Denial Management – Playing Offense, Not Defense
Denials are rising across the board. Between 2023–2024, 60% of medical group leaders reported increases. In fact, payers denied nearly 1 in 5 in-network claims in 2023. Most denials are preventable. Oftentimes claims are submitted with incomplete information, missing documentation, coding errors, or lack of prior authorization. The challenge is bandwidth — short-staffed (and inexperienced) […]