Insider's Wisdom on How to Avoid and Protest Denials
Join five industry subject matter experts in a lively and hard-hitting panel discussion on the negative impact of denials, how to avoid them, and how to fight them!
With each expert's experience coming at this problem from a different angle, attendees will learn something new and come away with strategies to bring back to their organizations to improve results.
The moderator is a co-founder/CEO of a service provider for DRG validation and appeals work. The moderator has more than 25 years of experience in hospital and ancillary healthcare services as a nurse, clinical operations administrator, and managed care professional.
Panelists include a system director in coding & CDI with more than 25 years specializing in coding and documentation integrity. She has served on AHIMA committees and the House of Delegates in addition to presiding over her State Component Association, and was recently published in the Journal of AHIMA; a co-founder/president of a service provider for coding guideline-based auditing services to help identify over-payments on behalf of payor-based clients; a physician reviewer/advisor who specializes in writing appeal letters for clinical denials. While working with various hospital clients across the country, she has developed clinical and coding expertise; and a law firm partner with more than 15 years specializing in helping providers fight denials.
After completing this session, attendees will have knowledge about:
• The dynamics behind denials.
• Costs to both providers and payors.
• Technology, trends and what's next.
• Tips and techniques to avoid and prevent denials.
• Why it's so important to fight denials along with tips and techniques to win appeals.
FairCode Associates, LLC Marco Island, FL
Renee Krul, RN, BSN, CCS
DRG Claims Management Brooklyn, NY
Lorie Mills, RHIT, CCS
Health Information Management, Forrest Health Hattiesburg, MS
Annie Akkara, MD
FairCode Associates, LLC Orlando, FL
Melissa Wright, JD
Clark, Mascaro & Aziz, PC Atlanta, GA