Denial management

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Denial management is the process of addressing denied insurance claims and is an integral part of revenue cycle management (RCM).

Contents

United States

Healthcare

Denial management for healthcare in the United States is considered to be the most unwieldy area within patient financial services. [1] [2] [3]

Denial management increases create payer friction.

References

  1. ↑ "Chapter 7: Denial Management Analysis". Leveraging Data in Healthcare. CRC Press. 27 July 2017. p. 211. ISBN   9781498757737.
  2. ↑ Waymack, Pam (2005). Denial Management Key Tools and Strategies for Prevention and Recovery. HC Pro. ISBN   9781578397112 . Retrieved 10 August 2025.
  3. ↑ Denials Management & Appeals Reference Guide - First Edition. 17 March 2020. ISBN   9781626889828.
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