Leveraging Denial Trends to Identify Compliance and Revenue Risks

Claims denials are on the rise. A 2020 survey by the American Hospital Association found that 89 percent of respondents experienced an increase in payment denials over the past three years, with 51 percent considering the increase “significant.”

In this session, presented by Ritesh Ramesh, Chief Operating Officer, we will look at insights related to third-party denials and gain a deeper understanding into identifying the root causes of these denials—knowledge that can be leveraged to design and implement a roadmap for their elimination from the revenue cycle before they can negatively impact revenue integrity.

You will learn:

  • Top reasons for denial trends in 2021.
  • How to establish proactive denial trends and monitoring practices that insulate compliance programs from external audits triggered by repeated billing errors,
  • The importance of collaboration between revenue cycle, revenue integrity, and compliance teams.

Trending Resources