Denials and Appeals Management
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- Denials and Appeals Management
Denial Management focuses on identifying and resolving insurance claims that are denied or partially paid. It involves reviewing denial reasons, correcting errors, and submitting appeals or reprocessed claims as needed.
An effective denial management process helps recover lost revenue, reduces repeat denials, and improves overall billing accuracy. By analyzing denial trends and working closely with coding, billing, and A/R teams, denial management strengthens the revenue cycle and prevents future issues.
Identifying underlying causes of claim denials
Comprehensive denial tracking and performance reporting
Reducing the risk of future denials through corrective actions
Streamlined appeal processing workflows
Organized management of appeal-related documentation
Monitoring appeals status and timely follow-up with payers