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Related Concept Videos

Cognitive Dissonance01:38

Cognitive Dissonance

Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
Impression Management Techniques III: Aligning Actions01:29

Impression Management Techniques III: Aligning Actions

Aligning actions are communicative strategies individuals employ to maintain social harmony and preserve personal identity in the face of potential disruptions to social norms. These actions are particularly important in managing social impressions when one's behavior might be seen as inappropriate, incompetent, or morally questionable.Types of Aligning ActionsThe three principal types of aligning actions are disclaimers, accounts, and apologies.DisclaimersDisclaimers are preventive; they are...
Frustration and Conflict: Avoidance-Avoidance, Double-Approach Avoidance01:14

Frustration and Conflict: Avoidance-Avoidance, Double-Approach Avoidance

Avoidance-avoidance conflict refers to a psychological situation where a person must choose between two or more unpleasant alternatives. These conflicts are particularly stressful because neither option is desirable. This dilemma is often expressed in sayings like "caught between a rock and a hard place" or "between the devil and the deep blue sea." For instance, individuals who fear dental procedures may find themselves torn between enduring a painful toothache or facing the anxiety of...
Confirmation Biases01:31

Confirmation Biases

The confirmation bias is the tendency to focus on information that confirms our existing beliefs and ignore information that is inconsistent with our expectations. For example, if you think that your professor is not very nice, you notice all of the instances of rude behavior exhibited by the professor while ignoring the countless pleasant interactions he is involved in on a daily basis. Have you ever fallen prey to the confirmation bias, either as the source or target of such bias?
Understanding Deception01:14

Understanding Deception

Deception is a pervasive aspect of human communication. Empirical studies have shown that most individuals engage in some form of deceit on a daily basis, with approximately 20% of social exchanges involving deceptive elements. Lying follows a developmental trajectory, peaking during adolescence and declining with age, possibly due to the maturation of cognitive control and social accountability.Cognitive and Social Factors in Deception DetectionDespite its prevalence, accurately detecting...
Obedience01:08

Obedience

According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...

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Related Experiment Video

Updated: Jun 5, 2026

The Modified Temptation Resistance Task: A Paradigm to Elicit Children's Strategic Lie-telling
06:51

The Modified Temptation Resistance Task: A Paradigm to Elicit Children's Strategic Lie-telling

Published on: April 6, 2018

Denials: The Good, the Bad, and the Ugly.

Suzanne K Powell

    Professional Case Management
    |May 30, 2025
    PubMed
    Summary

    Clinical and administrative denials cause significant financial strain and patient distress. Understanding their causes is crucial for improving healthcare system efficiency and patient satisfaction.

    Area of Science:

    • Healthcare Management
    • Health Economics
    • Patient Advocacy

    Background:

    • Clinical and administrative denials represent a significant challenge within the healthcare system.
    • These denials extend beyond financial implications, impacting patient and provider well-being.

    Purpose of the Study:

    • To investigate the multifaceted causes of clinical and administrative denials.
    • To identify strategies for mitigating the negative effects of these denials on stakeholders.

    Main Methods:

    • This study involves a comprehensive review of existing literature on healthcare claim denials.
    • Analysis of administrative data and patient feedback related to denial processes.

    Main Results:

    • Key factors contributing to denials include coding errors, incomplete documentation, and payer policy complexities.
    Keywords:
    administrative denialsclinical denialscodinglack of informationprior authorization

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    An Experimental Analysis of Children's Ability to Provide a False Report about a Crime
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    Published on: May 3, 2016

    Related Experiment Videos

    Last Updated: Jun 5, 2026

    The Modified Temptation Resistance Task: A Paradigm to Elicit Children's Strategic Lie-telling
    06:51

    The Modified Temptation Resistance Task: A Paradigm to Elicit Children's Strategic Lie-telling

    Published on: April 6, 2018

    An Experimental Analysis of Children's Ability to Provide a False Report about a Crime
    07:36

    An Experimental Analysis of Children's Ability to Provide a False Report about a Crime

    Published on: May 3, 2016

  • Patient and provider dissatisfaction are consistently linked to the denial experience.

    • Conclusions:

    • Addressing the root causes of denials requires systemic improvements in documentation, coding, and payer relations.
    • Proactive strategies are needed to reduce denial rates and improve the overall healthcare experience.