Denial Management & Claims Appeals for Healthcare
RekhaTech’s denial management for healthcare practices recovers denied and underpaid claims through root-cause analysis, targeted appeals, and systemic fixes that prevent the same denials from recurring — protecting your revenue at the source.
Denials Are Revenue You’ve Already Earned
The average practice writes off 3–5% of revenue as uncollectible denials — money that was earned, billed, and never collected. RekhaTech’s denial management team treats every denial as a solvable problem. We analyze each denial by root cause, appeal with payer-specific documentation, and — critically — track denial patterns to fix the upstream issues generating them. CMS timely filing limits mean every appeal window is a hard deadline — automated tracking ensures none are missed and no claim falls through.
- Every denial categorized by root cause — coding, eligibility, authorization, timely filing, or medical necessity
- Appeals filed with payer-specific documentation within contractual deadlines
- Denial trend reporting identifies systemic issues upstream in the revenue cycle
- Automated tracking ensures no appeal window is missed and no claim falls through
What’s Included in Denial Management
Every denial categorized and analyzed — not just appealed and forgotten. Patterns are identified and reported monthly.
Payer-specific appeal letters drafted with supporting clinical documentation — maximizing overturn rates.
Automated deadline tracking ensures no appeal window expires on a recoverable claim.
Active follow-up on submitted appeals through payer portals — not passive waiting for response.
Monthly reports showing denial rates by payer, denial reason, and service line — actionable data to prevent recurrence.
Denial patterns fed back into coding, eligibility, and authorization workflows to prevent the same issues from recurring.
Average reduction in denial rates within 90 days of onboarding — by fixing root causes, not just appealing symptoms.
In denied and underpaid claims recovered through aggressive appeals and AR follow-up across client practices.
Automated deadline tracking across all active denials — every recoverable claim stays in play.
How Should RekhaTech Be Compensated for Denials Recovered?
This is a service where the model question matters. The Managed Resource (FTE) model gives you a dedicated denial management team at fixed cost — ideal if you have predictable denial volume. The Percentage-Based model fully aligns our incentives with your recovery: we succeed when you collect, which makes it a strong fit for practices with high denial rates or significant outstanding AR.
Dedicated FTE resources, supervised by RekhaTech, working inside your workflow. Fixed cost, full control.
Full end-to-end ownership. RekhaTech is compensated on collections — our incentives are aligned with your revenue.
Denial management has hard deadlines. Appeal windows close whether or not your denial team is fully staffed. One absent specialist can mean missed appeal windows and permanently lost revenue. RekhaTech’s bench model ensures every open denial stays actively worked regardless of individual availability. A trained backup steps in the same day — familiar with your payers, your denial patterns, and your appeal strategies — so no recoverable claim ever falls through because of a staffing gap.
How Much Are Denials Costing Your Practice?
Book a free denial analysis. We’ll audit a sample of your recent denials and show you exactly how much is recoverable — at no cost.