Denial Management

Never Give Up!

Denial Management is a crucial process for every healthcare provider.  Insurance companies deny claims for several reasons.  Denials are becoming so common that every underpaid claim must be investigated and appealed.  Providers should never give up on collecting dollars due from third party payers for medically necessary services provided.  

ANI’s dream team of seasoned professionals will advocate on your behalf.  Our strategy is to step outside standard appeal forms to reference contract language and justify clinical arguments to support services rendered. ANI provides our partners with weekly reports showing payer performance and root cause analysis of all underpayments.

Managed Care



Veterans Administration

Workers’ Compensation

Champus Tricare

Hospital Billing

Motor Vehicle

Fee Schedules

Our Strategy

  • Analyze EOB. Correct claim or send appeal.

  • Appeal until efforts exhausted.  

  • Follow-up until payment is received.

  • Report denial trends and root causes weekly, monthly, and quarterly.

Denial Management
Underpayment Trends

Denial Management
  • No Authorization

  • Billing Error

  • Additional Information Requested

  • Timely Filing

  • APC/CPT Rate

  • Other

  • Medical Necessity

  • Coding Error

  • Non-Covered Charges

  • Correct Fee Schedule

  • New Contract Rate

  • 30+ years of experience with Commercial and Government Payers

    30+ years of experience with Commercial and Government Payers.

  • 150+ Successful projects executed nationwide

    150+ Successful projects executed nationwide.

  • 1 million + appeals completed

    1 million + appeals completed.

  • 98% first-pass clean-claims rate

    98% first-pass clean-claims rate.