Zotec Answers - A Healthcare Podcast

What do payer incentives tell us about today's reimbursement and denial environment?

Episode Summary

In this episode of Zotec Answers, Ed Gaines, Vice President of Regulatory Affairs and Industry Liaison for Zotec Partners, sits down with Ron Howrigon, President and CEO of Fulcrum Strategies, to break down how health insurance payers are shaping today's reimbursement and denial landscape. Drawing on insider payer strategy, they explore why denial rates are rising, how insurers approach reimbursement policy, and what clinicians can do to respond effectively in an evolving revenue cycle environment.