HealthIT Answers April 8, 2025
By Ryan Chapin, Executive Director of Strategic Solutions, AGS Health
With hospitals, health systems, and other provider organizations already squeezed by higher operating costs and lower operating margins, a surge in the volume and complexity of claim denials is an unwelcome source of a potentially multimillion-dollar revenue leakage that few organizations can afford to ignore.
Exacerbating the problem are increasingly complex reimbursement requirements, stricter prior authorization rules, and payers’ advanced adoption of artificial intelligence (AI), forcing provider organizations to fight harder for every dollar they are owed.
To counter these forces, revenue cycle management (RCM) leaders must abandon their “Good Enough” mentality and adopt a new perspective on plugging revenue leakage from denials—one that includes a hybrid approach coupling intelligent...
Today's Sponsors
Today's Sponsor