Denial management has become one of the highest-value areas where internal audit can protect margin and strengthen revenue cycle governance. Yet many teams still treat denials as a facility-by-facility firefight rather than asystemic risk with clear root causes. This session places an emphasis on embracing denial management as an end-to end discipline spanning prevention, identification, root cause analysis, resolution, and continuous monitoring.

Drawing on industry experience, insights will be shared on a repeatable, analytics-driven approach that connects claim and remittance data to measurable audit insight while preserving independence. Attendees will learn how to scope a denials audit, target high-volume and high-dollar denial areas, validate controls and root cause assignment, and monitor performance against key indicators. The goal is to provide practical tactics auditors can apply to move their organizations from reactive recovery toward proactive denial prevention and stronger financial outcomes.