Governance, Risk & Compliance: GRC
Watch Strategies for Addressing Medicare Advantage Denials, Downgrades, and Disputes
Founder & President of AR Systems
Medicare Advantage plans continue to present challenges with frequent denials, downgrades, and disputes—the “3 D’s.” It’s time to shift from a reactive stance to a proactive approach by mastering the regulations and turning denials into actionable strategies.
In this recorded webinar Day Egusquiza, President of AR Systems Inc., shares her expertise on effectively responding to Medicare Advantage denials by leveraging regulations to confidently reject unjust claims and support your rationale. This session explores strategies for tackling downgrades and disputes, helping you navigate these complex issues efficiently. Additionally, you’ll learn how to build a case for Contract Operational Addendums tied directly to the “3 D’s,” taking a proactive stance that prevents future denials.
Key takeaways:
- Understand the core issues behind denials, downgrades, and disputes
- Develop strategies to turn denials into actionable items
- Leverage Medicare Advantage regulations to defend against unjust decisions
- Create a framework for proactive contract addendums that anticipate and address potential denial scenarios
This webinar is essential for healthcare compliance professionals looking to transform their approach to Medicare Advantage denials from reactive to proactive. Don’t miss out on actionable strategies that will change how you handle the “3 D’s.”
