Claim denials are one of the most costly and frustrating issues in revenue cycle management. But most denials are avoidable—with the right approach. A proactive RCM (Revenue Cycle Management) strategy can help you identify risk areas before claims are ever submitted.

The True Cost of Denials:
Each denied claim costs your team time, money, and lost productivity. According to MGMA, the average cost to rework a claim is over $25—and that doesn’t include lost revenue from write-offs.

Proactive vs. Reactive:
Instead of reacting to denied claims after they occur, smart RCM teams take proactive steps to prevent them altogether. This includes:

• Verifying eligibility and authorization before care

• Ensuring accurate charge capture and coding

• Using denial trends to flag risky payers or services

Tips to Reduce Denials:
Train front-end staff on proper patient intake and insurance capture
Automate eligibility and authorization checks wherever possible
Build payer-specific workflows to reduce errors
Track denial reasons and take action quickly

The Bottom Line:
A proactive denial prevention strategy leads to faster payments, fewer reworks, and improved cash flow. Start small by tracking your top 5 denial reasons and implementing one fix per month.

If you need help contact us at support@RCMstreamline.com