

How a Pain Management Clinic Reduced Claim Denials
- High denial rates hurting cash flow: The Texas pain management clinic faced a 28% denial rate due to authorization, coding, and documentation issues.
- Root-cause denial analysis: Practolytics identified workflow gaps through a detailed denial trend audit.
- Automated prior authorizations: Approval times dropped from 72 hours to under 24 hours, cutting rework significantly.
- Improved coding accuracy: AI-driven coding validation raised claim accuracy to 96% and reduced errors.
- Real-time denial visibility: Dashboards helped predict and prevent denials before submission.
- Strong financial results: Denials fell by 40%, clean claims rose to 92%, and monthly collections increased by 15%.
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- High denial rates hurting cash flow: The Texas pain management clinic faced a 28% denial rate due to authorization, coding, and documentation issues.
- Root-cause denial analysis: Practolytics identified workflow gaps through a detailed denial trend audit.
- Automated prior authorizations: Approval times dropped from 72 hours to under 24 hours, cutting rework significantly.
- Improved coding accuracy: AI-driven coding validation raised claim accuracy to 96% and reduced errors.
- Real-time denial visibility: Dashboards helped predict and prevent denials before submission.
- Strong financial results: Denials fell by 40%, clean claims rose to 92%, and monthly collections increased by 15%.