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Super Smart Strategies for Appealing Ridiculous DRG Denials

Super Smart Strategies for Appealing Ridiculous DRG Denials webcast image

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Take back control from insurers who have been taking back reimbursement revenue from your facility through egregious DRG denials.

Price: $259.00

Product Code: AR042921

Webcast Format*:

Description Biography

Now you can learn smart —super smart—strategies for winning back control from payers who for too many years have been wasting your time and needlessly hassling you with ridiculous DRG denials. By default, they've got control—control that really does belong to you and your organization charged with the responsibility of providing patient care. But just like earth erosion, slowly, over time you have ceded control. As a matter of fact, that control was seized by insurers which, in turn, prevents hospitals and outpatient departments from being paid appropriately for services they have rendered in the name of patient care.

"Hospitals and providers have ceded control of the process to insurers based on being awed by potential benefits of a control or yielding control of the appeal process," wrote Andrew Markiewitz, MD, and physician advisor who will lead this webcast.

During this RACmonitor webcast, you will learn an approach for gaining control of the appeals process by improving documentation and by taking a deep dive into the investigation of the denied claim. "Attendees will be empowered to appeal within their contract provisions," said Markiewitz. "They will identify areas to improve their record search and defense. The goal is to improve the coordination of utilization review/appeal staff with the facilities' physician advisors," he added.

Now is the time to take back control and this webcast is the place to learn super smart strategies for grabbing and holding on to the control that belongs to hospitals and providers.

Why This is Relevant:

For too long, too many providers have watched their claims for medical services be denied based on unreasonable and irrational explanations. Now, as Recovery Audit Contractors (RACs) as well as private auditors are ramping up recovery efforts, this webcast will give providers smart strategies for appealing ridiculous DRG denials.

Learning Objectives:

  • Understanding the goals of insurers by denying claims
  • Be able to define how to decipher the data
  • Learn how to present the patient's picture to win the day
  • Benefit from the definition of disease specific examples
  • Learn proposals to improve the rules

Who Should Attend:

Denials and appeals staff; utilization review nurses and staff; physician advisors; CDI specialists; HIM coding and billing professionals; auditors.

Webcast Access Privileges: Only one login is allowed per webcast purchased. Discounted pricing for additional registrants is available. For more information about webcast pricing and requirements, click here.