Since 2011, the average 350-bed hospital has seen an increase in denial write-offs of more than $3 million. At the same time, there has been a decrease in both commercial carrier and Medicare appeal overturn rates. Neither of these trends shows signs of slowing down. And this poses a significant problem for small hospitals and healthcare systems alike that are already under increasing financial pressure.
A strategic approach for the prevention and management of complex DRG denials is required to efficiently address the issues of rising denial rates and decreasing overturn rates — one that does so without expanding resources, while, at the same time, reducing cost burden.
This webcast will provide you with a proactive strategy that uses a data-driven targeted approach for the prevention and management of complex DRG denials. This approach will help to secure revenue, utilize existing resources, and reduce the cost burden associated with denials defense. So, register now and learn how to mitigate immediate revenue loss and protect future financial health of your facility with an effective DRG denials management strategy
Why This is Relevant:
The trends of increasing denials write-offs and decreasing appeal overturn rates are not likely to change in the future. Further compounding the impact of rising denial rates is the increasing need for efficiency in today’s value-based care environment. These issues post significant financial challenges to small hospitals and large health systems alike.
- Identify the far-reaching impact of denials
- Outline the components needed for successful management of complex DRG denials
- Define the best practice approach for the prevention of complex DRG denials
- Outline the data needed to establish a successful denials prevention program
- List the components of a best practice proactive denials program
Who Should Attend:
Those professionals that are responsible for professional billing, including medical auditors, coders, and billers, and compliance, audit and appeal managers, and those employed by hospitals who bill for physician services billed by hospitals.