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

  • Aug 2 2024
  • Length: 57 mins
  • Podcast

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

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  • Summary

  • 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
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