The Denial Loop, Broken

Denials keep cycling back because many organizations treat them like one-off events instead of a loop. Initial denial rates have climbed to nearly 12% industry-wide, and almost two-thirds of denied claims are never reworked at all. That's the reactive cycle in a nutshell: a fix that works today won't hold up tomorrow. Chief Revenue Cycle Officer Brandon Burnett walks through the four connected stages of continuous denial management, prevent, analyze, resolve and optimize appeals, and shows how closing the loop beats chasing it, every time.

What You'll Learn

• Where the loop breaks down: Recognize the barriers that keep organizations stuck in a reactive cycle instead of continuous improvement.
• How to build a full-cycle defense: Prevent denials before submission while strengthening downstream recovery and analysis.
• What denial rate alone won't show you: Analyze root causes and underpayments to uncover revenue risk, then adapt the program as payer requirements change.

Who Should Watch
Revenue cycle executives, denials management leaders, HIM/coding directors, case management leaders, managed care teams and healthcare finance professionals.