denial management

de·ni·al man·age·ment

(dĕ-nī'ăl man'ăj-mĕnt)
A possibly criminal procedure in the U.S. whereby insurers employ subsidiary firms to find reasons to deny payment on legitimate claims.
References in periodicals archive ?
She will also use a case study to connect clinical authorization and clinical denial management with bottom line value.
EligibilityPlus, Auth-DP, Denial Reporting, Denial Management, Omni278, Financial Assistance, Recondo Command Center, Recondo AuthNet, and Patient Resource Management are trademarks of Recondo Technology.
With this new agreement, VHA has selected EHR as a contracted supplier of Medicare and Medicaid compliance management (Physician Advisor review for medical necessity), concurrent and retrospective commercial payer denial management, and Medicare and Medicaid denials and appeals management services.
EligibilityPlus, Auth-DP, Denial Reporting, Denial Management, Omni278, Financial Assistance, and Patient Resource Management are trademarks of Recondo Technology.
Odyssey will employ MedAssets' claims management product suite, in addition to its denial management and receivables management solutions.
EligibilityPlus, Auth-DP, Denial Reporting, Denial Management, Omni278, Financial Assistance, AllPayHealth, and Patient Resource Management are trademarks of Recondo Technology.
pk), a leading provider of contract compliance and denial management workflow automation, today announced a collaborative product, Reimbursement Manager.
His proven leadership and expertise is a great asset to this company, as well as our clients, as we prepare to meet the significant demand for enhanced web-based denial management solutions and analytic capabilities.
Power of Appeals is the only denial management system with more that 1600 appeal letter templates, including state-specific, specialty-specific and payer-specific appeal letters.
Kareo's functionality--which includes electronic insurance eligibility verification, patient scheduling, billing, claim "scrubbing," claim submission, and payment posting--complements Aesyntix Health's PaidRight[TM] denial management technology.
Denial management, aging alerts, high level scoreboards and saved work lists provide users with a comprehensive tool set for simple claims management.