Question 1

What is denial management in medical billing?

Accepted Answer

Denial management is the process of reviewing, appealing, correcting, and resubmitting insurance claims that have been denied by payers. Effective denial management recovers revenue that would otherwise be written off and identifies root causes to prevent future denials.

Question 2

What are the most common reasons for claim denials?

Accepted Answer

The most common denial reasons include eligibility issues (patient not covered on date of service), duplicate claims, missing or incorrect prior authorization, coding errors (incorrect ICD-10 or CPT codes), and timely filing violations. MedKR tracks every denial by reason code to address root causes.

Question 3

How does MedKR handle denied claims?

Accepted Answer

MedKR categorizes every denial by reason code, assigns it to the appropriate resolution path (correction and resubmission, appeal, or patient responsibility), works it within payer filing windows, and reports back on resolution status and trends.

Stop letting denials become write-offs.

Root-cause analysis

Timely resubmission

Appeal management

Trend reporting

Ready to talk through your workflow?