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It's Time to Rethink Denials

The best RCM leaders aren't just managing denials, they're preventing them.

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A 3D View of a Systemic Problem

Denials are not just expensive and inconvenient billing events. They are a symptom of broader misalignments in how care is delivered, documented, and reimbursed. In this white paper, we aim to humanize the issue of denials by sharing real impacts from across the care continuum.

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Providers Pains Felt Well
Beyond the Balance Sheet

Providers face growing reputational risks, concern for the well-being of the communities they serve, and increasing pressure to meet quality metrics and regulatory compliance standards all while navigating evolving patient expectations and technology demands.

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Payers Priorities Go
Beyond the Margins

Many would argue that payers are more focused on margins than medicine. But their challenges go beyond cost containment to fighting reputational headwinds, preventing overutilization, guarding against fraud and abuse, and avoiding regulatory scrutiny.

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Patients Are Caught
in the Middle of it All

In a system that is designed to center around patient care, the patients are often caught in the middle of the provider-payer disconnect and face surprise bills, delayed treatment, and the emotional stress of navigating disconnected care continuum as a result.

How To Get Ahead

For revenue cycle leaders, the implications are clear: denials are not just an administrative headache, they are a systemic risk to cash flow, care integrity, and long-term sustainability. This white paper takes a three-dimensional view of the denials problem and seeks to identify not only points of failure, but also strategic and actionable insights for preventing denials before they hurt the people you serve—your employees and your patients.

Denial Rates Are Climbing (and Avoidable)

Discover why 86% of denials are preventable and how breakdowns in front-end processes are costing health systems billions in lost revenue.

Impacts Go Beyond the Balance Sheet

Understand the true cost of denials, from delayed reimbursements and A/R to staff burnout, reputational damage, and failing patient trust.

Operational Gaps Hurt Cash Flow

Uncover the most common points of failure—like eligibility errors, authorization issues, and siloed tech systems—and how to fix them.

90,000 Points of Failure + One Strategic Response

Navigate the complexity of 90,000+ billing and clinical codes with practical, scalable strategies from denial prevention to recovery.

Bridging the Divide Between Providers and Payers

Explore how proactive payer-provider communication can reduce denials before they happen and drive better collaboration.

Actionable Takeaways for RCM Leaders

Get clear, implementable steps to strengthen your revenue cycle, safeguard patient relationships, and stay ahead of regulatory pressure.

Want to dive deeper?

Join HFMA + Revco for an upcoming webinar on this topic and see Denials in 3D come to life. 

Join our expert panel to further explore the financial, operational, and patient experience impacts of denials, and get real-world insights strategies from RCM leaders from across the industry that your team can implement today. Learn more and register by clicking the button below.