Denial Management

Most people are confused between denial management and rejection management in medical billing. Claim rejection are actually those claims that could not meet the adjudication system of payers due to various errors either in the claim submission or processing. The rejected claims can be worked on for getting the payment. In contrast, the denied claims meant that the payer had rejected the payment completely. To get the revenue from the denied claims it is vital to work specifically on all the relevant issues and correct the errors. NexusMD Solutions has been working in the medical billing field for quite a while. We have a highly experienced and trained team of experts that can keenly resolve and work on the errors.

Denial Management By NexusMD Solutions

We perform the root-cause analysis to correct the issues and file an appeal with the payer. We work with you on your denied claims to analyze and reduce the denied claims. Our experts navigate the payer appeal with you and work on the appeal backlog while determining the clinical merits to get you paid the revenue you deserve. Professionals at NexusMD Solutions are dedicated to uplift your medical billing game to boost your growth.

Professional Appeal Management

We take care of the complete denial and appeal process. Our experts make the appeal filing process smooth and with the relevant clinical justification to make the appeal strong.

Precise Revenue Recovery

Our experts focused on recovering the payment and increasing your revenue based on the clinical merits and demonstration of each case.

Integrated Denial Management Solutions

Each and every claim denial case is unique and requires dedicated solutions. NexusMD Solutions is all about providing solutions to boost your medical billing and make the revenue cycle management as seamless as possible. We correct the invalid codes, provide complete documentation and work on any prior authorization denials. Along with the focused protocol, we re-validate all the information before completing the resubmission. Our seasoned RCM professionals;

Investigate and identify the rejection reason.
Focus on solving the problems.
Resubmit the request to the insurance company.
File appeals where needed

Why Choose Us?

NexusMD Solutions is enjoying steadfast trust of our thousands of regular clients all across the country. Our dedicated goals to expand medical practices of our partners make us a trustworthy choice to collaborate with. We strive with our high mission-oriented goals in development and functionality ranging from BPO, RCM to VMA and everything between gives us an edge over our competitors. Our commitment to data security, enhanced productivity and transformative approach make us the clinic support your organization is in need for a streamlined medical billing.