Stop Losing Revenue to Preventable Denials
Most private practices lose 10–15% of income from denials. We stop that from happening.
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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.
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
Common Denial Types
Missing Modifiers
We cross-check coding rules to ensure every modifier is accurately applied.
Medical Necessity
Our coding experts link each service to the appropriate ICD-10 to prevent denials.
Missing Prior Auths
We catch these before submission and follow up proactively when missing.
No Coverage
Our team re-verifies insurance at each encounter to avoid submitting expired coverage.
Duplicate Claims
Automated checks flag repeats before submission, saving time and headaches.
Incorrect Provider
We ensure provider enrollment and credentialing data match payer records.
Our Denials Management Process
Check Claim Status
We track your claims in real time. No more wondering if they’ve been processed or forgotten. Our team follows up directly with payers so you always know where things stand.
Identify Denials
We analyze every denial and figure out the root cause — whether it's coding, documentation, or payer policy. Then we fix it fast, so you don’t lose time or revenue.
Rebill the Claim
We correct the issue, rebuild the claim if needed, and resubmit it with supporting details. Whether it’s billing a secondary insurer or adding missing info, we handle it end to end.
Get it Paid
We follow every claim through resolution — including appeals when needed. Our goal? Make sure your practice gets the money it earned, without the back-and-forth.
