---
title: The Importance of Denials Prevention
description: The Importance of Denials Prevention
---

[![The Wilshire Group](https://info.thewilshiregroup.net/hs-fs/hubfs/Full%20TWG%20Black.png?width=500&height=223&name=Full%20TWG%20Black.png "The Wilshire Group")](https://thewilshiregroup.net/)

- ![phone_icon](https://info.thewilshiregroup.net/hubfs/Images/TWG-phone.png)  (310) 699-2017 [![mail_icon](https://info.thewilshiregroup.net/hubfs/Images/TWG-email15.png)  info@thewilshiregroup.net](mailto:info@thewilshiregroup.net)
- <https://www.facebook.com/TheWilshireGroup/>
- <https://twitter.com/TWGHealth>
- <https://www.linkedin.com/company/the-wilshire-group-associates>

- Receive Updates

- ![phone_icon](https://info.thewilshiregroup.net/hubfs/Images/TWG-phone.png)  (310) 699-2017 [![mail_icon](https://info.thewilshiregroup.net/hubfs/Images/TWG-email15.png)  info@thewilshiregroup.net](mailto:info@thewilshiregroup.net)
- <https://www.facebook.com/TheWilshireGroup/>
- <https://twitter.com/TWGHealth>
- <https://www.linkedin.com/company/the-wilshire-group-associates>

- Receive Updates

# The Wilshire Group Blog

[Home](https://thewilshiregroup.net/) | [The Wilshire Group Blog](https://info.thewilshiregroup.net/blog) | The Importance of Denials Prevention

# The Importance of Denials Prevention

 by [Martin Barker](https://info.thewilshiregroup.net/blog/author/martin-barker) 

 May 17, 2016 [Thought Leadership](https://info.thewilshiregroup.net/blog/tag/thought-leadership), [Revenue Cycle](https://info.thewilshiregroup.net/blog/tag/revenue-cycle)

Denials management is one of those [evergreen topics](https://thewilshiregroup.net/the-never-ending-battle-on-denials/) that is always on the mind of a revenue cycle practitioner - coming up with new ways to solve, implementing the newest tools, the fanciest follow-up methodologies, etc. The reality is that once you have an effective system in place for working denials, the next step is to focus on preventing them from occurring. While you will never be able to prevent 100% of denials, you can definitely reduce their frequency by focusing on "low hanging fruit." According to often-cited industry metrics, approximately 90% of denials are preventable or avoidable.

Before you can implement a denials prevention program, you need a few key things in place:

- Good reporting on your denials - both current and historical
- Buy-in from all levels of staff - from front-end to senior leadership
- A solid program in place to work denials

With these components in place, the process for setting up an effective denials prevention program can proceed. The Wilshire Group can work with you to help tailor a program to fit your organization's needs.

Key benefits to denials prevention:

- Reduced "touches" on an account
- Decreased time in AR
- Decreased cost to process a claim

Whether you've tried implementing a denials prevention program previously or this is your first time - we can help. At The Wilshire Group our team of experienced consultants can review your denials management program, and determine how a prevention program would benefit your organization.

Contact [Martin Barker](https://thewilshiregroup.net/team/martin-barker/) today for more information!

### Subscribe Here!

### Archives

- [May 2015 (8)](https://info.thewilshiregroup.net/blog/archive/2015/05)
- [June 2018 (8)](https://info.thewilshiregroup.net/blog/archive/2018/06)
- [October 2018 (6)](https://info.thewilshiregroup.net/blog/archive/2018/10)
- [May 2016 (5)](https://info.thewilshiregroup.net/blog/archive/2016/05)
- [June 2016 (5)](https://info.thewilshiregroup.net/blog/archive/2016/06)
- [March 2019 (5)](https://info.thewilshiregroup.net/blog/archive/2019/03)
- [April 2019 (5)](https://info.thewilshiregroup.net/blog/archive/2019/04)
- [October 2019 (5)](https://info.thewilshiregroup.net/blog/archive/2019/10)
- [March 2020 (5)](https://info.thewilshiregroup.net/blog/archive/2020/03)
- [July 2015 (4)](https://info.thewilshiregroup.net/blog/archive/2015/07)
- [July 2018 (4)](https://info.thewilshiregroup.net/blog/archive/2018/07)
- [August 2018 (4)](https://info.thewilshiregroup.net/blog/archive/2018/08)
- [September 2018 (4)](https://info.thewilshiregroup.net/blog/archive/2018/09)
- [January 2019 (4)](https://info.thewilshiregroup.net/blog/archive/2019/01)
- [February 2019 (4)](https://info.thewilshiregroup.net/blog/archive/2019/02)
- [June 2019 (4)](https://info.thewilshiregroup.net/blog/archive/2019/06)
- [August 2019 (4)](https://info.thewilshiregroup.net/blog/archive/2019/08)
- [December 2019 (4)](https://info.thewilshiregroup.net/blog/archive/2019/12)
- [February 2015 (3)](https://info.thewilshiregroup.net/blog/archive/2015/02)
- [June 2015 (3)](https://info.thewilshiregroup.net/blog/archive/2015/06)
- [May 2019 (3)](https://info.thewilshiregroup.net/blog/archive/2019/05)
- [September 2019 (3)](https://info.thewilshiregroup.net/blog/archive/2019/09)
- [April 2020 (3)](https://info.thewilshiregroup.net/blog/archive/2020/04)
- [May 2020 (3)](https://info.thewilshiregroup.net/blog/archive/2020/05)
- [January 2015 (2)](https://info.thewilshiregroup.net/blog/archive/2015/01)
- [March 2015 (2)](https://info.thewilshiregroup.net/blog/archive/2015/03)
- [April 2015 (2)](https://info.thewilshiregroup.net/blog/archive/2015/04)
- [November 2018 (2)](https://info.thewilshiregroup.net/blog/archive/2018/11)
- [November 2019 (2)](https://info.thewilshiregroup.net/blog/archive/2019/11)
- [January 2020 (2)](https://info.thewilshiregroup.net/blog/archive/2020/01)
- [February 2020 (2)](https://info.thewilshiregroup.net/blog/archive/2020/02)
- [September 2015 (1)](https://info.thewilshiregroup.net/blog/archive/2015/09)
- [November 2015 (1)](https://info.thewilshiregroup.net/blog/archive/2015/11)
- [April 2016 (1)](https://info.thewilshiregroup.net/blog/archive/2016/04)
- [February 2017 (1)](https://info.thewilshiregroup.net/blog/archive/2017/02)
- [January 2018 (1)](https://info.thewilshiregroup.net/blog/archive/2018/01)
- [May 2018 (1)](https://info.thewilshiregroup.net/blog/archive/2018/05)
- [December 2018 (1)](https://info.thewilshiregroup.net/blog/archive/2018/12)
- [July 2019 (1)](https://info.thewilshiregroup.net/blog/archive/2019/07)
- [June 2020 (1)](https://info.thewilshiregroup.net/blog/archive/2020/06)

[See all](https://info.thewilshiregroup.net/blog/the-importance-of-denials-prevention#)

### Categories

- [Thought Leadership (103)](https://info.thewilshiregroup.net/blog/tag/thought-leadership)
- [Revenue Cycle (67)](https://info.thewilshiregroup.net/blog/tag/revenue-cycle)
- [Revenue Integrity (28)](https://info.thewilshiregroup.net/blog/tag/revenue-integrity)
- [Company News (26)](https://info.thewilshiregroup.net/blog/tag/company-news)
- [Patient Access Services (26)](https://info.thewilshiregroup.net/blog/tag/patient-access-services)
- [HIM (21)](https://info.thewilshiregroup.net/blog/tag/him)
- [Epic (20)](https://info.thewilshiregroup.net/blog/tag/epic)
- [CDI (17)](https://info.thewilshiregroup.net/blog/tag/cdi)
- [Clinicals (16)](https://info.thewilshiregroup.net/blog/tag/clinicals)
- [Consulting Strategy (14)](https://info.thewilshiregroup.net/blog/tag/consulting-strategy)
- [COVID-19 (10)](https://info.thewilshiregroup.net/blog/tag/covid-19)
- [Coding (9)](https://info.thewilshiregroup.net/blog/tag/coding)
- [News Updates (9)](https://info.thewilshiregroup.net/blog/tag/news-updates)
- [charge capture (8)](https://info.thewilshiregroup.net/blog/tag/charge-capture)
- [News (7)](https://info.thewilshiregroup.net/blog/tag/news)
- [Insider (6)](https://info.thewilshiregroup.net/blog/tag/insider)
- [Finance (5)](https://info.thewilshiregroup.net/blog/tag/finance)
- [ICD-10 (4)](https://info.thewilshiregroup.net/blog/tag/icd-10)
- [Words of Wisdom (4)](https://info.thewilshiregroup.net/blog/tag/words-of-wisdom)
- [Build Guides (3)](https://info.thewilshiregroup.net/blog/tag/build-guides)
- [Case Studies (3)](https://info.thewilshiregroup.net/blog/tag/case-studies)
- [Charge Router (3)](https://info.thewilshiregroup.net/blog/tag/charge-router)
- [Perioperative Services (2)](https://info.thewilshiregroup.net/blog/tag/perioperative-services)
- [vendors (2)](https://info.thewilshiregroup.net/blog/tag/vendors)
- [Accounting (1)](https://info.thewilshiregroup.net/blog/tag/accounting)
- [Audit (1)](https://info.thewilshiregroup.net/blog/tag/audit)
- [ED (1)](https://info.thewilshiregroup.net/blog/tag/ed)
- [HFMA (1)](https://info.thewilshiregroup.net/blog/tag/hfma)
- [OR (1)](https://info.thewilshiregroup.net/blog/tag/or)
- [Payment Posting (1)](https://info.thewilshiregroup.net/blog/tag/payment-posting)
- [Regulatory Updates (1)](https://info.thewilshiregroup.net/blog/tag/regulatory-updates)
- [SOX (1)](https://info.thewilshiregroup.net/blog/tag/sox)
- [Scanning (1)](https://info.thewilshiregroup.net/blog/tag/scanning)
- [emergency department (1)](https://info.thewilshiregroup.net/blog/tag/emergency-department)

[See all](https://info.thewilshiregroup.net/blog/the-importance-of-denials-prevention#)

[previous post](https://info.thewilshiregroup.net/blog/jennifer-esterbrooks-joins-wilshire-as-director-of-health-information-services) [next post](https://info.thewilshiregroup.net/blog/keep-coders-coding)

![Wilshire](https://info.thewilshiregroup.net/hs-fs/hubfs/Images/Wilshire.png?width=250&height=123&name=Wilshire.png)

 

**The Wilshire Group**  
 2075 Vista Ave, Suite 100  
 Sierra Madre, CA 91024

(310) 699-2017

[info@thewilshiregroup.net](mailto:info@thewilshiregroup.net)

## OUR SERVICES

[REVENUE CYCLE](https://thewilshiregroup.net/what-we-do/revenue-cycle/)  
[HEALTH INFORMATION MANAGEMENT](https://thewilshiregroup.net/what-we-do/health-information-mgmt/)  
[PROJECT & CHANGE MANAGEMENT](https://thewilshiregroup.net/what-we-do/project-change-management/)  
[EPIC IMPLEMENTATION & OPTIMIZATION](https://thewilshiregroup.net/epic-implementation-optimization/)

Receive Updates

### THOUGHT LEADERSHIP

©2016 The Wilshire Group. All rights reserved.

### Receive Updates