Get Timely Reimbursements

Improve Practice Growth With Our Efficient Denial Management Services

Our primary focus is on preventing denials because over 90% of denials are due to unawareness. We specialize in root cause analysis and problem resolution to enhance payment efficiency and accuracy.

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Minimize Denied Claims & Get Timely Reimbursements

Outsource Denial Management Services to CRMB's

Medical claim denials pose a significant challenge for doctors, physicians, and healthcare professionals. In the United States, a typical hospital may encounter initial denial rates ranging from 7-10%, although the recommended best practice is to maintain denial rates at 4% or less. For many organizations, sustaining such denial rates could result in operational losses that may prove unrecoverable.

CRMB addresses this concern with healthcare denial management services tailored to scrutinize your data and pinpoint the root causes of all denials. Our team meticulously analyzes, tracks, and reports denials, identifying unpublished rules and proposing remedies for individual denied claims. Simultaneously, we assist in recognizing and implementing process improvements to eliminate recurring denials and optimize revenue.

Denial Management Solution for Healthcare Providers

Medical Billing & Coding process at CRMBS to enusre accurate and timely reimbursement.

Identifying Denial Reasons

Categorizing Denials

Resubmitting Claims

Identifying Denial Reasons

Categorizing Denials

Resubmitting Claims

Developing a Tracking Mechanism

Building a Prevention Mechanism

Monitoring Future Claims

Developing a Tracking Mechanism

Building a Prevention Mechanism

Monitoring Future Claims

Why You Should Choose CRMBS for Denied Claims?

Are you getting frustrated by denial claims? You’re not alone. Stop letting denied claims drain your resources. Partner with CRMBS, your dedicated ally in the fight for reimbursement

Here’s why CRMBS is the trusted choice for providers nationwide:

Our well trained team of professionals has a profound understanding of the complexities of claim denials. We leverage this knowledge to navigate the appeals process expertly and maximize your chances of success.
We've helped countless providers recover millions in denied claims. Our results speak for themselves—we're dedicated to delivering perceptible financial benefits to your practice.
We are working on denials from every angle, from root cause analysis to prevention strategies. Our goal is not just to recover lost revenue but to help you create a more efficient and denial-proof billing system.
Free yourself from the burden of claim denials, allowing you to focus on patient care.
Gain confidence knowing that expert advocates are fighting for your financial well-being.

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CRMB's Strategies to Reduce Denials

Real-Time Eligibility Verification

Obtain Prior Authorization

Robust Documentation Practices

Regular Code Audits

Stay Informed on Payer Policies

Effective Communication with Payers

Determine Medical Necessity

Prompt Follow-Up on Denied Claims

Real-Time Eligibility Verification

Medical Billing for all Specialties

Our dedicated team has fair enough knowledge of billing codes of different specialties and keeps their knowledge up to date with the latest changes to avoid denials and ensure a smoother billing process for your patients & better revenue for your health care services.

We offer medical billing for the following specialties:

Cost-Effective Denial Management Services

Denial Management Services FAQ's

What are denial management services?

Denial management services help healthcare providers recover revenue lost due to denied insurance claims. This involves identifying errors, appealing denials, and preventing future rejections.

Why do I need denial management services?

Denials can significantly impact your cash flow and profitability and managing them in-house can be time-consuming and require specialized expertise.

What types of denials do you handle?

We handle a wide range of denials, including medical necessity, coding errors, procedural issues, authorization denials and patient eligibility.

What is your success rate in appealing denials?

Our success rate is consistently high, thanks to our experienced team and thorough processes. We’ll provide you with specific statistics upon request.

What services do you offer?

⦿ We offer a comprehensive range of services, including:
⦿ Claim review and error identification
⦿ Appeal development and submission
⦿ Communication with insurance providers
⦿ Negotiation and case management
⦿ Preventive education and training
⦿ Reporting and analytics