Effectively appeal payer audits and overpayment demands

Fri, 11/20/2020
Leadership Council Insider
Denials and Appeals

Drafting an effective appeal in response to payer audits and overpayment demands goes beyond just coding and billing; it also often requires a...Read More »

Rating a Denial for the Possibility of Overturn (November 5, 2020)

Submitted by jfitzgerald@hcp... on Thu, 11/05/2020 - 15:54

Topic: Rating a Denial for the Possibility of Overturn

Agenda:

  • Introduce the concept of an appeal scoring tool
  • Discuss the power of the tool
  • Considerations in developing an appeal scoring tool

Featuring:

  • Denise Wilson, MS, RN, RRT, senior vice president of Denial Research Group – AppealMasters
  • Tracey A. Tomak, RHIA, PMP, director of project management and client engagement at Intersect Healthcare in Towson, Maryland

October Quarterly Call features association updates, tips for optimizing reimbursement in post-COVID world

Wed, 11/04/2020
Revenue Integrity Insider
Coding and Documentation, Denials and Appeals, Reimbursement and Payment Methodologies, Revenue Integrity

NAHRI’s October 27 Quarterly Call featured important association updates, an in-depth presentation on optimizing post-COVID-19 reimbursements...Read More »

Download the October 2020 issue of the NAHRI Journal

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Put revenue integrity into focus to manage year end changes and ongoing challenges.Read More »

Good defense: Manage denial and audit activity with strong coding and documentation

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Coding and Documentation, Denials and Appeals, Monitoring and Audits, Revenue Integrity

Use these tips to shore up coding and documentation for COVID-19 claims.Read More »

Revenue integrity experts discuss recent CMS changes, denials management, and remote management at virtual education event

Wed, 10/07/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Coverage, Denials and Appeals, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity experts shared advice and lessons learned over the past months during day one of Revenue Integrity and Reimbursement Strategies...Read More »

Note from the speaker: Building an appealability scoring tool

Wed, 09/09/2020
Revenue Integrity Insider
Denials and Appeals, Revenue Integrity

Learn tips to identify denials that are most likely to result in successful appeals and discover methods for monitoring and tracking your appeals...Read More »

Download the July 2020 issue of the NAHRI Journal

Wed, 07/01/2020
NAHRI Journal - Volume 4, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Discover how core revenue integrity strengths can help overcome today’s challenges.Read More »

Appealability: Assessing and rating a denial for the possibility of overturn

Wed, 07/01/2020
NAHRI Journal - Volume 4, Issue 3
Denials and Appeals, Revenue Integrity

Apply these strategies to determine the possibility of a successful appeal.Read More »

Effectively appeal payer audits and overpayment demands

Wed, 07/01/2020
NAHRI Journal - Volume 4, Issue 3
Denials and Appeals, Revenue Integrity

Improve your appeal strategy with an eye on facts and compliance.Read More »

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