Medical billing denials are prevalent and can have a substantial impact on a healthcare organization’s income flow. Denials are the denial of a payer to approve a claim for reimbursement, which is frequently influenced by remittance advice remark codes. Understanding the causes of denials is critical for billing professionals to successfully manage and resolve them.
How to Improve Your Denial Management Process
Denial management in healthcare refers to handling and resolving claim denials to ensure healthcare providers receive proper reimbursement for services rendered. It involves identifying, analyzing, and addressing reasons for denied claims to prevent financial losses.