Denial Management in California | Hassle-Free Revenue Recovery
Healthcare providers, including dental clinics, frequently encounter claim denials that can disrupt cash flow and affect overall revenue. Denial management is a strategic process that involves identifying, analyzing, and resolving claim denials to maximize reimbursements. In California, where healthcare regulations are stringent and payer policies are complex, effective denial management is essential for maintaining a steady revenue cycle. Common Causes of Claim Denials Claim denials can arise from various factors, many of which can be prevented with proactive management. Some of the most common causes include: 1. Incomplete or Incorrect Information Missing or incorrect patient details, procedure codes, or provider credentials can lead to claim rejections. Verifying information before submission is crucial for reducing denials. 2. Lack of Pre-Authorization Certain treatments require pre-authorization from insurance providers. Failure to obtain prior approvals can result in claim ...