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Medical Billing Services

Denial Appeals

Our experienced team will file appeals for you. Appealing insurance company denials involves the following medical billing services:

  • Insurance provider follow-up
  • Daily claims audits
  • Denial monitoring
  • Claim resubmission
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    Our Denials Appeals Services

    Even if we eliminate the most common causes of claim denials, such as late filing or incorrect coding, insurance companies may still find reasons to deny claims. When this occurs, we appeal the denial. In some cases, we may need to make changes to the claim and then refile.

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    Claim Denial Management Services

    Part of our coding and claims management services involves managing claim denials. It’s inevitable that some claims will still be denied, no matter how good your billing is. Payers may want to look for ways to avoid having to honor a claim. We manage the process for you and either appeal a denial or refile as needed.

    Daily Claims Audit

    We perform a daily audit of all active claims. In this way, we can stay on top of outstanding claims that require a follow-up with the insurance provider. It’s also how we know right away if a claim has been denied.

    Claim Resubmission

    Many medical professionals miss out on collections because they fail to either appeal or resubmit claims that have been denied. We handle this for you so you don’t have to spend your time dealing with the insurance companies. Whether a claim can be appealed or must be resubmitted, our denial appeals services will help to maximize your collections.

    Follow-up with Insurance Payers

    Following up with insurance companies is an important part of the claims management process. We track every claim that we’ve filed on your behalf and make sure to contact the payer about the claim when necessary.

    Get a more profitable practice

    Increase collections by 15%

    Inhouse Medical Billing

    $1,200,000 revenue

    – $45,000 biller salary

    – $40,000 secondary biller salary

    – $23,750 Benefits and Overhead @ 25% of salary

    – $3,000 Cost of software and hardware for billers

    – $1,200 Cost of Postage


    $1,087,000 in net collections

    Average billing expense of 10.25% of collected revenue

    Outsourced Medical Billing

    $1,400,000 17% increase in top line collected revenue

    – $77,000 5.5% of collected revenue


    $1,323,000 in net collections

    Average billing expense of 5.5% of collected revenue plus the added collective revenue from outsourcing

    Benefits of Denial Appeals

    Appealing whenever an insurance company has denied a claim is an excellent way to maximize your collections. You could be losing money without a denial appeals process. We include that in our services so that you’ll get all of the collections you are owed.

    Maximize Your Collections

    Appealing claim denials is a part of maximizing your collections. Many doctors and medical professionals end up missing out on profits because they don’t take the time to resubmit a claim or appeal a denial. We manage that for you so you can dedicate more of your time to patients.

    Receive Collections Faster

    Another advantage of outsourcing your denial appeals to a professional billing company is that we can reduce the amount of time your claims spend in an insurance company’s A/R. You’ll receive your collections up to 19 days faster.

    Reduce the Risk of Denials

    While it’s not always possible to eliminate the risk of an insurance company denying a claim, we work to reduce that risk as much as possible. We do this by filing claims per each payer’s requirements, using our detailed knowledge of CPT codes, and ensuring that claims are filed on time.

    Testimonials

    What our clients are saying

    "I would recommend Quest without reservation."

    "We were a busy Urological group with four clinicians and had just been informed by our Medical Billing Service that they were closing their operation. We needed to associate with a new service quickly. We heard about Quest through our IPA, an organization where I am on the board. Quest was interested in working with more practices in our area and had a very good local and national reputation.
    Adam and his team promptly visited with us. We had also met with other services but it became clear that Quest would be our choice. Quest was knowledgeable, hands-on, transparent, flexible, and ready to move ahead quickly. As promised, things did move ahead quickly and seamlessly.
    Things have continued to work out well. In retrospect, Quest has been far superior to our previous billing service. It has been a pleasure to work with Adam and his team. I would recommend Quest without reservation."

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    Roderick Crocker, MD

    Urologist, Cambridge Urological Associates

    "They did a great job with our billing."

    Dr. Duncan Gill

    "…saving our practice tens of thousands of dollars."

    "Quest National Services and Adam have been vital to the success of the Highland OBGYN practice. Quest National was able to take on our account in a very quick manner and has transitioned our practice from one software to another with little down time ultimately saving our practice tens of thousands of dollars. The team at Quest National have been the partners my growing OBGYN practice has needed. Most important for me is their ability to provide us redundancy when we otherwise wouldn’t have it. I couldn’t be more thankful for their dedication to our practice."

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    Mark Lowney

    OB/GYN, Southcoast Health

    "Worked with our existing software so that we didn’t have to make expensive changes"

    "My husband and I have a small practice but we were looking for a medical billing company to consult us. We originally started with a local company with some satisfaction. However, our biggest problem was that they wanted us to change our existing EMR to software that they worked with. Quest National Services worked with our existing software so that we didn’t have to make expensive changes to our infrastructure. That saved us a lot of time and headache. I would definitely say that was one of the main reasons for why we switched and why we continue to work with Quest. As a small practice, they helped us without draining our resources."

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    Adriana C.

    "I was impressed almost immediately by their transparency and consistent communication"

    "As an administrator of a multi specialty clinic, I was looking for a service that provided timely and consistent communication. I found in prior engagements with our prior 2 billing companies neither provided the level of communication or transparency our principals expected. When I was introduced to Quest I was impressed almost immediately by their transparency and consistent communication. We've been with them now 5 months and are so happy we made the move."

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    Roger P.

    "Quest has made the process so transparent and allowed us to increase our profits"

    "Our company made the decision to outsource our medical billing to Quest and we have been incredibly pleased with the results. The knowledge, dedication, and customer service provided by their team is truly first class!
    When we came to Quest, we had a hard time recovering our A/R and ensuring the accuracy of our billing. Quest has made the process so transparent and allowed us to increase our profits, while also pointing out and assisting in areas of improvement.
    I really appreciate the work of Nancy and her team, and the responsiveness of the CEO, Adam. They both always find the time to address any questions or problems we are having!"

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    Joseph D.

    "Quest lowered our time in accounts receivable by close to two weeks"

    "Quest has made a huge difference in our business, even within the limited amount of time that we’ve been using their services. We kept our current EMR and, in less than six months, Quest lowered our time in accounts receivable by close to two weeks! I couldn’t believe it. We’ve been very pleased with the services and responsiveness of their staff so far. We were able to get reimbursed faster which was so important. Moreover, Quest took over the burden of dealing with aging receivables so we could focus more on business. They offered so many options and services and we were able to find the perfect solution for us. Thanks to Adam and everyone at Quest!"

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    Peter H.