Denials and appeals

Review pain management diagnosis coding guidelines and selection tips to help your organization prevent denials.

Download a new report to learn how artificial intelligence (AI) innovations are enhancing efficiency, accuracy, and financial performance across the revenue cycle.

Discover how contract managers can leverage their power to modify payers' utilization review requirements during negotiations.

Download a recent report from Waystar to get exclusive feedback from revenue cycle leaders on their top investment priorities and strategic focus areas for 2025.

Discover the benefits of keeping tabs on additions to the Office of Inspector General's (OIG) Work Plan.

Discover how coding education and training improvements can reduce denials, mitigate compliance risks, and more.

Review tips for taking an interdepartmental approach to tracking, managing, and organizing payers' diagnostic criteria.

Analyze new challenges for HIM professionals following the U.S. Supreme Court's decision to overturn the longstanding Chevron Doctrine.

Review strategies, workflow adjustments, and proactive measures by HIM professionals to combat denials.

Explore the key aspects of clinical indicators to ensure your organization is constructing compliant queries.