Claim denials and rejections are one of the biggest obstacles to a healthy revenue cycle. Every denied claim represents delayed or lost revenue, wasted administrative time, and added frustration for your staff. At MTBS LLC (MTBSRCM.com), we specialize in reducing claim denials and rejections through proactive eligibility checks, accurate medical coding, and compliance-driven billing processes.
“Every claim denial avoided is revenue earned faster. MTBS ensures your claims are accepted the first time, minimizing rework and maximizing practice revenue.”
What Are Claim Denials & Rejections?
Claim rejections occur when claims are stopped before processing due to basic errors, such as missing information or incorrect coding. Denials, on the other hand, happen when payers review the claim but refuse payment, often due to lack of documentation, non-covered services, or coding mismatches. Both disrupt cash flow and increase administrative burden.
How MTBS Helps Reduce Denials & Rejections
- ✔ Real-time eligibility & benefits verification before claim submission
- ✔ Accurate ICD-10, CPT, and HCPCS coding with compliance focus
- ✔ Automated claim scrubbing to detect errors pre-submission
- ✔ Strong payer communication and appeal management
- ✔ Documentation audits to ensure medical necessity
- ✔ Continuous monitoring of denial trends for process improvement
Why Reducing Denials Matters
Every denied or rejected claim not only delays reimbursement but also costs your staff additional time to investigate, correct, and resubmit. With MTBS LLC’s denial management solutions, practices enjoy faster payments, reduced overhead, and improved financial stability. Our proactive approach ensures claims are accurate and payer-compliant the first time.
Specialties We Support
Our denial reduction strategies apply across multiple specialties, including Cardiology, Radiology, Internal Medicine, Family Practice, Psychiatry, Orthopedics, and Surgery. Each specialty has unique billing challenges, and our experienced team addresses them with precision. Learn more.
Benefits of Reduced Denials & Rejections
- ✅ Higher first-pass claim acceptance rates
- ✅ Faster reimbursements with fewer delays
- ✅ Reduced accounts receivable (AR) burden
- ✅ Lower administrative costs for resubmission
- ✅ Better compliance with payer policies
- ✅ Improved cash flow and long-term financial stability
Get Started with MTBS LLC
Don’t let denials drain your revenue. Partner with MTBS LLC for proven denial reduction strategies that ensure your claims are processed right the first time.
Contact Us Today for a Free Consultation.
Frequently Asked Questions (FAQs)
1. What causes most claim denials?
The most common causes include incorrect coding, missing patient information, eligibility issues, and insufficient documentation.
2. How does MTBS prevent claim rejections?
We use automated claim scrubbing tools to detect errors before submission and verify all patient eligibility details in real-time.
3. Can denied claims still be recovered?
Yes. MTBS LLC has a dedicated denial management team that handles appeals and resubmissions to maximize recovery.
4. Do reduced denials improve revenue cycle management?
Absolutely. Denial prevention shortens AR cycles, reduces overhead, and strengthens overall revenue cycle efficiency.
5. How can I start reducing denials with MTBS?
Simply contact us for a consultation, and we’ll assess your current processes to implement improvements.
