Atlantic RCM – Healthcare Denial Management Services

Denial Management


Denial management is a critical component for any healthcare provider, independent physician, or medical practice. Denial claims represent unpaid or delayed revenues to your practice. Failure to adequately handle denials translates to lost revenues for your practice. A healthcare practice employs a substantial amount of resources to have an efficient revenue cycle management system. But lack of transparency, administrative errors, inadequate claim follow-ups, and unfair payments result in a lot of bad-debts to be written off by the healthcare providers.

  • Attending Rejections on daily basis
  • Denial Trend Tracking & Analysis
  • Analyze Payer Payment pattern
  • Appeals for Denied Claims
  • Credit Balance Audits

What makes Atlantic RCM’s healthcare denial management services world class?

Atlantic’s denial management services give you complete visibility to each claim and look into the data to uncover any errors that may lead to its denial. Our denial management team does a complete examination of your billing documentation and procedures. Their enriched training enables them to look into exact places, for faster reductions in denials leading to an efficient revenue inflow.

Atlantic services outline the field-tested procedure to get claims cleared and streamline your company’s monetary process. To maximize your revenue collection, it is important to know why your patient’s claim is denied. Atlantic’s first step in this process is to not only identify the claim denial, but also its reason. Next, Atlantic establishes a tracking mechanism to look for ways to better organize and speed up the handling of denial-related information. Since denial management is an ongoing process, it needs to be continuously monitored and assessed to identify any leakages. Atlantic’s aggressive follow-up on the denials moves any outstanding claim over the age of 25 days to our in-house automation system to fetch the claim status without manual intervention. This helps in getting claim status ten times faster and helps to fix denials faster.

Atlantic offers denial management services to many clients across the US. Our experience of working with so many companies has made us the experts in this domain. Here is an insight into the denial management service highlights :

Expert denial and appeal management teams

Expert denial and appeal management teams

Our skilled, experienced staff has the necessary expertise in writing written appeals and providing supporting documents based on the medical records, as well as verifying earlier payment analysis by the payer.


Sorting denials categorically

Our team of experts sorts the denial data into categories to identify opportunities to improve and restructure existing processes and train employees and healthcare practices. Sorting enables an easy, efficient follow-up to resolve denials at the earliest.
Healthcare claim denials are complex to handle. There are varied reasons for claim rejections. But our highly trained, experienced, and dedicated experts ensure to employ approved and winning combinations of processes to ensure maximum payments, faster claim settlements, and streamlined hassle-free denial management and solutions.

Sorting denials categorically

Comprehensive reporting

Comprehensive reporting

Atlantic’s accurate reporting enables better business decisions and prevents future denials. You gain considerable insights and recommendations on improving the documentation and process improvements to increase clean claims.


Integrated data

Our security protocols mandate a high level of data integration so that there are no data security breaches and the data is available to the client on a real-time basis.

Integrated data

Improve financial performance

Improve financial performance

Atlantic’s software classifies and categorizes the denials into specific processes to analyze where the denials stem from. We then come up with customized process improvements to help you lower your denial rates and optimize revenues.


High-quality service

Atlantic offers the highest-quality denial management services at cost-effective rates with a quick turnaround time for the clients’ revenue cycle management.

High-quality service

Adherence to industry regulations

Adherence to industry regulations

Atlantic follows rigid compliance with the industry regulatory protocols. Our entire denial management identification, documentation, appeal management, and follow-up processes are HIPAA compliant

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