Denied claims require timely, knowledgeable follow-up—but internal teams do not always have the capacity to keep up.

HIA provides PRN denial management support for hospitals, health systems, physician groups and other healthcare organizations. Our experienced professionals work assigned denials directly within your organization’s system and established workflows, functioning as an extension of your team.

Whether you need help managing an ongoing volume of denials, covering a staffing gap or addressing a temporary backlog, HIA can provide flexible support based on your organization’s needs.

HIA’s denial management service can supplement your internal team without requiring a broader coding review or audit. Support can be tailored to your denial volume, workflow and staffing needs.

HIA can assist with:

Reviewing denied or rejected claims
Determining whether an appeal is supported
Preparing case-specific appeal letters
Tracking appeals, deadlines and adjudication
Documenting activity within your system
Identifying recurring denial trends
Recommending corrective action or education

Is HIA’s denial management service available on a PRN basis?

Yes. HIA can provide stand-alone PRN support to supplement your team, provide temporary coverage or address a denial backlog. A coding review or audit is not required.

Will HIA work denials directly in our system?

Yes. With the appropriate access, HIA professionals can work assigned denials within your system and follow your established work queues, procedures and documentation requirements.

Can HIA prepare appeal letters?

Yes. When the documentation and applicable guidance support an appeal, HIA can prepare a case-specific appeal letter and facilitate the appeal process according to your workflow.

Denial Management

Medical Coding Denial Management Services