Denial Management & Appeals

Doctors’ Choice works closely with its clients to identify problems and improve their bottom line. We educate medical professionals on the areas where they are either losing money or getting unnecessary denials by reviewing registration procedures, coding problems and contracting issues. Our goal is to maximize your reimbursement while keeping your days in A/R at a minimum.

Review of Registration procedures

  • Eligibility issues
  • Lack of referrals and/or authorization

Review of Coding problems

  • CCI edits
  • Lack of medical necessity
  • Proper use of modifiers
  • Invalid diagnosis or lack of specificity

Review of Contracting issues

  • Credentialing problems
  • Payor denial patterns