Denial Management

A significant percentage of claims is denied. This unfortunate situation can be remediated by making sure that claims are correct, handled correctly and checked again, before submission. The remaining denials are reprocessed and managed.

Managing denials can be labor-intensive and time-consuming. However, without a targeted denial management strategy, organizations ultimately write off thousands or even millions of dollars unnecessarily. QualCode has already done the work to create a strategy that saves organizations time and aggravation. Our highly-skilled denial management staff analyze remark codes to categorize each type of denial and then correct and resubmit claims immediately. We’ll also help you uncover the root causes of denials and identify denial trends by payer, provider, facility, and more.