Keeping pace with medical necessity in a strained revenue cycle

Summary

Medical necessity denials are a leading cause of lost revenue and operational strain. They trigger costly rework, delays in care, and avoidable appeals. Many of these denials can be prevented with stronger front-end processes.

This challenge is especially pronounced in specialty infusion, where high-cost therapies, complex payer policies, and strict documentation requirements leave little room for error.

In this webinar, our experts break down the most common drivers of medical necessity denials and share practical, actionable strategies to improve defensibility at the source. Learn how to strengthen documentation, better align clinical and coding workflows, and reduce downstream denials, delays, and appeals before they happen.

You’ll learn to:

Understand why medical necessity denials happen and where they originate in the workflow
Strengthen documentation and coding practices to better support defensible medical necessity
Apply best practices for specialty infusion, including clear indication, diagnosis specificity, and complete treatment details (dose, route, frequency)