tci Medicare Compliance & Reimbursement - 2013 Issue 8
Practice Management: Intercept Big Time Losses With Effective Denial Management
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Article Overview
This practice management article explains how medical offices can organize denial management by collecting monthly denial data, reviewing payer correspondence, monitoring accounts receivable activity, and identifying recurring patterns. It is aimed at billing staff, A/R follow-up teams, and practice leaders who want a clearer process for understanding why claims are denied or underpaid and how to monitor denial trends over time.
Why This Topic Matters
Denials and underpayments can create ongoing revenue loss if they are not analyzed systematically. The article helps practices understand the types of reports and tracking methods that support better oversight of denial activity and more consistent follow-up.
What You Will Learn
- How to organize a monthly denial review process
- Why both total and partial denials matter in practice management
- How payer correspondence and accounts receivable reports support denial analysis
- How to look for recurring denial patterns across payers, procedures, and providers
- Why keeping denial tracking data separated by source can help identify root causes
Who Should Read This
- Medical billing staff
- Accounts receivable follow-up staff
- Practice managers
- Physician office administrators
- Revenue cycle teams
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