Managed Care 103 - Denials & ADRs (presented by OCHN)

Description

Join us for a detailed conversation on the intricacies of Managed Care. Katie Eisel, Payer Relations Director at Ohio Community at Home Network (OCHN), will present this three-part series of educational webinars.

The Managed Care Series is an ideal resource for anyone looking at entering the market, as well as those of you who are working to improve your practice.

Session 3: Denials & ADRs

After attending this session you will better understand payment denials and additional document requests (ADR). What does it all mean, and what are my rights as a provider?

Topics include:

• Denials and ADRs are two different things and each needs different attention and processes.
• Do not be excited about winning a lot of appeals, it only means you did not do your work the first time.

• Appeals create administrative burden for you and the payer.

• How do we prevent denials?

• How do we ensure payment?

• You get more bees with honey – email etiquette matters!

Contact Hours for Attendees

• This online program offers 1 Contact Hour for Nurses

About OCHN

Ohio Community at Home Network (OCHN) is a network of provider agencies exclusively dedicated to serving and representing the needs of Ohio health care at home providers, including home health, hospice, and palliative care provider agencies. Learn more

Disclosure to Learners

Accreditation Statement: Ohio Council for Home Care & Hospice is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Relevant Financial Relationships: There are no relevant financial relationships with ineligible companies for those involved with the ability to control the content of this activity, or any relevant financial relationships disclosed by participants have been mitigated.

Criteria for Awarding Contact Hours & Continuing Education Certificates: Attendance for the duration of the educational activity, not missing more than 10 minutes. Contact hours are not awarded for watching a recording of the session.