Hospitals spent $43 billion in 2025 chasing payments insurers already owed them. Payer tactics have grown more sophisticated, more automated and harder to detect — and many of the most financially damaging losses, including DRG downgrades, never trigger a formal denial alert at all.
The pressure compounds quickly. Disconnected CDI, coding and denials teams generate gaps that payers exploit. Traditional denial tracking dashboards miss what was never flagged. Contract leverage sits unused while reimbursement quietly erodes. And RCM technology decisions get made under a flood of AI marketing claims that don't always translate to financial outcomes.
This panel brings revenue cycle, CDI and clinical leaders together for a frank conversation about what's working and what isn't.
The discussion will cover:
- Why denial rates are rising across major payers and how hospitals must respond
- How siloed CDI, coding and denials teams compound revenue loss
- What traditional denial tracking misses — especially DRG downgrades
- Where payer contracts are being underused as a defense strategy
Feel free to register even if you can't attend live, we'll make sure to send you the recording afterwards. Hope to see you there!
