Denials of acute respiratory failure, particularly those denials related to clinical validation, are on the rise. Challenging these appeals is both costly and time-consuming, especially since many auditors cite incorrect and arbitrary criteria. Compounding these erroneous practices is the fact that often auditors offer no clear explanation as to why they believe the diagnosis is not clinically supported, revealing that they simply do not understand the disease process.
To offset these denials, a strategic approach for the prevention and management of acute respiratory failure denials is required. Such a strategic approach is one that not only efficiently addresses the issues of rising denial rates but also the challenges of appealing those denials. Fundamental to this approach is a solid understanding of the condition of acute respiratory failure.
During this RACmonitor webcast you'll gain essential knowledge of the fundamentals of the condition as well as a better understanding of denials management, particularly clinical validation denials, related to acute respiratory failure. And, you'll take away proven strategies to crafting successful appeals for acute respiratory failure clinical validation and coding denials.
Register now to learn ways to provide a successful appeal to reduce and ultimately prevent future denials.
Why This is Relevant:
Acute respiratory failure denials, particularly those related to clinical validation, are on the rise. Appealing those denials is both costly and time-consuming. Compounding this problem are auditors who don't understand the disease process and cite incorrect and arbitrary criteria while providing no clear explanation as to why they believe acute respiratory failure is not clinically supported. Appealing acute respiratory failure is by itself a challenge because the condition continues to be one that is challenging to understand.
- Understand the impact and trends of acute respiratory failure denials
- Define the fundamentals of acute respiratory failure
- Learn how to clinically validate a diagnosis of acute respiratory failure
- Discover proven strategies to crafting successful appeals for acute respiratory failure clinical validation and coding denials
- Benefit from an in-depth discussion of managing and appealing acute respiratory failure denials
Who Should Attend:
Denials Management Managers and Coordinators; Revenue Integrity, Health Information Management, and Quality professionals; Clinical Documentation Improvement Specialists, CMOs, CFOs and Physician Advisors.