Clinical denials drain billions from healthcare each year, often due to preventable errors. From lack of medical necessity to documentation gaps and authorization issues, small mistakes cause major revenue loss. This guide highlights the top five denial reasons and proven strategies providers can use to prevent denials and protect financial health.

Clinical Documentation Integrity (CDI) plays a critical role in both patient care and financial performance. By aligning physicians, coders, and compliance teams, a strong CDI program ensures accurate documentation, reduces denials, safeguards compliance, and drives better revenue outcomes. This guide highlights the essential steps to building a successful CDI program that supports quality care and long-term organizational stability.

Clinical and coding denials may seem similar, but their causes and impact on revenue cycle management are very different. Learn how to address both and prevent costly claim losses.