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Insurance Revenue Recovery

Recover revenue, resolve claims, and prevent future denials

Revco’s specialized insurance revenue recovery programs provide a collaborative solution for recovering lost revenue and reducing — even preventing — future denials.

Maximize your insurance revenue and minimize your headaches. Get started with a 15-minute discovery call.

What is Insurance Revenue Recovery?

Insurance revenue recovery is the process of identifying and reclaiming lost, delayed, or underpaid revenue from payers by resolving denials, correcting coding or technical errors, managing paid-not-posted accounts, addressing patient balances, and handling recoupments.

 

Revco strengthens this process through automation, data intelligence, and expert review to uncover overlooked reimbursement opportunities and implement forward-leaning denials management that prevents future revenue loss. Each account is driven to final resolution—payment, adjustment, or balance transfer—ensuring every recoverable dollar is captured and reconciled.

Denials Management

At Revco, we efficiently untangle denied claims so you can invest more energy and resources into caring for your community. Whether a denial is newly active, aged, or closed, we’ll step in with intelligence and diligence to guide it to a positive outcome. As patterns emerge from our resolution process, we’ll report back to you and recommend proactive steps you can take to avoid future denials.

Complex Claims

We specialize in managing complex claims that fall outside standard billing processes. These often involve multiple payers, ambiguous policy language, or unique case circumstances that make resolution more challenging. Our experienced team works directly with insurers, attorneys, and adjusters to resolve disputes, prevent underpayments, and ensure every claim is accurately reimbursed.

Cash Acceleration & AR Management

Our AR follow-up service involves the procurement of funds from insurers for services already provided, often due to delayed, denied or underpaid claims, coding errors, or lack of identified patient coverage. Key highlights include the vital role of our experienced staff, business analytics team and automation, enabling efficient claim review, claims follow-up, insurance discovery, and addressing claim denials.

Our Services Are HFMA Peer Reviewed

HFMA’s Peer Review process provides healthcare financial managers with an objective, third-party evaluation of business solutions used in the healthcare workplace. This status is based on the effectiveness, quality and usability, price, value, and customer and technical support of the service. ​

HFMA staff and volunteers determined that these healthcare business solutions have met specific criteria developed under the HFMA Peer Review process. HFMA does not endorse or guarantee the use of these healthcare business solutions or that any results will be obtained.

Key Benefits

Payer reimbursements are decreasing year over year, and effectively managing denied claims is crucial for maintaining the financial health of any healthcare organization. Add to that the burden of untangling complex denial issues in-house and claim management can become more burdensome than profitable. You need a partner on your side that can reduce write-offs, simplify complex claims, and prevent future denials. 

Reduce

Write-Offs

Thorough claim reviews from our specialists help accelerate payments and maximize your organization’s netback.

Simplify

Complex Claims

Our specialists handle MVA, Workers’ Comp, Government, and Out-of-Network claims to resolve complexity fast.

Prevent

Future Denials

Real-time reporting identifies claim issues so you can fix root causes before they become write-offs.

Common Challenges We Solve

Why Revco?

While many vendors promise they can help with insurance recovery, most handle each claim as it comes, rather than taking a segmented and strategic approach to your claims to improve reimbursement faster. We review every single claim, but prioritize those with the highest probability of positive adjudication. 

 

Revco is also the only RCM partner in the country that offers dedicated assistance in handling complex claims like motor vehicle, workers’ compensation, government payer, and out-of-network denials. But here’s what really makes Revco different: 

Customized workflows

Revco’s experienced staff and automation tools identify missed insurance coverage, reducing self-pay and uncompensated care. Customized workflows maximize account coverage, improve efficiency, accelerate cash flow, and ensure accountability and timeliness.

Predictive modeling

By analyzing data like payer behavior, claim trends, and denial patterns, Revco creates targeted strategies fit for your healthcare organization. A deep understanding of different claim types guides our action plan, with clear communication on hurdles and outcomes.

Payer-specific strategies​

Revco’s specialized tools analyze payer data and history to create targeted action plans that navigate varying insurer protocols. Our tailored dispute strategies improve recovery outcomes, increase efficiency, and deliver greater consistency across all payer types.

Our Real-World Impact

One of the nation’s leading integrated nonprofit health systems partnered with Revco to recover denials after internal efforts reached their limit. While the organization maintains strong teams for both technical and clinical denials, the growing complexity and volume of high-value accounts required additional support.

 

Revco stepped in as a critical safety net, focusing on denials previously written off as uncollectable. Through proprietary workflows, dedicated staffing, and targeted follow-up, we recover complex, high-value accounts within timely filing limits.

Download the Case Study

Frequently Asked Questions

Insurance revenue recovery is the process of identifying and reclaiming lost or delayed revenue from payers. It involves analyzing the root causes of claim denials, managing paid-not-posted accounts, addressing coding denials, resolving patient balances, handling recoupments, and maintaining detailed documentation. 

An effective insurance recovery strategy also includes implementing forward-leaning denials management practices to prevent future revenue leakage and ensure sustainable cash flow. Each account is resolved through payment, adjustment, or balance transfer—ensuring every recoverable dollar is accurately captured and reconciled.

Revco’s recovery specialists bring deep technical, clinical, and operational expertise to every claim. Our team includes experienced managers, medical and legal specialists, denial and insurance follow-up experts, supervisors, QA auditors, and support staff—each highly trained in payer policy, compliance, and claims-resolution best practices. Their backgrounds span RCM operations, clinical review, and medical coding, ensuring accurate, efficient handling of every account. We also have an on-staff clinical physician who reviews medical records and complex cases to guide appeal strategies and support high-value claims.

Outsourcing insurance work helps healthcare organizations recover revenue faster and more efficiently. Complex claims often involve multiple payers, high-value cases, and extensive documentation that can overwhelm in-house teams. External partners provide access to dedicated insurance specialists, scalable resources, and advanced automation tools that streamline claims management, reduce administrative burden, and accelerate reimbursements—improving overall performance and cash flow. 

Revco takes a structured, data-driven approach to maximize recovery and efficiency. We utilize four different queues: No Response, Total Denial, Partial Denial, Process Error. By using our Artiva HCx platform, we streamline workflows and prioritize accounts by payer, age, and balance to prevent untimely filings and accelerate cash flow. Our team maintains consistent follow-up through carrier outreach and payer portals to ensure every claim is worked quickly and accurately. 

Our team handles the full range of insurance claims and denials across all major payer types and service lines, including inpatient, outpatient, and professional claims. We manage clinical, technical, and patient-focused denials to ensure the most comprehensive revenue recovery. 

By implementing denial tracking, root cause analysis, front-end eligibility verification, and staff training to address the specific reasons behind denials. 

Industry best practice is within 24–48 hours of denial receipt to ensure timely appeals and avoid write-offs. 

Complex claims often involve non-traditional payers and require specialized expertise. Types of complex claims include: Motor Vehicle Accident, Veterans Affairs, Workers’ Compensation, Out-of-Network, Out-of-State Medicaid, and Third-Party Liability Claims. 

Recover revenue, resolve claims, and prevent future denials.

Denial rates have been on the rise for years. The best healthcare revenue cycle teams aren’t managing them, they’re preventing them. Ready to start recovering more insurance revenue and relieve your staff of the burden of following up on stacks of denied claims?

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Insurance Recovery Resources

Denials are not just an administrative headache, they are a systemic risk to cash flow, care integrity, and long-term sustainability. We’ve created a series of resources to help your revenue cycle team move toward denial prevention, instead of denial management.

White Paper

Denials in 3D

The provider, patient, and payer lens on preventable revenue loss and systemic misalignment.

Download Here
Webinar

Preventing Denials Together

An HFMA roundtable discussion on finding provider and payer alignment.

Watch On-Demand
Reference Guide

Denials Management Glossary

A guide to essential terms to help you tackle denials with confidence and clarity.

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Visit Our Full Library of RCM Resources