Turn Denials Into Recovered Revenue.
RuneRCM takes a systematic approach to denial management — identifying root causes, resolving current denials, and implementing process improvements to reduce future ones.
Denials Are Costly — and Often Preventable
Claim denials are one of the most significant sources of revenue leakage in healthcare practices. Many denials are preventable with the right front-end processes, and most denied claims can be recovered with timely, accurate appeals. The key is having a structured workflow that addresses both.
What We Handle
Denial Identification & Categorization
Every denial is logged, categorized by reason code, and assigned for resolution — ensuring nothing falls through the cracks.
Root Cause Analysis
We analyze denial patterns to identify systemic issues — whether in coding, eligibility, documentation, or submission — and address them at the source.
Appeals Preparation
Clinical and administrative appeals are prepared with supporting documentation to maximize the likelihood of reversal.
Timely Resubmission
Corrected claims and appeals are submitted within payer deadlines to preserve your right to payment.
Payer-Specific Strategies
Different payers have different denial patterns and appeal requirements. We tailor our approach to each payer's processes.
Denial Trend Reporting
Regular reporting on denial rates, reasons, and recovery outcomes gives your practice leadership visibility into performance.
The Cost of Unmanaged Denials
Industry estimates suggest 5–10% of claims are initially denied, representing significant revenue at risk.
Many practices write off denied claims rather than investing in appeals — leaving recoverable revenue on the table.
Unaddressed denial patterns repeat, compounding revenue loss over time.
Timely appeals have significantly higher success rates than delayed ones.
Related Services
Let's Recover Your Denied Revenue
Start with a free assessment to understand your current denial rate and where recovery opportunities exist.