A data-driven approach can help hospitals limit payment denials that are based on questions of whether an admission was medically necessary. The vast majority of hospitals in the United States are all too familiar with denials of payment.
A big role of the certified case manager is to reduce loss revenue from insurance denials. Proper procedure from the start of the patient’s visit can help ensure less denials.
If you are interested in becoming a certified case manager, then please review the program and see if it matches your academic and professional needs.