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

For The Love of Revenue Cycle

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