Identifying and Addressing Pre-authorization Denials Through OpsRadar

Reading Time: 5 minutes
Financial Impact: Recovered $1.5 million in denied claims.

A healthcare provider identified and resolved a surge in preauthorization mismatch (RARC N54) denials. Analysis with RevOps data visualization tools enabled cross-functional collaboration and systemic corrections, improving workflows and recovering $1.5 million.

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Navigating the Value-Based Care Minefield: How RevOps Health Helped Challenge a $1.3M Risk-Sharing Penalty

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Resolving Complex Underpayments Through Data-Driven Contract Oversight