What to do now
How to prevent it
Revenue cycle intelligence for independent practices
Decode the denial. Fix the workflow that caused it.
Every denial, explained in plain language with action plans, appeal guidance, and prevention strategies. A 100-checkpoint Revenue Integrity Audit that shows your strengths and weaknesses, so you know where to focus. A 90-day plan with real changes you can start making today.
No credit card. No PHI. 2 min.
41%
Of medical practices now operate above a 10% denial rate. Up from 30% in 2022.
Source. Experian Health, State of Claims 2025.65%
Of denied claims, as many as two in three, are never resubmitted. The revenue is already earned. Most practices never recover it.
Source. HFMA.◆ The cost of a denial
The average cost for a medical practice to rework a single denied claim is $25.20. In a March 2021 poll of 576 healthcare leaders, 69% reported that denials had increased that year, by an average of 17%.
Source: MGMA Stat, March 16, 2021. Figure is self-reported by medical group practices and is not inflation-adjusted.
Mindy Corbett, CSPO, CPC, CPB, CPPM, founder of ROI That Works: “Rework cost is the part practices never put on a report. Every denial you work twice is margin you already earned and paid for again.”
Try it now · EDI Code Intelligence Lab
Search a denial code. Get the resolution path.
Search every CARC and RARC in the lab, right here. These are not just your standard definitions. This is a playbook that gives you real explanations and tools so you can be proactive instead of reactive.
Start with the codes you see most
Browse all 298 CARCs and 1,138 RARCs →- CARC 16 Claim or service lacks information, or has a submission or billing error.
- CARC 22 This care may be covered by another payer per coordination of benefits.
- CARC 29 The time limit for filing has expired.
- CARC 45 Charge exceeds the fee schedule, maximum allowable, or contracted fee arrangement.
- CARC 96 Non-covered charges. At least one remark code must be provided.
- CARC vs RARC How to read a CARC, a RARC and a group code together.
The platform
Three steps to revenue integrity.
Revenue Integrity requires consistency. This is your toolset.
Field reports
What missed revenue actually looks like.
For billing companies and small practices
Stop guessing which denials to work first.
We sign a Business Associate Agreement, then you send one denial export with 12 months of history. You get back every denial categorized by recoverability, at-risk dollars, and denial reason, the right action for each (appeal, correct, rebill, or write off) with payer policy information where applicable, and a prevention strategy. Two calls included: an intake call to scope the data, and a findings review when the report is delivered. $250, paid up front.
Book the diagnostic →
Signed BAA before any data moves
Step i. Denial Cost Calculator
800
12%
Annual exposure
$112k+
Potential 90-day recovery
$56k-$76k
At a $150 average claim, with up to 65% of denials never resubmitted (HFMA).
Open the full denial cost calculator →
Step ii. Take the revenue health assessment
The intelligence to find the gaps. The fix to close them
Denials start upstream. The Revenue Health Assessment tells you WHY your denials are costing you as much as they are, whether it's eligibility issues, provider enrollment, or something else. Answer 7 questions and get a score and plan to fix the gaps causing those issues in 90 days.
Take the Revenue Health Assessment →No credit card. No PHI. 2 min.
Questions