Innovating a successful denials management program: Predict, prioritize, prevent

Denials are the squeaky wheel of the revenue cycle, keeping it from turning smoothly. They take valuable time and resources to address, with no guarantee appeals will succeed. The best way to address denials? Avoid them in the first place. During this session, attendees will learn critical components to innovating a successful denials program with a payment intelligence platform: • Predict potential clinical denials and payment lags by leveraging AI/ML-based technology that combines clinical and payment data • Prioritize revenue cycle worklists to target at risk claims that could benefit from interventions • Prevent high probability denials upfront with proactive nudges