Claims Denials: Causes, Impact and AI-Enabled Prevention Strategies

Claims Denials: Causes, Impact and AI-Enabled Prevention Strategies 
Exploring the Role of AI in Preventing and Managing Claims Denials 

Wednesday, May 14, 2025 
1 - 2 p.m. Eastern; noon - 1 p.m. Central; 10 - 11 a.m. Pacific    

Initial claims denials in revenue cycle management (RCM) continue to challenge hospitals and health systems, creating inefficiencies and contributing to administrative burdens. Join this webinar to explore a recap of findings from Inovalon’s 2024 Revenue Cycle Survey and gain a deeper understanding of the root causes of claims denials. We’ll explore how revenue cycle leaders and managers from hospitals perceive the role of artificial intelligence (AI) in addressing claims denials and improving RCM efficiency.

While the session will not provide specific recommendations, it will offer insights into how AI is viewed as a potential solution to prevent and manage claims denials, based on survey results from hospital respondents. Learn about the causes and impacts of claims denials, their priority level in RCM workflows, and how AI could be leveraged in the future to improve claims accuracy and overall operational efficiency.

Attendees Will Learn:  

• Insights from acute care-focused findings in Inovalon’s 2024 Revenue Cycle Survey on the priority level and causes of claims denials.
• How hospitals view AI’s potential in addressing claims denials, based on survey data from RCM leaders.
• Key challenges faced by hospitals in managing claims denials and the potential role of AI in enhancing RCM efficiency.

Speaker(s): 

Barbara Campbell  
Director of Market Research  
Inovalon  
Bowie, Md.