CEO SUMMARY: In an era where it is widely suspected that private payers are using artificial intelligence to review and deny diagnostic test claims, Southwest Labs in New Mexico decided to fight back. The organization worked with RCM firm Wuscott to figure out why claims were denied. The team built an AI bot to seek […]
RCM Automation Helps Lab Manage Billing Headaches
Simple AI bots prove to be a useful ally to one laboratory seeking to explain increased denials
- By Stephen Beale
- > From the Volume XXXIII, No. 3 - March 2, 2026 Issue
- Tags: accessions, AI, AI bot, artificial intelligence, claims denials, denial appeals, Fee-for-service, HFM magazine, Kaiser Permanente, Kodiak Solutions, laboratory information system, LIS, managed care organization, MCO, Medicaid, Medicaid contractor, medical necessity, Michael Duke, Microsoft Power Automate, MPA, Orus Guerra, people, RCM, RCM automation, revenue cycle management, Rick VanNess, Ryan Hartman, Southwest Labs, SQL database, toxicology testing, Western Sky, Wuscott
