Counterforce Health Team

Your health insurance just denied a claim that should have been covered. You're staring at a letter full of policy jargon and denial codes, wondering how a faceless bureaucrat decided your doctor was wrong about what treatment you need. The appeal deadline is looming. You need help, fast.

The Critical Imperative: Time Cannot Be Wasted in Cancer Care Oncology practices operate in a healthcare environment where every day matters. With over 2 million new cancer diagnoses in the United States annually and cancer treatment costs reaching $200 billion per year, oncologists face unprecedented pressure to deliver rapid access

The Escalating Crisis in Rheumatology Practice Management Rheumatology practices face an unprecedented administrative crisis that threatens both patient care and practice viability. With over 54 million Americans diagnosed with arthritis and rheumatic conditions, rheumatologists are drowning in prior authorization requirements that consume up to 20 hours per week of clinical

The Critical Challenge Facing Neurology Practices Today Neurology clinics across the United States face an unprecedented crisis in healthcare delivery. With over 1 billion people worldwide affected by neurological disorders, neurologists are overwhelmed by administrative tasks that consume up to 16 hours per week—time that should be devoted to

Rheumatology practices face an existential financial challenge in 2025: escalating denial rates for high-value biologic medications that represent the cornerstone of modern inflammatory disease treatment. With biologic therapies accounting for 60-70% of rheumatology practice revenue and denial rates climbing to 25-35% for specialty medications, clinics are hemorrhaging millions in recoverable

Neurology clinics face a mounting financial and clinical crisis that threatens both patient outcomes and practice viability: step-therapy requirements that delay critical treatments while simultaneously devastating revenue cycles. In 2025, neurological practices report that 35-45% of their prescription denials stem from step-therapy protocols, where insurers mandate patients try—and fail—

Oncology practices face unprecedented financial pressure in 2025. With claim denial rates averaging 12-15% across healthcare and climbing as high as 20% for specialty practices, cancer care providers are hemorrhaging revenue at alarming rates. The American Medical Association reports that practices spend an average of $8.6 billion annually fighting

The Silent Crisis in Psychiatry: Why Traditional RCM Fails Your Practice and Your Patients Psychiatry practices face a unique and often overwhelming set of challenges in Revenue Cycle Management (RCM). It's not just about managing appointments; it's about navigating complex time-based codes, frequent telehealth modifiers, and

Why Counterforce Health Dominates Clinic RCM in 2025 The core mandate of modern clinic Revenue Cycle Management (RCM) is financial stability, but the most sophisticated RCM systems in the world have a singular, catastrophic failure point: denial recovery. While traditional RCM platforms excel at the front-end, scrubbing codes and checking

Getting a denial for a high-cost rheumatology drug (like a biologic) is frustrating, but it's often reversible. Insurance companies deny a significant share of prior authorization (PA) requests, yet studies show over 80% of these initial rejections are overturned on appeal. This guide provides an accessible, step-by-step action