拒絕管理服務 (2024)：哪些公司正在協助撤銷和防止上訴？

醫療機構在獲得報銷方面繼續面臨課題，部分原因是付款人拒絕提供大量複雜的醫療索賠。許多醫療保健組織向拒絕管理服務公司尋求管理上訴流程的專業知識。他們利用多學科團隊（例如法律、臨床、編碼）來審查帳戶並提出上訴。

本報告分析了全球否認管理服務市場，並研究了哪些公司始終提供強大的執行力、預期決策逆轉率、專業知識和不可否認的合作夥伴關係。

目錄

高階主管洞察

公司分析

客戶訪談

Healthcare organizations continue to face challenges with getting reimbursements, due in part to large volumes of complex medical claim denials issued by payer organizations. To access expertise in managing the appeals process, many healthcare organizations are engaging denials management services firms, who utilize multidisciplinary teams (e.g., legal, clinical, coding) to review accounts and submit appeals. This report-KLAS' first on denials management services-examines which firms consistently deliver strong execution, expected overturn rates, expertise, and partnership in denials prevention.

Table of Contents

Executive Insights

Firm Insights

Client Inteviews