Latest posts

  • Under the Radar: How Small Denials Add Up to Big Losses

    Under the Radar: How Small Denials Add Up to Big Losses

    It’s easy to focus your team’s energy on the big-ticket denials—high-dollar claims that demand attention. But while those denials are obvious, what’s often overlooked are the low-dollar, low-effort denials that quietly accumulate and slowly drain your revenue. The $15 here, the $42 there—they may seem insignificant in isolation, but across a month or quarter, these…

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  • Appeals That Actually Win: Beyond Templates to Root-Cause Fixes

    Appeals That Actually Win: Beyond Templates to Root-Cause Fixes

    When Copy-Paste Appeals Stop Working Two months ago, Jason, the revenue cycle director at a mid‑sized orthopedic practice, noticed a troubling trend. His team was sending appeal letters for denied claims faster than ever, using the same “tried‑and‑true” templates they’d relied on for years. But payer overturn rates were slipping—from 68% to just 41%. The…

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  • 🎯 Chasing the Wrong Denials: How to Prioritize High-Impact Appeals

    🎯 Chasing the Wrong Denials: How to Prioritize High-Impact Appeals

    Not All Denials Are Worth It Let’s be honest: appealing every denial isn’t efficient—it’s exhausting. Too many revenue cycle teams default to working appeals based on when they show up in the queue, not based on strategic value. The result? It’s time to stop treating all denials the same. The Real Cost of Low-Value Appeals…

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