Denials to Dollars: Finding Patterns, Fixing Bundles

Description: Are costly payment denials for "bundled" procedures straining your finances and frustrating your team? This case study shows how a smart, data-focused strategy can untangle these complex issues. Discover how looking deeply into payment data revealed hidden patterns (like specific service combinations and insurer behaviors) that lead to these payment rejections. Learn about straightforward changes, born from these insights, that sharply reduced such denials, improved billing accuracy, and made the revenue cycle more efficient. Attendees will leave with practical ideas to use on their own organization's data, turning these confusing denials into clear pathways for financial recovery and smoother operations.

Learning Objectives:

  • Recognize key indicators of systemic bundled denial issues through analysis of revenue cycle data
  • Develop targeted strategies, based on case study insights, to mitigate or exclude common bundled denial scenarios
  • Evaluate the potential and actual impact of targeted analytical interventions on bundled denial rates and revenue cycle efficiency

Webinar Publish Date: This was presented as part of the OHIMA 2026 Annual Meeting & Trade Show - March 11, 2026.
Duration:
1 hour

Speaker: Patrick Kelly is a healthcare consulting leader with deep expertise in revenue cycle operations, financial performance improvement, and large-scale healthcare transformation. As a Senior Managing Consultant at Tegria, he partners with leading health systems across the country to strengthen operational efficiency, improve quality metrics, and drive measurable, sustainable results. Patrick’s work blends strategic planning with hands-on execution, helping organizations reduce denials, optimize billing workflows, and enhance overall financial performance.

 

Speaker: Sandra Jones is an accomplished healthcare leader with over two decades of progressive leadership experience in revenue cycle operations and organizational development. Currently serving as Senior Director at Novant Health Medical Group, she oversees daily operations for the Insurance Follow-Up department, managing a team of 108 professionals. Her strategic leadership drives operational efficiency, AR management, and denial reduction for over 800 clinics.

 

Click here to register for this webinar!

Cost: $25 Members / $35 Non-Members
1 AHIMA CEU*
Domain: Revenue Cycle Management

*AHIMA CEUs are also accepted by the AAPC! Check eligibility on the AAPC website.

Course Details

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