DENIAL MANAGEMENT · CLAIM RECOVERY

Turn denied claims into collected revenue.

We find out why claims get denied, appeal what is recoverable, and fix the root cause so the same denial never costs you twice.
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See How It Works
Organizations trust Empower with their revenue cycle
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Years in healthcare RCM experience
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Medical claims processed
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First-pass claim rate
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WHY CLAIMS GET DENIED

The top reasons revenue slips through.

Most denials are preventable. We track every denial back to its cause so you stop paying for the same mistakes.

Eligibility & coverage

Inactive coverage, wrong plan or missing benefits caught too late, after the visit has already happened.

Coding errors

Wrong, missing or mismatched CPT, ICD-10 and modifier codes that payers reject on sight.

Missing authorization

Prior authorizations and referrals that were never obtained, expired or did not match the service billed.

Timely filing

Claims and appeals that miss payer deadlines, turning recoverable money into a permanent write-off.

Incomplete documentation

Notes that do not support medical necessity, so the payer asks for records and the claim stalls.

Duplicates & COB issues

Duplicate submissions and coordination-of-benefits conflicts between primary and secondary payers.

HOW IT WORKS

Identify. Analyze. Appeal. Prevent.

01

Identify

We pull every denial and rejection by payer, code and reason, so nothing sits unworked.
02

Analyze

Each denial is classified: fixable, appealable, or a pattern that needs a front-end fix.
03

Appeal

Corrected claims and payer-specific appeals go out well inside filing deadlines, with supporting records.
04

Prevent

Monthly denial reports show trends by payer and code, and we close the gaps at the source.
WHAT'S INCLUDED

Denial management that fixes the cause, not just the claim.

Denial work sits between billing and collections, so it runs alongside AR Recovery, Medical Coding and Payment Posting. One team, one view of every dollar.
Get a Free Denial Audit
  • Denial tracking & root-cause analysis by payer and code
  • Corrected claim resubmission
  • Payer-specific appeal letters with supporting documentation
  • Prior authorization & eligibility follow-up
  • Underpayment and short-pay review
  • Monthly denial rate and recovery reporting
FAQ

Denial management questions, answered.

Denial management is the process of tracking denied or rejected claims, finding the root cause, correcting and resubmitting or appealing them, and fixing the process so the same denial does not repeat.

AR recovery follows up on unpaid claims that are still pending or aging. Denial management handles claims the payer has already rejected, and focuses on why they were rejected and how to prevent it.

The usual causes are eligibility problems, coding errors, missing prior authorization, missed timely filing limits, incomplete documentation, and duplicate or coordination-of-benefits conflicts.

It depends on the payer and the plan. Many allow from 60 to 180 days from the denial date, which is why we work every denial as soon as it arrives.

Yes. Our free denial audit looks at your recent denials, groups them by payer and reason, and shows how much is recoverable and what is causing it.

Stop Losing Revenue to
Denied Claims.

Send us your last 90 days of denials and we will show you what is recoverable, free.
Get a Free Denial Audit
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