Weekly insider insights from Ned Lutz, a 20-year health system executive showing you how to fight back against insurance denials—with the exact strategies the industry doesn't want you to know.
I spent 20 years building the denial machine. Here are the 7 tactics payers use — the auto-denial triggers, the documentation traps, the economic denials disguised as clinical decisions — and exactly how to beat each one.
In 21 days, every Medicare Advantage plan must publicly post their prior auth denial rates. I've seen these numbers internally for 20 years. Here's what the data will reveal — and how to use it as a weapon in payer negotiations.
RCM vendors optimize billing workflows. But denials aren't a workflow problem—they're an intelligence problem. Here's the fundamental mismatch and what actually works.
From the Big Ticket Blocker to the Bundling Trap: Five documented payer denial patterns that target surgeries. How to spot them. How to beat them.
80% of denials are overturned on appeal. Yet 99% are never appealed. Here's the economics of that gap—and why health systems leave millions on the table.
I spent 20 years building the health insurance systems that deny your claims. Now I'm showing you exactly how to beat them. Here's why.
The step-by-step guide to filing a winning appeal. Includes timelines, deadlines, and the exact documents that force insurers to reconsider.
What "not medically necessary" really means, why it's so commonly wrong, and how to build the case that forces them to approve it.
Decode the 10 most common denial codes. Learn what each one really means and the specific appeal strategy for every code.
When your internal appeal fails, this free legal process can overturn denials at rates above 40%. Here's exactly how to file one.
Join The Denial Dispatch—weekly emails that give you the exact phrases, timelines, and insider strategies that force insurers to reconsider denials. Written by someone who spent 20 years building the systems that deny your claims.