Hospital Revenue Cycle Leaders Share Payer Denial Prevention Tactics
In its "Ask a Revenue Cycle Leader" series, Becker's Hospital Review reports responses from four hospital and health system revenue cycle executives describing creative fixes to payer reimbursement problems. Emanate Health's Angel Hovanessian built escalation logs tracking recurring payer issues shared with health plans and contracting teams. UC Davis Health's Tami McMasters Gomez shifted to prebill interventions targeting payer-specific denial patterns instead of reactive denial management. Confluence Health's Kaci Ramsey convened cross-functional teams to redesign workflows around payer requirements before claims occur, and Memorial Health System's Wade Wright described using predictive denial analytics to catch coding conflicts, such as mismatched diagnosis codes, before claim submission.