Most healthcare systems have solid processes, policies, and procedures in place to address the myriad of technical denials being received from payers. However, even the best organizations often fall short when it comes to clinical denials. In the age of increasing costs to treat and clinically manage patients, it is imperative that organizations have a strong hold on how to effectively address clinical denials, when they occur, to receive payment. Furthermore, organizations should be proactive in identifying areas of process breakdown that are causing the denials in the first place.
As a result of viewing this on-demand webinar, you should be able to:
- Recognize areas of opportunity related to clinical denials that are encountered in the marketplace
- Identify ways to improve operations within specific clinical departments (i.e. utilization management) to effectively reduce the occurrence of clinical denials
- Explain the importance of proactive interventions that will directly impact your organization's net revenue and denials realization rate