Unleashing Revenue - Integrity’s Power in Denials Management

Revenue cycle challenges continue to place significant financial pressure on healthcare organizations, and claim denials remain one of the most costly—and preventable—sources of revenue leakage. Too often, denials are viewed as unavoidable write-offs rather than actionable opportunities to recover revenue and strengthen operational performance.

This session will reframe the way organizations think about denials by highlighting their critical role in revenue cycle management and overall financial health. Attendees will explore why denials matter, how a proactive and analytical approach can significantly improve cash flow, and how shifting from a reactive mindset to a revenue integrity–focused strategy can turn denials into dollars.

• Why denials are important and how effective management can drastically improve your financial health at your organization.
• What is the role of revenue integrity and how it can help turn denials into dollars.
• Best practices implementing a revenue integrity department and denials management program in your organization.
• Techniques to identify the root causes of denials and prevent recurring issues.
• Strategies for improving documentation, coding accuracy, and claim submission to reduce denials.
• Using data and analytics to monitor denials trends and drive continuous revenue recovery improvements.

• Overview of revenue integrity functions and this role in bridging clinical, operational, and financial workflows to prevent denials before they occur.
• Demonstration of effective revenue integrity practices to help identify root causes, improve documentation and coding accuracy, and support cleaner claims and stronger payer outcomes.
• Share best practices for implementing or enhancing a revenue integrity department or denials management program, including governance, crossdepartmental collaboration, datadriven decisionmaking, and sustainable workflows.
• Methods to proactively identify and prevent high-risk denial types.
• Techniques to prioritize and manage high-value denial recovery opportunities.
• Leveraging analytics to monitor trends, measure performance, and drive continuous improvement.
• Communication strategies to engage clinical and operational teams in revenue integrity initiatives.
• Case examples of successful denials recovery programs and measurable financial impact.
• Understanding payer behavior and aligning internal processes to improve reimbursement outcomes.
• Live Q&A Session

• Revenue Cycle Leaders and Managers
• Revenue Integrity Professionals
• Denials Management Specialists
• Patient Financial Services Teams
• Coding and HIM Staff
• Compliance Officers
• Finance and Accounting Teams
• Clinical Leadership involved in documentation and coding workflows
• Operations Managers overseeing billing and collections
• Practice Administrators and Clinic Managers

Michelle Roehl, MPHSM, MSOL, CSAF, CSBI, CRCR | Manager, Healthcare Consulting is an experienced leader in healthcare Revenue Cycle Operations and Management, 25 years, with a demonstrated history of working in the Healthcare Industry including Critical Access Hospitals, PPS Hospitals, Provider Based Clinics, Private Practice Clinics and Rural Health Clinics. She has worked in every revenue cycle position over the past 21 years, while on the provider side. The last position on the hospital side, for 5 years, was Director of Revenue Cycle, and she was leading remotely for two Critical Access Hospitals and clinics, 5 states away. She was responsible for Patient Access, Billing, HIM/Coding, Patient Financial Counselors, Provider Credentialing and Payer Enrollment, Revenue Integrity and Cash Posting team for both CAH’s and the clinics.

For the past four years, she has had the opportunity to help healthcare organizations in the role of a Revenue Cycle Consulting Manager with Eide Bailly, performing Revenue Cycle Assessments, Chargemaster Reviews, Interim Revenue Cycle Leader roles, assisting clients with billing and sharing her knowledge by presenting at conferences.