Education
Using AI to Solve Claims Denials Interview with Ted Pantaleo Red Sky Health
In this interview, Doug Kimball and Ted Pantaleo discuss the challenges faced by healthcare providers in managing claims and how Red Sky Health's AI-driven solutions can alleviate these issues. Ted shares insights from his extensive experience in the healthcare industry, highlighting the complexities of claims processing and the skepticism providers often have towards new solutions. The discussion emphasizes the effectiveness of Red Sky Health's services, the potential return on investment for providers, and strategies for overcoming objections in the sales process.
Transform Your Claims Denial Challenges with AI
Our solution, “Daniel,” is revolutionizing the landscape of medical billing and provider services. With advanced proprietary AI algorithms, we enable advanced denial resolution with real time remediation and automatic resubmission. This promotes timely revenue recognition, enhances opportunities for better payer reimbursement, and enhanced income streams, while identifying population health opportunities and care gaps.
Denials Management - A Three-Tiered Approach
In healthcare, denials can significantly impact a provider's revenue cycle. Effective denials management requires a comprehensive approach that addresses denials at various stages. While often seen as a normal cost of doing business, denials can have a significant impact, both on a provider's revenue cycle and patient care.
An Introduction to Red Sky Health and Solving for Insurance Claims Denials
In a recent interview, our COO Jai Pillai spoke with Doug Kimball, Head of Marketing for Red Sky Health to brie y discuss some of the challenges faced in the health insurance industry and how Red Sky is using machine learning to address those needs.