Legislative Updates

Legislative Updates on Reducing Denials and Improving Appeals

Richard Lovich Esq., Managing Partner
Law Offices of Stephenson, Acquisto & Colman

The presentation will cover the prevalent causes of denials that are not always readily apparent. It will include an examination of the interdepartmental aspect of denial management, including the role played by patient access, IT, contracting, case management, and revenue cycle in causing denials and what can be done to reduce the frequency of denials. 
The presentation will also address effective approaches to appeals to increase the rate of denials being overturned. Strategies in contract interpretation, overcoming deadlines, authorization issues, using the operations manual to your advantage, and appropriate documentation.  We will also discuss effective appeal writing and how to make the payer's decision maker the best player on our team.