Denial Prevention & Management

Our expertise and technology is your best defense against denials.

Count on TMC’s comprehensive expertise to prevent denials and manage documentation requests. Claims are processed by our Denial Prevention and Management team during each phase of the appeals process.

To limit the risk of technical denials, our JBS software offers flexibility, which makes it easy to capture billing edits based on your specific Medicare Administrative Contractor (MAC) Local Coverage Determination guidelines .

Rest assured, TMC is committed to offering effective claims resolution. Our Denial Prevention and Management team is your direct contact. Feel free to consult with us regarding documentation, coding, and other Medicare compliance questions.

In our own words.

Watch Leslie Welch, COTA, RAC-CT, VP of Reimbursement and Regulatory Compliance, discuss the investment TMC has made to Regulatory Compliance and Denial & Prevention Management to let our therapists do what they do best: serve our patients.

What a long-term care provider needs from a rehab vendor are quality care expertise, appropriate staffing, regulatory knowledge, and a partnership. TMC provides all that we need and so much more. They work seamlessly with our team to achieve our shared objectives.
VP of Special Services, Skilled Nursing Facility Chain
Blessed is the leader who seeks the best for those he serves.