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DESCRIPTION:The hardest denials are clinical problems with financial conseq
 uences. Medical necessity\, patient status\, clinical validation\, and ina
 ppropriate downgrades all depend on clinical judgment\, so RCM teams can't
  resolve them alone. Hospitals that treat denials as a back-office issue k
 eep losing the same appeals to the same payers.<br />\n<br />\nDr. Sid Rag
 havan and Krishang Todi\, with WHA Corporate Member Aegis Health\,  will 
 present a physician advisor framework for breaking that cycle\, and show h
 ow AI is expanding what a physician advisor team can take on. Dr. Raghavan
  will draw on his experience building the physician advisory department at
  Sutter Health\, and Krishang will bring lessons from deploying an AI deni
 als management solution across hospitals and health systems.<br />\n 
DTEND:20260825T120000
DTSTAMP:20260730T080640Z
DTSTART:20260825T110000
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SUMMARY:The hardest denials are clinical problems with financial consequenc
 es. Medical necessity\, patient status\, clinical validation\, and inappro
 priate downgrades all depend on clinical judgment\, so RCM teams can't res
 olve them alone. Hospitals that treat denials as a back-office issue keep 
 losing the same appeals to the same payers.\nDr. Sid Raghavan and Krishang
  Todi will present a physician advisor framework for breaking that cycle\,
  and show how AI is expanding what a physician advisor team can take on. D
 r. Raghavan will draw on his experience building the physician advisory de
 partment at Sutter Health\, and Krishang will bring lessons from deploying
  an AI denials management solution across hospitals and health systems.
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