MedBrilliance

Denial Management Services​

MedBrilliance offers expert Denial Management Services to help you reduce claim rejections, recover lost revenue, and avoid delays in reimbursement. Our team identifies the root causes of denials, applies smart fixes, and aggressively follows up to boost your approval rate. This ensures you get paid for the services you provide, improving your practice’s financial health. 

Our affordable service, starting at just 2.49% of your collections, is part of our comprehensive billing solution. By partnering with MedBrilliance, you gain an expert team dedicated to maximizing your revenue, freeing your staff from complex billing tasks.

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    MedBrilliance Denial Management Services ​

    Medbrilliance offers expert Denial Management Services to help you reduce claim rejections and recover lost revenue. We identify the root causes of your denials and apply smart fixes to boost your approval rate. This ensures you get paid for the services you provide, with our affordable service starting at just 2.49% of your collections.

    Root Cause Analysis
    We don't just fix a denial, we find out why it happened. We analyze the root cause of every denial, from coding errors to missing information, to prevent it from happening again.
    Appeals & Resubmission
    Our team expertly handles the entire appeals process. We prepare and resubmit denied claims with the necessary documentation and corrections to ensure you get paid for your services.
    Payer Communication
    We act as your direct point of contact with insurance companies. We handle all communication and follow-up on claims, saving your staff valuable time and effort.
    Reporting & Analytics
    We provide detailed reports on your denial trends. This gives you valuable insight into where your revenue is being lost and helps you identify areas for improvement.
    A/R Management
    Our denial management is part of our comprehensive Accounts Receivable service. We work to recover all outstanding payments from both denied claims and unpaid accounts.
    Proactive Prevention
    We use the insights from our analysis to help you put processes in place that prevent future denials. Our goal is to improve your clean claims rate and your practice's overall financial health.

    Expert Denial Management for You

    MedBrilliance offers all Denial Management Services to help your practice recover lost revenue. Our expert team takes over the entire appeals process, for as little as 2.49% of your collections. This allows your staff to focus on patient care while we secure your reimbursements.

    What is Denial Management?

    Denial management involves outsourcing the complex process of identifying, correcting, and appealing denied claims. This is handled by a specialized team like MedBrilliance.

    MedBrilliance offers specialized denial management services for large practices and hospital systems. We handle high volume denial analysis, advanced appeals, and detailed payer follow-up. This gives you the benefits of an expert denial resolution team without the operational overhead.

    With MedBrilliance, you get:

    Maximized Revenue from previously denied claims.

    A Streamlined Workflow that reduces your team’s administrative burden.

    Proactive Prevention to reduce future denials at the source.

    Expert Handling of complex rejections and appeals.

    Clear Reporting for full transparency on your financial recovery.

    denial management services in medical billing medbrilliance
    Why Choose MedBrilliance Denial Management Services?
    The Problems You Face
    • Lost Revenue: Denied claims are a major source of lost revenue, yet many practices lack the time or specialized expertise to appeal them effectively.
    • Wasted Staff Time: Manually appealing denied claims is a time-consuming, frustrating task that distracts your staff from core duties like patient care.
    • Repetitive Issues: Without understanding the root cause of denials, the same errors are likely to happen again, creating a cycle of lost revenue and administrative work.
    • Lack of Expertise: The rules for claim appeals and payer policies are complex and constantly changing, making it difficult for an in-house team to stay current.
    MedBrilliance Solutions
    • Recover Lost Revenue: Our expert team is dedicated to appealing and recovering your denied claims, turning lost revenue into cash flow for your practice.
    • Free Up Your Staff: We handle the entire denial and appeals process, freeing your staff from complex paperwork so they can focus on patient care and improving your practice.
    • Prevent Future Denials: We don't just fix a denial; we identify the root cause to help you prevent the same issue from happening again.
    • Access Expert Knowledge: With MedBrilliance, you gain a partner that stays current on all payer rules and appeal processes, ensuring your claims are always handled correctly.
    MedBrilliance Reviews

    Client Testimonials

    Discover why healthcare providers trust MedBrilliance for their technology needs.

    "The MedBrilliance billing team is incredibly efficient, knowledgeable, and responsive. Our billing cycle has never been smoother, and our reimbursements are faster than ever. A truly five-star service that allows us to focus on what matters most: our patients!"

    Reviewer photo for Dr. Davis
    Dr. Alex Chen
    Practice Manager

    "We always feel confident in our revenue cycle now. The transition to their billing services was seamless, and their customer support is top-notch. I highly recommend MedBrilliance to any small practice looking to optimize their billing and financial health."

    Reviewer photo for Mark Johnson
    Lisa Rodriguez
    CFO, Meridian Medical Group

    "Their expertise in building a secure and efficient medical billing system is outstanding. They are a reliable and trustworthy partner that has allowed us to increase our collections and focus more on patient care."

    Reviewer photo for Emily Carter
    David
    Owner, Coastline Family Care

    Frequently Asked Questions (FAQ)

    Is your service HIPAA-compliant?

    Yes, all of our services strictly adhere to HIPAA guidelines to protect patient data and ensure compliance.

    Absolutely. We integrate with most major EHR and billing platforms such as Epic, Cerner, Kareo, Athenahealth, eClinicalWorks, and more.

    You can start with a free consultation. Once we assess your needs, we onboard your practice quickly with minimal disruption.

    We provide regular reporting on KPIs like collections, denials, and claim turnaround time, so you’re always informed.

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