Investigating, analyzing, and resolving denied insurance claims is part of denial management. It is an essential function for medical billing and revenue cycle management (RCM). Optimizing administrative and clinical processes, RCM improves financial performance and efficiency.
Annually, a substantial loss occurs for physicians due to healthcare claims denied despite proper denial management procedures. Although many denials are recoverable, 65% of claims go unsubmitted. Critical for managing denied claims, effective denial management is part of RCM. Read More...