RCM ReFramed Podcast

Why Your Highest- ROI Denial Fix Might Be Standing in the OR

Written by Alex Oey | Jul 23, 2026 5:00:00 AM

 

In this episode of RCM Reframed, host Shawn Gretz, President, Sales and Marketing at Getixhealth chats with Sergio Quiej, Patient Financial Services Support Manager at Adventist Health and Vice President of the HFMA Lone Star chapter, about reframing denial management as a clinical partnership discipline rather than a back-office analytics function. They also discuss how knowledge transfer, HFMA involvement, and a community-as-customer mindset scale gains across teams.

Key Topics Covered
  • Root-cause OR observation for authorization denials
  • Real-time variance capture from circulating nurse to RCM
  • Building the business case for clinical FTEs using preserved write-offs