Stop Revenue Loss with Avenir’s Denial Management Services

Proven strategies to recover denied claims, boost your cash flow, and reduce denial rates.

How Claim Denials Impact Your Practice

Claim denials cost the U.S. healthcare system billions of dollars annually, with practices losing an average of 5-10% of their revenue to uncollected claims. For Florida-based healthcare providers, these losses can disrupt cash flow, increase administrative burden, and negatively affect patient care.

At Avenir, we understand that every denied claim represents lost income and wasted time. That’s why we offer a comprehensive denial management solution tailored to your practice’s needs.

In 2022, healthcare providers faced 450 million denied claims
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30% of people say denials are increasing between 10%-15%
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73% of healthcare organizations face a 5%-15% claim denial rate.
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Nearly 75% of providers prioritize reducing denials.
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Your Partner in Revenue Recovery

Specialized Expertise

Our team of experts handles all types of claim denials, from coding errors to authorization issues.

Tailored Solutions

We customize our denial management process to suit your practice’s unique challenges.

Proactive Prevention

Beyond resolving denials, we implement strategies to reduce future occurrences.

Comprehensive Reporting

Stay informed with detailed insights into denial trends and recovery rates.

Resolving the Most Frequent Denial Causes

Coding Errors

Ensure accurate CPT, ICD-10, and HCPCS coding for compliance.

Missing Documentation

Identify and retrieve required documents promptly.

Authorization Issues

Verify prior authorizations to prevent claim rejections.

Eligibility Verification Failures

Confirm patient coverage to avoid unnecessary denials.

Timely Filing Errors

Submit claims within the allowed timeframe.

Clinical Validation & Contractual Compliance

Ensure claims meet clinical validation requirements and adhere to payer contracts.

Our Denial Management Process

1
Root Cause Identification

We analyze denial codes and claim details to determine why a claim was denied.

2
Appeal Preparation

Our team compiles accurate documentation and crafts compelling appeal letters to address the payer’s concerns.

3
Payer Follow-Up

Direct communication with payers ensures timely updates and faster resolutions.

4
Preventive Measures

Implement coding audits and staff training to reduce recurring denials.

5
Recover Lost Revenues

We specialize in recovering lost payments due to denials, so you don't have to worry about revenue.

6
Data Insights and Analytics

We provide detailed data analysis that show you how your practice can improve performance in the future.

Why Healthcare Providers Rely on Avenir

Increased Reimbursement Rates

Recover up to 95% of denied claims, boosting your revenue and minimizing financial losses.

Faster Appeal Turnaround

Resolve appeals within 7-14 days, ensuring your cash flow remains steady.

Reduced Administrative Workload

Free up your staff from time-consuming follow-ups, allowing them to focus on core tasks.

Improved Cash Flow Stability

Minimize disruptions to your revenue cycle with consistent claim resolutions with 100% Effective Denial Management

Data-Driven Insights

Access detailed analytics to identify denial trends, track performance, and refine processes for continuous improvement.

Comprehensive Compliance Support

Ensure your denial management practices adhere to payer regulations and HIPAA standards, reducing the risk of penalties.

Clinical Validation Expertise

Validate medical necessity for denied claims, improving approval rates and avoiding further disputes.

Contract Dispute Resolution

Efficiently resolve payer contract disputes, ensuring fair and timely reimbursements.

Results That Speak for Themselves

Avenir reduced our denial rate by 40% in just three months. Their proactive approach saved us time and significantly boosted our revenue.

The Avenir team recovered $50,000 in denied claims that we thought were lost forever. Highly recommend their services!

Thanks to Avenir’s denial management, our practice saw a 35% reduction in denied claims within just two months. Their proactive approach and detailed reporting helped us identify key areas for improvement. Highly recommended!

Avenir’s team recovered over $75,000 in denied claims that we had almost written off. Their expertise in handling complex denials and appeals has been a game-changer for our revenue cycle.

Ready to Recover Lost Revenue?