Denial Management Services
Swift’s denial management services identify, appeal, and resolve denied claims fast. Our expert team prevents future denials and maximizes revenue recovery for your medical practice. Book a consultation today.
Our Denial Management Services
Swift Medical Billing offers end-to-end denial management—from identifying the root causes to correcting and appealing claims. We help your practice reduce denials, boost cash flow, and maintain revenue integrity with proven strategies and fast turnaround.
Denial management is vital to a healthy revenue cycle. We integrate denial tracking and prevention into your RCM medical billing workflow for consistent reimbursements and faster cash flow.
Behavioral health claims often face complex denials. Our team specializes in psychiatrist medical billing to quickly resolve rejected claims and ensure compliance.
Why Choose Swift?
Feel free to call us or contact us through our contact form. Please help us prepare by providing us with any details about your practice including practice model, specialty, and any specific concerns. Include the best time to contact you.
Swift Medical Solutions has worked with various medical specialties, developed compliance and HIPAA programs from the ground up, and designed a streamlined process to suit individual practices. We are fully staffed with trained personnel; we have documented success in helping our clients become more profitable while alleviating the frustration of maintaining a billing department.
Feel free to call us or contact us through our contact form. Please help us prepare by providing us with any details about your practice including practice model, specialty, and any specific concerns. Include the best time to contact you.
Swift Medical Solutions has worked with various medical specialties, developed compliance and HIPAA programs from the ground up, and designed a streamlined process to suit individual practices. We are fully staffed with trained personnel; we have documented success in helping our clients become more profitable while alleviating the frustration of maintaining a billing department.
Yes! Swift Medical Solutions is fully committed to compliance with clear standards of performance and education as well as the use of constructive discipline when and where necessary to maintain adherence to compliance policy and procedure. The Office of Inspector General (OIG) issued compliance guidance to third-party billing companies in 1998.
We provide comprehensive medical billing services, outsourced medical billing, credentialing, Virtual Front Office, billing audits, and revenue cycle management (RCM) for healthcare providers. Our services are tailored to meet the unique needs of your practice, ensuring accuracy and efficiency.
Yes! Swift Medical Solutions is fully committed to compliance with clear standards of performance and education as well as the use of constructive discipline when and where necessary to maintain adherence to compliance policy and procedure. The Office of Inspector General (OIG) issued compliance guidance to third-party billing companies in 1998.
- Scalable denial management for any practice size
- Faster reimbursement with fewer delays
- Reduced denials through expert analysis
- Clear, real-time reporting and insights
- Experience across multiple medical specialties
Our Denial Resolution Process
We promptly identify and categorize denied claims by type, payer, and reason. This helps prioritize urgent reworks and develop targeted denial management strategies.
We Are Available Nationwide
Swift’s denial management services are available in all 50 states. Whether you’re a solo physician, multi-specialty clinic, or group practice, we provide tailored solutions that fit your specialty and location.
Get Denial Recovery Help Today
Don’t let denied claims hurt your revenue. Swift’s denial management experts can identify, fix, and prevent costly issues. Book a free audit consultation or contact our team now to get started.
Common Reasons Claims Are Denied
| Reason for Denial | How It Affects Your Practice | How Swift Responds |
|---|---|---|
| Missing or invalid patient info | Claim rejected before processing | Automated checks, prompt corrections, and resubmission |
| Incorrect coding or modifiers | Delays, rejections, and underpayments | Expert coders review and correct claims |
| Untimely filing | Lost revenue due to missed deadlines | Swift tracks deadlines and files quickly |
| Out-of-network provider status | Payer refuses to reimburse | Credentialing audit + in-network enrollment support |
| Lack of documentation | Denial due to insufficient medical necessity proof | Improved documentation guidance + appeal documentation prep |
Client Testimonials
Overall Rating
4.9
124 Reviews
FAQ
What are the most common reasons for medical claim denials?
The most common denial reasons include missing patient info, coding errors, untimely filing, lack of documentation, and credentialing issues.
How quickly can you resubmit denied claims?
Most denied claims are corrected and resubmitted within 5–10 business days, depending on complexity and documentation requirements.
Can you recover old denials that were never appealed?
Yes. Our AR recovery team identifies and reworks previously unaddressed denials—helping you recover revenue that was thought lost.
How do you prevent future denials?
We analyze trends, fix systemic issues, and offer staff training, documentation support, and reporting tools to reduce denials going forward.
Do you work with specific specialties?
Yes. We support a wide range of specialties including psychiatry, primary care, cardiology, and more—with specialty-specific denial handling.
What is the denial management process?
It includes denial identification, root cause analysis, correction, resubmission, appeal, and long-term prevention planning.
What are the three types of denials?
The three main types are hard denials (non-recoverable), soft denials (appealable), and preventable denials (avoidable with better processes).
What are the goals of a denial management team?
Key goals include maximizing recoveries, reducing denial rates, improving workflow efficiency, and ensuring long-term billing success.
What does a successful denial management program include?
A strong program includes tracking, root cause analysis, timely appeals, documentation support, reporting, and ongoing prevention strategies.
What Is Denial Management in Medical Billing?
It’s the process of identifying, correcting, appealing, and preventing denied claims to ensure accurate reimbursements and financial health.
Swift Medical Billing
Allows caregivers to focus 100% on patient’s needs by managing insurance billing and payments.
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395 SW Bluff Dr, Suite 10 (lower level),
Bend OR 97702
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