Revenue-cycle answer from VOSKPO
What is denial management in medical billing?
Denial management is the process of identifying why a claim was not paid as expected, deciding the correct next action, completing that action, and preventing the same avoidable failure from repeating. A useful process works from the payer response and claim record; it does not guess from a dashboard total.
Source checked September 7, 2026 · General information, not legal, coding or payer-specific advice.
How VOSKPO approaches the work
- Read the remittance and claim record
- Classify the cause and accountable owner
- Correct, appeal or close with a reason
- Track repeat causes and prevention work
Source
This answer was checked against CMS — Medicare Claims Processing Manual, Chapter 22 on September 7, 2026. Payer and legal requirements can change; confirm the rule that applies to your practice.
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