Managed Resources

Managed Resources is a healthcare revenue cycle management company celebrating 30 years in business, specializing in clinical appeals, denials management, and utilization review services. The company recently secured a $60 million, three-year denials management contract with New York Health + Hospitals, demonstrating significant capability in serving large health systems.

The firm's core competencies include clinical appeals management with documented success in overturning complex denials, concurrent utilization reviews to improve accuracy rates, medical coding services through their CodingAID program, and charge capture reviews. Their approach combines experienced clinical staff with detailed documentation and educational support to help prevent future denials.

Managed Resources has been recognized in KLAS Research reports and maintains demonstrated outcomes including a $128K ICU denial overturn and a $61K outpatient infusion denial recovery. Client testimonials emphasize the thoroughness of their clinical appeal letters and their ability to rapidly address coding backlogs.

Consider Managed Resources when facing persistent denial rate challenges or needing to recover revenue on complex clinical cases. Their 30-year track record and major health system contracts suggest institutional-grade capability in clinical appeals and utilization review.

Expect a service model that combines experienced clinical staff with detailed appeal documentation and educational components. Organizations should anticipate a focus on both immediate revenue recovery through appeals and longer-term denial prevention through staff education and process improvement.

Managed Resources operates exclusively in healthcare revenue cycle management, with particular expertise in hospital-based clinical appeals and denials management. Their services address HIPAA-compliant handling of clinical documentation, understanding of Medicare/Medicaid requirements, and navigation of payer-specific appeal processes. The company demonstrates deep knowledge of utilization review criteria, medical necessity standards, and clinical coding requirements specific to acute care settings.

Large hospitals and health systems with significant denial volumes, complex clinical cases requiring physician-level appeal documentation, or coding backlogs requiring rapid resolution. Organizations prioritizing revenue recovery combined with staff education and process improvement will align well with their service model.