Denial Management
What is Denial Management in Medical billing?
Denial management in medical billing is the process of identifying and resolving issues that lead to claim denials from insurance companies. The goal of denial management is to improve cash flow and reduce the number of denied claims.
What Service we provide in Denial Management?
Our Denial management team works as follows:
• Analyzing: Investigating each denial, performing root cause analysis of why each claim was denied, analyzing denial trends to uncover a trend by one or more insurance carriers, and redesigning or re-engineering the process to prevent or reduce the risk of future.
• Correcting: Fixing issues like coding errors, and resubmitting or appealing denied claims.
• Preventing: Taking steps to prevent future denials.
Denial management is a continuous effort, as payer requirements and reasons for denials are always changing.
Some best practices for denial management include:
• Using a denial management system: These systems can help identify reasons for denials, and automate the process of resolving them.
• Resolving denials quickly: Different payers have different limits for filing appeals, but it’s best to resolve denials as soon as possible.