How is your hospital doing in handling its denials? A comprehensive and dynamic denial management system is one that focuses on denial prevention, aggressive appeal management processes, and a dynamic clinical documentation improvement mechanism. A strong denial management system is the bedrock for a stable and growing revenue. Every healthcare organization that desires growth and stability must pay more attention to its denial management process and embrace change. Healthcare organizations must put in place a robust denial preventing strategy to reduce their denials. The denial prevention mechanism must include hospital Pre-admission (mostly from the ER or outpatient/ambulatory services), continued stay and post-discharge Medical Necessity Reviews.  In addition, the denial prevention process should also include a concurrent clinical documentation improvement process to identify and address inaccuracies, inconsistencies, or conflicting information in providers’ documentations and make necessary adjustments. This process will make your hospital stay ahead of the curve.  Our organization  provides Pre-Admission Medical Necessity Review of ER and outpatient/ambulatory cases at the request of our clients. We review such cases and  recommend the appropriate level of care for each case.  Please contact us if you need any of our services.