{"id":1806,"date":"2024-10-30T16:20:55","date_gmt":"2024-10-30T16:20:55","guid":{"rendered":"https:\/\/medibillmd.com\/blog\/?p=1806"},"modified":"2026-01-02T13:30:47","modified_gmt":"2026-01-02T13:30:47","slug":"denial-management-companies","status":"publish","type":"post","link":"https:\/\/medibillmd.com\/blog\/denial-management-companies\/","title":{"rendered":"Best Denial Management Companies in 2026"},"content":{"rendered":"\n<p>Don\u2019t limit your potential by ignoring claim denials. Did you know that <a href=\"https:\/\/www.ache.org\/-\/media\/ache\/about-ache\/corporate-partners\/the_change_healthcare_2020-revenue_cycle_denials_index.pdf\" rel=\"nofollow noopener\" target=\"_blank\">o<\/a><a href=\"https:\/\/www.ache.org\/-\/media\/ache\/about-ache\/corporate-partners\/the_change_healthcare_2020-revenue_cycle_denials_index.pdf\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">ver 86% <\/a>of denials are easily avoidable? Each denied claim represents a missed opportunity. While this may seem like a minor setback at first, it can quickly lead to significant losses.<a href=\"https:\/\/www.waystar.com\/blog-research-on-denial-management-in-healthcare-3-key-takeaways-from-waystar-hfma\/\" rel=\"nofollow noopener\" target=\"_blank\"> <\/a>Unresolved claims can cost healthcare practices <a href=\"https:\/\/www.waystar.com\/blog-research-on-denial-management-in-healthcare-3-key-takeaways-from-waystar-hfma\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">up to 5% <\/a>of their net patient revenue. Therefore, you need an effective management process to avoid such issues.<\/p>\n\n\n\n<p>But the real question is, do you have the time and resources to fix and resubmit every denied claim? Denial management can be a time-consuming and draining process, which is why we are introducing the top 10 denial management companies. Let&#8217;s find the right partner for your growth!<\/p>\n\n\n\t\t\t\t<div class=\"wp-block-uagb-table-of-contents uagb-toc__align-left uagb-toc__columns-1 uagb-toc__collapse uagb-block-6a45c7ad      \"\n\t\t\t\t\tdata-scroll= \"1\"\n\t\t\t\t\tdata-offset= \"30\"\n\t\t\t\t\tstyle=\"\"\n\t\t\t\t>\n\t\t\t\t<div class=\"uagb-toc__wrap\">\n\t\t\t\t\t\t<div class=\"uagb-toc__title\">\n\t\t\t\t\t\t\tTable Of Contents\t\t\t\t\t\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 384 512\"><path d=\"M192 384c-8.188 0-16.38-3.125-22.62-9.375l-160-160c-12.5-12.5-12.5-32.75 0-45.25s32.75-12.5 45.25 0L192 306.8l137.4-137.4c12.5-12.5 32.75-12.5 45.25 0s12.5 32.75 0 45.25l-160 160C208.4 380.9 200.2 384 192 384z\"><\/path><\/svg>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"uagb-toc__list-wrap \">\n\t\t\t\t\t\t<ol class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#top-10-denial-management-companies-in-the-usa\" class=\"uagb-toc-link__trigger\">Top 10 Denial Management Companies in the USA<\/a><ul class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#1-medibillmd\" class=\"uagb-toc-link__trigger\">1. MediBillMD<\/a><\/li><\/ul><\/li><li class=\"uagb-toc__list\"><a href=\"#find-out-why-medibillmd-is-the-1-denial-management-company\" class=\"uagb-toc-link__trigger\">Find Out Why MediBillMD is the #1 Denial Management Company<\/a><ul class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#2-aspirion\" class=\"uagb-toc-link__trigger\">2. Aspirion<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#3-managed-resources\" class=\"uagb-toc-link__trigger\">3. Managed Resources<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#4-revecore\" class=\"uagb-toc-link__trigger\">4. Revecore<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#5-xsolis\" class=\"uagb-toc-link__trigger\">5. Xsolis<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#6-ambsi-inc\" class=\"uagb-toc-link__trigger\">6. AMBSI, Inc.<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#7-claims-med-inc\" class=\"uagb-toc-link__trigger\">7. Claims Med, Inc.<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#8-mgsi-llc-medical-group-services\" class=\"uagb-toc-link__trigger\">8. MGSI, LLC (Medical Group Services)<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#9-enablecomp\" class=\"uagb-toc-link__trigger\">9. EnableComp<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#10-plutus-health\" class=\"uagb-toc-link__trigger\">10. Plutus Health<\/a><\/li><\/ul><\/li><\/ul><\/li><li class=\"uagb-toc__list\"><a href=\"#things-to-consider-when-choosing-a-denial-management-company\" class=\"uagb-toc-link__trigger\">Things to Consider When Choosing a Denial Management Company<\/a><ul class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#industry-experience\" class=\"uagb-toc-link__trigger\">Industry Experience<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#focused-specialties-service-scope\" class=\"uagb-toc-link__trigger\">Focused Specialties &amp; Service Scope<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#regulatory-insurance-compliance\" class=\"uagb-toc-link__trigger\">Regulatory &amp; Insurance Compliance<\/a><li class=\"uagb-toc__list\"><li class=\"uagb-toc__list\"><a href=\"#customization-transparency\" class=\"uagb-toc-link__trigger\">Customization &amp; Transparency<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class=\"uagb-toc__list\"><a href=\"#bottom-line\" class=\"uagb-toc-link__trigger\">Bottom Line<\/a><\/ul><\/ul><\/ul><\/ol>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Top 10 <\/strong><strong>Denial Management Companies<\/strong><strong> in the USA<\/strong><\/h2>\n\n\n\n<p>Claim denials are perhaps the biggest hurdle to the growth of healthcare practices. According to Experian&#8217;s latest<a href=\"https:\/\/www.experian.com\/healthcare\/resources-insights\/thought-leadership\/white-papers-insights\/state-claims-report\" rel=\"nofollow noopener\" target=\"_blank\"> <\/a>State of Claims <a href=\"https:\/\/www.experian.com\/healthcare\/resources-insights\/thought-leadership\/white-papers-insights\/state-claims-report\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">report<\/a>, 38% of respondents stated that insurance companies deny one out of every ten claims. Additionally, 73% of healthcare providers have experienced an increase in claim denials.<\/p>\n\n\n\n<p>As a result, the market size of denial management is growing at an exceptional rate and is estimated to reach <a href=\"https:\/\/etactics.com\/blog\/medical-billing-denials\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">$5.94 billion by 2027<\/a>. Many outsourcing companies also offer these services, but only a few specialize in the claim rework process. Here is the list of the top 10 denial management companies.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">1. <strong>MediBillMD<\/strong><\/h3>\n\n\n\n<div class=\"wp-block-uagb-image aligncenter uagb-block-4e323595 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-center\"><figure class=\"wp-block-uagb-image__figure\"><img loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/medibill-md-4.webp ,https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/medibill-md-4.webp 780w, https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/medibill-md-4.webp 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/medibill-md-4.webp\" alt=\"MediBillMD Logo\" class=\"uag-image-1659\" width=\"388\" height=\"85\" title=\"medibill md\" loading=\"lazy\" role=\"img\"\/><\/figure><\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>With a deep understanding of the claims process and a proven track record of successfully reducing denial rates, <strong><a target=\"_blank\" href=\"https:\/\/medibillmd.com\/\" rel=\"noreferrer noopener\">MediBillMD<\/a><\/strong> is the top choice of healthcare providers. Its <strong><a target=\"_blank\" href=\"https:\/\/medibillmd.com\/services\/denial-management-services\" rel=\"noreferrer noopener\">denial management services<\/a><\/strong>, supported by a highly experienced team of billers and coders, can resolve any denial code.<\/p>\n\n\n\n<p>Another key strength of this company is that it resolves claim backlogs of all types of healthcare practices across 50+ specialties. MediBillMD is a top name in our denial management companies list, due to its ability to offer personalized support at every step of your claim resolution process.<\/p>\n\n\n\n<p>The company provides detailed denial analysis and files timely appeals with proper follow-ups. So, if you want guaranteed results at affordable prices, you can seek assistance by scheduling a consultation with MediBillMD.&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<div class=\"wp-block-essential-blocks-wrapper alignwide  root-eb-wrapper-hh1rah7\"><div class=\"eb-parent-wrapper eb-parent-eb-wrapper-hh1rah7 \"><div class=\"eb-wrapper-outer eb-wrapper-hh1rah7\"><div class=\"eb-wrapper-inner\"><div class=\"eb-wrapper-inner-blocks eb-wrapper-align-center\">\n<div class=\"wp-block-essential-blocks-row alignfull  root-eb-row-4x5gh7a\" id=\"cta_section\"><div class=\"eb-parent-wrapper eb-parent-eb-row-4x5gh7a \"><div class=\"eb-row-root-container eb-row-4x5gh7a\" data-id=\"eb-row-4x5gh7a\"><div class=\"eb-row-wrapper\"><div class=\"eb-row-inner\">\n<div class=\"wp-block-essential-blocks-column  root-eb-column-b6gz26u\"><div class=\"eb-parent-wrapper eb-parent-eb-column-b6gz26u \"><div class=\"eb-column-wrapper eb-column-b6gz26u\"><div class=\"eb-column-inner\">\n<div class=\"wp-block-essential-blocks-advanced-heading  root-eb-advance-heading-pcss5ec \"><div class=\"eb-parent-wrapper eb-parent-eb-advance-heading-pcss5ec \"><div class=\"eb-advance-heading-wrapper eb-advance-heading-pcss5ec button-1 undefined\" data-id=\"eb-advance-heading-pcss5ec\"><h2 class=\"eb-ah-title\"><span class=\"first-title\" style=\"color:white;font-family: \"Roboto\", sans-serif; font-size: 60px; line-height: 1.3em;\">Find Out Why MediBillMD is the #1 Denial Management Company<\/span><\/h2><p style=\"color:white;\"  class=\"eb-ah-subtitle\">Get in touch with an expert at <a class=\"anchor-tag\" href=\"tel:+18773539542\">(877) 353-9542<\/a><\/p><\/div><\/div><\/div>\n<\/div><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-essential-blocks-column  root-eb-column-m9x3qmz\"><div class=\"eb-parent-wrapper eb-parent-eb-column-m9x3qmz \"><div class=\"eb-column-wrapper eb-column-m9x3qmz\"><div class=\"eb-column-inner\">\n<div class=\"wp-block-uagb-buttons uagb-buttons__outer-wrap uagb-btn__default-btn uagb-btn-tablet__default-btn uagb-btn-mobile__default-btn uagb-block-75d5b37d\"><div class=\"uagb-buttons__wrap uagb-buttons-layout-wrap \">\n<div class=\"wp-block-uagb-buttons-child uagb-buttons__outer-wrap uagb-block-cc6e13dc wp-block-button popupopen_form\"><div class=\"uagb-button__wrapper\"><a class=\"uagb-buttons-repeater wp-block-button__link\" aria-label=\"\" href=\"#\" rel=\"follow noopener\" target=\"_self\" role=\"button\"><div class=\"uagb-button__link\">Schedule a Consultation<\/div><\/a><\/div><\/div>\n<\/div><\/div>\n<\/div><\/div><\/div><\/div>\n<\/div><\/div><\/div><\/div><\/div>\n<\/div><\/div><\/div><\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\">2. <strong>Aspirion<\/strong><\/h3>\n\n\n\n<div class=\"wp-block-uagb-image aligncenter uagb-block-1bf9ecb3 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-center\"><figure class=\"wp-block-uagb-image__figure\"><img loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Aspirion.webp ,https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Aspirion.webp 780w, https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Aspirion.webp 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Aspirion.webp\" alt=\"\" class=\"uag-image-1808\" width=\"388\" height=\"85\" title=\"Aspirion\" loading=\"lazy\" role=\"img\"\/><\/figure><\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>Are you searching for an award-winning company? Look no further! With offices across multiple states, <a href=\"https:\/\/www.aspirion.com\/services\/denials-resolution-prevention\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Aspirion<\/a> has one of the broadest footprints among other denial management companies in the US. The company serves over 1,000 clients in all 50 states and has resolved almost 800,000 accounts. Its trustworthy end-to-end revenue recovery solutions have collected more than $3.3 billion, improving the financial situation of many clients.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Recognized as the <a href=\"https:\/\/klasresearch.com\/best-in-klas-ranking\/denials-management-services\/2024\/460\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">best denial management company<\/a> by KLAS \u2013 a healthcare research company, Aspirion has a team of over 180 legal professionals and 80 clinicians. The company stands out for its commitment to maximizing reimbursement regardless of the claim type.&nbsp;<\/p>\n\n\n\n<p>The best thing about Aspirion is that it offers round-the-clock access to valuable insights, such as information about claims and collections volume, through its client portal, Aspirion Intelligence.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3. <strong>Managed Resources<\/strong><\/h3>\n\n\n\n<div class=\"wp-block-uagb-image aligncenter uagb-block-e975791b wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-center\"><figure class=\"wp-block-uagb-image__figure\"><img loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Managed-Resources.webp ,https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Managed-Resources.webp 780w, https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Managed-Resources.webp 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Managed-Resources.webp\" alt=\"\" class=\"uag-image-1809\" width=\"388\" height=\"85\" title=\"Managed Resources\" loading=\"lazy\" role=\"img\"\/><\/figure><\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><a href=\"https:\/\/www.managedresourcesinc.com\/solutions\/clinical-appeals-management\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Managed Resources<\/a>, located in Long Beach, a coastal city in southern California, is also one of the featured denial management companies in <a href=\"https:\/\/klasresearch.com\/compare\/denials-management-services\/460\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">KLAS\u2019 latest report<\/a>. With an average experience of over 20 years, its professional clinical appeals team, consisting of registered nurses and compliance specialists, helps recover revenue lost due to inappropriate claim denials.<\/p>\n\n\n\n<p>From denial analysis and professional appeals to timely follow-ups, Managed Resources guarantees accurate reimbursements through comprehensive support. The company usually helps several specialties, including high-impact ones such as medical necessity, trauma, and oncology.&nbsp;<\/p>\n\n\n\n<p>It prioritizes accurate and prompt reimbursements and takes proactive measures to prevent future denials. You can partner with Managed Resources for expert insights and better quality control.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">4. <strong>Revecore<\/strong><\/h3>\n\n\n\n<div class=\"wp-block-uagb-image aligncenter uagb-block-19823ea3 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-center\"><figure class=\"wp-block-uagb-image__figure\"><img loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Revecore.webp ,https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Revecore.webp 780w, https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Revecore.webp 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Revecore.webp\" alt=\"\" class=\"uag-image-1810\" width=\"388\" height=\"85\" title=\"Revecore\" loading=\"lazy\" role=\"img\"\/><\/figure><\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>Are you searching for a company that specializes in complex claims recovery? We might have the perfect solution for you! Based in Franklin, Tennessee, just south of Nashville, <a href=\"https:\/\/revecore.com\/solutions\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Revecore<\/a> is an excellent choice for recovering what you have lost in claim denials. With over 25 years of experience, this company excels in resolving complex claims, including motor vehicle accidents and workers\u2019 compensation.<\/p>\n\n\n\n<p>Revecore has been recognized as one of KLAS&#8217; top denial management companies since 2021, highlighting its credibility. It improves the financial health of hospitals struggling with complicated requirements through advanced technology and exceptional client support.&nbsp;<\/p>\n\n\n\n<p>What truly sets Revecore apart is its consultative, client-focused approach, which combines proprietary technology with specialized experience to minimize claim denials. Moreover, the company increases its appeal by offering transparent performance analysis and pricing.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>5. Xsolis<\/strong><\/h3>\n\n\n\n<div class=\"wp-block-uagb-image aligncenter uagb-block-049f3d7a wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-center\"><figure class=\"wp-block-uagb-image__figure\"><img loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Xsolis.webp ,https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Xsolis.webp 780w, https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Xsolis.webp 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Xsolis.webp\" alt=\"\" class=\"uag-image-1811\" width=\"388\" height=\"85\" title=\"Xsolis\" loading=\"lazy\" role=\"img\"\/><\/figure><\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>Do you want to know about another firm in Franklin, Tennessee, that has made it to our list of the best denial management companies? Founded in 2013, <a href=\"https:\/\/www.xsolis.com\/solutions\/denial-resolution\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Xsolis<\/a> was established to bridge the gap between healthcare providers and payers. Since then, it has experienced rapid growth, expanding from a small team of 5 to over 275 members.<\/p>\n\n\n\n<p>Xsolis is committed to improving payer-provider collaboration and transforming denial management through advanced technology (AI and ML). It takes a unique approach to identify denied claims with justified clinical merit, allowing hospitals to recover lost revenue more efficiently.<\/p>\n\n\n\n<p>With a specialized team of clinical, legal, and revenue cycle experts, the company simplifies the appeal process for faster recovery and improved outcomes. Want to strengthen your revenue? Choose Xsolis for a healthier revenue cycle.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">6. <strong>AMBSI, Inc.<\/strong><\/h3>\n\n\n\n<div class=\"wp-block-uagb-image aligncenter uagb-block-9d4e3a8f wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-center\"><figure class=\"wp-block-uagb-image__figure\"><img loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/AMBSI-Inc.webp ,https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/AMBSI-Inc.webp 780w, https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/AMBSI-Inc.webp 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/AMBSI-Inc.webp\" alt=\"\" class=\"uag-image-1812\" width=\"388\" height=\"85\" title=\"AMBSI, Inc.\" loading=\"lazy\" role=\"img\"\/><\/figure><\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>Located in Sayreville, a borough in New Jersey\u2019s Middlesex County, <a href=\"https:\/\/www.ambsi.com\/services\/denial-management\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">AMBSI<\/a> is also one of the top denial management companies in the US. The company handpicks the best coding and billing professionals based on their expertise and provides them with continuous education to resolve and address your higher denial rates.<\/p>\n\n\n\n<p>Like many leading firms, AMBSI maintains an extensive database of payer-approved services and procedures, including their rates, to ensure compliance. It meticulously investigates each rejection to identify the root cause and then takes a tailored approach to make all the necessary corrections. This often includes correcting invalid codes and providing essential documentation. Its focus on accuracy and simplified processes significantly reduce overhead costs and denial rates.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">7. <strong>Claims Med, Inc.<\/strong><\/h3>\n\n\n\n<div class=\"wp-block-uagb-image aligncenter uagb-block-7fa0c73a wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-center\"><figure class=\"wp-block-uagb-image__figure\"><img loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Claims-Med-Inc.webp ,https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Claims-Med-Inc.webp 780w, https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Claims-Med-Inc.webp 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Claims-Med-Inc.webp\" alt=\"\" class=\"uag-image-1813\" width=\"388\" height=\"85\" title=\"Claims Med, Inc.\" loading=\"lazy\" role=\"img\"\/><\/figure><\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><a href=\"https:\/\/www.claimsmedinc.com\/denial-management-services.html\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Claims Med<\/a>, based in Sugar Land, a suburban city in Texas, can also help you reclaim your revenue. It stands out as one the best denial management companies in the US due to its specialized focus on resolving aged claims \u2013 60 to 90 days old outstanding medical claims.<\/p>\n\n\n\n<p>Since Meds Claim understands the challenges healthcare practices face in processing older claims, it employs a proactive, twofold strategy. This includes comprehensive follow-ups on rejected or denied claims and thorough denial analysis. Its seasoned professionals guarantee optimal revenue recovery by effectively engaging with both insurance providers and patients.<\/p>\n\n\n\n<p>In short, Meds Claim frees you from the burden of uncollectible accounts while preserving good patient-provider relations. Hence, it is the best choice for addressing your old A\/R.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">8. <strong>MGSI, LLC (Medical Group Services)<\/strong><\/h3>\n\n\n\n<div class=\"wp-block-uagb-image aligncenter uagb-block-27282fb2 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-center\"><figure class=\"wp-block-uagb-image__figure\"><img loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/MGSI-LLC-Medical-Group-Services.webp ,https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/MGSI-LLC-Medical-Group-Services.webp 780w, https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/MGSI-LLC-Medical-Group-Services.webp 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/MGSI-LLC-Medical-Group-Services.webp\" alt=\"\" class=\"uag-image-1814\" width=\"388\" height=\"85\" title=\"MGSI, LLC (Medical Group Services)\" loading=\"lazy\" role=\"img\"\/><\/figure><\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>Headquartered in Tampa, Florida, <a href=\"https:\/\/www.mgsionline.com\/healthcare-denial-management.html\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">MSGI<\/a> is a national revenue cycle management company that also specializes in denial management. With over 29 years of experience, it offers comprehensive revenue recovery solutions, including A\/R follow-ups, claim status checks, and appeal letter generation, to a wide range of healthcare groups in multiple states.<\/p>\n\n\n\n<p>MSGI covers 25+ specialties and provides dedicated support to address denied claims and identify their root causes. Furthermore, it implements preventive measures to avoid future denials and guarantees the timely recovery of outstanding accounts. With its extensive experience and commitment to improving cash flow, MSGI is recognized as one of the best denial management companies of 2024.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">9. <strong>EnableComp<\/strong><\/h3>\n\n\n\n<div class=\"wp-block-uagb-image aligncenter uagb-block-96dc4dc3 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-center\"><figure class=\"wp-block-uagb-image__figure\"><img loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/EnableComp.webp ,https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/EnableComp.webp 780w, https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/EnableComp.webp 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/EnableComp.webp\" alt=\"\" class=\"uag-image-1815\" width=\"388\" height=\"85\" title=\"EnableComp\" loading=\"lazy\" role=\"img\"\/><\/figure><\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><a href=\"https:\/\/enablecomp.com\/denial-prevention-and-resolution\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">EnableComp<\/a>, a specialty revenue cycle solutions provider based in Franklin, Tennessee, has earned its spot on our list. It is now recognized as one of the top denial management companies in the U.S., especially following its recent <a href=\"https:\/\/enablecomp.com\/resources\/news\/enablecomp-acquires-ani-expands-denial-management\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">acquisition of ANI Healthcare Solutions<\/a>, a San Francisco-based denial resolution firm. This strategic move has helped it improve its offerings.<\/p>\n\n\n\n<p>EnableComp\u2019s advanced denial management solutions guarantee 100% recovery of expected reimbursements. It specializes in resolving complex claims for both private and government healthcare agencies. The company\u2019s proprietary E360 RCM\u2122 platform offers root-cause analysis and in-depth insights into denial trends.<\/p>\n\n\n\n<p>In simple words, this platform empowers healthcare providers to maximize revenue opportunities. With a 97% client retention rate and over $5 billion collected in cash, EnableComp is an exceptional choice for filing your appeals.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">10. <strong>Plutus Health<\/strong><\/h3>\n\n\n\n<div class=\"wp-block-uagb-image aligncenter uagb-block-f9b86514 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-center\"><figure class=\"wp-block-uagb-image__figure\"><img loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Plutus-Health-1.webp ,https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Plutus-Health-1.webp 780w, https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Plutus-Health-1.webp 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Plutus-Health-1.webp\" alt=\"\" class=\"uag-image-1816\" width=\"388\" height=\"85\" title=\"Plutus Health\" loading=\"lazy\" role=\"img\"\/><\/figure><\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>Want to partner with a company that plugs your revenue leakage? <a href=\"https:\/\/www.plutushealthinc.com\/rcm-services-to-boost-your-revenue\/denial-management-appeals\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Plutus Health<\/a> is the perfect option, with over 14 years of experience. Headquartered in Dallas, Texas, this company follows a proven process to tackle all your problems, including reducing claim denials, recovering aging A\/R, and handling all the paperwork.<\/p>\n\n\n\n<p>Like all other best denial management companies on our list, Plutus Health also takes a custom approach to address your unique requirements, ensuring timely resolutions. The company also identifies and solves systematic gaps in your existing processes to prevent future claim rejections.<\/p>\n\n\n\n<p>The best thing about Plutus Health is that it takes the time to understand your needs. Moreover, its team has a keen eye for facility or specialty-specific issues that may result in claim denials, creating effective solutions to resolve them.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Things to Consider When Choosing a <\/strong><strong>Denial Management Company<\/strong><\/h2>\n\n\n\n<p>Only you can truly understand your unique needs! A company may look perfect on paper, but it still might not be the best choice. Are you feeling torn between our top options? Here are a few key factors to help you make an informed choice.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Industry Experience<\/strong><\/h3>\n\n\n\n<p>Would you hand over everything to a new company, or do you feel more comfortable with experienced professionals? The answer is quite obvious! Denial management is a crucial part of a healthier revenue cycle. Any company can claim to be experienced.<\/p>\n\n\n\n<p>So, how can you make a reliable choice? By focusing on three things: proven track record, customer reviews, and certifications. Look for ISO-certified denial management companies with a high customer retention rate backed by proven results.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Focused Specialties &amp; Service Scope<\/strong><\/h3>\n\n\n\n<p>It is common knowledge that not all companies cover every specialty. So, choose a name that understands your field to avoid future problems. Moreover, review the types of claims they manage (some companies only take simple cases). Don&#8217;t make hasty decisions!<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Regulatory &amp; Insurance Compliance<\/strong><\/h3>\n\n\n\n<p>Insurance companies immediately deny non-compliant claims. So, always choose a partner that understands local regulations and payer-specific requirements. Also, check their security standards to make sure their denial management solutions are HIPAA compliant.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Customization &amp; Transparency<\/strong><\/h3>\n\n\n\n<p>Transparency is key, especially in pricing and performance. Opt for denial management companies that offer clear pricing structures and tailored solutions that meet your needs.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Bottom Line<\/strong><\/h2>\n\n\n\n<p>From award-winning firms to innovative options, our list has everything! We understand that choosing the right partner can be quite overwhelming. Therefore, instead of selecting names after a quick research, we have compiled the top 10 denial management companies based on 7 factors \u2013 experience, accessibility, transparency, technology adoption, customer support, performance, and customer reviews. You can trust any of these companies to help you with your claim resubmission process.&nbsp;<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Don\u2019t limit your potential by ignoring claim denials. Did you know that over 86% of denials are easily avoidable? Each [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":1807,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","content-type":"","_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[9],"tags":[],"class_list":["post-1806","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-top-picks"],"uagb_featured_image_src":{"full":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Best-Denial-Management-Companies.webp",1200,720,false],"thumbnail":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Best-Denial-Management-Companies-150x150.webp",150,150,true],"medium":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Best-Denial-Management-Companies-300x180.webp",300,180,true],"medium_large":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Best-Denial-Management-Companies-768x461.webp",768,461,true],"large":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Best-Denial-Management-Companies-1024x614.webp",1024,614,true],"1536x1536":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Best-Denial-Management-Companies.webp",1200,720,false],"2048x2048":["https:\/\/medibillmd.com\/blog\/wp-content\/uploads\/2024\/10\/Best-Denial-Management-Companies.webp",1200,720,false]},"uagb_author_info":{"display_name":"Fred Allen","author_link":"https:\/\/medibillmd.com\/blog\/author\/fred-allen\/"},"uagb_comment_info":0,"uagb_excerpt":"Don\u2019t limit your potential by ignoring claim denials. Did you know that over 86% of denials are easily avoidable? Each [&hellip;]","_links":{"self":[{"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/posts\/1806","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/comments?post=1806"}],"version-history":[{"count":3,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/posts\/1806\/revisions"}],"predecessor-version":[{"id":5769,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/posts\/1806\/revisions\/5769"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/media\/1807"}],"wp:attachment":[{"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/media?parent=1806"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/categories?post=1806"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medibillmd.com\/blog\/wp-json\/wp\/v2\/tags?post=1806"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}