The Hidden Cost of Missed Claims
According to CMS, about 20% of claims are denied on first submission, often due to simple eligibility mismatches or minor documentation gaps. But the real impact runs deeper:
- Days in Accounts Receivable skyrocket, straining your cash flow.
- Staff spend hours chasing down rejections instead of caring for patients.
- Failure to meet HIPAA documentation and privacy requirements can put you at compliance risk.
The Medical Group Management Association (MGMA) also reports that high-performing practices keep AR days under 30, yet many clinics without strong denial controls drift far beyond that impacting everything from payroll to patient service investments.
SPS Health: Your Partner in Prevention
We tackle these problems at the root by:
- Deploying certified coders and AI-driven checks to clean up claims before submission.
- Proactively monitoring payer trends, so we catch emerging denial patterns early.
- Rapidly appealing questionable rejections and auditing postings to secure every last dollar.
This isn’t just “denial cleanup” it’s a full denial defense strategy that protects your revenue from slipping away.
SPS Health Strengthens Your US Revenue Cycle Defense
With SPS Health, denial rates drop and cash flow stabilizes.
You see:
- Faster payments, meaning fewer stressful weeks waiting for funds to clear.
- Stronger HIPAA compliance, keeping your practice protected during audits.
- More predictable income, so you can confidently plan expansions or new service lines.
And best of all, your physicians and front-office staff spend less time arguing with payers and more time delivering excellent patient care.
Conclusion
Stop letting denials undercut your margins. SPS Health equips US practices with the tools, expertise and vigilance needed to secure cash flow, meet regulatory demands and focus on what truly matters: patient health.
If you have any questions regarding “denial management”, feel free to contact us. For inquiries, Email us at: info@spshealth.net.
Disclaimer: The above information is subject to change and represents the views of the author. It is shared for educational purposes only. Readers are advised to use their own judgment and seek specific professional advice before making any decisions. SPS Health is not liable for any actions taken by readers based on the information shared in this article. You may consult with us before using this information for any purpose. For further assistance, please contact us.
