Denials Management

Healthcare providers are facing an unprecedented challenge as sweeping Medicaid policy changes create sudden coverage disruptions for millions of patients. If you’re noticing more patients losing coverage or struggling with eligibility verification, you’re not alone: and you’re not powerless. Recent federal directives are pushing states to aggressively review Medicaid rolls, creating new barriers that catch […]

If your denial rate has crept above 10%, you’re officially in what industry experts call the “danger zone.” And you’re not alone: roughly 38-41% of healthcare providers are facing denial rates at or above this critical threshold right now. Here’s the reality: a denial rate above 10% isn’t just a billing hiccup. It’s a red