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Optum360Denial Prevention and Impact Analysis: Key Strategies to Implement within your Organization
Program Date & Time: Tuesday, April 30th at 1 pm ET
Acute care audits and denials are growing increasingly common and continue to consume coding and CDIS professional’s time in an already resource-limited world. The definition of clinical validation means that the health record is not only coded accurately, but also accurately reflects the clinical story within the health record.
Your peers today are struggling to find ways to align resources and address this disruption and provide actionable ways to measure impacts to operations. Join this discussion to hear how payer denials are changing the CDI and coding landscape and come away with how you can mitigate your risk and monitor performance.
Learning Objectives:
- Review areas of common denials experienced in the field related to unsupported clinical validation and impacts on quality related initiatives
- Define appropriate clinical validation methods and creative ways to incorporate a new plan of attack for reducing downstream denials and metrics to track department impacts
- Implementation of additional preventative methods that support denial avoidance