According to a case study of denied cases, around 6% to 8% claimed are denied. Out of claims submitted of $3 trillion, $262 million is declined or rejected. Almost $5 million of the claim denied points per healthcare provider are incurred. Write-offs are around 3% of the total revenue.

Denial Management is a strategy to find out the deficiencies and problems in the claim. And after finding the problem and rectifying the reason for the denial, resubmit the claim promptly. Proper denial management services helps mitigate future claim denials or rejections.

Efficient denial management needs initial clean claim submission. A complete set of information, coding, and proper billing are required for clean claim clearance. Initially submitted clean claims are helpful in the speedy recovery of the bills.

Healthcare institutes should have a denial management team, whether it is the in-house or outsourced team. The Denial Management services provider manages proper billing and coding documentation to prevent future denials. They also analyze the payment patterns of the patient under consideration.