Parent: Reduce Claim Denial Rate to Under 5%

Automate Denial Management Workflow

Off Track

Build automated workflows for the top 10 denial reason codes.

CMCasey Morris
Revenue CycleQ2 2025
25
Health

Overall Progress

Progress32%
Q2 start100% of quarter elapsed
PacingBehind pace
Avg Confidence2.7/10
Key Results3

Key Results (3)

Map and document top 10 denial workflows

Linear
4 / 10311mo ago

Automation reduces manual review time by 60%

Back-loaded
20% / 60%211mo ago

Automated denial appeals submitted within 24hrs

Linear
45% / 95%311mo ago

Recent Activity

Map and document top 10 denial workflowsOff Track11mo ago3

4 mapped total. Need to accelerate but dependency on payer contacts.

Blocker:Waiting on United Healthcare for workflow specs
Automation reduces manual review time by 60%Off Track11mo ago2

At 20% reduction. Need more workflows automated to move needle.

Map and document top 10 denial workflowsOff Track12mo ago3

3 mapped. Each one requires different payer-specific logic.

Blocker:Payer documentation incomplete
Automation reduces manual review time by 60%Off Track12mo ago3

First automated workflow saving ~10% of manual time.

Map and document top 10 denial workflowsAt Risk12mo ago4

Mapped first 2 denial codes. Process more complex than expected.

Comments

No comments yet.

SC
Ctrl+Enter to submit