Posts in Denials
Denials Management: Making the Change

At Moffitt Cancer Center, a robust denial prevention program resulted in reducing denials from 14% of gross charges to 8% of gross charges billed. The process involves a multidisciplinary team, a data-driven strategy, a preventative approach and a missional, patient-centric perspective that extends across the organization. The process involved creating a multidisciplinary steering committee, then finding the root causes of their denials and creating a path forward. Finally, they made a change and continued down the path to improvement.

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DenialsMolly Maron
Denials Management: Finding the Root Cause & Creating a Plan

At Moffitt Cancer Center, a robust denial prevention program resulted in reducing denials from 14% of gross charges to 8% of gross charges billed. The process involves a multidisciplinary team, a data-driven strategy, a preventative approach and a missional, patient-centric perspective that extends across the organization. The first step to their success was the creation of a multidisciplinary steering committee. Next they focused on determining the root causes of their denials. After the cause was determined, they created a path for success and a plan for improvement.

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DenialsMolly Maron
Denials Management: Creating a Steering Committee


At Moffitt Cancer Center, a robust denial prevention program resulted in reducing denials from 14% of gross charges to 8% of gross charges billed. The process involves a multidisciplinary team, a data-driven strategy, a preventative approach and a missional, patient-centric perspective that extends across the organization. The first step to their success was the creation of a multidisciplinary steering committee focused on evaluating denials and assessing potential solutions to avoid future denials.

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Client Success Story | Moffitt Cancer Center

Moffitt Cancer Center is dedicated to partnering with patients and their families to provide a quality experience. With this mission in mind, the center recognized a need to redesign front-end workflows to improve operational efficiency, financial integrity and patient experience. The revenue cycle team at Moffitt sought strategies to improve patient experience while maintaining performance in traditional metrics such as denial write-off trends, abandoned call rates, turnaround time and other quality and operational indicators.

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Stopping Denials Before They Start

Denials continue to cost providers millions of dollars each year, not only in claims denied but in resources dedicated to denial and appeal management programs. Of the $3 trillion in claims submitted by hospitals in 2016, an estimated 9 percent of charges were initially denied.1 As many as one in five claims are denied or delayed, according to PNC Financial Services Group.2 For the typical health system, that equates to as much as 3.3 percent of Net Patient Revenue, an average of $4.9 million per hospital, at risk due to denials.1

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