Health Systems have long dealt with underpayment, but new AI tools have intensified these challenges. What if you could bring payer-grade rigor and insights to your process? In this session with Rachel Dallmann, Chief Ancillary Officer at Phelps Memorial Health Center, we pull back the curtain on the very tools and playbooks payers use to root out overpayments and show you how applying that same payment-integrity mindset efficiently and accurately uncovers missing dollars. You'll leave with a clear framework for matching payer sophistication in your own workflows and concrete moves to start capturing revenue.
Speakers
Rachel Dallmann, Chief Ancillary Officer, Phelps Memorial Health Center
Sarah Armstrong, CEO, TREND Health Partners
David Gaffey, SVP, Provider Operations, TREND Health Partners
Key Learnings
Learn the "playbook" and tools payers utilize in payment integrity
Identify common under-payment blind spots—and how to avoid them
Develop guiding principles for translating shared data into revenue action
Deep dive into AI-powered payment integrity use cases that showcase health system payment accuracy