KNOW HOW TO DEAL WITH DENIAL MANAGEMENT AND ITS CHALLENGES
Revenue cycle management services are of great help in understanding the denial of unpaid claims. Denial management is vital to know why claims, are rejected. It helps in avoiding the same mistakes again by hospitals and practices. Just like, each patient is unique, their claim is. Denial management has to face many challenges in the process. The main aim of denial management is to examine the unpaid claims, test the reason for rejection from the insurance providers, and, thereafter, appealing the rejection by directing the correct process. Claim denials occur due to inappropriate or missing data, duplicate claims, outdated codes, care chosen is out of the network mentioned, and many other things. The main reason for claim rejection is, due to the person's health issue not listed in the insurance cover or the insurance amount does not cover that health issue. The challenges that are denial management has to face are:- The insurance providers introduce complex requirements in