Denial management services that recover lost revenue

We find out why your claims are denied, fix and appeal them quickly, and change the process so the same denials stop coming back.

Denial analysis at no cost
Every denial worked until it's resolved
Fewer repeat denials month after month

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Denial management services practices rate highly

4.9
Rated 5 out of 5
Google Reviews
4.8
Rated 5 out of 5
Clutch
4.9
Rated 5 out of 5
GoodFirms

Protect your cash flow

Proactive denial management that protects profits

Every denied claim delays payment and takes staff time to rework. Many practices never appeal a large share of their denials simply because no one has time, and that money is written off for good.

Our team works every denial, appeals the ones worth fighting and tracks patterns over time. Fixing the cause upstream is what turns denial management from a cost into a revenue gain.

Team member typing on a laptop
Every
denial reviewed, none left unworked

Our process

Our denial management process

Six steps that turn denials into recovered revenue.

Root cause identification

Each denial traced to its source: eligibility, coding, authorization or documentation.

Denial resolution

Errors corrected and clean claims resubmitted quickly.

Follow-up & negotiation

Direct work with payers to resolve disputed or underpaid claims.

Specialist with a headset sitting at a desk

Timely appeals

Appeals filed with supporting documentation before payer deadlines.

Revenue recovery

Recovered payments tracked and posted so you see the results.

Data insights & analytics

Denial trends reported so the same problems are prevented.

Recover more revenue and spend less time on rework with dedicated denial management

For practices and hospitals

The denials we resolve every day

Smaller practices rarely have staff dedicated to denials, and hospitals often face more denials than their teams can handle. Either way, unworked denials become lost revenue.

We start by evaluating your current denials, build a strategy around your biggest problem areas and report results you can measure. Common causes we fix include:

Eligibility & coverage
Missing authorization
Coding & modifier errors
Missing documentation
Timely filing limits
Duplicate claims
Non-covered services
Medical necessity
Credentialing issues
Bundling & NCCI edits
Coordination of benefits
Incorrect patient data
Specialist with headset reviewing work at a desk
30-day
escalation on unpaid claims

Consistent follow-through

Why choose our denial management services

Denial management only works when it happens every week, not when someone finds time. We follow up on claims outstanding past 30 days, chase every open denial and keep payers accountable.

Because we look at your whole revenue cycle, we fix discrepancies at the source, from front-desk data entry to coding and documentation.

What our clients say

Feedback from physicians and practice managers who handed their billing to us.

Dr. Maria R. Family Medicine, Tampa FL

Within three months our denial rate dropped noticeably and payments started arriving on a predictable schedule. The team explains every report in plain terms.

James T. Practice Manager, Orthopedic Group

Their prior authorization staff are fast and thorough. When a payer asks for more documentation, they handle it before I even have to ask.

Dr. Sanjay K. Cardiology, Houston TX

We had years of aged A/R we had written off mentally. Leading Edge recovered a large share of it and set up a process so it doesn't pile up again.

Lauren P. LCSW, Behavioral Health Practice

Credentialing used to take me months. They got me in-network with four payers and keep my CAQH updated without reminders from me.

Dr. David A. Urgent Care, Phoenix AZ

Responsive, accurate and easy to reach. Our account manager knows our clinic as well as our own front desk does.

Looking for a medical billing quote?

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