Denial management programs are indispensable for medical practices seeking financial stability, operational efficiency, regulatory compliance, and enhanced patient experiences.
Studies have shown that many practices do not appeal to denial as they consider the denial management process expensive compared to the amount they will receive from payors.
Medical professionals submit millions of claims every day to payors. Most claims are reimbursed fully by payors. As per the AMA reports, claims denied on the first submission amount to 1.38% to 5.07% of the total claims.