What is one of the main goals of denial management?

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Maximizing revenue through effective claims processing is a primary goal of denial management. This involves identifying, appealing, and addressing denied claims to ensure that healthcare providers receive their rightful payments for services rendered. Denial management includes analyzing the reasons for denials, implementing corrective actions, and improving processes to prevent future occurrences. By effectively managing denials, organizations can reduce the time and resources spent on unpaid claims, thus enhancing overall revenue and sustaining cash flow.

While other options may touch on aspects of operation within a healthcare setting, they do not specifically relate to the primary objective of denial management, which focuses on financial outcomes and improving the efficiency of revenue capture. For example, minimizing staff training, reducing patient engagement, and eliminating all coding discrepancies, while potentially important in their own right, do not directly address the imperative of maximizing revenue through the effective management of denied claims.

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