In a joint effort between ACDIS and NAHRI, the Denials Management Mastermind group exists to connect leaders in both the revenue integrity and CDI spaces so that they can problem-solve, network, and discuss topics relevant to their shared goals. During the 2025 term, the group met several times...
Heightened and increasing complex payer denial activity are putting growing pressure on hospitals. With major shifts in reimbursement, and the growing costs of simply keeping the doors open and caring for patients, denials are just one more obstacle hospitals face. But fortunately, it’s one that...
Hospitals are reinventing their approach to denials to meet today’s challenges—and get ahead of future shifts in payer tactics. They know that the payer landscape has undergone a tremendous shift in recent years, with Medicare Advantage (MA) overtaking traditional Medicare in many markets and...