Denials, Denials, Denials – Strategies for Step 1 and Step 2

Live Webinar: Friday, June 13

Time: 1:00 PM ET| 11:00 AM CT | 10:00 AM PT

In this webinar, Day Egusquiza, President of AR Systems Inc., returns to address the persistent challenge of healthcare denials through a practical two-step framework. Building on her previous insights on Medicare Advantage challenges, this session offers concrete strategies to transform your organization’s approach to denials management.

Step 1: Data-Driven Denial Management
Discover the power of comprehensive payer analytics. Learn techniques to monitor and evaluate denial patterns, accuracy rates, and processing timeliness across different payers. This intelligence-gathering approach provides the foundation for effective denial prevention and management.

Step 2: Revolutionizing Payer Conversations
Move beyond acceptance of routine denials by reframing payer discussions. Explore strategies for addressing contract costs, identifying hidden denials, challenging unilateral webpage updates, and questioning the fundamental value of payer relationships. Learn to ask the critical question: “Why am I contracted?” when facing problematic denial patterns.

Throughout this session, she’ll emphasize how improved denial management directly enhances patient care by reducing delays and improving access to appropriate treatment.

Key Takeaways:

• Tools for tracking and analyzing payer-specific denial patterns
• Techniques for quantifying the financial impact of denials on your contracts
• Strategies to identify and challenge “hidden denials” not specified in contracts
• Approaches for creating more balanced payer relationships
• Methods to connect denial management with improved patient outcomes

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