Appeals That Safeguard Care

Workflow: Appeals Excellence

Industry: Healthcare

Annual Transactions: 100,000+

In healthcare, every denied claim tells a story—of missing data, shifting payer rules, or coding mismatches. For providers, the real challenge wasn’t just the denial itself, but the ripple effect: backlogs stacking up, revenue delayed, and confidence eroded as financial certainty slipped further away.

Instead of treating denials as lost ground, FTO positioned them as signals for action. Our appeals specialists applied payer-specific expertise, traced errors back to root causes, and built standardized workflows that transformed rejected claims into recoverable revenue. By aligning documentation, coding, and follow-ups to strict compliance, providers gained both speed and precision in every appeal.

The change strategy relied on discipline and scale: playbooks customized per payer, daily reconciliation of denial queues, and QA reviews that embedded learning back into front-end processes. Continuous coaching and real-time dashboards gave providers transparency into both root causes and recovery progress—so denials weren’t just worked, they were prevented.

Within just four months, providers saw a 65% lift in overturned claims, backlogs cut dramatically, and millions recaptured that would have otherwise been lost. What had once been a burden became a powerful lever for financial stability and patient confidence.