Owner / Auditor / Durling Consultants
Health insurance denials continue to be a major source of revenue loss and operational strain for healthcare organizations. As payer policies grow more complex and automation increases, organizations must move beyond basic denial reporting to proactive, data-driven strategies. In this session, we will review a practical framework for identifying, categorizing, and trending denials across hospital and professional billing. Attendees will learn how to analyze denial patterns by payer, service line, and root cause to uncover actionable insights that support both prevention and improved appeal outcomes. The presentation will also provide an overview of today’s denial-management technology landscape, including tools for analytics, workflow automation, medical-necessity validation, and payer policy monitoring. Real-world examples will demonstrate how organizations can leverage these solutions to reduce avoidable denials, strengthen cross-functional collaboration, and protect revenue integrity.
This session is ideal for revenue cycle, finance, compliance, and operational leaders.
Health insurance denials continue to be a major source of revenue loss and operational strain for healthcare organizations. As payer policies grow more complex and automation increases, organizations must move beyond basic denial reporting to proactive, data-driven strategies. In this session, we will review a practical framework for identifying, categorizing, and trending denials across hospital and professional billing. Attendees will learn how to analyze denial patterns by payer, service line, and root cause to uncover actionable insights that support both prevention and improved appeal outcomes. The presentation will also provide an overview of today’s denial-management technology landscape, including tools for analytics, workflow automation, medical-necessity validation, and payer policy monitoring. Real-world examples will demonstrate how organizations can leverage these solutions to reduce avoidable denials, strengthen cross-functional collaboration, and protect revenue integrity.
This session is ideal for revenue cycle, finance, compliance, and operational leaders.
