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Judgment & ambiguity · Prioritizing without clear signal

You lead a hospital revenue-cycle team and a denials backlog is climbing across several payers with no single obvious cause — timely-filing deadlines are approaching on some claims while larger-dollar claims sit further from their limits. How do you sequence the work?

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I sequence by what becomes unrecoverable first, then by expected value — because a claim past its timely-filing deadline is money that's simply gone, regardless of size.

The full answer: structure, worked example, likely follow-up.

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