About The Appeal Guys

Has your facility been bombarded with increased denials and administrative burden? You are not alone. Industry trend has shown payers strategically increasing the cases they deny, forcing facilities to accept underpayments or no payments on care that has already been delivered.

Don’t let denials tie up your revenue. Let The Appeal Guys do what we do best, appeal your denials.

Healthcare facility costs are shooting through the roof. Denials are tying up your revenue, increasing the resources required, tie up staffing, and waste valuable time. The Appeal Guys deliver a rapid return on your denied revenue with quick turn around times and successful overturns.

Medical necessity, DRG, specialty & technical denials! Let TheAppealsGuys.com take the denials burden off your shoulders. We’ve been doing this for a very long time.

Our physicians and nurses will apply their payer knowledge, clinical experience, and guidelines to deliver you a robust appeal.

Our turnaround times are quick.  How do we do it? Our decades of experience has enabled us to create efficient processes where we can focus on quality and delivery with minimal overhead. We reflect that saving onto you and your facility.

We Appeal All Types of Denials!

The Sustainable Denials Solution
Medical Necessity

Guidelines
Length of Stay
Intensity of Services
2 Midnights

DRG Downgrade Denials

Clinical Validation
Documentation
Coding Clinic
Guidelines

Specialty Denials

Rehab
Behavioral Health
Outpatient
CT/MRI/X-ray
Transplant

Technical Denials

Timeliness
Information Deficiency
Lack of Coverage
Incorrect Procedure

Take advantage of our

$99 Appeal Special!

Frequently Asked Questions

Are there any hidden fees?
Nope! You send us the case with the $99/case. We'll review it, write it up, and send it right back. That's about it. Don't believe us? Ask our clients! We'll be happy to share some references of the hospitals we partnered with.
Who writes these appeals and what is the turnaround time?
We have a team of locally trained physicians, nurses, and coders composing robust clinical appeals. For technical denials, we will have a combination of clinical and nonclinical team members compose your appeals.
We try to get your appeals back around to you in about 3-5 business days once we receive all documentation from your facility. Sometimes even sooner.
I don't want to send my medical records. Can you access our systems remotely?
We are a client centric company focused on going above and beyond to cater to your requirements. We are HIPAA compliant and will be happy to accomodate any and all requests within reasonable means.
Do you offer audits?
We do offer audits of the claims and can share a comprehensive claims analysis, root cause analysis, and even analytics with trends. The audit will still be $99/case reviewed, but the reports and analytics will be extra. Reach out to us for more detailed quotes.
Why are you charging for appeals up front?
Given our uber low appeal pricing, we have to work on increased volumes and decreased profit margins. After seeing our work, you will be wondering why you didn't send your denials to us sooner.
Are there any other services you offer?
Our focus is primarily denials. Clinical and non-clinical/technical. Inpatient and outpatient. Medical necessity and DRG. Behavioral health and rehab. We also offer audits, analytics, quality reviews, and anything else denials related. If there's something specific you are looking for, let us know. We've been doing this for a very long time.

Need an Appeal Written?

It’s really simple. Just follow the process;

  1. Contact us with the quantity, type of appeals, the required turnaround times, and we’ll get back to you with the next steps.
  2. We’ll send over a BAA and contractual agreement which you will sign and return with the payment.
  3. You securely upload/email/mail  the specified medical record to TheAppealGuys.
  4. Share the email and format where and how you want the appeal sent back.
  5. Receive the appeal letters. 
  6. Send us more!

It’s that simple. 

If you want to cancel, we just ask you let us know two months ahead of time.

info@theappealguys.com

How to Find Us

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info@theappealguys.com

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