Solutions · By Challenge
High Claim Denial RatesStop writing off denials. Start working them.
When denial rates climb above 8–10%, the problem is rarely one payer — it is a process problem upstream. We rebuild the front end so denials stop happening, then we work the backlog you already have.
What we do
Denial root-cause analysis
Top 20 denial reasons mapped to source: registration, eligibility, coding or payer rules.
Pre-submission scrubbing
Custom edits added to your clearinghouse for the patterns specific to your payers.
Appeals on aged denials
Work queue on denials 60–180 days old that most teams have given up on.
Front-desk training
Intake scripts and ID/insurance capture checklists that prevent repeat denials.
Outcomes you can expect
- Denial rate typically cut by half within 120 days
- Recovered revenue from previously written-off claims
- Permanent edits in the system so the same denial does not return
Get a denial root-cause audit
Talk to a WCH specialist. No obligation, no sales script.
Related solutions
The Silent $300K Leak
Hard remittance reconciliation: we check every dollar from the payer's ERA down to your bank account.
Read more
Medicaid Revalidation Crisis
Emergency support for practices caught in the New York Medicaid revalidation wave. Deadline-driven, no missed dates.
Read more
Under-Coding & Lost Revenue
We find the hidden procedures — especially in vascular radiology — that generalist billers forget to code.
Read more