Anesthesia denial management

How we handle a denial

1. We read the reason code and work out what actually went wrong.
2. If it's a fixable error, we correct and resubmit quickly.
3. If the payer is wrong, we appeal with the right records and a clear letter.
4. We log the cause, so we can spot patterns.
5. When a pattern shows up, we fix it at the source, whether that's a payer setup, a charting habit or a contract issue.

The denials we see most

Eligibility problems, missing or wrong modifiers, time issues, medical necessity edits, and enrollment gaps. Our guide to common anesthesia claim denials goes through each one, and how to appeal a denied claim covers the appeal steps.

Already sitting on old denials?

We can work your backlog on a contingency basis, so you only pay a share of what we recover. See A/R recovery.