Denials Management Services 2024 Which Firms Are Helping Overturn & Prevent Denials?

Healthcare organizations continue to face challenges with getting reimbursements, due in part to large volumes of complex medical claim denials issued by payer organizations. To access expertise in managing the appeals process, many healthcare organizations are engaging denials management services firms, who utilize multidisciplinary teams (e.g., legal, clinical, coding) to review accounts and submit appeals. This report-KLAS' first on denials management services-examines which firms consistently deliver strong execution, expected overturn rates, expertise, and partnership in denials prevention.