Service
Denial Management & Appeals
Without a systematic appeals process, most practices leave thousands of dollars on the table every month. Denial management is a specialized discipline for us: we identify every denial, investigate the root cause, and pursue aggressive, well-documented appeals — then fix the underlying problem to permanently improve your clean-claim rate.
What's included
Every denied claim is revenue you've already earned. We get it back.
Identification & root cause
- Real-time denial monitoring across all payers
- Classification by type (clinical, administrative, technical)
- Payer-specific CARC & RARC code analysis
- Coding, authorization & eligibility gap analysis
Appeals & resubmission
- First-level & second-level appeal preparation
- Clinical appeal letters with supporting documentation
- Corrected claim preparation & resubmission
- Peer-to-peer review coordination
Prevention & analytics
- Front-end denial prevention audits
- Claim-scrubbing rule optimization
- Monthly denial trend reports with action plans
- Clean-claim rate benchmarking & tracking
Why Core MBS
Built to protect every dollar you earn
- Recover revenue from denials most practices simply write off
- Dedicated denial specialists — not generalist billers
- Systematic root-cause elimination lowers your denial rate
- No denial left behind — tracked until resolved or exhausted
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Let's get your revenue cycle healthy.
Send us a note for a free, no-obligation billing review — we'll show you exactly where revenue is leaking and how we'd fix it.
- Corembs5@gmail.com
- corembs.com
- 30 N Gould St, Ste N, Sheridan, WY 82801