Stop Revenue Loss Before It Starts

From root-cause analysis to appeal resolution, our denial experts help you recover revenue and prevent future rejections so every claim counts – the way it should

Denials Management

Paramount RCM’s Denials Management service takes a proactive and strategic approach to minimizing claim denials and recovering lost revenue. We don’t just fix denied claims—we prevent them. Our expert team performs root cause analysis, corrects coding and documentation issues, and manages the entire appeals process. With an 85% success rate on appealed claims and up to a 60% reduction in overall denial rates, we help healthcare practices protect their revenue and streamline operations.

What We Offer

Key Benefits

Fewer Denials

Reduce your denial rate by up to 50% through proactive root-cause strategies

More Approvals

85% success rate on appealed claims with expert documentation and tracking.

Recovered Revenue

Recover up to 95% of denied dollars and boost long-term financial performance.

Our Denials Management Process

We tackle denials with a proactive, data-driven approach. Our process identifies root causes, resolves issues quickly, and helps prevent future denials—improving cash flow and claim success rates.

/01

Denial Identification

Track and categorize denied claims by reason and payer.

/02

Root Cause Analysis

Identify patterns, coding errors, or missing data causing denials.

/03

Appeal & Resolution

Submit corrected claims or appeals with complete documentation.

/04

Prevention Strategy

Implement fixes to prevent recurrence and train staff accordingly.

Our Denials Management Process

We tackle denials with a proactive, data-driven approach. Our process identifies root causes, resolves issues quickly, and helps prevent future denials—improving cash flow and claim success rates.

1

Denial Identification

Track, group, and tag denied claims by payer, code, and reason.

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2

Root Cause Analysis

Identify documentation gaps, coding errors, and authorization issues.

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3

Appeal & Resolution

Resubmit or appeal with corrected documentation and compliance language

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4

Prevention Planning

Implement fixes, update workflows, and train your team to avoid repeat errors.

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