We Don't Accept Denials. We Resolve and Overturn Them.
Claim denials are the largest source of revenue leakage in healthcare, draining up to 10% of a practice's gross income. According to MGMA benchmarks, over 60% of denied claims are never appealed by overwhelmed in-house staff.
At ACL Healthcare Services, no claim is abandoned. Our denial management specialists investigate every denial code (CARC/RARC), rectify root causes, and submit formal clinical appeals that recover thousands of dollars in earned revenue.
Our 4-Step Denial Resolution Engine
CARC & RARC Root-Cause Categorization
Every denial is logged and segmented into authorization, technical billing, medical necessity, or eligibility errors to isolate the root failure.
Correction & Rapid Resubmission
Technical billing errors (modifiers, demographic mismatches, diagnosis pointer issues) are rectified and resubmitted within 24 to 48 hours.
Evidence-Based Clinical Appeals
Clinical denials are backed with customized appeal letters, chart excerpts, payer clinical coverage guidelines, and medical necessity proof.
Denial Prevention & Payer Accountability Loop
We deliver monthly root-cause trend scorecards to your practice leadership to permanently fix front-end workflows and prevent recurrent denials.