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.
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.
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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