Denial Management

Hospitals, physician groups, home health agencies, and other provider-based groups focus increasingly on payment denials by insurance companies.

Although such denials have been a problem for providers since the advent of third-party reimbursement programs, denials today have started to threaten the viability of provider organizations.

Key reasons for denials are incorrect patient info, Invalid medical codes , Lack of Documentation ,Payer specifications on covered services ,Pre authorization.