Denial management in healthcare ensures efficient resolution of claim denials through proactive strategies and meticulous processes.
Understanding and managing medical denials is critical due to a 20% increase in denial rates over five years (AHIMA).
Soft (correctable for payment) vs. hard (non-recoverable). Accuracy prevents human errors, crucial for reimbursement.
Errors identified before processing. Denials: processed but unpayable; appeal or correction needed for reconsideration.