Category: Denial

Automation in Denial Management and Claims Processing

Automation in denial management and claims processing has become a game-changer. Organizations are increasingly recognizing the need for efficient systems that can streamline operations, reduce errors,

Medical Necessity Denials and How to Deal with Them

Medical necessity denials are a prevalent issue in healthcare, impacting providers and patients alike. These denials occur when insurers determine that a service or treatment

How to Measure ROI from RCM: A Guide

A detailed look at how to measure ROI from RCM, including the importance of measuring ROI from RCM, measurable metrics and more.

The Implications of ICD Classifications on RCM

A detailed read about ICD classifications and the impact they have on RCM.