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RCM Advisor

Quarter 3 2026 - Volume 31, ISSUE 3

Denials, Payor Audits, & Appeals: A Pragmatic Playbook for Revenue Integrity Leaders

Feature Story

By Joseph Rivet, Esq., CCS‑P, CPC, CEMC, CPMA, CICA, CHRC, CHEP, CHPC, CHC, CAC, CACO


Denials, audits, and payor-driven downcoding are no longer episodic challenges but persistent operational realities that shape revenue cycle outcomes. Organizations cannot approach them as isolated events or assign responsibility to a single department.

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