An Integrated Approach to a Case Management Denial Prevention Program
2024-06-28T23:09:08-04:00Case Management (CM) plays a pivotal role in ensuring the Revenue Cycle (RC) operates efficiently and effectively by improving patient care and patient relationships, reducing denials, and enhancing the organization’s overall financial performance. Within the denial reduction scope, an effective Case Management department can pre-emptively address encounters that have a higher likelihood of medical necessity denials to ensure streamlined compensation. According to Change Healthcare, their research shows nationally that medical necessity denials [...]