CPT, ICD-10, and HCPCS code errors. We correct mismatches, upcode/downcode issues, and ensure compliance with payer specific rules. This improves claim acceptance rates and reduces delays due to technical billing mistakes.
We audit medical records to identify missing, inconsistent, or inadequate documentation that leads to denials. Our team gathers necessary supporting files from providers and resubmits claims with complete, accurate records that meet insurer documentation standards, improving your chances.
We follow a structured 5 step approach to denial management
Every denial or rejection is a delay in payment and potentially lost income. MediPro’s experts identify, fix, and prevent these issues so your revenue cycle runs smoothly.
With a proven track record of improving cash flow and reducing operational burdens, Medipro Billing stands apart through innovation, integrity, and measurable outcomes.
Reduction in aged A/R.
Decrease in Claim Denials
Minimize revenue delays.
Billing Experts
Reduced operational costs.
Collection Ratios
Our team understands the workflows, capabilities, and nuances of your EHR. All of our RCM tools and billing services are designed to integrate smoothly with the systems you already use.
Find quick answers to common questions about our services, process, and support.
A rejection occurs when a claim is not accepted into the payer’s system due to errors or missing information, while a denial happens after the claim is processed but payment is refused due to policy, coding, or eligibility reasons.
Delays in addressing denials lead to lost revenue and extended days in AR. Prompt follow-up ensures faster reimbursements and higher recovery rates.
We review the rejection codes, correct the errors, and resubmit the claim, often within 24 hours, to prevent revenue delays.
Yes. We perform root cause analysis to identify recurring issues, update claim submission protocols, and implement preventive measures for long term denial reduction.
Absolutely. We maintain detailed denial trend reports so you can see where revenue leaks are occurring and how they’re being fixed.
Your trusted USA based partner for end-to-end medical billing and revenue cycle management, delivering a 99% clean claim rate, faster reimbursements, and industry leading compliance.
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