Commercial Audits: Managing Concurrent Review and Retrospective Denials
Provider systems are experiencing sharp increases in denials from commercial insurers and third-party payors. Commercial payors are using two primary tactics to identify claims to deny: concurrent denials and retrospective audits.
Watch this on-demand webinar recording for best practices on responding to audit requests, working across teams to facilitate appeals, and using data analytics to drive policy guidelines, process improvement, and management decisions.
- Understand common commercial payor audit practices and how to control and manage the process
- Coordinate your audit response team across departments and use audit and appeal data to help drive continuous process improvement