Nearly 67% of practices say denied claims are their biggest revenue headache
Denial Management Services That End Payment Delays
- 92% recovery rate
- 39% fewer denials
- Faster cash flow
- Root cause fixes
Why Denials Keep Costing Practices
Denied claims aren’t just paperwork problems. They’re payments you earned, but stay stuck for weeks or months. According to Kodiak Solutions, in 2024, about 11.8% of claims were denied on first submission, leaving practices short on cash despite providing care.
Most teams resubmit claims without addressing the issues that caused the denial. Outdated workflows, missing authorizations, and frequent payer rule changes keep denials coming back. That’s why more practices turn to Horizon Healthcare RCM’s denial management services to get paid faster without extra stress.
Common Denial Problems Practices Face:
- Coding errors causing quick rejections
- Missing prior authorization details
- Claims sent back without edits
- Appeals not filed on time
- No insights on denial reasons
- Weak documentation for payers
How Horizon Healthcare RCM Handles Denials Differently
We’ve worked with enough practices to know denials aren’t just billing errors. They’re missed payments that stress your team and hurt your bottom line when not fixed properly.
Most billing companies just rework and resubmit. At Horizon Healthcare RCM, we dig deeper. We analyze every denial for root causes, appeal decisively, and build denial prevention into your entire revenue workflow so payments flow without constant chasing.
We analyze denials like investigators
Our team identifies payer patterns, coding gaps, and authorization issues with full clarity.
File appeals fast without delays
Fas,t decisive appeals keep your payments moving instead of sitting unpaid for weeks.
Problems are fixed at their source
Coding errors, documentation gaps, and workflow issues are corrected to prevent repeats.
We keep you informed always
Clear reports show denial trends, appeal outcomes and actionable revenue improvement steps.
Let’s Take Billing Off Your Plate—Without Disrupting Your Practice
Making the move to outsourced medical billing services doesn’t have to be difficult. At no cost or pressure, we will examine your current setup, identify any gaps, and demonstrate how we would improve it.
Let’s Fix Coding Mistakes Before They Turn Into Denials
Denied claims often come from simple coding errors. Our team offers coding services focused on denial management so your payments come through without delays or extra stress on your staff.
Solutions for Busy Clinics
Coding help designed to manage and reduce denials daily. Coders by specialty needs, Checks catch denial risks early, Feedback prevents repeats
For Large Groups & Networks
Coding denial management that works across every site.Coders by location or role, Full view of denial trends, Compliance is built into processes
Support for Independent Providers
Accurate coding that stops denials before they start.Certified coders correct errors, Fast updates for payers, No added admin work
Fixing Denials at Their Root For Every Specialty
Every specialty has its own denial challenges. We find the cause and fix it fast so your payments aren’t left unpaid for months.
Primary Care & Internal Medicine
Frequent cause: missing preventive care documentation
Our solution:
• Add required wellness visit details
• Update diagnosis coding accuracy
• Appeal payer rejections fast
Surgical & Orthopedic Practices
Frequent cause: incorrect surgical modifiers and device billing codes
Our solution:
• Apply correct CPT and modifiers
• Clarify implant or device charges
• File strong surgical appeal letters
Cardiology & Pulmonology Groups
Frequent cause: incomplete diagnostic test documentation
Our solution:
• Attach all required test reports
• Fix procedural code linkages
• Appeal denied high-value claims fast
Radiology & Imaging Centers
Frequent cause: missing or invalid prior authorizations
Our solution:
• Verify and attach prior auths
• Correct authorization code errors
• Prevent rejections before submission
Gastroenterology & Endoscopy Practices
Frequent cause: unsupported screening vs diagnostic coding
Our solution:
• Differentiate screening and findings codes
• Ensure compliant procedure documentation
• Reduce repeat denials for scopes
OB/GYN & Women’s Health
Frequent cause: unsupported screening vs diagnostic coding
Our solution:
• Differentiate screening and findings codes
• Ensure compliant procedure documentation
• Reduce repeat denials for scopes
Our Process: How We Fix Denials For Good
Fixing denials isn’t just about getting claims paid. It’s about building a process that prevents them from happening again so your team can focus on care instead of paperwork.
Our denial management process goes beyond appeals. We find what caused the denial fix it completely and share clear steps to keep denials low. That means stronger cash flow and fewer write-offs for your practice every month.
How Our Process Works:
- Deep payer rule analysis
- Quick corrections and appeals
- Trend insights shared monthly
- Zero disruption to workflow
We Integrate The Right Tech To Keep Your Payments Moving
Technology only matters when it works for you. Our denial management services adapt the right tools to speed up claims, reduce denials, and keep your revenue cycle flowing smoothly without adding extra work.
We combine real-time denial analytics, payer-specific rule tracking, and automated coding validation into your workflows seamlessly. That means fewer delays, quick corrections, and full visibility into every denied claim status anytime you need it.
Why Horizon Healthcare RCM Isn’t Just Another Billing Company
Most denial companies just file appeals. We bring certified expertise, payer-specific knowledge, and structured denial workflows so your payments aren’t left waiting:
Certified denial management specialists on staff | Appeals built by coding-certified experts | Payer policy analysts for each denial | Clinical reviewers for medical necessity support | Dedicated appeal writers by specialty type
Comprehensive Support
24/7
Book a Consultation
Thank you for your interest in Horizon Healthcare RCM, a premier U.S. medical billing service provider. We are excited to connect with you. Let’s get in touch and explore how we can best meet your needs.