Denial & Appeals Management
Persistent Denial Handling & Expert Appeals Management
At Elite Billing Solution, we understand that claim denials are more than just administrative roadblocks—they directly affect your cash flow and patient satisfaction. That’s why our Denial & Appeals Management service is built on proactivity, persistence, and precision.
When a claim is denied, we don’t delay. Our process begins with a detailed analysis of the denial reason, identifying whether it was due to coding errors, missing documentation, eligibility issues, or payer policy conflicts. From there, we take swift corrective action, ensuring that the claim is either corrected and resubmitted or escalated with a formal appeal.
We aim to resubmit or appeal all denied claims within 10 business days, drastically reducing the risk of revenue loss due to time limits or overlooked follow-ups. Our appeals include comprehensive documentation, detailed justifications, and strong coding support that gives your claims a better chance of approval upon review.
Why Choose Us?
At Elite Billing Solution, we are dedicated to delivering dependable, efficient, and stress-free medical billing services that empower healthcare providers to optimize their revenue while reducing administrative workload.
Experienced & Reliable Team
Skilled professionals who understand the nuances of medical billing.
Attention to Detail
Accuracy is our priority to minimize errors and maximize reimbursements.
Proactive Approach
We monitor claims closely and address issues before they become costly problems.
Custom-Tailored Solutions
We adapt to your practice’s unique needs and workflow.
Transparent Communication
Regular updates and reports so you’re always informed.
Request a Free Practice Audit
Have questions or want to see how it can benefit your practice? Fill out the form below, and our expert team will get back to you shortly with the information you need. Whether you’re looking to streamline your revenue cycle or solve a specific billing challenge, we’re here to help.
- Fast Response Time
- Expert Guidance
- Customized Solutions for Your Practice
Patient Insurance Verification
This includes checking policy status, co-pays, deductibles, and any pre-authorization requirements to avoid claim denials later.
Accurate Patient Data Entry
Our team ensures all patient demographics, insurance information, and treatment details are correctly entered into the system.
Medical Coding & Claim Preparation
This ensures compliance with insurer requirements and avoids coding errors that can lead to claim rejection.
Claims Submission
Once verified and coded, claims are electronically submitted to insurance companies. We follow all carrier-specific guidelines to ensure timely and compliant submissions.
Payment Posting
We carefully reconcile each payment to ensure that the correct amounts are received and recorded.
Frequently Asked Question's
We work with a wide range of healthcare professionals, including solo physicians, specialty clinics, group practices, outpatient centers, and hospitals. Whether you’re a new practice or a large medical facility, our services are tailored to your specific needs.
We follow strict protocols that align with HIPAA regulations and industry best practices. Every claim is thoroughly reviewed before submission, and our systems are regularly updated to stay compliant with the latest billing codes and insurance guidelines.
Yes, we are proficient in using a variety of medical billing software including Kareo, Athenahealth, AdvancedMD, eClinicalWorks, and others. If you’re not currently using one, we can also help you choose and set up the best solution for your practice.
Absolutely. Our team actively manages denied or rejected claims by investigating the cause, correcting errors, and re-submitting them promptly. We also track trends in denials to help prevent them from recurring.
Once we understand your practice’s needs and complete the onboarding process, we can typically begin within 5 to 7 business days. Our team will guide you through every step to ensure a smooth transition.
Stay Connect with Elitebillingsolution
We understand that every practice is unique. Please share a few details about your organization and requirements, and we’ll tailor our services to streamline your revenue cycle, reduce denials, and accelerate reimbursements.
