Finance

Inefficient utilization management has long slowed care, drained staff time and fueled friction between health systems and payers. Providence is proving there’s a better way. By integrating artificial intelligence and automation into concurrent authorization processes, Providence reduced manual work, improved…

Hospitals are seeing more patients lose coverage during Medicaid redeterminations. This results in rising uncompensated care, ED bottlenecks and uneven patient financial experiences.  Join this one-hour session to hear concrete steps hospitals can take to stabilize revenue and protect access…

Hospitals are investing heavily in digital tools, but many still fail to realize meaningful ROI. Why? Because technology is rarely the limiting factor — the real challenges are resistance, complexity and misaligned workflows. In this virtual learning session, learn how…

For compliance leaders, revenue cycle teams and legal counsel, audits are nothing new — but when the numbers don’t make sense, the stakes skyrocket. Statistically invalid findings can trigger major repayment demands, disrupt operations and damage reputations. In this session,…

Three to five percent of emergency and urgent care visits are tied to car accidents, workplace injuries or other events covered by third-party liability (TPL) insurance. But these claims often go undiscovered and underpaid. Manual discovery processes are too slow…

Orthopedic and musculoskeletal (MSK) practices face an uphill battle: complex codes, payer scrutiny and limited staff capacity make revenue loss almost inevitable. Denials, delays and rework not only drain margins but also pull focus from patient care.In this session, attendees…

Margin erosion, payer rate compression and regulatory mandates are squeezing healthcare revenue. For many systems, reimbursement strategies remain reactive, leaving millions on the table. Without a data-driven approach, organizations risk falling behind in payer negotiations and missing opportunities that standalone…

Staffing shortages, inflation and payer friction now cost hospitals billions. Yet digital payment volume is set to quadruple, opening new revenue opportunities if teams can process the work. Automation and AI are quickly becoming must-have tools, not future nice-to-haves.  …

With high-deductible health plans on the rise, denials increasing and a greater share of receivables coming directly from patients, hospital margins are under significant strain. Capturing every last dollar has become critical to revenue protection. Keck Medicine of USC is…

Claims denials are on the rise and already costing nearly $20 billion per year. And, as payers continue to integrate AI into denial processes, revenue cycle teams are turning to generative AI to respond to denials faster and smarter. In…