Training & Resources Landing Page

Sepsis Appeal Letter Template

Quickly overturn Sepsis-3 denials with PayerWatch’s Sepsis Appeal Letter Template

Learn More

Best Practices in Denial Management: Holding Payers Accountable by Reporting to State Insurance Departments

Author: Kendall Smith, MD | Chief Medical Officer & Chief Physician Advisor – PayerWatch & AppealMasters 10/3/24 Navigating the complexities of healthcare finance can be tough, especially when payers don’t play by the rules. For hospitals and health systems, part of...

Medicare Advantage Plans Are Threatening Hospital Finances and Patient Care

Author: Kendall Smith, MD | Chief Medical Officer & Chief Physician Advisor – PayerWatch & AppealMasters 9/18/24 As highlighted in a recent article by HealthLeaders Providers Are Fed Up With Medicare Advantage, hospitals across the country are fed up with the...

AHDAM

Community

Join AHDAM

Webinars Archive

Clinical Validation Appeals – Back to the Basics, Part 2: Questions & Answers

Medicare Advantage and the 2 Midnight Rule in 2024

Successfully Defending Outpatient Authorization Denials

Clinical Validation Appeals – Back to the Basics

Successfully Defending Inpatient Authorization Denials

Experts Discuss the Key Points and Impact of the 2024 Medicare Advantage Final Rule (CMS 4201 F)

Successfully Appealing High Dollar Denials Involving NCDs and LCDs

Appealing Chemotherapy and Biologicals Denials Provider

The Role of the Clinical Documentation Specialist in the Prevention of Clinical Validation Denials

Different Payers Mean Different Appeal Strategies

Medicare Advantage Denials – A Provider Call to Arms – Part 3

Medicare Advantage Denials – A Provider Call to Arms – Part 2

Sepsis Awareness Month – The Sepsis Denial/Appeal Workshop Series Part Three

Sepsis Awareness Month – The Sepsis Denial/Appeal Workshop Series Part Two

Sepsis Awareness Month – The Sepsis Denial/Appeal Workshop Series Part One

Medicare Advantage Denials: A Call to Arms!

Successfully Identifying Winnable Denials

The Road to External Review

The CDI and Coding Team Approach to Audits and Denials: The Best Defense is a Good Offense

Winning Upfront with Denial Prevention/Avoidance: Using Your ADT Data and Payer-Specific Rules to Stop the Denial Freight Train

Clinical Legal Partnerships to Overturn More Denials

COVID-19 Denials and Appeals

The Power Behind Standards of Care in Successfully Appealing Medical Necessity Denials

Successfully Master Level of Care Denials in a Managed Care World

Identifying Clinical Validation Denials and Creating Successful Appeal Strategies

Identifying Payer Denials and Creating Successful Coding Appeal Strategies

The Legal and Regulatory Aspects of Appeals in Denial and Appeal Management

Successfully Appealing the Decision to Admit To Inpatient

Successfully Appealing Clinical Validation Denials

Appealability: Assessing and Rating a Denial
for the Possibility of Overturn

Successfully Appealing Clinical Validation and Coding Issues in AKI, ATN and Pneumonia

Successfully Appealing
Readmission Denials

Successfully Appealing Denials With the Use of
Evidence Based Medicine and Standards of Care

Successfully Appealing Medicare
Advantage Denials

Developing a Meaningful Denial and Appeal Dashboard

Successfully Appealing Clinical
Validation Issues in Sepsis-3

Successfully Appealing Clinical Validation and
Coding Issues in Acute Blood Loss Anemia

Successfully Appealing Clinical Validation and Coding Issues in Malnutrition and Congestive Heart Failure

Successfully Appealing Clinical Validation and Coding in Acute Respiratory Failure

Successfully Appealing Clinical Validation and Coding Issues in Encephalopathy

Successfully Appealing Clinical Validation Denials for Sepsis

Appealing Denials for Coding of BMI, Obesity and Morbid Obesity

Winning Medicare Advantage Denials (Part 2 of 2)

Winning Medicare Advantage Denials (Part 1 of 2)

Trusted Partners

PayerWatch has increased revenue for over 500 hospitals.

PayerWatch's industry-leading Veracity software and AppealMasters’ infrastructure is HITRUST CSF Certified.

Learn More