Revenue Recovery
Fight for Every Dollar You're Owed
Expert claim denial management and appeals services to recover lost revenue and prevent future denials for behavioral health providers.
The Challenge
Denied claims can represent 5-10% of your total revenue—money you've already earned but aren't collecting. Insurance companies count on providers giving up after the first denial. Without a dedicated appeals process, you're leaving significant revenue on the table.
Our Solution
VitalBridge denial management specialists identify root causes, prepare compelling appeals with supporting documentation, and implement prevention strategies. We know what payers are looking for and how to present your case effectively to overturn denials.
Comprehensive Solution
What's Included
Root Cause Analysis
Systematic analysis of denial patterns to identify underlying issues and prevent recurrence.
Appeal Preparation
Expert preparation of appeals with compelling clinical documentation and payer-specific arguments.
Peer-to-Peer Support
Preparation and support for peer-to-peer calls with insurance medical directors.
Denial Trending
Track denial patterns by payer, reason code, and service type to identify systemic issues.
Payer Strategies
Payer-specific appeal strategies based on our experience with each insurance company.
Prevention Workflows
Implement front-end processes to prevent denials before claims are submitted.
Simple Process
How It Works
Identify
We identify and categorize all denials by type, payer, and root cause.
Analyze
Deep analysis to determine the best appeal strategy for each denial.
Appeal
Submit compelling appeals with supporting documentation within deadlines.
Prevent
Implement changes to prevent similar denials in the future.
Why Choose Us
Key Benefits
Recover Revenue
Overturn denials and collect revenue you've already earned.
Fast Turnaround
Appeals filed within 48 hours to meet payer deadlines.
Prevent Future Denials
Root cause fixes reduce future denial rates.
Clear Reporting
Detailed analytics on denial trends and recovery rates.
Appeal Success Rate
Appeal Turnaround
Revenue Recovered Annually
Denial Rate Reduction
Got Questions?
Frequently Asked Questions
We handle all types of behavioral health claim denials including medical necessity, authorization, timely filing, coding errors, eligibility issues, and coordination of benefits denials.
We file appeals within 48 hours of receiving denial information. This ensures we meet all payer appeal deadlines and maximizes the chance of overturn.
Our overall appeal success rate is 65%, well above the industry average. For medical necessity denials specifically, our success rate is over 70% due to our expertise in clinical documentation.
Yes, we prepare your clinical staff for peer-to-peer calls with detailed talking points and documentation summaries. We can also participate in calls when appropriate.
We analyze denial patterns to identify root causes—whether coding issues, authorization gaps, or documentation problems—and implement workflow changes to prevent recurrence.
“VitalBridge recovered over $200,000 in denied claims in our first year. Their team knows exactly how to build a winning appeal case.”