Using AI to Prevent and Appeal Healthcare Denials with Protego Health's Corey Feldman

Using AI to Prevent and Appeal Healthcare Denials with Protego Health's Corey Feldman Join Founder & CEO Corey Feldman and me as we dive into the world of revenue cycle to untangle how AI-driven solutions like the one at his company, Protego Health, are transforming claims denial prevention and appeals. Come explore the challenges, innovations, and future of AI in healthcare with tons of practical prevention, appeal, reporting, and technology implementation tips along the way. Key Topics: • Combating claim denials using AI • The root causes of healthcare claim denials and how AI can address them • The importance of seamless workflow integration for providers and payers • Core challenges in adopting AI solutions within health systems • The importance of appealing well, appealing fully, and appealing often • Corey’s personal story and its influence on product development • The evolving role of AI in revenue cycle management and automation • Practical advice for organizations looking to implement AI effectively • Future trends: self-regulating AI and agentic automation in healthcare • How regulation and speed to deployment impact AI adoption in healthcare Timestamps: 00:00 - Introduction 00:58 - Vendor Voices Snapshot Challenge 04:18 - Introducing Corey Feldman & his family’s healthcare finance journey 07:25 - Financial toxicity is clinical toxicity / No margin, no mission 09:05 - How software can aggregate important revenue cycle datapoints within workflows 11:36 – Diving into data-driven appeal strategies 12:45 - Making denials compelling and undeniable 13:40 - The lesser-discussed importance of fighting back on denials 15:16 - Rising denials and lowering technological hurdles 16:41 - The impact of large language models (LLMs) and AI innovation 18:40 - How inconsistent/inaccurate use of denial codes makes for unreliable denials data 22:15 - Barriers to AI adoption and the importance of focus 23:45 - How Epic and other EHR vendors are entering the AI space 24:40 - The paradox of AI regulation and speed 25:30 - Discussing a widening technology gap between EHRs and point solution companies 29:04 - The future of AI in revenue cycle management 33:45 - Next big features in AI for healthcare: self-regulation for factual answers 36:47 - Final advice: Change is inevitable - embrace AI The episode was brought to you by: Real Partners Consulting Connect with Ryan Downs:   / ryanpdowns   Connect with Corey Feldman:   / csfeldman   We Want Your Input! If you’d like to suggest a specific topic or guest, feel free to reach out to me on LinkedIn or email at [email protected]. Please rate and review – and be sure to subscribe to never miss an episode! Thank you for listening!