This episode dives deep into the confusion many practices face when it comes to rejections vs. denials. Jennifer and Maya welcome back Cameron Lewellen to talk about how AI and automation can transform how practices handle claim issues, boost efficiency, and get paid faster.From hilarious personal stories to hard-hitting truths about insurance delays, this episode is packed with real talk and practical insights.The difference between a rejection and a denialRejections never make it through the system. Denials are processed and then kicked back due to payer rules or errors.Why automation mattersAI (like Athelas) can prevent delays by correcting errors before submission, automatically resubmitting denials, and eliminating lag time.The power of site-specific vs. global rulesCameron explains how custom rulesets based on payer and specialty drastically reduce denials.Real-world examplesIncluding one from an autism center battling denials from unlisted codes—and how automation fixed it.Domain-trained AI in actionThink: bots that sit on hold with payers so your staff doesn’t have to. Yes, really.Underpayments and the dollars you're leaving on the tableAI can track every claim and compare it to your fee schedule to recover revenue you didn’t even know was missing.The burnout problemWe talk about billers working weekends, late nights, and how automation can protect your team’s well-being.“AI works on Saturdays.” – Cameron Lewellen“You earned every dollar. AI helps you collect it.” – Jennifer McNamara“Appeal letters should be short and to the point. If it’s two pages long, no one’s reading it.” – Maya TurnerClearing up common misconceptions about rejections vs. denialsHow AI augments—not replaces—your revenue cycle teamUsing data to identify patterns and prevent denialsUI/UX in RCM software: why it mattersOperational tips for using automation to protect your ARBenchmarking payer behavior and setting smarter expectationsAthelas – Learn more about their AI-driven RCM platformBone & Joint Summit – Join us July 17–18 to meet the Athelas team in personContact Cameron Lewellen for your free financial health analysis

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