Events

Denials Are a Clinical Problem

A Physician Advisor Framework for Revenue Protection
The hardest denials are clinical problems with financial consequences. Medical necessity, patient status, clinical validation, and inappropriate downgrades all depend on clinical judgment, so RCM teams can't resolve them alone. Hospitals that treat denials as a back-office issue keep losing the same appeals to the same payers.

Dr. Sid Raghavan and Krishang Todi, with WHA Corporate Member Aegis Health,  will present a physician advisor framework for breaking that cycle, and show how 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 denials management solution across hospitals and health systems.
 

What you'll take away:

-A framework for putting clinical expertise where it changes denial outcomes: peer-to-peer reviews, medical-necessity appeals, and payer disputes

-Where AI saves physician advisor time in chart review, evidence gathering, payer-policy analysis, and appeal preparation, so teams can review more cases without adding headcount

-How to turn denial data into clear reporting on payer behavior, appeal outcomes, and the recurring issues behind both

-Practical criteria for evaluating AI tools for your own physician advisor program

...

DATE

Aug. 25, 2026
11:00 AM
- 12:00 PM

...

LOCATION

Virtual