Defensible Audits at Scale: How Auditor-Governed AI Meets Rising Regulatory and Payer Pressure

August 19 | 12:00 PM EST | 45 Minutes 

Revenue is under siege from two directions. Denials have jumped double digits. At-risk payer audit dollars averaged $19 million per customer in 2025, up from $4 million two years ago. And payers are automating their adjudication faster than most providers can respond. Autonomous coding solutions promise speed but create algorithmic liability. What’s actually working is a different approach: AI that keeps auditors in control, produces defensible determinations, and scales audit without gambling with compliance.

What You’ll Learn

• Why current audit approaches can’t scale fast enough to keep pace with payer pressure
• How AI-assisted (not autonomous) audit changes the economics of compliance
• The revenue impact of moving from reactive (post-bill) to proactive (pre-bill) audit
• Why autonomous coding inflates risk rather than reducing it
• How leading health systems are protecting $19M+ in at-risk revenue annually through auditor-governed approaches

Who Should Watch

CFOs, Chief Revenue Officers, VPs of Revenue Cycle, Revenue Integrity Directors, and compliance leaders focused on financial impact.

What You’ll Take Away

A business case for AI-assisted audit redesign, including how auditor-governed AI enables the framework and implementations protecting revenue and reducing denial exposure across leading health systems.