Episode 48 : Rethinking Denial Management: What the Data Is Really Telling You
Release Date: 02/03/2026
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In this episode of “For the Love of Revenue Cycle,” host Vanessa Moldovan speaks with Dr. Sylvia Owusu-Ansah, associate professor of pediatrics and emergency medicine at the University of Pittsburgh School of Medicine and EMS Medical Director at UPMC Children’s Hospital of Pittsburgh, about what community engagement looks like in 2026 and why it’s a smart investment for healthcare organizations. Dr. Sylvia (AKA Dr. O) shares examples sparked by the COVID era, including door-to-door outreach, language equity, and school-based pathway programs. They discuss why community initiatives are...
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Episode 48 : Rethinking Denial Management: What the Data Is Really Telling You
For The Love of Revenue Cycle
In this episode of 'For the Love of Revenue Cycle,' the focus shifts from traditional denial management strategies to understanding the power of denial data. Vanessa discusses the limitations of current systems and common misconceptions in how denial management is practiced. Emphasizing the importance of prevention over mere resolution, the episode explains how analyzing denial data can reveal underlying process flaws and drive meaningful improvements. Key points include distinguishing between denial reasons and root causes, the importance of visibility over precision, and the role of...
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FTLORC Live Q&A! 10/14/25
For The Love of Revenue Cycle
In this episode of 'For the Love of Revenue Cycle,' host Vanessa Moldovan engages the community in a live Q&A session. The discussion covers the pressing issue of denials and reimbursement challenges in the healthcare industry. Key topics include recent policy changes by Cigna on automatic downcoding, the implications of DRG downgrades, and strategies for identifying downcoded claims. The episode also addresses how to measure denial rates, manage medical necessity denials, and successfully overturn denied claims. Expert insights and community contributions make this episode a valuable...
info_outlineIn this episode of 'For the Love of Revenue Cycle,' the focus shifts from traditional denial management strategies to understanding the power of denial data. Vanessa discusses the limitations of current systems and common misconceptions in how denial management is practiced. Emphasizing the importance of prevention over mere resolution, the episode explains how analyzing denial data can reveal underlying process flaws and drive meaningful improvements. Key points include distinguishing between denial reasons and root causes, the importance of visibility over precision, and the role of technology in optimizing denial management. A call to action encourages listeners to rethink denial management as a strategic, data-informed approach to enhancing organizational performance.
00:00 Welcome and Introduction
00:15 Understanding Denial Management
00:58 The Role of Denial Data
05:14 Challenges in Using Denial Data
06:48 From Resolution to Prevention
07:49 Practical Steps for Denial Management
08:30 The Importance of Root Cause Analysis
10:07 Impact on Organizational Performance
11:46 Leveraging Technology and Automation
13:39 Conclusion and Final Thoughts