Core RCM: Claims Denial & Appeal Mgmt

We understand that denied claims directly affect revenue and profitability, which is why we develop solutions to reduce the probability of recurring denials.  

why we are loved

We Drive your Revenues Higher and your Business Profitable.



Verified Accountants


Returned in Cashflow



Gorwth Rate Yearly

Proactive denial and appeal management that ensures a shorter reimbursement cycle.

With extensive expertise with claim analysis, accurate billing, and claim reviews, we can help you minimize denials and shorten the reimbursement process.   

  • Priority of Appeal Claims

  • Timely Processing

  • Common Denial Analysis

up to
Or Less Denial Management

Challenges & Benefits

Claim denials can be a time-consuming pain point for many practices, but PRM has the experience to help every practice shorten their accounts receivables cycle.

Claim Priority

If you do not prioritize your appeal claims,  you will likely lose revenue. Most states require healthcare providers to file their appeals within one year from the date of injury, but even if an appeal is filed within this time frame, the healthcare provider could be liable for up to five years of interest on the outstanding debt, should there not be a timely response from the insurance company.

Reduce Rejection Probability

At PRM, we analyze all prior denied claims so we can establish a trend. Once we figure out the gap between submitting and full reimbursement, we develop solutions to reduce the probability of rejections reoccurring. One of the primary causes of denials is errors in coding and billing. Our team is well trained in accurate billing, and all claims are thoroughly reviewed before they are submitted, so the reimbursement cycle is as short as possible.

Timely filing

The urgency and uncertainty associated with these claims can make them difficult to file in a timely manner. If there is no process in place within your practice, late filings will likely occur, resulting in lost revenue.

Proactive filing  

Many circumstances can lead to late filing and result in loss of revenue or slower return of revenue. Using PRM's proactive approach, we will help you prevent late filing, providing you with quicker and higher returns.

Claim Analyzation process

A practice that does not have a set process to analyze claim denials can create issues that may go unnoticed for weeks, months, or even longer.

Claim Tracking & Analyzation

The experts at PRM will track and analyze all your claims in order to identify specific issues/ denials.  Analyzing common denials gives a better scope and insight on what is going on within the practice and also identifies trends that can be spotted that are leading to these denials.

Still not sure if this is what you need? Drop us an

Request your FREE Consultation Call Right Now

real people, real stories

Your Role - Focused on your specific needs

Whether you’re a solo practitioner, a large facility-based group of physicians, or somewhere in between, we understand the specific nuances of your business.

Providing Physicians the Benefits of Autonomy and Time 
Learn More
Office Manager
Reducing office manager stress and workload
Learn More
Physician Manager
Helping you position your group as a leader
Learn More
Trusted Advisor
Assisting in your value creation for practices
Learn More

Practice Size - From Solo to Large Facility-Based Groups

No matter if you’re a Solo provider, from a Mid-Sized Practice, or a part of a Large Facility-Based Group, we understand your needs and can provide the specific services and solutions to fulfill them

Giving you back autonomy over your time, business, and patient care
Learn More
Mid- Sized
Enhancing efficiencies and minimizing business stress
Learn More
Large Facility
Developing processes that achieve business goals  
Learn More
Our Content

Latest Industry Insights

Research identifies three types of Pre-Diabetes

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Rhoncus pharetra varius morbi diam.
COVID-19 vaccine trials: Live Updates
What could an analysis of your practice reveal?
More Articles

Is your practice leaving money on the table by inefficiently handling your billing management?

If you have any doubts, we put together this simple scored quiz for you to find out… here’s the first question