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Now Available On-Demand! Decoding Payer Denials: Transforming Challenges into Revenue Optimization Opportunities
With Glenn Krauss and Dr. Keith Stokes
Mississippi Rural Health Association is proud to announce our new Webinar Series designed specifically for Coders! Join Glenn Krauss and Dr. Keith Stokes as they discuss Clinical Documentation Integrity Programs! AHIMA CE: We are not able to offer AHIMA CE through MRHA. If you are an AHIMA Member and would like to receive CE for the session, register here.
About the Webinar:
Payer denials are ever increasing on all fronts in both the inpatient and outpatient setting under the guise of medical necessity and clinical validation denials as well as DRG and level of care downgrades. Providers receive denial letters outlining their rationale for the denial, often with generic nonspecific terminology and rationale. Payer denials are generally thought of as an added cost of doing business, adding an expense line to the financial statement. Forward thinking organizations view denials as part of a continuous quality improvement initiative centered around improving revenue cycle processes with a focus upon identifying and focusing upon the weakest link under the theory of limitations. Decoding payer denials must be conducted and facilitated through the mindset of learning and continuous quality improvement with the deployment of clinically astute staff that embrace the mission of “Proactive Preemptive Denials Avoidance.”
Learning Objectives:
