★ Medical Billing Services Starting as Low as 2.5% of Collections*

Denial Management, Appeals & A/R Recovery Services

Recover Revenue From Denied, Delayed, and Aging Claims

Denied claims and aging insurance balances can quietly reduce practice revenue and impact cash flow. At SaMeD RCM Solutions LLC, our Denial Management, Appeals & A/R Recovery services focus on identifying unresolved balances, resolving payer issues, correcting claims, pursuing appeals, and moving actionable receivables toward resolution.

We combine denial management and A/R follow-up into a coordinated revenue recovery strategy.

Claim status screen showing a denied claim, an A/R follow-up checklist (verify, correct, appeal, follow-up, resolve), a submitted appeal and a rising revenue chart

Comprehensive Revenue Recovery Services

Denial Management

We review the denial reason, claim history, payer response, available documentation, filing deadlines, and corrective options. We determine the appropriate next step, which may involve correction, resubmission, documentation, payer follow-up, or appeal.

Appeals Management

We organize appeal information, prepare appeal packets, submit supporting documentation when applicable, and maintain follow-up throughout the payer’s review process.

Accounts Receivable Recovery

We review outstanding insurance A/R and prioritize accounts using key factors such as:

  • Account age
  • Balance value
  • Payer
  • Claim status
  • Denial reason
  • Filing limits
  • Recovery opportunity

The objective is to focus effort on actionable revenue.

Underpayment Identification

We identify potential underpayments or reimbursement discrepancies based on expected payment, payer guidelines, contract terms, and claim details.

Root-Cause Analysis

We analyze denial and underpayment patterns to identify recurring issues across:

  • Eligibility
  • Prior authorization
  • Coding
  • Documentation
  • Claim submission
  • Provider enrollment
  • Payer requirements
  • Timely filing
  • Payment processing

Benefits for Your Practice

Don’t Let Earned Revenue Remain Unresolved

Let our team identify, investigate, and pursue revenue sitting in denied and aging insurance claims.