If your team is spending more time reworking claims than submitting new ones, the problem probably isn’t effort — it’s process.

In this episode, billing experts Ken and Susan walk through what separates high-performing billing teams from ones stuck in the denial cycle: upstream validation, the right KPIs, and a system that surfaces problems before they become write-offs.

You’ll learn:

• What denials and rejections are actually costing your team in time, capacity, and client trust
• How validation rules can help catch missing NPIs, code mismatches, duplicates, and eligibility issues before a claim goes out
• Which metrics matter — clean claims rate, first-pass acceptance, denial rate by payer, days in A/R — and how to track them without manual reporting
• How reducing denial volume frees up staff to handle more volume without adding headcount
• Why clean claims performance is a growth differentiator for third-party billing companies