A denial is the payer's opening offer. Counter every one worth countering.
Denial volume climbs, underpayments hide in remits, and aged balances slide toward write-off while appeal windows quietly close. We work for denials, appeals, underpayment, and AR recovery leaders as the engine behind recovery: triage by expected value, appeals argued from the record, deadlines that never lapse unnoticed, and honest math on every dollar claimed back.
7 of top 20
U.S. health systems served
32M+
Coding charts processed annually
28M+
A/R claims managed annually
Recovery slows when every account looks urgent and root causes stay upstream.
Denials, Appeals, Underpayment, and A/R Recovery leaders manage growing inventories with limited specialist capacity, payer deadlines, fragmented evidence, and different recovery paths. A denial may begin in eligibility, authorization, documentation, coding, charging, billing, or payer processing. When teams work only the downstream account, recovery becomes repeat work and the same defect keeps replenishing the queue.
Appeals that win because the record argues
No deadline forfeited without a decision
Recovery math you can defend upstairs
Recovery covered end to end, with prevention wired in.
Back-office services address the work you own directly. Front-office and mid-office support close the loop where eligibility, authorization, documentation, coding, and charge defects create denials and aged A/R. Triage rules, write-off thresholds, and escalation posture stay yours, in writing.
Front-office
Upstream defect control - fewer eligibility, authorization, registration, and clearance failures reaching recovery.
- Patient Access Management
- Eligibility and Benefits Verification
- Prior Authorization
- Registration QA and Demographic Accuracy
- Insurance Discovery and Coverage Discovery
- Financial Clearance and Counseling
- Price Transparency and Patient Estimates
Mid-office
Claim-ready integrity - fewer documentation, coding, charge, and compliance defects requiring appeal.
- Medical Coding
- Clinical Documentation Integrity (CDI)
- Charge Capture Optimization
- Revenue Integrity and Leakage Prevention
- Coding Audits and Quality Assurance
- Risk Adjustment and HCC Coding
- Computer-Assisted and AI-Enabled Coding
Back-office
Value-based recovery execution - faster movement across denials, appeals, underpayments, complex A/R, and payer follow-up.
- Claims Editing and Clean-Claim Validation
- Denials Management and Appeals
- Accounts Receivable Follow-Up
- Complex AR Recovery
- Underpayment Recovery and Payer Variance Resolution
- Payment Posting and Reconciliation
- Extended Business Office and Co-Managed Operations
Four outcomes your recovery operating model must move together.
Denial recovery
Denials Management and Appeals · Clinical Documentation Integrity (CDI) - so appeals go out on the record's strength, by the deadline, and wins get logged with their reasons.
Underpayment recovery
Underpayment Recovery and Payer Variance Resolution · Accounts Receivable Follow-Up - so every shortfall gets pursued to resolution and payer behavior gets documented for leverage.
Aged AR liquidation
Complex AR Recovery · Extended Business Office and Co-Managed Operations - so converted and stranded balances get worked to cash or a documented close, and the tail actually ends.
Prevention feedback
Prior Authorization · Eligibility and Benefits Verification - so the eligibility, auth, and registration causes behind denials land with the owners who can end them.
One operating model. Three pillars. Every engagement.
Expertise-led
Recovery specialists work inside the denial, appeal, underpayment, and A/R workflows they support.
- Expertise across denial categories, appeal evidence, payer portals, underpayments, complex A/R, and timely filing
- A named lead connecting recovery to cash, aging, quality, and prevention
- Capacity aligned to inventory, deadlines, payer behavior, complexity, and recovery value
Technology-powered
Technology-enabled services make recovery prioritized, traceable, visible, and auditable.
- Work prioritized by expected recovery, age, payer, cause, timely filing, evidence, and next action
- Automation for validation, routing, status checks, evidence assembly, and follow-up
- Dashboards connecting inventory, aging, appeals, overturns, recovery, and prevention
Operationally-governed
Governance connects recovery performance to ownership, escalation, quality, and prevention.
- Agreed definitions, baselines, targets, recovery thresholds, data sources, and cadence
- Root-cause review by payer, site, service line, denial category, variance, and aging path
- Closed-loop action carrying findings back to access, coding, billing, and payer workflows
Our Vision
Open Accountability: Taking responsibility without taking control.
Recovery vendors earn bad reputations through inflated wins and invisible losses. Here, your triage rules, your data, and your write-off authority govern, scope adjusts as the numbers argue, on your systems or through RevAmp, claimed recoveries carry remit-level proof, and forfeits get explained.
Denial overturn rate
Recovery outcome for appealed denials under the agreed definition.
Appeal turnaround
Time from appeal-ready status to submission and payer outcome.
Underpayment recovery
Valid reimbursement recovered from identified payment variance.
Aged A/R liquidation
Movement of aged receivables through payment or valid disposition.
Cash recovered
Cash recovered across denials, underpayments, and A/R inventory.
Why Us
An appeal is an argument. Most vendors send paperwork.
Half of denial spend goes to fights that were never winnable and denials that never should have existed. Our First-Pass Performance trims both ends: prevent what is preventable, and only fight what pays.
Rework-Powered Cleanup Machine
Our First-Pass Performance
Prioritization
Queues follow age or volume while recoverability and evidence stay unclear.
Inventory is prioritized by value, risk, deadline, evidence, payer, and next action.
Appeals
Appeals are submitted inconsistently and age across teams.
Appeal-ready standards connect evidence, quality, deadline, status, and escalation.
Underpayments
Payment variance is found after balances age.
Expected and actual payment are compared early enough to pursue valid recovery.
Prevention
Recovery findings remain in downstream reports.
Repeat causes feed named upstream corrective actions and monitoring.
Accountability
Teams report touches while resolution ownership stays unclear.
Agreed work has a named owner, shared measures, cadence, and visible action.
Extend performance across connected outcomes.
Revenue cycle thinking for leaders who need fewer surprises.
Explore Vee Healthtek perspectives on the forces reshaping revenue cycle performance, healthcare operations, technology adoption, and financial resilience.
Send us thirty denied claims. We will tell you which were winnable.
Schedule a 30-minute working session with our recovery leadership and bring a recent denial extract. We will sort it into winnable, preventable, and not worth the stamp, show the deadlines already burning, and price what disciplined recovery would return.
Frequently Asked Questions
How can recovery support fit into your operation?
Which recovery functions can you support?
How do you prioritize denials and aged A/R?
How do you improve appeal quality and turnaround?
How do you recover underpayments and payer variance?
How do you use automation and analytics?
Which recovery KPIs can we govern together?
What should you bring to an initial working session?