Reduce Denials. Recover revenue. Stabilize cash flow.
ENT-specific revenue cycle management — built around your coding patterns, payer mix, and procedure types. We provide a significant reduction in denial rates from the industry average of 11.8% to below 2.5%, yielding significant additional cash flow and time savings for the practice.
For many practices, denials can be a huge ($300K+) annual problem.
Industry denial rates surged to 11.8% in 2026, and the cost of reworking each claim is rising every year. The math compounds — quietly, then quickly.
- 11.8%Industry Denial RateSome practices see 15%+. Aptarro 2026 baseline.
- 2.5%excelENT Denial RateAchieved at partner practices on
ENT-specific coding. - $57.23Per-Claim Rework CostUp from $43.84 in 2022 — increasing every year.
- 57%Denials Successfully AppealedThe other 43% is permanent revenue loss.
Faulty billing is a regulatory problem, not just a financial one.
OIG Exclusion Risk
Systematic billing errors can lead to provider exclusion from federal programs. We code defensively from day one.
State Medical Board Actions
Fraudulent billing patterns trigger licensing investigations. ENT-specific coding reduces audit triggers.
Malpractice Exposure
Billing disputes often escalate to quality-of-care allegations. Clean billing reduces this surface area.
Audit Triggers
Late submissions and coding inconsistencies increase RAC and ZPIC audit probability. Our process is built around timeliness.
Four shifts you’ll feel in the first quarter.
Stronger Cash Flow
Faster claim turnaround and lower denial rates put cash in the practice account weeks earlier.
Less Administrative Burden
Your front office stops chasing denials. Routine coding and submission moves off your plate entirely.
Lower Financial Risk
Fewer denied claims, fewer appeals, less exposure to compliance triggers. Sleep better at end of quarter.
Real Visibility
Diagnostic dashboards show denial root causes in real time, so you can spot upstream workflow issues before they compound.
Common Questions
About PS | RCM
How long does the diagnostic take?
The initial denial-rate diagnostic happens during the first two weeks of engagement. We pull a sample of recent claims and identify the dominant denial drivers — coding, eligibility, documentation, or workflow.Do we need to switch EMRs?
No. PS | RCM operates on top of your existing EMR. We integrate with the practice management system you already use rather than asking you to migrate.What's the typical timeline to see denial-rate improvement?
Most practices see meaningful improvement within the first full claim cycle (60–90 days). Reaching the 2.5% benchmark depends on your starting point and the complexity of payer mix.How is pricing structured?
PS | RCM is priced as a percentage of collections rather than a flat monthly fee — so our incentives are aligned with yours. The exact rate is set during the demo and depends on volume and starting denial rate.What about compliance and audits?
Coding accuracy and audit-trail documentation are core to the service. We maintain BAAs and follow OIG-aligned practices. Our coders are credentialed and ENT-specific, not generalists.
Other tiers of the Practice Solutions Platform
Ready to grow your ENT practice?
Schedule a working session with our team. We’ll walk through what’s actually possible for your specific practice — your patient mix, your EMR, your local market.