14 concrete steps nurse-leaders at 1–5 provider specialty clinics use to tighten prior auth workflows and cut denials. Written by a practicing LPN — not a consultant.
Used by nurse leaders at 1–5 provider specialty clinics. No spam — unsubscribe any time.
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Each item is a concrete action — not a vague recommendation. This is the floor, not the ceiling.
The 4 fields payers pull first — and why half of all denials trace back to them.
Payer-specific criteria checklist: what to verify before every submission to that payer.
The 5 most common denial codes and the immediate action for each one.
The folder structure that makes a reviewer's job easy — and yours too.
A single-page escalation path so nothing stalls waiting for someone to decide.
The 15-minute weekly PA review agenda that keeps your denial rate visible.
The Nurse-Led Operations Governance System™ (63 pages, $349) is the full framework: governance infrastructure, delegation architecture, and the 90-day clinic stabilization plan. Excerpted in the checklist.
Explore Book 1 — $349 →