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25
Nov
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Eliminating Frequency-Based Denials with AI-Driven RCM

Eliminating Frequency-Based Denials with AI-Driven RCM  Organization: QWay Healthcare Date: 19-11-2025 Subtitle: An Upgraded Approach to Achieving Zero CO-119 Denials  Executive Summary  This case study examines how a multispecialty medical group in Northern California eliminated Medicare denials for screening colonoscopies. With increasing high-risk patients and incomplete screening histories, the organization faced repeated benefit-limit denials.   By partnering with QWay Healthcare and implementing AI- and RPA-driven RCM improvements, […]
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02
Oct
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Top 10 Benefits of Prior Authorization (With Tested Ways to Maximize Approvals)

Top 10 Benefits of Prior Authorization (With Tested Ways to Maximize Approvals) If you’re a provider managing patient care and ordering MRIs, surgeries, or high-cost medications, there’s one hurdle you know all too well: prior authorization.  Tens of millions of prior authorization requests are submitted each year. While most of these requests are approved, a […]
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