Denials Management Requires the Most Subject Matter Expertise in the Revenue Cycle

AKASA, the leading developer of AI for healthcare operations, released new survey results showing denials management, coding, and prior authorizations are the revenue cycle tasks that require the most subject matter expertise.

More than 550 healthcare financial and revenue cycle leaders were asked: Which revenue cycle tasks require the most subject matter expertise? They could select up to five out of a list of 15 tasks.

78.7% said denials management

50.1% said coding

49.7% said prior authorization

Denials management not only requires the most subject matter expertise, but it’s also the most time-consuming task within revenue cycle management (RCM) — followed by prior authorization and insurance follow-up.

As health systems and hospitals continue to experience major staffing gaps, advanced automation driven by artificial intelligence (AI) and machine learning (ML) can help streamline these complex tasks and save providers valuable time and revenue.