Hospitals face recurring claim denials that consume administrative time and obscure operational inefficiencies. Concentrations around specific diagnosis and service codes indicate gaps in documentation, clinical validation, and workflow structure. Treating each appeal as a separate incident prevents identification of root causes that directly affect revenue cycle performance and resource allocation efficiency. Sustained reduction of denials requires integration of structured templates, documentation audits, and actionable analytics. Linking clinical data to appeal outcomes identifies high-risk categories and quantifies process impacts. Incorporating physician advisors into review cycles aligns documentation with payer requirements and strengthens claim defensibility. This coordinated approach redirects staff focus toward systemic improvement rather than repetitive rework. Identifying the Appeal Spiral Structured denial tracking reveals recurring patterns tied to specific diagnosis and service codes. Regular denial-data reviews should flag repeat denials, quantify revenue at risk, and produce a prioritized list for targeted remediation. Incorporating denial management solutions t...