In a recent PMMC webinar, Driving Better Outcomes in Denial Management and Underpayment Recovery, clients share key processes that influence financial performance and operational efficiency.
One of the session’s featured contributors was Premier Member Greg Wageman, Director of Managed Care and Decision Support for Marshall Health at Cabell-Huntington Hospital, where he brings deep experience in negotiating payor contracts, overseeing underpayment recovery, and delivering decision support through cost accounting and financial analysis.
Reflecting on denial management challenges, Greg noted:
“We’re seeing increased complexity in payor behavior, rising denial rates, and continual need for more staff and training — all at a time when teams are already stretched. Understanding the root causes and streamlining workflows is critical to managing denials effectively.”
The conversation focused on creating processes that reduce administrative burden while targeting improved financial outcomes, especially efforts to lower denial rates below the industry standard of 5%.
