Medical Coding Practice Test 2025 - Free Medical Coding Practice Questions and Study Guide

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What is meant by "denial management" in medical billing?

The tracking of all claims submitted

Addressing and correcting denied claims

"Denial management" in medical billing primarily focuses on addressing and correcting denied claims. This process is crucial because denied claims can significantly impact a healthcare provider's revenue cycle. Effective denial management involves analyzing reasons for the denial, which could range from incomplete information to coding errors or issues with the patient's insurance coverage.

Once the reasons for denial are identified, medical billers and coders can take corrective actions, such as resubmitting the claims with the required corrections or additional information. This not only helps in recovering lost revenue but also enhances the overall efficiency of the billing process by reducing the likelihood of similar denials in the future.

In contrast, options related to tracking, preventing future denials, or reporting denied claims, while important aspects of the billing process, do not encompass the primary goal of denial management, which is actively working to resolve specific denied claims. Effective management of these denials ultimately leads to improved cash flow and ensures that services provided are accurately compensated.

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Preventing future claims from being denied

The reporting of denied claims to management

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