We’re pleased to share that our CEO, Ritesh Ramesh, was published in Healthcare IT Today with Under Pressure: Why Pre-Bill Prevention is Now Non-Negotiable in Coding and Denial Management. The article examines the unsustainable cost of reactive denial management and the rising financial pressure on HIM and coding teams as payer tactics grow more aggressive, denial volumes climb, and hospitals lose an average of $5 million annually from unresolved denials alone.
Ritesh makes the case that revenue integrity must shift from a reactive function to a proactive, executive-level capability supported by connected technology, real-time data, and automated workflows. The piece draws on findings from our latest Benchmark Report—including a 26% increase in coding-related denials and a 70% spike in the average amount of RFI and medical necessity denials—to argue that pre-bill prevention is no longer optional. Organizations that move from defending audits to preventing them, and from fragmented oversight to confident control, are the ones positioned to handle payer complexity and protect their margins.
