Medical Denials Management for a New Age

Editor’s Note: This article is the second in a two-part series by Shanna Rogers. The first installment was published yesterday on insidePatientFinance.com. Click here to read it.

Get ready: Claims processing and denials management are in the midst of a substantial transformation. Will you be ready?

Most healthcare providers have organized claims processing and denials management based on payor. There’s a Blue Cross person, an Aetna person, probably several Medicare experts — but in the future this may not be necessary, because all payors will be using the same codes, the same claims submittal processes, the same denials workflow.