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ACPA | 2021 National Physician Advisor Conference

Advisory Board Town Hall

Medicare Advantage Organization Denials: Implement Best Practices to Combat Aggressive Denials

The goal of all health care providers in submitting claims for the services they provide is to receive appropriate reimbursement. In today’s health care audit landscape, with claims scrutiny at a seemingly all-time high, this goal sometimes feels difficult to achieve. This Town Hall discussed the current Medicare Advantage Organization denial landscape and uncovered best practices for overturning Medicare Advantage Organization denials.

Click below to watch the recorded sessions. Stay tuned for information about the next Town Hall!


Part 1



Part 2



CONTENT DISCLAIMER: All opinions and interpretations expressed in this educational event are those of the presenters themselves and do not represent an official opinion or position of the American College of Physician Advisors (ACPA). ACPA does not certify the accuracy or authority of these materials. They are presented an educational content only to be used by the participants in conjunctions with any other research as deemed necessary. Any and all references provided are for informational purposes only and should not be interpreted as official ACPA endorsements.




Town Hall Panelists


Moderator


 

Daniel Zirkman, MD

Chief Physician Advisor

Carolina East Medical Center

Member, ACPA Advisory Board



 

Edward Hu, MD, CHCQM-PHYADV

System Executive Director of Physician Advisor Services

University of North Carolina Health Care System

Member, ACPA Government Affairs Committee

Past-President, ACPA


 

Brian Moore, MD, FACEP, CHCQM-PHYADV

Chief Medical Officer, Physician Advisor Services

Atrium Health

Member, ACPA Government Affairs Committee


 

Chris Shearer, MD

Chief Medical Officer

Sound Advisory, Sound Physicians

Member, ACPA


 

Denise Wilson, MS, RN, RRT

Senior Vice President

Denial Research Group – AppealMasters

Member, ACPA Advisory Board