Become A Member!

BECOME A MEMBER!

The association is currently focused on acute care inpatient and outpatient
hospital services, with plans to expand to all provider and patient communities.
Welcome to the nation's only association dedicated
to Healthcare Denial and Appeal Management

Welcome to the nation's only
association dedicated to Healthcare Denial
and Appeal Management

The association is currently focused on acute care inpatient and outpatient
hospital services, with plans to expand to all provider and patient communities.

BECOME A MEMBER TODAY!

Welcome to AHDAM.org

The Association for Healthcare Denial and Appeal Management is the nation’s only association dedicated to Healthcare Denial and Appeal Management. We’re here to support and promote professionals working in the field of healthcare insurance denial and appeal management through education and collaboration.

Expert
Authored Content
Proven
Appeal Letter Templates
Unlimited
AHDAM Access
Learn From
Anywhere

Successfully Manage Level of Care Denials
in a Managed Care World

Wednesday, December 2 | 2:00 PM to 3:00 PM (EST)

Summary: Managed Care Organization denials for inpatient level of care are some of the most difficult denials to manage and overturn on appeal. Payer-specific rules, contracts, and definitions of inpatient care can overly complicate the process of avoiding denials and managing appeals for level of care decisions. Join us as we present successful strategies for managing level of care denials in a managed care world.

Presenter: Denise Wilson, RN, MS, RRT; President, AHDAM.org

Click here to register!

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Receive updates about the growth of AHDAM, the nation’s only association dedicated to the Denial and Appeal Management Professional! Be the first to know when new resources and education are available.

Become a Healthcare Denial and Appeal Expert!

Members receive access to the monthly newsletter, white papers, policies and procedures, job descriptions, and the Appeal Writing Workshop.

Newsletter
Published monthly exclusively for members of AHDAM.
Policies and Procedures
A sampling of policies and procedures to help your teams do the right thing effectively and efficiently.
Appeal Writing Workshop
This members-only area presents the appeal writing specialist with self-paced educational tools to learn successful, proven strategies in all aspects of appeal writing.
Whitepapers
Informational documents authored by experts in their specialized field within healthcare denial and appeal management.
Job Descriptions
A variety of job descriptions submitted from the healthcare denial and appeal community.

Latest Industry News

Identifying the Acute Care Hospital Technical and/or Administrative Denial Reason

September 14, 2020

As discussed in the introductory article, a technical or administrative denial occurs in…

New COVID-19 Policies for Inpatient Prospective Payment System (IPPS) Hospitals Limits the 20 Percent Increase in Weighting Factor for COVID-19 DRGs

August 24, 2020

On August 17, 2020, CMS released a revised MLN Matters SE20015 to announce…

CMS to Resume Post Payment Audits

August 18, 2020

CMS has announced that to protect the Medicare Trust Fund against inappropriate payments,…

VIEW ALL

From The Knowledge Center

How to Handle Payer DRG and SOI Denials that Provide No Detailed Explanation

By Malissa Powers, BS, RHIT, CCS, CDIP, CICA | July 7, 2020 Although the payer should provide a detailed explanation as to why the claim is being denied, that does not always occur. The best…

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The association is currently focused on acute care inpatient and outpatient hospital services, with plans to expand to all provider and patient communities.

ANNUAL MEMBERSHIP
$125/ yr
Members receive access to the monthly newsletter, white papers, policies and procedures, job descriptions, and the Appeal Writing Workshop.
BECOME A MEMBER

The Association for Healthcare Denial and Appeal Management (AHDAM) publishes and distributes materials on its website that are created by our members or invited industry subject matter experts for the benefit of all AHDAM members. AHDAM does not certify the accuracy or authority of these materials. These materials are distributed and presented as research information to be used by AHDAM members, in conjunction with other research deemed necessary, in the exercise of AHDAM members’ independent professional judgment. AHDAM claims no liability in relation to reliance on the content of these materials. The views expressed in the materials are the views of the material’s authors and do not necessarily represent the views of AHDAM. Any references are provided for informational purposes only and do not constitute endorsement of any sources.