Template
Pre-Auth Denial Analysis Template
Stop guessing why your authorizations get denied. Track denials by payer, procedure, and reason — then act on the patterns.
What’s inside
Everything you need to act on this
- Denial tracking worksheet — log every denial by date, payer, procedure code, denial reason, and appeal outcome
- Payer denial rate matrix — calculate your first-pass approval rate by payer to identify your most problematic relationships
- Denial reason taxonomy — 14 standardized denial categories to make pattern identification consistent across staff
- Procedure-level denial analysis — which CPT codes get denied most and what documentation fixes would address each
- Appeal success rate tracker — measure which denial reasons you win on appeal vs. which to avoid billing in the first place
- Monthly denial trend chart — visualize whether your overall denial rate is improving or worsening over time
- Staff accountability matrix — track which team members handle which payers and flag training needs
- Root cause action log — document process changes made in response to denial patterns and measure their impact
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