Upcoming Complimentary Webinar

Dispelling Widespread Misunderstandings of the 2-Midnight Rule

(Provider email domain is required for registration approval)

Thursday, December 15, 2022 at 2 PM Eastern Time

CEU’s for AHDAM Members Only

Special guest speaker, David Glaser, shareholder at Fredikson & Byron, PA, clarifies widespread misunderstanding of CMS Two-Midnight Rule. David will be covering tips for ensuring the UM team is focused purely on physician expectation, not InterQual or MCG. He will be sharing how outdated Manual provisions may cause people to wrongly conclude inpatient status is improper. His guidance will help those involved in denial and appeal management recognize why auditors are wrong when they deny an admission asserting that the patient “only required an outpatient level of care.” And, he will present the compelling legal argument that Medicare Advantage cannot ignore the 2 midnight rule.

About the presenters:

David Glaser

shareholder at Fredikson & Byron, PA

David helps clinics, hospitals, and other health care entities negotiate the maze of health care regulations, providing advice about strategy, reimbursement and compliance. David is a shareholder in Fredrikson & Byron’s Health Law Group and co-founded its Health Care Fraud & Compliance Group. He has considerable experience in health care regulation and litigation, including voluntary disclosures, criminal and civil fraud investigations, overpayments and reimbursement disputes.

David’s goal is to explain the government’s enforcement position, and to analyze whether this position is supported by the law or represents government overreaching. David is a frequent guest on RAC Monitor’s “Monitor Mondays,” and you may read his Blog at Orthopedics Today.  He has given speeches in 36 states.

Denise Wilson, MS, RN, RRT

Senior Vice President, PayerWatch/AppealMasters, President, AHDAM

Denise has over thirty years of experience in healthcare, including clinical management, education, compliance, and appeal writing.

Denise has extensive experience as a Medical Appeals Expert and has personally  managed hundreds of Medicare, Managed Medicare, and Commercial appeal cases  and presented hundreds of cases at the Administrative Law Judge level. Denise is a  nationally known speaker and dynamic educator on Medicare and Commercial  appeals processes, payer behaviors, standards of care, appeal template  development, and building a road map to drive the payer to a decision in the  provider’s favor. She has educated thousands of healthcare professionals around  the country in successfully overturning healthcare denials.

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