For skilled nursing facilities · Medicare Advantage denials
The denials you wrote off may still be winnable.
DenyVerify reads each Medicare Advantage denial and your records, checks every point against the Medicare rule in effect on that date, and prepares the appeal packet. Your team signs off before anything leaves the building.
The gap
Most denials are never appealed. Most appeals win something.
Source: KFF analysis of CMS Medicare Advantage prior authorization data, published January 2026.
How it works
Four steps, and a person signs the last one.
Read the denial
The denial letter, notice or remittance is broken into the exact reasons the plan gave.
Find the rule
Each reason is matched to the Medicare rule in force on the date of service.
Pull the evidence
Evidence is quoted word for word from your therapy logs, nursing notes and orders.
Your signer approves
Your authorized signer approves every citation. Nothing is filed automatically.
The difference
Nothing goes in the letter that can't be proven.
Every citation, code, date and quotation is checked against your records or the published rule before it can appear. If it can't be matched, it's blocked and sent to a person.
Coding problems are flagged for your coder, never rewritten.
What we won't promise
Not every claim is recoverable.
Some will be past every deadline. Some belong in your plan contract's dispute process. Some have a documentation gap no letter can close.
The triage report comes first, so within five days you know which claims are still open, and why.
The pilot
60 days. 30 claims.
You provide
- A signed business associate agreement
- 30 denied or written-off Medicare Advantage claims
- Read-only access to the matching records
- One authorized signer, about two hours a week
You get
- A deadline triage report on all 30 within five days
- Appeal packets for every claim that can still be appealed
- A summary of recurring documentation gaps
- A watcher on new non-coverage notices
Your residents' records
An agreement comes before any record moves.
A business associate agreement is signed before we receive anything. We ask only for the records tied to the claims you choose, and they move through a secure transfer, never this website or email.
Who built this
Jeseka Price, Founder
Years in medical accounts receivable at a Texas provider, posting payments and working remittances from Medicare, BCBS, Aetna and UnitedHealthcare. AAPC certificates of completion in EHR & EMR Specialist and AI in Medical Billing & Coding. Based in Houston.
Get started
Request a pilot
Tell us about your facility and we'll reply within two business days to set up a 15-minute call.
Prefer email or phone? jeseka@emrverify.com · 832-209-9951