Denial management isn’t just about fighting back—it’s about understanding why denials happen and fixing the root causes upstream. This session will focus on how hospitals and health systems can use audit findings and denial data to identify coding gaps, documentation weaknesses, and process breakdowns that lead to preventable denials. Learn how to close these gaps through stronger internal collaboration across revenue cycle, coding, and clinical teams, while also using data-driven insights to foster more productive payer relationships.
Learning Objectives:
- Learn how to analyze denial patterns and audit results to uncover documentation, coding, and process issues—enabling proactive prevention rather than reactive rework.
- Discover best practices for improving internal workflows, fostering collaboration between clinical and revenue cycle teams, and ensuring that claims reflect accurate, defensible coding and clear clinical intent.
Betye Ochoa
Kimberly D Conner
Colleen Cochran
Senior Revenue Cycle Manager with over 15 years of experience in revenue cycle management across health care networks like Mercy Health and The Christ Hospital Network. Key achievements include Increased revenue capture by 30% through process improvements and strategic initiatives. Reduced days in accounts receivable by 15%, enhancing cash flow management. Managed a high-performing teams consisting of 45+ professionals, fostering a culture of accountability and continuous improvement. My core competences are the result of my achievements throughout my 30+ years experience working in Physician revenue cycle with my main focus on Accounts Receivables.
- Data-Driven: Successfully identifies key trends, analyzes metrics, and implements strategic initiatives to drive measurable
results and enhance decision-making processes based on data-driven insights.
- Communication: Equipped with interpersonal communication skills and able to smoothly blend and interact with top
management, peers, and teams from diverse backgrounds.
- Leadership: Demonstrated success as a leader inherent in eliciting a team's best quality with a commitment to the highest
service levels. Leads by example with ethics and integrity.
- Critical Thinking: Use resources to make responsible decisions in a high-energy environment, adapt quickly to change and
time management, and prioritize tasks to meet deadlines