AHA Knowledge Exchange
Gain insights from the C-suite and health care leaders on the most pressing issues: navigating a changing landscape; fostering a culture of innovation; building health care’s workforce of the future; accelerating the shift to digital transformation; and leading for equity and resolving disparities.
Newest Knowledge Exchange
Breaking the Claims Denials Cycle
Fostering better outcomes, cleaner claims and greater leverage with payers
Hospitals and health systems are grappling with rising frustration from both providers and patients as claims denials continue to surge. These denials often lead to unexpected medical expenses for patients and financial strain for organizations that already have delivered essential care. Despite rigorous documentation by hospitals, artificial intelligence (AI)-based medical necessity reviews increasingly have become prevalent, contributing to a sharp increase in rejected claims. As advocacy efforts continue to hold corporate health plans accountable for covering medically necessary treatment, there’s a growing need to rethink payer engagement. By harnessing the power of technology, health systems can shift from chasing approvals to preventing denials. This Knowledge Exchange e-book explores a proactive payer strategy by tackling denials at the source and shifting the focus from reactive appeals to real-time intervention to drive better outcomes for both patients and providers.
Latest AHA Knowledge Exchange
Join the Conversation
- Network with your peers in this collaborative forum.
- Share your unique perspectives and gain practical takeaways.
- Better understand the challenges and successes the hospital field is experiencing as it enters the rebuilding and recovery phase.
- Participation is limited to facilitate a small group discussion.
- Be featured in a special report in AHA Today.
How to Register
Participation is limited to facilitate a small group discussion. Registration is required. There is no fee to attend. Contact events@aha.org for more information.