Denial management is a critical component of Revenue Cycle Management (RCM). Addressing denied claims promptly and effectively can significantly impact a practice’s financial health. Here’s how to master denial management:
Common Causes of Claim Denials:
• Coding Errors: Incorrect or outdated codes lead to claim rejections.
• Incomplete Documentation: Missing or inaccurate patient details can result in denials.
• Eligibility Issues: Lack of thorough insurance verification causes preventable denials.
Strategies for Effective Denial Management:
- Analyze Trends: Track and categorize denials to identify recurring issues.
- Prioritize Follow-Ups: Address high-value claims first to minimize financial loss.
- Train Staff Regularly: Educate employees on coding and insurance updates.
- Leverage Technology: Use denial management software to automate tracking and reporting.
- Engage Expert Help: Outsourcing denial management can increase claim recovery rates.




