Denials are up. Payer audits have surged. And the compliance programs built for yesterday’s environment are struggling to keep pace. Join MDaudit’s Senior Director of Market Strategy for a data-driven look at what’s driving the shift — and how leading health systems are using AI-powered tools to get ahead of it.
The numbers behind the story:
+14% Hospital outpatient denied amounts, year over year
+30% At-risk revenue from external payer audits per customer
+102% HCC-based audits driven by Medicare Advantage scrutiny
+26% Coding-related denials in outpatient settings
What you’ll learn:
- Where billing compliance programs are falling short — and what the data says about why
- How risk-based and pre-bill auditing strategies are outperforming traditional approaches
- Why HCC and clinical documentation audits are the new front lines of revenue integrity
- How AI-powered platforms are enabling continuous monitoring at scale
- What 2026 will demand — and how to build a best-in-class revenue integrity program now
Who should attend:
- Billing compliance leaders – Chief Compliance Officers, Directors, Managers, and VPs overseeing compliance programs
- Revenue integrity professionals – Teams accountable for revenue capture and risk mitigation
