Denial Management Services USA | Claims Recovery

Why Denial Management Matters Now More Than Ever

With tightening insurance rules, changing payer policies, and rising billing complexity, claim denials have become a constant threat to your bottom line. Unfortunately, most providers don't realize how much money they're losing until it's too late.

According to MGMA, the average denial rate in healthcare is between 5%–10%—but best-in-class practices keep it under 2%. Let's help you get there.

Whether you're a small physician-owned practice or a multi-specialty group, ACE Revenue Group helps you:

Analyze denial trends and reduce rejections at the source
Recover maximum reimbursement on previously denied or underpaid claims
Speed up cash flow and decrease AR days
Maintain payer compliance and avoid repeated errors

Our Denial Management Services

Our denial experts don't just "work" your claim denials—they prevent them from happening in the first place.

Denial Root Cause Analysis

We investigate every denial by payer, code, or provider—to find patterns and fix issues upstream.

Automated & Manual Denial Tracking

Real-time dashboards plus hands-on follow-up ensure no claim falls through the cracks.

Corrected Claim Submission

We fix and resubmit claims with accurate documentation and coding fast.

Appeals & Payer Follow-Up

From writing appeal letters to direct payer negotiation, we fight for your revenue until the job's done.

Denial Reporting & Trend Analysis

Stay informed with monthly reports that highlight risks, wins, and opportunities to improve.

Compliance & Coding Guidance

Ensure every claim is aligned with payer-specific rules, ICD-10, CPT, and Medicare billing guidelines.

Common Denials We Resolve

Whether it's a $60 lab test or a $6,000 surgical claim, we treat every denial like your revenue depends on it—because it does.

Coding Errors

Missing or incorrect CPT/ICD-10 codes that lead to denials

Authorization Issues

Lack of pre-authorization for procedures and services

Duplicate Claims

Duplicate claim denials that need careful review

Eligibility Issues

Eligibility or coverage issues that prevent payment

Bundling Errors

Bundling/unbundling errors that reduce reimbursement

Medical Necessity

Medical necessity denials requiring detailed documentation

Timely Filing

Timely filing denials that need immediate attention

Who We Help

Our denial management services are tailored for healthcare providers of all sizes

Hospitals and Health Systems

Independent Physician Practices

Specialty Clinics

Laboratories

Diagnostic Centers

Ambulatory Surgical Centers

Medical Billing Companies

How Our Denial Management Process Works

Our systematic approach ensures maximum recovery and prevention of future denials

Free Denial Audit

We start with a full review of your current denials, payer mix, and billing workflows.

Custom Recovery Strategy

We create a plan of attack based on your specific needs and denial patterns.

Hands-On Execution

Our experts jump in, manage the backlog, and improve your first-pass resolution rate.

Ongoing Optimization

You receive monthly reports, denial KPIs, and real-time dashboards for continuous improvement.

Why Should You Hire Us?

Our proven approach delivers results that directly impact your bottom line

Proven Recovery Rates

We've helped clients recover up to $500K+ in denied claims within months.

Certified Experts

Deep experience in ICD-10, CPT, and payer-specific denial rules.

Smart Tech + Human Insight

We use denial automation tools—but it's our people who close the loop.

Dedicated Support

Your own account manager and denial specialist team.

Compliance Focused

We prioritize payer compliance to avoid future denials.

Flexible Pricing

Options include flat fees, percentage of recovery, or hybrid models.

Denial Management Services