The Denial Management Guide

A practical reference guide for dental billing and revenue cycle teams.

Claim denials are rising, but not every practice is struggling equally. This guide compiles the most common denial questions we hear from dental billing teams, answered by experienced RCM leaders from high-performing practices.
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  • What's driving denials in 2026 and why documentation is the root cause
  • How to define and track clean claim and first pass rates
  • Why SRP, crowns, and crown buildups are the most frequently denied procedures  and what to do about it
  • Payer-specific strategies, appeals tactics, and coding clarifications
  • How to build a denial prevention culture across your entire team
  • A quick-reference scenario table your team can use immediately
Featuring insights from Donna Ramadan, VP of Revenue Cycle & Compliance at GLDP, and Kate Smith, Director of Revenue Cycle at OMS360.
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