Denial Management Trends for 2021
Denial Management Trends for 2021 While medical necessity remained the number one type of denials in 2021, our team has seen three additional denial management trends emerge as significant sources of denials. If your hospital or health system is experiencing any of these denials, know that there are answers and ways to prevent them from […]
5 Strategies to Help Interpret Denial Data
Data and data analysis are an integral part of denial prevention and management. In some cases, denial management teams need help identifying the important information or the trends they should be looking for. The five strategies below can help teams interpret denial data and best utilize it within the denial appeal process. 1. Analyze your […]
3 Considerations for Denial Avoidance
3 Considerations for Denial Avoidance Imagine a scenario where a patient needs a necessary surgery like a prostatectomy due to prostate cancer. When the provider and patient decide to move forward with the surgery, it’s essential to set a precedent by talking to both the patient and the insurance company to find out what the […]
Achieve Denial Avoidance in ICU Stay Documentation
Our Strategy for Hospital ICU Stay Documentation Learn more regarding how Advent Health Partner’s Revenue Integrity Consulting team can leverage Optics reporting, our denial management analytics delivered in drill down dashboards, to help hospitals and health systems implement denial avoidance programs. Keep reading for a specific example of our team utilizing Optics data to help […]
5 Tips for Healthcare Providers to Better Prevent DRG Downgrades
Why learn to prevent DRG downgrades? The clinical downgrading of diagnosis-related groups (DRG), or DRG downgrades, has become an extremely problematic issue for healthcare providers over the past decade. Overall, denials related to DRGs are increasing; downgrading target DRGs without even requesting documentation can also happen. One healthcare system, for example, found that DRG downgrades […]