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Denial Management

Treating payer denials as contract enforcement: who owns them, where they start, and how to recover what you're owed.

The Denial Nobody Owns Is the One Costing You the Most

The Denial Nobody Owns Is the One Costing You the Most

Why payer contracting must collaborate across patient access, coding, billing, collections, and revenue integrity to close the revenue cycle's most expensive blind spot

Kevin W. Barron
Front-Line Staff Are Costing You Millions. It's Not Their Fault.

Front-Line Staff Are Costing You Millions. It's Not Their Fault.

How healthcare organizations can turn payer relationships into revenue strategy: denial reduction, cash acceleration, and staff education as infrastructure

Kevin W. Barron
You Negotiated With People. A Computer Denied Your Claim.

You Negotiated With People. A Computer Denied Your Claim.

Your appeal rights were written for a clinician who would read the chart. The denial came back in eleven minutes, so in this case, nobody did.

Kevin W. Barron
Most Denials Aren't a Billing Problem. They're a Contract Problem.

Most Denials Aren't a Billing Problem. They're a Contract Problem.

Why most denials point back to the contract, and how to enforce the terms you already negotiated

Kevin W. Barron
Most Medical Necessity Denials Come From a Silo, Not a Clinical Problem

Most Medical Necessity Denials Come From a Silo, Not a Clinical Problem

Five ways collaboration between Utilization Management and Managed Care Contracting can cut denials for notification and medical necessity

Kevin W. Barron

What Readers Say

“Managed care strategy and negotiations for hospitals and other provider groups has always been an apprentice model. This is great content that helps deepen your knowledge of this vital work, and highlights the new issues and approaches that the current dynamic environment requires. Kudos to Kevin for bringing this to life.”

Brandon Edwards

Brandon Edwards

CEO (Retired), Unlock Health | Partner, Oxeon

"Kevin has a unique ability to take complex payer relations and managed care contracting issues and turn them into practical, relevant insights. ... That is what I value most about Kevin’s content: it isn’t just informative and educational; it gives healthcare leaders something they can actually use."

Valerie Daniel, MBA, CHFP, CRCR, CSPR

Valerie Daniel, MBA, CHFP, CRCR, CSPR

Director, Revenue Cycle - Baylor, Scott & White Health

"Payers get away with so many interferences that go unchecked, this gives us the ammunition to push back and hold them accountable instead of just absorbing the fallout."

Michelle McGinnis, BBA, MHA

Michelle McGinnis, BBA, MHA

Director, Managed Care - UT Health, San Antonio

In the Media


250,000+ article views · 9,000+ LinkedIn followers · 34 years in healthcare finance
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