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.

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Upcoming Complimentary Webinar

Best Practices in the Appeals Process

Wednesday, September 21, 2022 at 2 PM Eastern Time

CEU’s for AHDAM Members Only

Successfully overturning denials goes beyond writing a great appeal. Appeal specialists must employ best practices at every level of both the internal and external appeals process starting with peer-to-peer. Many AHDAM members are asking how best to manage various levels of appeal from a process as well as an appeal argument standpoint. In this session we will present best practices for government and commercial payers’ appeal processes.

About the presenters:

Kendall Smith, MD

Chief Physician Advisor, PayerWatch/AppealMasters

Dr. Kendall Smith is a Senior Fellow in Hospital Medicine (SFHM) and currently acts as Chief Physician Advisor for AppealMasters, a leading appeal educator and appeal services firm for hospitals and health systems. He’s been deeply involved in denial and appeals management throughout his hospitalist career, working collaboratively with UR/Case Management departments as well as Managed Care and Hospital C-Suite executives.

His familiarity with managed care denials led him to design and implement a number of CDI programs, including those at the Cleveland Clinic in Florida and the MedStar Washington Hospital Center. He has served as a physician leader on hospital revenue cycle management teams while also serving as a the Physician Advisor for Clinical Resource Management. Dr. Smith is also an AHIMA ICD-CM/PCS approved trainer/ambassador.

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.

Click Here to Register!

You must register with a business or provider email address.

General email accounts such as Gmail or yahoo will not be approved for attendance.

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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.

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.