Why denial prevention fails + how to fix it

Christine Fontaine, Solution Strategist Waystar

More than 50% of the 450 million claims that are denied each year are overturned. It sounds somewhat promising — until you realize it costs providers $20 billion to do it.

“Yes, these denials ultimately get overturned, but the appeal process is time-consuming, complex, and error-prone for providers,” says Matt Hawkins, Waystar CEO.

Join this session to uncover cutting-edge tactics for preventing denials before they happen. We’ll start with a comprehensive update on the state of denials today before getting tactical by focusing on:

• Why and where denial prevention fails
• Tips for creating a successful prevention strategy
• Proven plans for successful appeal creation
• Using AI and automation to remove manual tasks, streamline workflows, and improve prioritization
• The potential of generative AI to appeal denied claims with little to no human intervention

We’ll also reveal how organizations are leveraging denial prevention to mitigate staffing shortages, eliminate frontend errors, and maximize their use of data and technology.




Becker’s Healthcare. Claims denials are costing hospitals $20B per year. (2024)