A Denials Assessment from Managed Resources is a complimentary, hassle-free resource that provides your organization with actionable insights on your denials management operations. Senior leaders from Managed Resources' KLAS-rated appeals team will review samples of your organization's appeal letters, assess current denials workflows, and provide targeted improvement opportunities to drive higher reimbursement, stronger processes, and fewer denials. Your assessment team will consist of:
Jozette Cook-White, MSN, MHA, RN, CCM, CPC, Sr. Director of Revenue Cycle Operations
Jozette Cook-White brings more than 25 years of healthcare experience, both on the provider side and on the payer side. She has deep expertise in clinical and operational leadership, strategy development, implementation and budget management. Jozette is a results-focused leader, successful in driving high quality results for large U.S. health systems.
Zaira Tolentino, IMG, CCS, CDIP, Manager of Clinical Appeals & CDI
Zaira Tolentino brings more than 10 years of healthcare experience. She an international medical graduate, certified coding specialist and clinical documentation integrity specialist who has extensive experience in writing APR-DRG & MS-DRG appeals. Zaira is an avid speaker and respected educator - and takes deep pride in breaking complex problems into simple, digestible terms so clients can make targeted decisions with intention and confidence.
Effective appeal letters are critical to overturning denials and recovering lost revenue, yet many systems are falling short due to lack of clinical precision or payer-specific strategies.
Managed Resources will review of up to (4) appeal letters (including DRG appeals and medical necessity appeals) to identify opportunities for improvement and increased reimbursement success.
A well-structured workflow and the right team structure are essential to preventing and efficiently overturning denials, but gaps in process or misaligned roles can lead to revenue leakage. Our experts conduct a focused review of your current denials workflows and staff responsibilities to identify bottlenecks, redundancies, and areas to improve efficiency.
As part of our complimentary denials management assessment, Managed Resources will evaluate your denial-related processes and personnel alignment. This review helps ensure your team is equipped and structured to respond effectively and reduce avoidable denials long-term.
Understanding how your organization’s denial overturn rates compare to industry benchmarks is key to identifying performance gaps and setting realistic improvement targets.
As part of our complimentary assessment, we can review your internal overturn rates alongside Managed Resources overturn data, and industry data, to highlight areas of strength and opportunity. This benchmarking provides actionable insights to help you enhance recovery rates and align with top-performing peers.
At the conclusion of your complimentary assessment, and review of appeal letters, Managed Resources will deliver a Custom Report summarizing key insights and observations.
This report includes actionable recommendations to strengthen your denials management program and increase reimbursement potential. Whether you're aiming to reduce avoidable denials or improve overturn rates, our insights are designed to drive measurable results towards your organization's operational and financial goals.
