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Everest AR
Services / Denial Management

Denial Management

We investigate every denial and appeal when viable. Fight for the revenue that's rightfully yours with a team that knows how to push back.

Every

Denial investigated

Appeal

When viable

Specialty

Trained team

25+

Years experience

The Problem We Solve

~60%

Of denials never appealed

Most practices don't have the resources to fight every denial.

Significant

Revenue written off

Denied claims that are never appealed simply disappear from the books.

Rising

Payer denial rates

Year over year, payers are getting more aggressive — not less.

What’s Included

Root Cause Analysis

Every denial is investigated to find the source — not just the symptom. We help fix the process, not just the claim.

Appeal Letter Drafting

Our team drafts clear, evidence-backed appeal letters tailored to each denial type and payer.

Underpayment Detection

Every payment compared against contracted rates. We catch what payers underpay and work to recover the difference.

Denial Trending

Pattern analysis across all your denials. Identify systemic issues by payer, code, and provider.

Payer Escalation

When first-level appeals aren't enough, we escalate through payer channels and external review.

Prevention Feedback

Feedback loops to coding and front-desk workflows help reduce denials at the source.

How It Works

1

Step 1

Free Denial Analysis

We review your denial patterns, identify the biggest revenue leaks, and show you what's recoverable.

2

Step 2

Prevention + Recovery

We work through your denial backlog while simultaneously implementing prevention for new claims.

3

Step 3

Results Compound

Denials become more manageable as prevention kicks in. Revenue improves as appeals recover what was written off.

What Our Clients Say

I highly recommend Everest A/R Management to anyone looking for a Revenue Cycle Management solution. Their team was able to dive into the mess that a previous billing company had left us in and they methodically worked through the problems and even captured what we had considered to be lost revenue. They work tirelessly through denials and appeals to make sure that we get paid for the work we’ve done. Our A/R is now accurate, and our cash flow has improved significantly. We no longer stress about our billing, and we can trust them to the point where we can focus on improving other areas of the business. Their communication is excellent, and they’ve integrated so well with our team that it feels like they are a department within our organization. We couldn’t have done it without them. Thank you to everyone on the Everest team!

Chris Applewhite

Everest A/R Management group has been a reliable and knowledgeable partner for our practice. They are consistently responsive and demonstrate a strong understanding of the complexities of medical billing. Their attention to detail and professionalism have made a noticeable difference in the efficiency of our billing operations. I appreciate their support and would recommend them to other practices seeking dependable billing services.

Elizabeth LeFave

Everest has been an outstanding RCM partner with our organization for over 15 years. As a nationwide medical group of multi-specialty practitioners, Everest has provided support across several RCM functions ranging from non-contracted health plan appeals, NSA open negotiations, general as well as complex AR insurance collection follow up, and other internal workflows. The Everest team is flexible, accommodating, and ensures compliance with Company policies and procedures. The Everest professionals are a value add to any organization's RCM needs.

Janice Smith

Frequently Asked Questions

What types of denials do you handle?
All of them — eligibility, authorization, coding, bundling, timely filing, medical necessity, duplicate claims, and coordination of benefits. Every denial type has a specific workflow.
Can you work on our existing denial backlog?
Yes. We work through your existing denials while simultaneously implementing prevention for new claims. Most practices have recoverable revenue sitting in old denials.
Do you handle underpayment recovery?
Yes. Every payment is compared against your contracted rates. When a payer underpays, we catch it and work to recover the difference.
What if the appeal is denied too?
We escalate through multiple levels — first appeal, second appeal, external review, and payer escalation.
Is a contract required?
Yes, we work with clients under a service agreement that outlines scope, pricing, and responsibilities.

Find out how much revenue your practice is missing.

Free analysis from a billing expert who knows your specialty. No obligation. No contracts. Just numbers.