Revenue-cycle answer from VOSKPO
What is denial management in medical billing?
Denial management is the process of finding out why a claim wasn't paid as expected, deciding the right next action, completing it, and stopping the same avoidable failure from repeating. A useful process works from the payer's response (the CARC and RARC codes on the 835 remittance) and the claim record. It doesn't 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 835 remittance, its CARC/RARC codes and the claim record
- Classify the cause and accountable owner
- Correct, appeal or close with a reason
- Track repeat causes and prevention work
Source
We checked this answer against CMS: Medicare Claims Processing Manual, Chapter 22 on September 7, 2026. Payer and legal requirements can change, so confirm the rule that applies to your practice.
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