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Role · 06

Denials, appealed and won.

Typical clients save up to 65% vs. an equivalent U.S. denials specialist.

01 · The recovery engine

Every denial. Worked into recovery.

Denied claims that get written off are pure revenue loss. Our denials specialists work every payable denial to its conclusion — researching the cause, drafting the appeal, escalating when necessary, and recovering what's yours.

  1. 01

    Denial triage

    Daily denial worklist sorted by recoverable value, payer, and CARC/RARC code.

  2. 02

    Root-cause analysis

    Coding, registration, eligibility, medical-necessity — identified at the source so the same denial doesn't repeat.

  3. 03

    Appeal letter drafting

    First-level and second-level appeals with clinical documentation, payer-policy citations, and clear remedy asks.

  4. 04

    Peer-to-peer coordination

    Scheduling and supporting P2P calls when clinical justification is the path forward.

  5. 05

    External review escalation

    Independent Review Organization (IRO) submissions when internal appeals exhaust.

  6. 06

    Trend reporting

    Monthly denial-trend dashboard so you fix root causes upstream — not just chase recoveries downstream.

02.

What's included by default.

Every Salutem Denials & Appeals comes pre-trained on the fundamentals. No ramp tax, no surprise charges.

i.

HIPAA-trained

HIPAA Privacy & Security Rule training mandatory at hire, refreshed annually. BAA signed day one.

ii.

EHR & payer fluency

Athena, eClinicalWorks, NextGen, Epic, Kareo, AdvancedMD. Medicare, Medicaid, BCBS, UHC, Aetna, Cigna.

iii.

Bilingual fluency

English and Spanish, written and spoken. Tone-shifts cleanly across providers, patients, and payers.

iv.

U.S. business hours

Default Central Time. Eastern, Mountain, Pacific available based on your needs.

v.

Daily team sync

Live morning huddle with your team. Priorities, blockers, KPI review — set the tone in 15 minutes.

vi.

Replace-on-request

If a placement isn't working, we replace fast — at no extra cost. The safety net is real.

03.

Outcomes — real practices.

Aggregate metrics across active engagements over the trailing twelve months.

0%
Avg. denial-rate reduction
0%
Avg. appeal win-rate
0%
Avg. recovered revenue uplift
0%
Cost savings vs. U.S. hire
Quote · Active client

"They recovered $340K in the first six months of working with our team — money we had already written off."

— Billing Director, Multi-specialty Group · Texas
Hire a denials specialist

Stop writing off recoverable denials.

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