Reducing clinical denials through proactive documentation strategies

Clinical denials are rising, with hospitals facing a 140% increase in medical necessity denials for inpatient claims. Stricter payer policies, automated reviews, and limited resources make recovering denied dollars harder. Though 70% of denials are overturned, the average cost to fight each claim is $57.23, creating financial strain.

This white paper offers strategies to shift denial management from reactive to proactive, including:

· Early intervention via utilization review and physician advisory services
· Clinical documentation programs aligning care with payer expectations
· Hybrid staffing models for 24/7 coverage

Read the white paper for solutions to reduce denials.