Select your practice specialty below to see how we overturn your most complex clinical denials and aged revenue.
We recover aged orthopedic claims stalled on Modifier 59 edits and complex spine instrumentation denials.
Overcoming routine automated denials on distinct procedural services, extensive debridements, and multi-compartment procedures.
Translating operative notes to legally prove return to the OR (Mod 78) and unrelated procedures within the 90-day global window (Mod 79).
Protecting your revenue from complex lesion measurement disputes and same-day E/M bundling.
Appealing incorrect bundling of Mohs micrographic stages with adjacent tissue transfers and complex wound closures.
Defending significant, separately identifiable evaluation and management services performed on the same day as minor skin procedures.
Securing payment for high-dollar reconstructive procedures frequently misclassified as cosmetic.
Leveraging MSc-level clinical literacy to prove medical necessity for breast reconstructions (DIEP flaps), panniculectomies, and scar revisions.
Contesting payer reductions or denials for co-surgeons (Mod 62) and assistant surgeons (Mod 80) on highly complex, prolonged cases.
Overturning diagnostic unbundling and peripheral vascular intervention medical necessity rejections.
Fighting hierarchical CPT exclusions when diagnostic catheterizations are improperly bundled into therapeutic interventions.
Crafting peer-to-peer appeal packets grounded in NCD/LCD coverage policies for pacemakers, ICDs, and structural heart devices.
Recovering lost revenue from functional endoscopic sinus surgeries and complex scope bundling.
Contesting multiple-procedure payment reductions and incorrect bundling of distinct sinus cavity procedures.
Appealing denials where payers erroneously merge diagnostic laryngoscopies with subsequent surgical interventions.