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Membership Continuing Education
Denials: Prevention and Management

Publication Date: 9/24/2019

Speaker: Laura MacIntire
Length:1 hour

Over the past year, Laura McIntire, RN, BSN, MA has conducted hundreds of chart audits throughout the United States. It is no surprise that the number one issue healthcare organization seek assistance with is their denial rate. As a result of conducting these audits, she has identified where time and time again organization are falling short and how the implementation of small changes can have a big impact right off the bat. The focus of this presentation is best practices for preventing medical necessity denials. Laura will discuss the steps your organization can take upfront to establish medical necessity and avoid the need to manage denials on the backend. Strategies include adopting the mindset of creating every medical review as if you will need to defend it, along with tips and tricks of how to paint a complete and accurate picture of your patient’s issues to strengthen your case. As we all know, we don’t live in a perfect world where all cases will never be challenged, so Laura will conclude the presentation with an overview with key strategies on how to manage denials.

Denials: Prevention and Management


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