Скачать или смотреть Fighting Readmission Denials

Medicare’s Hospital Readmissions Reduction Program (HRRP) is approaching its 10th birthday. That has provided commercial and managed care plans plenty of time to follow suit and create their own version of a readmission review program with associated penalties. Join us as we discuss the various readmission reduction programs and successful strategies for overturning the resulting denials.

Learning Outcomes:

At the conclusion of the webinar, the learner will be able to write a persuasive argument focused on defending the medical necessity of the patient’s readmission. The learner will be able to:

Identify at least three of the conditions included in the Hospital Readmission Reduction
Program from the Centers for Medicare and Medicaid Services
Identify one circumstance when a readmission may have been appropriate
Identify one method of defending appropriate readmissions through the appeals process

Presenter: Denise Wilson, MS, RN, RRT

Denise has over thirty years of experience in healthcare, including clinical management, education, compliance, and appeal writing.

Denise has extensive experience as a Medical Appeals Expert and has personally managed hundreds of Medicare, Managed Medicare, and Commercial appeal cases and presented hundreds of cases at the Administrative Law Judge level. Denise is a nationally known speaker and dynamic educator on Medicare and Commercial appeals processes, payer behaviors, standards of care, appeal template development, and building a road map to drive the payer to a decision in the provider’s favor. She has educated thousands of healthcare professionals around the country in successfully overturning healthcare denials.

PayerWatch - https://www.payerwatch.com/
AHDAM - https://ahdam.org/
Webinar - https://www.payerwatch.com/webinars/