Denial Management

Our denial management services identify root causes, ensure proper claim corrections, and streamline appeals to help reduce rejections and maximize reimbursement for your practice.

Resolving Denials with Speed and Precision

Buraq Medical Billing’s experienced team of billing professionals are skilled, analytical problem-solvers when it comes to handling rejected or denied claims. We thoroughly investigate the root cause of each denial, make the necessary corrections, and resubmit or appeal the claim in accordance with the payer’s specific requirements. If additional information is needed, we coordinate directly with the practice or patient to ensure timely resolution.

Medical Audit

Common Mistakes That Lead to Claim Denials

Buraq Medical Billing follows a well-defined medical Denial Management process that ensures providers receive accurate and maximum reimbursements. Our expert coding services help clients increase their revenue while minimizing claim denials by strictly adhering to ICD-10-CM Official Coding Guidelines, AMA CPT-4 Manual standards, and CMS regulations, including Correct Coding Initiatives (CCI) and Local Medical Review Policies (LMRP).

  • Incomplete or inaccurate patient demographic information
  • – Expired insurance coverage or unreported changes in insurance details
  • – Coordination of Benefits (COB) discrepancies between primary and secondary insurers
  • – Missing or invalid authorization for the treatment or serviceprovided