Net Impact of Payer Denial Tactics on Hospitals

Net Impact of Payer Denial Tactics on Hospitals  
 
Thursday, November 2, 2023 
1 - 2 p.m. Eastern; noon - 1 p.m. Central; 10 - 11 a.m. Pacific   

 
Medicare Advantage payers run a for-profit business model, and any dollar they can avoid paying providers for care is a dollar they can count toward their profits. In this zero-sum game, your hospital’s revenue integrity strategy needs to evolve at the same velocity as the payers’ payment mitigation strategy. Join us as we discuss the range of tactics payers are using against providers and how we’ve partnered with hundreds of hospitals throughout the country to develop strategic programs and data-driven initiatives across the clinical revenue cycle (e.g., utilization management, documentation/coding, managed care/contracting, back-end revenue cycle functions) to combat these tactics. 
 
Attendees Will Learn: 

• A greater understanding of the macro Payer/Provider dynamics in the market and the tactics payers employ on hospitals to maximize their profits.  
• How to develop a data-driven approach to identify/quantify the impact payer tactics are having on their organizations and strategies (both internal process-driven and external payer escalation initiatives) to hold payers accountable for appropriate reimbursement. 

Speakers: 

Jerilyn P Morrissey, MD 
Chief Medical Officer 
CorroHealth 

Sam Dominik 
Managing Director, Strategic Advisory Services 
Corro Clinical by Versalus Health