Preventing Clinical Denials When Subjective Decision-Making is the Cause

Everyone is talking and reading about the challenges associated with clinical denials. We all know something needs to be done about it—but how to best address these challenges is where the fuzziness comes into play.

Getting a handle on clinical denials can be difficult for any healthcare organization as subjective decision-making is at the heart of these denials. After all, the clinical judgment behind those denials is truly subjective.

So, how do you find the root cause of the denial when it comes to subjective decision-making?

This white paper explores:

• Why subjective decision-making is the biggest challenge hospitals face in preventing clinical denials on both the provider and payer side,
• The seven categories of objective data in subjective decision-making, and
• Root cause analysis questions to help identify the causal factors of clinical denials.