90-Day Denial Transformation

Denial prevention, not denial recovery

Denials are a symptom of upstream failure — in registration, eligibility, coding, or payer requirements. I fix the cause, not just the claim.

How the 90 days break down

Weeks 1–3 — DiagnoseDenial pattern analysis by payer, reason code, and service line; root-cause mapping across registration, eligibility, coding, and authorization.
Weeks 4–8 — RebuildPre-claim validation rules, staff workflow redesign, payer-specific edit logic, and an appeals playbook prioritized by dollar recovery.
Weeks 9–13 — InstallTeam training, monitoring dashboards, and a handoff plan so improvement holds after I leave — or continues under a fractional engagement.

A 19% improvement in claim acceptance and a 40% reduction in appeal turnaround are typical outcomes of this model.

Scope and cost are confirmed on the first call — no published rate card, no obligation to proceed.