• Live Denials Q&A 9/17/24 - Utilizing Contracts When Resolving Denials

  • Sep 19 2024
  • Length: 53 mins
  • Podcast

Live Denials Q&A 9/17/24 - Utilizing Contracts When Resolving Denials

  • Summary

  • In this episode of the bimonthly Denials Q&A, host Vanessa discusses her extensive experience and expertise in handling denials, focusing on changes and challenges in the field. She emphasizes the importance of understanding contracts, payer guidelines, and exploring new technologies to improve denial management. Vanessa shared insights on leveraging contract information and innovative technology to fight back against complex denial processes. Key topics include the use of CARCs, dealing with Medicare Advantage plans, navigating E&M downcoding, and strategies for obtaining necessary documents from payers. Listeners are encouraged to stay proactive, utilize technology, and network within the healthcare billing community to address evolving denial issues effectively. Email Chester Montefering at Recon.health at chester@recon.health for more information on utilizing contract automation.

    00:00 Welcome to the Bimonthly Denials Q&A

    00:26 Introduction to Denials and Career Background

    01:27 Starting a Company and Industry Engagement

    03:19 Denial Codes and Industry Changes

    04:37 Complexity in Reversing Denials

    06:35 Importance of Contracts in Denial Management

    08:50 Accessing and Understanding Contracts

    12:01 Technology Solutions for Denial Management

    15:06 Open Q&A Session

    23:12 Networking and Sharing Experiences

    52:18 Final Thoughts and Next Steps

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