Ep. 59: AI and claim denials with Neal K. Shah, co-founder of Counterforce Health

Ep. 59: AI and claim denials with Neal K. Shah, co-founder of Counterforce Health

Neal K. Shah, CEO of CareYaya Health Technologies and co-founder of Counterforce Health, joins the show to talk about claim denials and how AI can help fight them.

Denials Management: Unintended Consequences of the Good Enough Mentality - Health IT Answers

By Ryan Chapin - With hospitals, health systems, and other provider organizations already squeezed by higher operating costs and lower operating margins, a surge in the volume and complexity of claim denials is an unwelcome source of a potentially multimillion-dollar revenue leakage that few organizations can afford to ignore. The post Denials Management: Unintended Consequences of the Good Enough Mentality appeared first on Health IT Answers.

For-profit health systems turn to AI and automation to manage payer denials

Despite challenges with the technology, some for-profit health systems are increasingly looking to AI and other automation tools to tackle the worsening problem of payer denial management. Seventy-three percent of providers have seen claims denials increase, according to a 2024 survey by Experian Health. That included 38% saying denials occur on at least 10% of claims and 11% who had denials on 15% of claims. Despite the increasing challenge fro…