Florence MBS

Service

Denial management

Every denial is a root-cause problem, not a resubmit button. We work the claim and the pattern that produced it.

Review your denial inventory

Denial control center

Root-cause active
Denial record Reason, owner, action and deadline
CARC RARC Owner
  1. I Identify Find the actual cause
  2. M Manage Correct, resubmit or appeal
  3. M Monitor Track rate, aging and outcome
  4. P Prevent Feed causes back upstream
Claim resolution → process correction

Fix the claim and the pattern

The problem

Soft denials for missing data are cheap to fix and expensive to ignore. Hard denials for non-covered or no-auth services do not get better with another appeal template. Most shops only work the first kind — and only when someone has time.

The IMMP cycle

How we work it

Resolution with prevention

  1. 01

    Identify

    Identify: categorize every denial by CARC/RARC and owner (front desk, coding, credentialing, payer).

  2. 02

    Manage

    Manage: correct and resubmit, or appeal with records, within contracted timeframes.

  3. 03

    Monitor

    Monitor: weekly denial rate by reason, payer, and provider.

  4. 04

    Prevent

    Prevent: feed the top reasons back into eligibility, auth, and coding so the same edit does not recur.

Common questions

Questions

How older inventory is evaluated and how the IMMP method prevents repeat denials.

Yes, when the claims remain actionable. We first review age, payer rules, filing and appeal limits, documentation, value, and prior work so recoverable denials are prioritized and non-viable inventory is identified clearly.

IMMP stands for Identify, Manage, Monitor, and Prevent. It is a structured denial-management cycle: find the true cause, correct or appeal the claim, monitor outcomes and patterns, then feed what was learned upstream so the same denial is less likely to recur.