Developing Effective Appeals for Medical Claim Denials
Date/Time: 07/25/2023, 12:00 pm
Provider: FHPCA
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Do you know the top TPE/ADR and Medicare claim denial risks?
Prepare for rising medical record claim reviews by arming yourself with consistent processes to craft effective appeals to Medicare claim denials.
AFTER THIS WEBINAR YOU’LL BE ABLE TO:
- Understand the top trends in TPE/ADR and other claim review denials
- Identify Medicare claim denial risks and how to manage these unfavorable decisions
- Implement a process for responding to claim denials using best practices
- Respond to redetermination and reconsideration level claim denials
- Identify areas of opportunity in your program and risks that could impact outcomes in later rounds of TPE
- Use record review tools and processes that improve the likelihood of favorable decisions on claim audits
WEBINAR DETAILS
With medical record claim reviews back in full force, more hospices are finding themselves on the receiving end of claim denials. Whether clinical eligibility or technical denials, appeals is a critical piece of the TPE/ADR process. This session will explore how to craft an effective appeal response using a timely and systematic process, organization tools, and relevant but often-overlooked clinical information.
THIS WEBINAR WILL BENEFIT THE FOLLOWING AGENCIES:
- Hospice
WHO SHOULD ATTEND?
This informative session is designed for executive leaders, compliance team members, physicians, clinical managers, and anyone who develops appeal responses for Medicare claim denials.
TAKE-AWAY TOOLKIT
- TPE/ADR record response organization tool
- LCD checklist
- Sample tracking tool for all levels of claim review
- Training log
- PDF of slides and speaker’s contact info for follow-up questions
- Attendance certificate provided, however there are no pre-approved CEs associated with this webinar
Presented By
Jen Kiehl
HOSPICE SUPPORT SPECIALISTS
