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1 Tiffany Yu — Smashing Stereotypes and Building a Disability-Inclusive World 30:23
Live Denials Q&A 8/1/24 - Navigating Out of Network Denials
Manage episode 432004281 series 3000080
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
86 episodes
Manage episode 432004281 series 3000080
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
86 episodes
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