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Case Study: Denials Recovery Uncovers $40M in One Year Discover how a large, multi-department hospital recovered $40M+ in a single year by modernizing its denials management approach. With $1B+ in net patient revenue and 34,000+ annual discharges, the organization faced rising denials and appeals volume, but limited internal capacity meant tough tradeoffs. Some denials went…

Claims that pay: A tactical guide to first-pass success Healthcare claims management is growing more complex. Every year, more than 10 billion claims are submitted, and around 15% are initially denied — costing providers nearly $20B in rework. Not to mention overwhelming already‑stretched teams. But revenue cycle leaders can take a more tactical, proactive approach.…

5 AI use cases in payment integrity Health plans are operating in an increasingly complex environment defined by rising claim volumes, regulatory uncertainty and rapidly evolving provider behavior. At the same time, artificial intelligence is moving from experimentation to real‑world application across payment integrity programs. In this white paper, we highlight five real‑world AI applications…

The AI-driven health plan: Transforming operations, outcomes and experiences Artificial Intelligence (AI) is emerging as a pivotal force reshaping health plan operations, clinical outcomes, financial performance, and member engagement. This whitepaper offers C-Suite insights and perspectives to help health plan leaders optimize operations, identify growth opportunities, and drive toward more satisfying and productive provider and…

Does Your Billing Company Have a Strong Relationshp with Your Hospital IT? IIn today’s highly integrated healthcare environment, pathology revenue cycle performance is no longer driven solely by billing accuracy—it is fundamentally dependent on the strength of the relationship between your billing team and your hospital’s IT department. As pathology workflows rely heavily on EHR…

Beyond chatbots: Applying AI in CX Don’t just use AI to deflect simple conversations. Swipe these insights from industry leaders on creative ways to leverage AI in customer service. As businesses scale and customer expectations grow, CX leaders like you need to move beyond obvious AI applications to make the most of it. Get ideas…

More output, less overhead: 7 proven tactics for leaner CX teams Budgets are shrinking. Headcount is down. Customer expectations keep rising. CX leaders like you are under pressure to deliver more with less – all without burning out your teams. We spoke with experts and operational leaders to bring you proven tactics. Get the guide…

How you can improve your brand’s customer self-service Whether it’s going to the company’s help center, watching a video online, or checking out what other customers have to say on an online forum, most customers will attempt to solve their own customer service problems. In fact, Harvard Business Review found that 81% of consumers try…

Beyond chatbots: Applying AI in CX Don’t just use AI to deflect simple conversations. Swipe these insights from industry leaders on creative ways to leverage AI in customer service. As businesses scale and customer expectations grow, CX leaders like you need to move beyond obvious AI applications to make the most of it. Get ideas…

How you can improve your brand’s customer self-service Whether it’s going to the company’s help center, watching a video online, or checking out what other customers have to say on an online forum, most customers will attempt to solve their own customer service problems. In fact, Harvard Business Review found that 81% of consumers try…