For The Love of Revenue Cycle

Live Denials Q&A 8/1/24 - Navigating Out of Network Denials


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Show notes for today's live denials Q&A session:

  • The differences in denials and appeals processes between in-network and out-of-network providers

  • Strategies for appealing out-of-network denials, including involving patients and leveraging laws like the Arisa law

  • Trends in payer requests for documentation and potential reasons behind sudden increases in these requests

  • Frustrations with payers' downcoding practices and lack of transparency in reimbursement

  • The shift in the medical field from a profession to a business, and the need for better revenue cycle education for providers

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For The Love of Revenue CycleBy Vanessa Moldovan

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