Your claims don't sleep.
Neither do we.
ClaimGuard is a 24/7 denial management and RCM consulting firm built for healthcare providers who are done losing revenue to unworked claims, slow appeals, and after-hours backlogs.
Get Your Free Denial Rate Assessment
Start free. Pay when you're ready.
Free audit, flat-fee appeals, or ongoing monthly support — no hidden costs, no long contracts.
- ✓ Denial rate assessment
- ✓ Top denial reason codes
- ✓ Recoverable revenue estimate
- ✓ Expert consultation call
- ✓ Full clinical doc review
- ✓ Expert appeal letter written & submitted
- ✓ Payer-specific strategy
- ✓ Portal tracking
- ✓ 5-day turnaround
- ✓ Unlimited appeals per month
- ✓ Proactive denial prevention
- ✓ CDI support
- ✓ Weekly denial trend reports
- ✓ Upgrade to % of collections
Need high-volume / performance-based pricing? See full pricing details →
How much are denied claims costing you?
Enter your numbers. See your recovery potential in real time — no forms, no commitment.
Your Practice Numbers
Payers are using AI to deny claims faster than you can appeal them
9-to-5 billing in a 24-hour world
Your billing team goes home at 5pm. Payer deadlines, timely filing limits, and authorization windows don't wait. Every hour a denial sits unworked costs you money.
Denial rates keep climbing
62% of RCM leaders say denials are their top revenue obstacle in 2026. Insurance companies invest millions in denial algorithms. Most practices have no counter-strategy.
You can't hire fast enough
Healthcare billing staffing is in crisis. Experienced coders and denial specialists command premium salaries, and turnover creates constant knowledge gaps.
Denial management that never stops working for you
Denial Prevention
We analyze your denial patterns to identify root causes. Eligibility gaps, coding errors, authorization failures. Fix them before claims go out the door.
Appeal Management
Every denied claim gets worked. We build appeals with clinical documentation, payer-specific language, and regulatory backing that wins reversals.
RCM Consulting
Not just billing. Strategic consulting on your entire revenue cycle. We teach your team to prevent denials, not just react to them.
Collections Recovery
Aged accounts receivable don't have to be write-offs. Our collections specialists recover revenue you thought was lost, with compliant and professional follow-up.
Built for Home Health Workflows
Generic RCM doesn't cut it for home health. We know PDGM, OASIS, F2F requirements, and LUPA thresholds inside out — so you don't have to fight the same battles twice.
PDGM grouping errors flagged before submission
We audit every claim for PDGM grouping accuracy — functional impairment, comorbidity, referral source — before it ever reaches the payer.
F2F compliance audit on every episode
Face-to-face documentation is the #1 Medicare denial reason for home health. We verify compliance on every episode before billing.
Appeal turnaround: 5–7 days (not 30)
Most agencies wait 30+ days for appeal resolution. Our dedicated HH team responds in 5–7 days using pre-built payer-specific templates.
LUPA optimization prevents 23% margin loss
Low-Utilization Payment Adjustments silently erode margins. We identify LUPA-risk episodes early so your care team hits visit thresholds before the payment period closes.
Real outcomes from home health agencies
Anonymized results from agencies we've worked with. Names withheld at client request — outcomes speak for themselves.
We had no idea how much PDGM grouping errors were costing us. ClaimGuard caught $40K in incorrect groupings in our first audit alone. That paid for months of service in one week.
Before ClaimGuard, F2F denials were destroying our margins. Six months in, our first-pass acceptance rate went from 79% to 96%. That's not a metric — that's actual cash in the bank.
Round-the-clock operations. Zero downtime.
Most RCM companies operate on banker's hours. ClaimGuard runs 24/7 because healthcare doesn't stop, and neither should your revenue cycle. Claims get worked overnight. Appeals go out at dawn. Your cash flow never sleeps.
Stop leaving money on the table
Every denied claim that goes unworked is revenue your practice earned but never collected. ClaimGuard exists to change that, one claim at a time, around the clock.