Complex Denials

Kemberton's experienced team of attorneys, paralegals, and denial analysts specialize in complex denials management, turning our clients' non-collectable dollars into revenue. Once all provider efforts are exhausted, we are a revenue cycle outsourcing resource and a partner on overturning insurance denials, lowering A/R days and maximizing reimbursement. As an advocate for both patients and providers, our years of experience and network of payer contacts bring hospitals across the country significant cash increases on a regular basis.

Our Complex Denials Management Process

  • Appeal through both traditional channels and our network of payer contacts
  • Follow-up with the payer on a regular basis to expedite payment
  • Recover lost revenue by overturning denials and pended/unresolved insurance claims
  • Identify and report on trends, systemic issues, and erroneous denials on an ongoing basis

Our Results

30%+

of written off denied claims received payments

35%+

average collections of gross charges

30%

of payment success includes overturning previously unsurmountable timely filing and prior authorization denials