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
Revenue Cycle Pipeline
Full cycle visibility
1
Charge Capture
Patient visit data collected & verified
2
Medical Coding
ICD-10 & CPT codes applied accurately
3
Claims Submission
Clean claims submitted electronically
4
Payer Review
Processing with payer — 3 days avg
5
Payment & Posting
ERA received
6
payment posted
Pending
98%
Clean Claim Rate
24d
Avg Days in AR
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 →