The Challenge
Claim Edits and Denials Are Costing You Time and Money
Denied and rejected claims don’t just hurt cash flow – they drain resources and elevate audit risk. With scrubber tools flagging complex edits and payers increasing scrutiny, many healthcare organizations struggle to keep up with growing backlogs and missed reimbursement.
The biggest challenges include:
- NCCI code pair edits and Medically Unlikely Edits (MUEs)
- Modifier confusion or incorrect usage
- Delayed billing due to unresolved scrubber edits
- Coder turnover causing inconsistencies
- Denials due to incomplete or unclear documentation
- First and Second Level appeals being accepted
OUR SOLUTION
Hybrid Coding + Billing Support That Clears the Path to Payment
HIP’s credentialed experts specialize in both coding and billing – giving you one team that can resolve edits, fix denials, and prevent rejections at the source. We use real-time tools, remote access, and tailored workflows to help teams catch up and stay ahead. Our team brings deep clinical insight and years of hands-on experience to every case. We write strong, evidence-based appeals that speak the language of payers—improving outcomes and protecting revenue.
What we provide:
- Resolution of CCI, MUE, and custom edit types
- Denial management and government appeals
- Strategically written appeals backed by clinical expertise
- Education on denials
- Root cause analysis and reporting
- Modifier and claim edit correction
- Rapid release of held claims and backlogged bills
- Compliance-driven approach with audit protection
Why Choose HIP for Denials & Edit Reconciliation
Credentialed billing and coding experts who get scrubber-stopped claims moving and denied dollars back on track.
100% U.S. Based
No offshoring. All staff reside and work in the U.S.
AHIMA/AAPC
Every coder holds active credentials.
Proven Professionals
10 years of experience on average
Rapid Deployment
Get support mobilized in days, not weeks.
No Contracts
Flexible engagements with no minimum volume.
Monthly QA Reviews
Ongoing audits for accuracy and compliance.
Strict Vetting
Drug tests, credential verification, etc.
Direct Oversight
Projects led by experienced managers, not freelancers.
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