We Appeal Denials.
We help Individuals, Doctors and Health Systems.
Get fair outcomes to your claims.
450M Claims are denied every year.
Less than 1% are appealed.
Denial Increases Over Time
15-20%
of all claims are denied.
$262 billion
is the cost of denied claims across healthcare.
149 Hospitals have closed in the last 10 years due to finances.
Denials impact everyone.
70% of denials can be overturned with a successful appeal
Fixing the problem is difficult because providers struggle to keep up with appealing denied claims.
-
Backlogged Revenue Cycle Management
Denials are increasing at a faster pace than revenue cycle teams can handle.
-
Staffing Shortages
It takes multiple years to build the skills to become an appeals specialist and the turn over rate is high.
-
Ever Changing Payor Requirements
Primarily driven by an increase in Medicare Advantage and Medicare Advantage providers.