Claim denials are one of the biggest threats to a provider's bottom line—and yet, many practices still treat them as afterthoughts. In 2025, proactive denial management is one of the most critical tools for maintaining healthy revenue cycles.
The Real Cost of Denials
Industry data shows that up to 15–20% of claims are denied on the first submission, and 65% of denied claims are never resubmitted. That’s a major loss of revenue that can be prevented.
Top Causes of Denials
- Incorrect or missing patient information
- Inaccurate coding
- Lack of prior authorization
- Non-covered services
- Timely filing issues
What Effective Denial Management Looks Like
- Automated alerts to flag denial risks in real time
- A system for tracking, categorizing, and prioritizing denials
- Clear workflows for resubmissions and appeals
- Root cause analysis to prevent repeat errors
What CodeMD Billing Offers
At CodeMD Billing, we don’t just process claims—we actively protect your revenue with:
- A denial management dashboard to identify patterns
- Dedicated staff to follow up and appeal denials
- Monthly denial analysis reports
- Custom training to prevent avoidable errors
Final Word
If you’re not managing your denials proactively, you’re leaving money on the table. Let CodeMD Billing help you recover lost revenue and build a more reliable billing operation.
