Overview
Denial Management from Agile Nexus Solutions – handled by experienced US medical billing specialists, with clear reporting every month.
Skip to main content
- info@agilenexussolutions.com
- Open Hours: Mon - Fri: 9:00 AM to 5:00 PM
Denial Management
Practices that want denials fixed, appealed and prevented instead of written off.
Who it's for
Practices that want denials fixed, appealed and prevented instead of written off.
How we do it
- 1Every denial is logged with its reason code (CARC/RARC) and payer.
- 2We correct and re-send claims that only need a fix.
- 3We write appeals with supporting records when a denial is wrong.
- 4Denial trends are reported monthly, with the front-end fixes that stop them coming back.
Frequently asked questions
What are the most common denial reasons?
Eligibility and coverage problems, missing authorizations, coding and modifier errors, duplicate claims and missed timely filing.
How long do I have to appeal a denial?
It depends on the payer. Many allow 60 to 180 days from the denial date, so we work denials as soon as they are posted.
How do you prevent denials?
We track the root cause of each denial and fix the step that caused it, such as eligibility checks, authorizations or coding.