Learn how to take a denial through the appeals process in this complex case.Read More »
Learn tips for denial prevention and maintenance at your facility.Read More »
Use this sample form as a guide for a manager of denials management job description.
Use this sample form as a guide for an appeals specialist job description.
Use this sample form as a guide for notifying doctors of a Medicare inpatient to outpatient change.
Use this sample form as a guide for notifying patients of a Medicare outpatient status change.
Use this sample letter to notify patients of a post-discharge self-denial by the utilization review committee.
This document provides guidance on key performance indicators for denials management and revenue integrity, including calculations for denials rates and denials overturn ratios.