Denials Management

Home Denials Management

The review and improvement process is a continuous cycle. The key principle driving this is to ensure engagement and effective communications of all stakeholders by:

 

  • Continuously assessing and analysing rejection data to identify and address any trends;
  • Analysing reasons for the rejection of claims in order to identify root causes;
  • Consistently communicating with payers to ensure that recovery is maximised;
  • Regularly updating clients regarding changes in adjudication policies of different payers; and
  • Suggesting and supporting improvements in medical documentation practice and compliance of billing processes with healthcare providers.