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Denial Trends, Appeals Insights & Agentic AI: A New Playbook for Appeal Success
Drawing from XiFin’s latest Payor Denial Impact Report and analysis of more than 20 million claims, this webinar will uncover the denial and appeals trends shaping reimbursement outcomes across laboratory, pathology, molecular diagnostics, and hospital outreach organizations. Attendees will gain insight into emerging payor behaviors, the denial categories driving the greatest financial risk, and appeal success trends.
The denial and appeals trends revealed in the data also highlight the growing operational challenges associated with evolving payor policies, increasing documentation requirements, and resource-intensive appeals processes. As organizations look for more scalable ways to manage these demands, the session will explore how Agentic AI can be leveraged to improve efficiency, reduce manual work, accelerate payments, and strengthen reimbursement outcomes.
After attending, participants will be able to:
- Identify which denial categories and payor behaviors present the greatest financial risk.
- Identify payor-specific denial drivers using benchmarking data and apply targeted strategies to increase appeal success rates.
- Benchmark organizational appeals against national trends to uncover areas for improvement.
- Review real-world Agentic AI use cases across policy interpretation, document intelligence, appeals, and automated claims workflows.
- Learn how to reduce denials, accelerate reimbursement, and improve payment predictability using AI-enabled decisioning.
Who Should Attend
- Healthcare executives, finance leaders, and revenue cycle management professionals.
- Laboratories, diagnostic providers, and healthcare organizations.
- Anyone looking to increase appeal success rates, reduce denials, and improve reimbursement outcomes.
Join us to explore how denial and appeals insights, benchmarking data, and Agentic AI can help organizations drive stronger financial outcomes.
Speakers
Diana Richard
Associate Vice President, National Accounts, Pathology/Radiology/Hospital Systems
XiFin, Inc.
Diana Richard brings over 20 years of diagnostic provider billing experience to her role as Associate Vice President of National Accounts at XiFin, Inc. Specializing in Pathology, Radiology, and Hospital Systems, she serves as a strategic support liaison for XiFin’s diagnostic clients. Diana’s expertise extends to Anatomic Pathology, where she excels as a subject matter expert. She conducts routine data studies on reimbursement trends, utilizing her analytical skills to provide valuable insights to clients. Beyond analysis, Diana is a proficient communicator, sharing findings through presentations, webinars, blogs, and conference posters. Her dedication to driving innovation and excellence in diagnostic provider billing cements her reputation as a respected leader in the field.
Mike Fauver
Vice President of Enterprise Solutions
XiFin, Inc.
Currently, the Vice President of Enterprise Solutions at XiFin, Mike, helps drive product development, optimization, sales, and execution of the XiFin Empower RCM solutions and Empower AI. He has more than 20 years of hands-on industry experience in revenue cycle management, billing and receivables management, and IT expertise. Prior to joining XiFin in 2015, Mike was Manager of Revenue Cycle at Mayo Clinic Laboratories. Mike holds a BS in Business Management from Minnesota State University, Mankato, and an MBA in Finance from the University of Wisconsin-Whitewater.
