avatar

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

For The Love of Revenue Cycle
For The Love of Revenue Cycle
Episode • Aug 2, 2024 • 57m

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

Switch to the Fountain App