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

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Manage episode 432004281 series 3000080
Content provided by Vanessa Moldovan. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Vanessa Moldovan or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.

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

  continue reading

72 episodes

Artwork
iconShare
 
Manage episode 432004281 series 3000080
Content provided by Vanessa Moldovan. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Vanessa Moldovan or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.

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

  continue reading

72 episodes

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