How to Fight Clinical Validation Denials - A Provider Perspective Date: Tuesday, November 05, 2019
Time: 01:00 - 02:00 PM EDT
Duration: 1 hour
Commerical payers have shown more and more focus on clinically oriented denials, particularly those related to clinical validation, or DRG downgrades. Countering these denials can be challenging. Few payers provide transparency about the clinical criteria they use to assess DRG selection, while others constantly change their criteria. In this webcast, Truman Medical Center shares some of their strategies to overcome the surge in clinical validation denials to defend their rightful reimbursement.
Speaker Info:
Seth Katz, MPH, RHIA, FAHIMA
Associate Chief Information Officer
Truman Medical Centers
Seth Jeremy Katz is the Associate Chief Information Officer at Truman Medical Centers and a frequent speaker at industry events. During more than twelve years at Truman, Seth has held a number of roles supporting the departments of Health Information Management, the Project Management Office, IT Training and Nursing Informatics.
Mary Bessinger
VP Middle Revenue Cycle Hospital Services
Optum360
Mary Bessinger is the VP of Middle Revenue Cycle for Optum360 encompassing CDI, Coding, HIM, Revenue Assurance, and Commerical Services. With over 30 years of industry experience Mary has held leadership positions in large health systems, consulting organizations, and technology companies. She is a frequent speaker on a wide range of topics with a focus on process improvement.
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