What We Do
Full-cycle denial management & reimbursement recovery.
Core Metric Group takes a full-cycle approach to denial management: from charge capture and medical coding to claims submission, denial analysis, appeals filing, and reporting. We don't just fix denials — we find the patterns and fix the root cause.
Our team works directly with your billing staff and payers to ensure clean claims go out the first time, and that denied claims are appealed quickly and effectively.
What's included:
- ✓Medical billing & coding review
- ✓Claims submission & real-time tracking
- ✓Denial management & appeals filing
- ✓Accounts receivable follow-up & recovery
- ✓Revenue cycle KPI reporting
- ✓Payer contract analysis
- ✓Root cause denial analysis
- ✓Prior authorization support
Phase 1
Prevention First
Eligibility & authorization verified before every visit
Real-time coding review — ICD-10 & CPT scrubbing
Clean claim submission targeting 98%+ first-pass rate
Phase 2
Recovery Fast
48-hour first-touch on all high-dollar denied claims
Root cause analysis by payer, reason code & provider
Full appeals management tracked through resolution
98%
Clean Claim Rate
48hr
Denial Response
Let's recover your revenue.
Schedule a free consultation and we'll identify exactly where you're losing money — and build a plan to get it back.
Get a Free Revenue Review →