拒绝管理服务 (2024)：哪些公司正在协助撤销和防止上诉？

医疗机构在获得报销方面继续面临课题，部分原因是付款人拒绝提供大量复杂的医疗索赔。许多医疗保健组织向拒绝管理服务公司寻求管理上诉流程的专业知识。他们利用多学科团队（例如法律、临床、编码）来审查帐户并提出上诉。

本报告分析了全球否认管理服务市场，并研究了哪些公司始终提供强大的执行力、预期决策逆转率、专业知识和不可否认的合作伙伴关係。

目录

高阶主管洞察

公司分析

客户访谈

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