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, […]
