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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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

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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.

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.