Winning Medicare Advantage Denials (Part 1 of 2)

If your hospital or health system serves a large Medicare Advantage population, you likely have significant Medicare Advantage denials and audits to deal with. Join our Medicare Advantage appeal experts in a practical review of Appeal Strategies, Appeal Writing and Appeal Escalation specifically related to Managed Medicare payment challenges. We’ll have specific appeal language, appeal rights and sample appealsfor Medicare Advantage denials including Diagnosis Validation/DRG Reassignment, Medical Necessity and Level of Care denials.

This second part of the webinar series covers real appeal writing tips and enforcement strategies, Wilson and Smith will be joined by a panel of clinical and legal appeal experts with first-hand successes and stories of what works and what doesn’t. We’ll address Medical Necessity as well as Diagnosis Validation/DRG Reassignment denials, and what you can immediately do to begin to turn the tide.