Neal K. Shah, CEO of CareYaya Health Technologies and co-founder of Counterforce Health, joins the show to talk about claim denials and how AI can help fight them.

Be sure to check out Medical Economics Pulse, a quick-hitting news podcast that keeps busy physicians in the know.

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Overview of the podcast and introduction of the guests discussing claim denials and AI's role.

Neil Shah shares his experience in healthcare and the impact of claim denials on patients.

Neil recounts his wife's cancer battle and the frustrations of dealing with denied claims.

Discussion on how insurance companies leverage AI against patients and providers.

Insight into the financial and administrative burdens claim denials impose on healthcare providers.

Details on how denied claims lead to significant financial losses for medical practices.

Discussion on the potential of AI to streamline the appeals process and reduce costs.

Neil introduces Counterforce Health and its mission to democratize access to AI tools.

Introduction of Maxwell, an AI designed to assist with health insurance appeals.

Maxwell shares shocking statistics about the financial impact of denied claims on practices.

Discussion of the three most common denial reasons that practices can address to improve collections.

Maxwell walks through a specific case of a denied claim for a CPAP machine.

Neil encourages providers to use the tools offered by Counterforce Health to combat claim denials.

Neil discusses potential reforms to the claim denial process and the need for better regulation.

Importance of educating patients about their rights regarding claim denials and appeals.

Neil emphasizes the need for advocacy and systemic change in the healthcare system.

Closing remarks and gratitude expressed for the discussion and insights shared.