As physician practice leadership and financial teams plan for 2026, pressure to maximize reimbursement and minimize denials continues to rise. Yet the industry’s reliance on clean claims often drives perfection on misleading metrics rather than better payment outcomes. Most “clean claim” rates stop at clearinghouse acceptance—not payment. This session challenges the clean-claim myth and presents an outcomes-based approach that empowers teams to proactively improve reimbursement and strengthen financial health in the year ahead.
By the end of this session, participants will be able to:
- Differentiate acceptance-based clean claim metrics from payment-based metrics and understand which truly impact revenue.
- Evaluate current claim submission workflows to identify gaps and opportunities.
- Learn how to prioritize first-pass payment, reduce rework, and shorten days in A/R by aligning scrubbing to payment outcomes.
