Strategies for an Effective Appeal Process
In this complimentary webinar, we provide “Best Practice” recommendations critical to denial management and an effective appeal process. The presenter identifies essential team members and roles in the process, as well as, outlines the steps vital to organizing, tracking and evaluating meaningful data. She offers tips for drafting appeal letters and will review next steps for “No Appeals”. Proactive strategies will be discussed, including internal audits, clinical criteria and CDI queries.
RECOMMENDED FOR:
- Leadership involved with the CDM, Revenue Cycle, Revenue Integrity
SPEAKER:
- Karen McMasters, RN BSN CPC CPMA CRC, Consultant
You might also like...
CDM Revenue Codes: What Are They and Why Are They Important?
Revenue Codes are probably the least understood coding set used for facility claims. Silos of knowledge about revenue codes are common in hospitals: Learn more: Billing knows claim edits for revenue codes Managed Care Contracting knows payer terms...
read moreMastering Charge Integrity between the CDM, Item Master and High-dollar Supplies
Join Craneware Revenue Integrity Executive Lisa Tonkinson on this complimentary educational webinar covering common revenue integrity gaps that frequently develop between the teams and systems managing the hospital’s CDM, Item Master and...
read moreAdvanced Charge Capture: Clinical to Charge System Reconciliation
Correctly generating charges is one of the most important aspects of a hospital’s financial health, and today’s reality of complex clinical to charge system linkages in modern EHR platforms means that the integrity of your hospital’s charges is no...
read more