What does denial management involve?

Denial management focuses on the processes and activities involved in addressing payment denials from insurance companies. This includes reviewing claims that have been denied, identifying the reasons for the denial, and taking the necessary steps to resolve the issues outlined by the insurer. The goal of denial management is to maximize revenue by ensuring that claims are paid correctly and promptly. Professionals involved in this process work to understand the denial trends, communicate with payers to appeal decisions, and implement strategies to reduce the occurrence of denials in the future.

Other options, while relevant to aspects of healthcare management and payment processes, do not specifically pertain to denial management. Negotiating payments with patients addresses revenue cycle management from a patient perspective, assessing patient satisfaction relates to the quality of care delivered, and tracking healthcare outcomes focuses on patient health and treatment effectiveness. These functions do not directly involve the handling of denied insurance claims, which is the essence of denial management.