For years PFS has been responsible for denials. We are changing our model and pushing that upstream and the C suite is holding the clinic leadership responsible for reporting on their denials outcome. The end game is a downward trend as leadership sees their accountability. The analyst pushes the monthly denials out to the departments and we also have monthly meetings to discuss with all involved.
PFS still manages turning them around but the ownership is now expanding
My position as Revenue Integrity Director was just created a few months. When my position was created they also created a Denials Director. We started having weekly Revenue Integrity meetings and just recently started rotating RI meeting with a Denials meeting. So we have started bring all denial issues to the meeting every other week and continue to work on anything that comes in the interim.