Rejections, Denials And Appeals Management
Work with a team that gets it, from A to Z!
At REVNEO, we go beyond claims submission; we deliver comprehensive Revenue Cycle Management solutions. Explore our end-to-end services below to discover how we can optimize your revenue cycle and drive financial success.
Work with a team that gets it, from A to Z!
At REVNEO, we go beyond claims submission; we deliver comprehensive Revenue Cycle Management solutions. Explore our end-to-end services below to discover how we can optimize your revenue cycle and drive financial success.
Credentialing
Fee Schedule & Payer Contract Management
Appointment Scheduling & Patient Demographics Verification
Advanced Eligibility Verification
Medical Coding Via Medical Records Verification
Primary & Secondary Insurance Billing
Patient Balance Collection & Ledger Reviews
Rejections, Denials & Appeals Management
Insurance Audits
Accounts Receivables Reconciliation
REJECTIONS, DENIALS and APPEALS MANAGEMENT
Turn Claim Rejections into Reimbursements with Expert Resolution Support
Every rejected or denied claim stands for lost revenue and wasted time for you and your practice. At Revneo, we specialize in proactive rejections, denials and appeals management to help healthcare providers restore payments effectively while reducing future billing errors. Our proven procedures ensure every claim is reviewed, corrected and resubmitted with accuracy.
Streamline credentialing and insurance enrollment so You can focus on patient care.
What is the Difference Between Rejections and Denials?
Rejected Claims: Claims that are not approved into the payer system due to formatting errors or missing information. These are never processed and must be corrected and resubmitted.
Denied Claims: Claims reviewed by the insurer but not paid due to reasons such as coverage issues, medical necessity, or coding problems.
Both rejections and denials require a different approach and Revneo handles both with precision and speed.
Our Rejections and Denials Management Process Includes
Automated Claim Scrubbing Before Submission
Detects errors in real time to reduce rejections at the clearinghouse level.
Root Cause Analysis of Rejected/Denied Claims
Identifies patterns in payer responses and fixes systemic issues at the source.
Claim Corrections and Timely Resubmissions
Edits claims quickly and ensures clean resubmission within payer deadlines.
Appeals Preparation and Submission
Builds strong, data backed appeals with supporting documentation to fight unfair denials.
Payer Follow Up and Tracking
Ongoing interaction with payers to track status, request reconsiderations and close the loop on open claims.
A/R Workflow Integration
Ties into your accounts receivable strategy to recover aged or stuck claims effectively.
Benefits of Revneo’s Denials Management Services
- Reduce Rejections and Denials by Up to 45%
Thanks to our clean claim strategies and pre-submission checks. - Recover More Revenue
High success rate on appeal resolutions and timely follow ups. - Save Time for Your Staff
We handle the complex back-and-forth with payers, freeing up your front office team. - Data Driven Insights
Get detailed reports on denial reasons, appeal outcomes, and payer specific trends. - Expert Knowledge of Payer Rules
Each payer has different appeal rules and timeframes we know them all and ensure compliance.
3 Best Practices for Effective Appeals Management
Handling denials is more than just fixing errors; it is about having a smart, efficient appeals process that helps you regain revenue quicker while reducing the workload on your staff. With the right mix of speed, strategy, and payer-specific awareness, your practice can turn denied claims into collected payments with minimal friction.
Here is how we do it:
- Respond Quickly – Do not wait to take action—address denials within 48 hours of receiving them. The sooner you respond, the higher your chances of a successful appeal. Quick follow-up helps prevent delays, boosts cash flow, and decreases the number of days claims sit in accounts receivable.
- Focus on High-Value Denials – Not all denials are created equal. Prioritize appeals that include high-dollar amounts or services with major reimbursement potential. By concentrating on claims that impact your bottom line the most, our team can recover more revenue in less time.
- Know the Rules of Each Payer – Did you know that the top five insurance companies control more than 50% of the health insurance market? That is why we train our billing team on each payer’s precise instructions and appeal formats. Following their rules accurately not only speeds up the process, it also increases the chances of approval.
By implementing these three best practices, your appeals process becomes a proactive revenue recovery strategy, not just damage control. At Revneo, we help you automate and manage appeals effectively, so nothing gets left behind. Let us show you how.
The Revneo Advantage
Dedicated Experts
Our team of billing specialists and marketing professionals understands the unique needs of small medical practices. We focus on helping you maximize collections while building a stronger patient base.
Comprehensive Support
From patient acquisition to insurance billing, we provide end-to-end solutions. You’ll have one partner managing both the financial and growth sides of your practice.
Personalized Attention
We treat every client as unique, tailoring strategies to fit your specialty, location, and goals. Your success is our priority, not a one-size-fits-all template.
Time-Efficient
Our streamlined processes and automations reduce administrative burdens. You and your staff can spend more time on patient care instead of paperwork.
24/7 Access
Stay informed anytime with transparent reporting and real-time dashboards. You’ll always know where your practice stands; day or night.
Growth Catalyst
We don’t just manage billing; we fuel your practice’s expansion. Through proven marketing strategies and optimized revenue cycles, we help you reach the next level.
FAQs About
Rejections, Denials And Appeals Management Services
Revneo offers superior Rejections, Denials And Appeals Management Services.
Learn more about frequently asked questions about Rejections, Denials And Appeals Management Services.
Real Client Success Stories
Discover how REVNEO transforms healthcare practices with powerful revenue cycle management solutions and patient growth strategies. From reducing AR days to boosting patient acquisition. These case studies highlight our measurable impact.
Tackling Coding Inconsistencies and Promoting Revenue
A specialized medical group in Orlando experienced revenue challenges due to coding inconsistencies, leading to high claim denials and delayed reimbursements. Revneo implemented enhanced clinical paperwork, comprehensive coding training. A proactive crisis resolution approach. The results? AR days dropped from 90+ to 30 denials reduced by 40% and revenue grew by over 25%.
Key Takeaways:
- Upgrade coding accuracy and documentation.
- Faster reimbursements and reduced AR days.
- Significant revenue growth.
Overcoming AR Complications for Financial Stability
An Atlanta-based healthcare provider struggled with 120+ AR days and a 28% denial rate because of outdated operational protocols. Revneo conducted a thorough AR cleanup, streamlined denial management and optimized workflows. Within 6 months AR days fell to 45 denials reduced to 6% and revenue built up by 17%.
Key Takeaways:
- Systematic AR cleanup and denial reduction.
- Operational effectiveness and cash flow progress.
- Sustainable financial turnaround.
Boosting Patient Acquisition and Reputation
A multi-specialty medical group faced declining patient numbers and a rusted online reputation. Revneo revamped their digital presence with SEO, targeted campaigns and reputation management. New patient acquisitions rose by 30%, expired patients restarted at 15% and positive reviews grew by 50%
Key Highlights:
- Strategic patient acquisition and renewal.
- Enhanced online reputation and trust.
- Sustained practice growth.
Let’s Recover What You’ve Earned
Do not let preventable rejections or payer denials hurt your bottom line. Partner with Revneo to streamline your appeals process and improve overall collections.
