Payment monitoring

Denial Management in Therapy Billing

Discover essential strategies for effective denial management in healthcare revenue cycle management (RCM) to prevent claim denials and improve cash flow. Explore insights and solutions at Pace Mave.

Regular audits

Pace Mave offers comprehensive solutions for denial management in therapy practices. Our dedicated team provides the following services:

Identify the cause of each denied claim: We thoroughly analyze every denied claim to pinpoint the specific reasons for the denial.
Resolve the issue: Our experts address and correct the errors or problems causing the denials.
Resubmit corrected claims: Once resolved, we promptly resubmit the denied claims to the payer or insurance company.
File appeals when necessary: For claims requiring further action, we file appeals to ensure proper reimbursement.

99.9% Claim Success

Pace Mave ensures near-perfect claim accuracy. With 99.9% success, you get faster reimbursements and fewer rejections.

Weekly Payment Cycles

Payments are processed on a weekly basis, keeping your cash flow steady. You can count on timely deposits to sustain your operations.

Clear Process Dashboard

A user-friendly dashboard provides real-time insights into your billing.Easily track claims, payments, and denials for full transparency.

48-Hour Denial Fix

Denials are addressed within 48 hours, minimizing delays. Your claims are quickly corrected to avoid revenue loss.

Let Pace Mave Do The Work

At Pace Mave, we specialize in providing ABA therapy billing and ABA therapy credentialing services that enhance your practice's financial health. Our proven strategies ensure you get the most from your reimbursements, minimize claim denials, and accelerate your cash flow.

Faster Payments with 98.9% Claim Accuracy

Get Paid Quicker with Just 18 AR Days

Resolve Denials in 48 Hours

Pace Mave can integrate with any existing billing software

Highly experienced ABA billers

Pace Mave provides expert ABA billing across multiple platforms

As your trusted ABA therapy billing partner, Pace Mave offers extensive expertise in managing ABA billing across a variety of practice management platforms, including CentralReach, Artemis ABA, Total ABA, NPAWorks, Acupoint, PracticeSuite, MeasurePM, and Rethink*. (*All product names and trademarks belong to their respective owners.)

Prevent Medical Billing denials

Verify Patient Eligibility

Incomplete insurance information is a common cause of claim denials. Ensuring patients' coverage and benefits are verified before treatment helps avoid issues related to ineligibility. Pace Mave provides comprehensive eligibility verification to significantly reduce this risk.

Secure Pre-authorization

Certain treatments require pre-authorization, and failing to obtain it can lead to automatic claim denials. Pace Mave supports therapy providers by tracking and securing the necessary pre-approvals, helping to prevent denials caused by missing authorizations.

Ensure Complete Documentation

Missing or incomplete medical documentation can trigger claim denials. Pace Mave ensures that all necessary records are complete, accurate, and aligned with payer requirements, minimizing the likelihood of denials due to documentation issues.

Conduct Regular Audits

Regular audits help uncover recurring errors in billing processes that contribute to denials. Pace Mave provides audit services to identify and address weak spots, preventing future denials and improving overall efficiency.

Maintain Clear Payer Communication

Effective and documented communication with insurance companies is critical in resolving claim issues. Pace Mave manages payer communications, ensuring all interactions are recorded and helping streamline the appeals process if necessary.

How Pace Mave Resolves and Prevents Claim Denials

Pace Mave’s approach to denial management is built on a comprehensive, proactive, and efficient system designed to ensure swift resolution and minimize the impact of denials on your practice’s cash flow. Denials are one of the biggest hurdles in medical billing, often leading to delays in payment, revenue losses, and administrative strain. To address these challenges, Pace Mave follows a structured process that not only resolves existing denials but also implements strategies to prevent them from recurring in the future.

48-Hour Resolution

Denials are addressed and resolved within 48 hours to prevent any long-term revenue delays. This quick turnaround reduces your accounts receivable and keeps cash flow steady.

Proactive Follow-up

After resolution, Pace Mave consistently follows up with payers to ensure the corrected claims are processed and paid promptly.

Denial Prevention Strategies

Beyond resolving current issues, Pace Mave implements denial prevention tactics. By refining coding practices, verifying documentation, and training staff, future denials are minimized, keeping your billing process efficient.