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Executive Vice President
Vice President, Denials Management Services
Hospitals and health systems face mounting revenue challenges from denials to evolving payer tactics, making financial performance increasingly difficult to sustain. This raises an important question “What do you know about your DRG downgrades?” In this session Executive Vice President Tami Knobbe and Vice President, Denials Management Services Erica Strick at CorroHealth will discuss DRG downgrade trends and explore common root causes to better understand denials at the source. Attendees will gain practical, evidence-based strategies to strengthen revenue, transforming curiosity into actionable solutions for a more resilient revenue cycle.
Key Takeaways:
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 Medical Coding’s AI Moment Has Arrived Despite the attention surrounding AI in healthcare, much of medical coding still relies on highly manual workflows. Coders continue to work through charts line by line, managing growing...
Hospitals Can’t Afford to Treat Self-Pay as an Afterthought Where a patient chooses to seek care is no longer shaped by clinical reputation alone. Financial experience, from the first price estimate to the final statement, now factors into that decision. For...
How Hospital Leaders Can Turn Data into Stronger Contracts Data analytics now play a central role in healthcare contract negotiations, shaping not just how contracts are structured but how well they hold up once they are in practice. There is little margin for...
Payers Are Not Making Mistakes. Is Your Strategy Keeping Up? Hospitals and health systems are losing money on claims they believed were billed correctly. A claim comes back lower. The case lands on a downgraded DRG. The gap disappears into a pattern that continues to...
Why Clinical Intelligence Sets AI Apart in Healthcare Why are DRG downgrades still rising even as AI adoption grows? The answer points to a deeper problem than most AI vendors acknowledge: technology alone does not produce clinical accuracy. Denials keep climbing,...
