Wednesday, January 24 | 2:00 PM EST
Encephalopathy remains a huge target for both clinical and coding validation. Some denials are strictly coding, some are strictly clinical, and some are a combination of both, which are harder to appeal adequately as the writer needs knowledge of both worlds. We will discuss why coding and clinical denials for encephalopathy are different and why different appeal strategies are necessary.
Join us as we share what we’ve learned over the years from appealing hundreds of coding and clinical validation denials for encephalopathy on behalf of our hospital clients. We’ll reveal payer behaviors regarding auditing and denying this diagnosis code. And, as always, we will share proven, successful appeal strategies that you can use right away.
What you will learn
- Understand common denial rationale
- Recognize the differences between coding and clinical denials for encephalopathy
- Discover successful strategies to compose winning appeals when the encephalopathy diagnosis is denied, even though you got it right
Don’t miss this excellent educational opportunity designed to better equip you for successful appeals.
Let Our Experts Equip You to Win
Denise Wilson, RN, MS, RRT, Vice President, Clinical Appeal Services
About Ms. Wilson: Denise brings over thirty years of clinical experience and 12 years of appeals experience to her training. Denise is a nationally recognized educator providing Appeal Training Program for Hospital Staffs. She has personally trained some of the largest systems in the nation, has been a regular speaker at national and local conferences, and has presented hundreds of cases at the ALJ level with a 95% success rate. She holds a Master of Science degree in Management Information Systems from the University of Illinois, Springfield, is a Registered Respiratory Therapist and Registered Nurse. She is currently the Vice President of Clinical Audit and Appeal Services at AppealMasters.