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The hidden effect of silent denials

Silent denials erode hospital margins virtually undetected.


When analyzing their denial challenge, many providers review the overall denial rate or denial overturn rate. But these metrics don’t account for clinicians’ conservatism regarding medical necessity decisions. They overlook a type of denial that occurs before the actual claim submission and affects revenue integrity — silent denials.

In this article, learn the causes of these silent denials and steps hospitals can take to protect their revenue integrity.

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