Managing Claim Denials & Appeals
The environment of health care is changing and the volumes of patients are on the rise with the newly insured and deductible plans are putting added pressure on revenue cycle operations. Denial Management Improves payment recovery by enabling a provider to capture, identify and correct the root cause of denied claims and to resolve them. A critical step in (RCO) is billing a process is to resubmit any claim that is not received by the insurance company or the claims need to be corrected and resubmitted.