As payers deploy AI to automate claim reviews, revenue cycle leaders share the strategies they are adopting to fight back.
Providers and payers have entered an era where battles over claims are increasingly fought by bots. In the latest HealthLeaders' The Winning Edge webinar, discussed the shifts that they are making to maintain healthy KPIs even as high claim denial rates persist.
Read the recap article here, or see the infographic below for key takeaways from Keshia Lewis, Executive Director of Integrated Authorization Services at Wellstar Health System; Bradley Olson, Vice President of Managed Care at Mercyhealth; and Jim Bohnsack, Chief Strategy Officer & Client Officer at Aspirion.
Luke Gale is the revenue cycle editor for HealthLeaders.
KEY TAKEAWAYS
Providers must effectively deploy their own technology to counter the speed and scale of payer algorithms.
Leaders are protecting revenue by negotiating clauses that account for material financial impact and operational delays.
Structured meetings between revenue cycle and clinical teams solve them create accountability.