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Practice With Ease
(973) 607-4406
Schedule A Consultation

Schedule a Billing Analysis Phone Consultation

Free Accounts Receivable Review

Schedule a Free Medical Billing Consultation

Reduce My Claim Denials

A Denial Isn't the End. But It's Expensive to Ignore.

The average medical practice has a 5–10% claim denial rate. On a $2M billing practice, that’s $100,000–$200,000 in rejected revenue every year — and most of it is avoidable.

Our Denial Reduction Assessment identifies exactly why your claims are being denied, which denials are recoverable, and what systemic changes will stop the same denials from happening next month.

Reduce My Claim Denials

Root cause analysis. Recovery plan. Systemic fix. Free assessment for qualifying practices.

$80K–$200K
Average Annual Write-Off

The average specialty practice writes off $80,000–$200,000 in unworked denials annually.

Denials Are a Symptom. The Problem Is Upstream.

Most billing companies respond to denials reactively. Claim denied → appeal filed → maybe recovered. Maybe not.

What they almost never do: ask why the denial happened, whether it’s part of a pattern, and what would prevent the same denial next month.

A denial is a data point. A pattern of denials from the same payer, on the same CPT codes, for the same reason — that’s a system problem. And it will not fix itself.

Until someone does a proper root cause analysis, you’re not managing denials. You’re reacting to them.

Reduce My Claim Denials

What a High Denial Rate Is Actually Costing You

Direct Costs
  • Revenue lost on unworked or abandoned denials
  • Staff time spent on reactive appeals instead of prevention
  • Write-offs on denials that age past appeal deadlines
  • Resubmission costs and administrative burden
Indirect Costs
  • Payer profiling — repeat denials flag your practice for increased scrutiny
  • Cash flow gaps caused by delayed payments on reworked claims
  • Staff morale and turnover from high administrative workload
  • Credentialing gaps that cause preventable denials to recur

The Denial Reduction Assessment

We analyze your denial data, identify the root cause of each denial category, quantify the financial impact, and build a prioritized action plan — both for recovering existing denials and preventing future ones.

This is not a standard billing audit. It’s a diagnostic process designed to identify system-level failures and fix them.

Reduce My Claim Denials

What's Included

Your overall denial rate benchmarked against industry standards for your specialty

Denial Rate Analysis

Complex Coding and Documentation Requirements

Denials sorted by reason code — what's causing them and how to fix each category

Root Cause Categorization

Which payers are denying most frequently and why

Payer-Level Denial Patterns

Existing denials sorted by recovery probability and dollar value

Recovery Triage

Specific, actionable changes to billing processes, coding, and credentialing that will reduce your denial rate

Prevention Roadmap

Delivered within 5 business days

Written Summary Report

Why Practice With Ease

We don't just rework denials — we identify why they happened and what prevents recurrence. Most billing companies don't have a structured process for this.

We fix the root cause, not just the symptom

Many denials trace back to credentialing gaps. We handle credentialing in-house and can close those gaps as part of the same engagement.

Credentialing as a denial prevention tool

After 19 years working with specialty practices and every major payer, we know which denial reasons are disputable, which require process changes, and which are worth escalating.

We know payer behavior

Our appeal letters are written specifically for each denial reason and each payer — not templated. We win more appeals.

Appeals that actually work

How It Works

Request Your Assessment

Form submitted. Confirmed within one business day.

Share Your Denial Report

We request a denial summary report from your PM system — typically 30 days of denial data. Takes under 15 minutes to pull.

Root Cause Analysis

We categorize every denial by reason, payer, and CPT code. We identify patterns. We quantify the financial impact.

Assessment Delivered

Written report with root cause findings, recovery priorities, and a prevention roadmap. We can begin recovery work on contingency if you choose.

“We were dealing with a 14% denial rate and couldn’t pinpoint the biggest source of the problem. Practice With Ease found that nearly 65% of our denials were tied to recurring coding and documentation issues. After implementing their recommendations, our denial rate dropped to 5% within 90 days.”
Dr. Amanda BrooksPractice Owner, Family Medicine
“Our denial rate had climbed to 11%, creating hours of additional work for our billing team. Practice With Ease analyzed our claims and discovered that two frequently billed procedures were responsible for a large share of our denials. Once the underlying issues were corrected, we reduced our denial rate to 3.8% in just three months.”
Mark DavisPractice Administrator, Orthopedic Group
“We were experiencing an 18% denial rate, with many denials appearing to be unrelated or payer-specific. Practice With Ease identified several recurring claim submission and coding errors that were driving the majority of our denials. After their process improvements were put in place, our denial rate fell to 6% over the following 90 days.”
Dr. Robert MitchellMedical Director, Specialty Practice

Frequently Asked Questions

What is an acceptable denial rate?

Industry benchmarks suggest 5–10% is average, with best-performing practices below 5%. But average isn’t the goal — zero preventable denials is. Our assessment tells you what’s preventable in your specific situation.

It depends on the denial type and payer. Most payers have appeal windows of 60–180 days from the denial date. After that, recovery becomes significantly harder. The sooner you start, the more you can recover.

In our experience: eligibility issues (patient not covered as expected), missing or incorrect prior authorization, coding errors, untimely filing, and payer-specific technical requirements. Most are preventable with the right processes in place.

You receive a written report with specific findings. You can act on it yourself, have your billing company implement the recommendations, or engage Practice With Ease to handle recovery and prevention on your behalf. No obligation.

We flag credentialing gaps that may be causing denials. If credentialing work is needed, we handle it in-house as part of a broader engagement.

Process changes — like coding fixes or authorization workflows — typically show results within 30–60 days. Credentialing corrections take longer depending on payer timelines, typically 60–120 days.

Because someone working denials reactively is different from someone analyzing them systematically. The assessment tells you whether your current denial management is effective or whether the same root causes keep generating new denials every month.

No. The assessment is free. If you’d like us to begin recovery or prevention work after reviewing the findings, we’ll discuss terms at that point.

Stop Reacting to Denials. Start Preventing Them.

Request the assessment and find out exactly what's causing your denials — and what it would take to stop them.

Reduce My Claim Denials

Free. Actionable. Delivered in 5 business days.

Request Your Free Denial Reduction Assessment

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    Reduce My Claim Denials

    If we find nothing fixable, the assessment still tells you where you stand. No downside.

    • Before You Go —

    do you know your practice's denial rate? Find out what's causing yours, free.

    Reduce My Claim Denials