Glossary

Denial Management

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What is Denial Management?

Denial Management systematically investigates each denial, performing a foundational analysis of each denied claim. It is the reengineering and redesigning insurance claim procedures to help insurance carriers. In denial management, insurance providers cannot deny the claim for future claims without giving any substantial reason. It improves the healthcare system while providing proper guidelines to insurance providers.

There are types of claim denials in denial management, including soft denial, hard denial, preventable denial, administrative denial, and clinical denial. In a nutshell, denial management is a strategic process that tries to identify and fix issues contributing to medical claim denials.

What are the business benefits of Denial Management?

  • Denials Management can give you the advantage of identifying errors in your billing process so that necessary steps can be taken at a time, thus preventing future denials.

  • It puts the patient into a safe zone while preventing any future denials from the healthcare insurance providers.

  • It ensures healthy and uninterrupted cash flow for medical practice.

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