The healthcare environment has a vast change. The Affordable Care Act and the transition to ICD-10 put an added layer of expense and complexity on our already burdened system. Patient volumes are on the rise with the newly insured, and high-deductible plans are putting added pressure on revenue cycle operations and their drive to collect. The key to success is accessing a large pool of qualified denial management resources that work in any Practice Management System and understand how to quickly and correctly analyze the account history, appeal denied claims, and get timely turnaround to recover on and close out of A/R.