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Denial audit

Know where your denials are, and what they are worth.

A short, fixed-fee report built from your own remits and aging. It starts de-identified, so no patient data is needed.

Fixed fee from $1,250

Who it is for

  • Facilities that know denials are rising but not where
  • Billing companies sizing the denial work across clients
  • Teams deciding whether to staff up, automate or outsource

What you get

  • Denials by payer, reason code and age
  • The dollar value of denials still inside their appeal window
  • Hours your team spends on denial work today
  • The three fixes with the biggest payoff, in order
  • A priced first project, so you can decide in one meeting

How it works

  1. Step 01

    De-identified export

    You send a remit and aging export with patient identifiers removed. We send a short how-to.

  2. Step 02

    Analysis

    We group denials by cause, payer and deadline, and size what is still recoverable.

  3. Step 03

    Report and call

    Within 10 business days you get the report and a 30-minute walkthrough.

Pricing

Fixed fee from $1,250.

Fixed fee from $1,250, quoted before we start. The price depends on claim volume and how many payers and locations are in scope.

What we commit to

  • Report in 10 business daysYour denial review report within 10 business days of receiving a de-identified export.
  • Specialist approvalEvery appeal is approved by a specialist before it is sent.
  • Logged and reportedEvery action is logged. You get a report every week.
  • BAA before PHINo patient data until a BAA is signed, plus a Part 2 agreement for SUD records.

Commitments about how we work, not promises about payer decisions.

Questions

Do you need patient data for the audit?

No. The audit runs on a de-identified export. A BAA comes first if any later work needs PHI.

How long does it take?

The report arrives within 10 business days of receiving your export.

Do we have to buy anything after the audit?

No. The report includes a priced first project, but there is no obligation.

Other services

Next step

Book a denial review.

Twenty minutes. No patient data needed.

Or email hello@skygathering.com