Charge Ahead: Practical Strategies for Revenue Integrity and Market-Based Pricing
October 01, 2026 | 11:00 AM PT
Root Cause to Revenue: Winning the Battle Against DRG Downgrades 07.29.2026 11:00 AM PT Executive Vice President Vice President, Denials Management ServicesHospitals and health systems face mounting revenue challenges from denials to evolving payer tactics, making...
What’s Draining Your Revenue Beyond Payer Denials—and How to Stop It Wednesday May 6, 2026 at 11:00 AM PST PresidentCorroHealthVice President Revenue Cycle ManagementUHSSr. Director of Clinical Revenue Operations and Care ManagementUHSMargins are shrinking. Medicare...
Everyone Has AI. Few Systems Show Clinical Intelligence. Thursday, April 2, 2026, 11:00am PT Senior Vice President of Product ManagementClinical Performance SpecialistAI is everywhere in clinical documentation integrity (CDI), but outcomes haven’t always kept pace...
Charting the Course: Leading Hospitals Through CMMI’s Seismic Shift February 19, 11:00 AM PSTWith shifting regulations and increasing technical complexity, hospitals and health systems face constant pressure to maintain compliance. In this session, Vice President of...
From Defense to Offense: Strengthen Your Denials Management Strategy December 3, 2025, 11:00 AM PSTDenials are on the rise, but not all denials are created equal. With mounting payer obstacles, regulatory complexity and staffing constraints, hospitals need smarter...
Beyond the Hype: How AI and GenAI Are Transforming CDI September 16, 2025, 11:00 AM PST Artificial intelligence is everywhere in healthcare but when it comes to clinical documentation integrity (CDI), the terms “automation,” “AI,” and “GenAI” are often used...
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E1: State of the Industry
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E2: UM and Peer-to-Peer
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E3: Denials
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E4: CDI + CMI
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Session 1: Payer Escalation Strategies →
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Session 2: DRG Downgrades →
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Session 3: Denials Management →
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Session 4: Your Questions Answered →
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For decades, managed care contracting has been organized around a single objective: get a better rate. Health system negotiating teams prepare detailed market analyses, benchmark against regional competitors, and enter renewal cycles focused almost entirely on the...
Fee-for-Service vs. Value-Based Care, What Hospital Leaders Should Know Financial pressures across healthcare continue to intensify. Rising costs, tighter margins, and growing expectations around quality and outcomes are forcing organizations to take a closer look at...
What Is Denials Management in Healthcare? Hospitals spend billions of dollars each year fighting claim denials, but the volume keeps climbing. For many leaders, the reflex is to add more staff, more metrics and more appeals in a race to keep up with payer demands....
Sepsis is one of the most complex, resource-intensive conditions a hospital treats. It is also, consistently, the top source of DRG downgrade activity across health systems nationally. That is not a coincidence. Payer clinical review teams know something that many...
Why Is AI Adoption Outpacing Hospital AI Readiness? As artificial intelligence moves deeper into healthcare, many hospital leaders find themselves facing a new kind of pressure. AI has quickly become a marker of innovation and a proxy for overall hospital AI...
The New Economics of Healthcare Reimbursement What’s Driving the Pressure on Healthcare Reimbursement Models? The traditional healthcare reimbursement model is under pressure and health system leaders know it. National health expenditures grew 7.2% in 2024, reaching...
Hidden Denials: The Revenue Loss Your 835 Will Never Show You Most health system revenue cycle leaders believe they have a handle on their denials problem. They track denials rates. They report on overturn percentages. They run monthly dashboards that show the total...
How AI in Healthcare Revenue Cycle Management Reclaims Time for Care Hospitals and health systems continue to face rising operational pressure. Patient volumes remain high, clinical staffing is tight, and administrative complexity grows every year. At the same time,...
Hospitals Race to Keep Pace as Payers and AI Reshape Denials Hospitals Race to Keep Pace as Payers and AI Reshape Denials Denials have become one of the defining pressure points in healthcare finance. Across hospitals and health systems, claims teams are balancing...
Medical Coding’s AI Moment Has Arrived How Medical Coding Automation Is Reshaping Revenue Cycle Performance Despite the attention surrounding AI in healthcare, much of medical coding automation still relies on highly manual workflows. Coders continue to work through...
