Stop Writing Off Earned Revenue. Start Fighting Back and Win.
Most companies promise to "manage your denials." They take work off your plate. But they also control the process, the knowledge, and the leverage.
We put the power back in your hands. We are a Reimbursement Defense Resource that equips you and your team to face payer tactics head-on and turn even the most difficult denials and underpayments into recovered revenue.
We help:
- Solo and small practices that want to stay independent and profitable,
- In-house billers and small RCM teams who are tired of write-offs and canned appeal letters that don't work, and
- Specialty practices (chro, PT, surgery, behavioral health, etc) facing chronic denials and recoupments.
How We're Different (and Better)
Typical denial vendors position themselves as billing, RCM, or denial-management services that quietly "handle your denials" behind the scenes, while MCA operates as a Reimbursement Defense Resource that equips your team to fight back effectively. In most traditional arrangements, their staff writes appeals and manages accounts receivable within their own system, but with MCA, your staff remains in control, using our strategies, appeal letters, and escalation paths, with our strategic support when needed.
Where typical vendors focus on reducing denial rates and improving metrics throughout workflow tweaks and generic appeals, MCA concentrates on challenging unfair denials and recoupments, relying on plan language, regulatory rights, and program rules, instead of surface-level fixes. Other vendors tend to rely on "standard appeal templates" and "best practice" prevention tips, while MCA provides you with effective strategies, ready-to-use appeals, and complaint letters specifically tailored to your denial/underpayment case.
Most denial companies use the law and regulations lightly, leaning heavily on policy bulletins and internal guidelines, whereas MCA emphasizes a deep focus on governing plan documents, ERISA claims procedures, government program rules, state protections, and escalation through plan sponsors, Medicare and Medicaid oversight channels, departments of insurance, and EBSA when appropriate.
Core Products and Services
You can engage MCA on two levels: Do-it-yourself with our case-specific strategies and tools, or our done-for-you revenue recovery.
When a typical denial, underpayment, or recoupment needs expert assistance, you can engage us on a case-by-case basis.
Each case includes:
- Review of the denial or underpayment, including EOBs, plan and policy language, and prior correspondence (if any).
- Identification of the root issue and the payer's denial/underpayment tactic.
- Targeted appeal drafting, including plan and regulatory arguments, not generic "please reconsider" letters.
- Strategy for follow-up and escalation if needed, including sponsor engagement and regulatory complaints where appropriate.
We treat each case as a revenue recovery project, not just an "appeal letter."
Pricing and Service Levels
Case-based pricing is calibrated to claim value and complexity so that smaller practices are protected, and high-value claims get the depth they require.
A case is one denial or underpayment scenario, and all related work required to address that issue, including follow-up appeals and escalation. When the denial or underpayment is finally resolved, you then have the right appeals and strategies to use on any future claims for the same type of denial/underpayment.
Pricing Ranges
- For denials/underpayments under $2,500.....$195 plus 10% of recovered amount.
- For denials/underpayments of $2,500-$10,000.....$395 plus 10% of recovered amount.
- For denials/underpayments over $10,000.....$695 plus 10% of recovered amount.
First-Time Client Special: $99 for one case, regardless of the amount of denial or underpayment at issue. Success fee still applies.
Done-For-You Revenue Recovery: If you want to hand the fight off entirely, we can provide you with full recovery services. No upfront fee, and we charge a contingency of 25% of what we recover. No recovery, no fees.
If you're facing a complex denial or underpayment, which may even affect multiple claims, and you're not sure where to start, send it over, and let's treat it as a single structured case. We'll review the full issue, identify the root problem, and outline a clear appeal and escalation strategy that will get you paid.
Click here to submit your case details, and I'll follow up with a confirmed price and next steps before any work begins.
