Denial Management

Denial management refers to the process used by organizations, particularly in healthcare and insurance, to handle and resolve claims that have been rejected or denied. When a claim for payment is denied, denial management involves analyzing the reasons for the denial, appealing decisions when appropriate, and implementing strategies to reduce future denials. This helps ensure that the organization receives the payments it is owed, improves cash flow, and enhances overall efficiency in the billing process. Effective denial management ultimately contributes to better financial health for the organization and improves service delivery.