Protect your revenue stream by strengthening your knowledge of acute heart failure and by learning how to compose compelling appeals of payer claim denials.
A diagnosis of acute heart failure means different things to different people. For patients and clinicians, it’s an immediate life-threatening condition, or it’s an insidious, but equally serious, decompensation requiring inpatient care. For the leaders of hospitals and medical centers, it’s a high-volume, high-value diagnosis that contributes significantly to their bottom line — or at least that’s what’s supposed to happen.
The fact is, a great deal of confusion surrounds what is, and what isn’t, acute heart failure. The result: a lot of clinical inconsistency, and this variability has attracted the attention of DRG and clinical validation auditors, who are quick to issue claim denials. Even more alarming, providers who don’t effectively appeal their denials may be marked as easy targets and subjected to increasingly aggressive claim reviews.
Now the good news: By attending this RACmonitor webcast, you’ll gain a substantial advantage in fending off the auditors. Our presenter, physician and health information management (HIM) expert Dr. Beth Wolf, will reveal the most common reasons for acute heart failure claim denials, and she’ll walk you through the process of formulating an effective appeal, supported by key clinical indicators.
At a time of pandemic-ravaged margins, providers simply can’t afford to give away revenue from acute heart failure cases. It’s why we’re collaborating with Dr. Wolf to make sure you’re fully equipped to successfully appeal payer denials.
Denials and appeals specialists, auditors, physician advisors, compliance professionals, HIM professionals, inpatient coders, clinical documentation integrity (CDI) professionals and specialists