Why Your Medical Billing Software Can’t Handle Denials Effectively

Are we okay with rising claim denials in 2025?

Most providers would say no—and with good reason.

A 2024 survey found that 73% of providers saw more denials compared to just 42% in 2022. And now in 2025, the trend hasn’t slowed down.

The real problem? Most billing software simply isn’t built to handle denials well.

Here’s why so many practices are struggling—and why switching to a smarter platform like EMSOW can make all the difference.

What causes most claim denials?

1. Outdated Tools, Little Automation

Many practices still depend on old billing systems or even spreadsheets. These tools can’t keep up with constant payer rule changes.

Without automation, staff are stuck:

• Manually reviewing claims
• Submitting appeals by hand
• Spending hours on repetitive, low-value tasks

That’s slow, error-prone, and expensive.

How EMSOW helps: With EMSOW, most of that work is automated. Claim scrubbing, denial tracking, and ERA posting run in the background, cutting down errors before they ever hit a payer’s system.

2. Bad Data = Bad Outcomes

missing date of birth, a wrong insurance ID, or a mismatched CPT code—any one of these can mean a denial.

The issue? Many billing programs don’t catch mistakes until after claims are sent. By then, it’s too late.

How EMSOW helps: EMSOW validates data in real time, flagging errors before submission. That means fewer denials and faster payments.

3. Too Many Systems, Not Enough Integration

This will sound familiar to a lot of radiology groups:

• PACS in one system
• Billing in another
• A separate physician portal
• Excel sheets for scheduling
• And a few clunky workarounds holding it all together

When systems don’t talk to each other, errors slip through, and denial trends stay hidden.

How EMSOW helps: EMSOW brings PACS, scheduling, physician portals, reporting, and billing into one cloud-based platform. No silos. No duct tape. Just one smooth workflow.

4. Staffing Pressures + Manual Workflows

Healthcare billing teams are stretched thin in 2025. Staff shortages and rising costs mean fewer people doing more work.

If your billing program forces staff to manually chase denials, it’s a recipe for burnout—and lost revenue.

How EMSOW helps: EMSOW automates the repetitive stuff—eligibility checks, claim submission, payment posting—so staff can focus on the tasks that actually move revenue forward.

5. Incomplete or Messy Claims

Payers are quick to deny claims that aren’t specific, complete, or properly formatted. Older billing systems don’t have strong error-checking tools, so incomplete claims go out and get rejected.

How EMSOW helps: EMSOW’s intelligent claim scrubbing makes sure claims meet payer rules before submission. That means fewer denials, fewer resubmissions, and fewer delays.

Does EMSOW help with denials? — Absolutely!

Most billing programs are just that—billing programs. They don’t connect with the rest of your radiology workflow, and they’re not designed to fight denials.

EMSOW is different. It’s built specifically for radiology practices and imaging providers.

EMSOW was built to solve those exact problems. It gives providers the tools to:

• Submit cleaner claims
• Reduce denial rates
• Speed up payments
• Simplify staff workloads

If your denial rate is climbing in 2025, it’s not just your team—it’s your software.

👉 EMSOW is the smarter choice. Book a demo today and see how it works.