A recent American Hospital Association survey found that 89% of respondents experienced increased payment denials between 2017 and 2020. Despite access to various tools, improved processes and new technology, health care organizations across the country are struggling to gain insights into missed inpatient reimbursements and level-of-care denials.
Join us for this session with Xsolis, a HASC associate member. You’ll learn how objective, AI-driven insights can strategically align revenue cycle and utilization review teams to streamline hand-offs, ensure appropriate reimbursement and reduce the back-end delays associated with avoidable payment denials while identifying collaboration and automation opportunities that exist between providers and payers.
Objectives
During this session, you’ll learn how to:
- Create efficiencies and improve patient status accuracy from bedside to final payment by leveraging AI and automation
- Establish automation and workflows that reduce manual rework
- Prioritize appeals with the highest propensity to pay
- Improve payer relationships and reduce friction to benefit the revenue cycle and reimbursement
Speakers
Tanya Sanderson, Senior Director of Revenue Integrity, Xsolis
Facilitator
Tanya Sanderson is the senior director of revenue integrity at Xsolis, an AI-driven health care technology company focused on reducing friction and waste in the system. With over 30 years of experience in health care—including clinical nursing, regulatory consulting, and revenue cycle—she has led revenue integrity and denial management programs at major systems such as Community Health Systems and Mayo Clinic. Sanderson has built teams and processes that improve denial mitigation, revenue recovery and compliance. She holds a BS in nursing from the University of Tennessee, an MBA from DeVry University and an MHA from Bellevue University. She is currently pursuing her doctorate in health care administration.
Wendy Reynolds
Director of Clinical Consultants, Xsolis
Facilitator
Wendy Reynolds, DHA, MBA, RN, is a board-certified nurse executive and health care operations leader with more than 20 years of experience bridging clinical expertise and digital transformation. As director of clinical consultants at Xsolis, Reynolds drives alignment between clinical strategy, business outcomes, and product innovation to improve hospital operations, patient flow, and ROI. Her background includes leading ICU and case management teams during the COVID-19 pandemic, spearheading LEAN initiatives and launching telemedicine programs to expand access and revenue. With a doctorate focused on AI-driven clinical tools, an MBA in health care management and multiple certifications, Reynolds is passionate about using data and technology to deliver scalable, patient-centered innovation.
Sarah Lee Kim, MD
Utilization Management Physician Advisor, MLK Community Healthcare
Guest speaker
Registration and Contacts
Please use the green button above to register. For any questions about the webinar or MedCerts Partner Solutions, contact the HASC Education staff. See you online!
Sherita Aquino
Education Specialist
(213) 538-0767
[email protected]
Sharri Dixon
Program Director, Education
(213) 538-0739
[email protected]