Wednesday, January 28, 2015
1:00 – 2:00PM EST
Clinical validation denials are on the rise from both commercial and government auditors. Clinical validation denials challenge the legitimacy of a diagnosis or procedure code(s) presented on a hospital claim due to an alleged lack of clinical evidence to support the diagnosis or service. These denials combine both clinical and coding issues. Learn the best strategies for appealing these complex denials. We will discuss methods and tactics to…
- Distinguish clinical validation denials from coding and admission place of service denials
- Understand recent trends in CMS and other payer denials
- Identify organizational experts and stakeholders to assemble the right team and avoid pitfalls
- Develop a comprehensive appeal strategy for optimum effectiveness/li>
We hope you’ll join us! Register here.