HealthIT Answers May 22, 2023
By Jane Austen, Healthcare Content Strategist, Physician Billing Company
Twitter: @jane_sman
Healthcare revenue cycles struggle with claim denials. Denial management investigates each denial, determines why it was denied, and determines how to fix the problem and reduce future denials. Sophisticated and robust automation, designed to meet providers’ needs and achieved through AI and ML, empowers organizations to achieve overarching process improvement that reduces first-pass denials and better addresses them when they occur.
What is denial management in medical billing and RCM?
Medical billing and revenue cycle management (RCM) require denial management to investigate, analyze, and resolve denied insurance claims. RCM optimizes revenue cycle administrative and clinical processes for financial performance and efficiency.
Denied healthcare claims cost physicians a lot of money...
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