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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

Legal Arguments for Clinical Appeals

Wednesday, July 20th, 2022 at 2 PM Eastern Time

CEU’s for AHDAM Members Only

Writing a great clinical argument for medically necessary services is no longer enough to win appeals. Appeal specialists must employ all entitled rights of appeal and that includes understanding and incorporating legal arguments. In this session we will present legal arguments that any clinician can understand and that apply to the most common situations encountered in denials, such as Emergency Services and EMTALA, authorization, experimental or investigational, and others.

Learning Outcomes:  At the conclusion of the webinar, the learner will be able to Insert basic legal arguments into an appeal letter, incorporating the correct legal argument for the specific situation. The learner will be able to:

  1. Describe the purpose of including legal arguments in clinical appeals
  2. Identify the agency in their state that sets legal regulations for medical insurance
  3. Match up one legal argument with the appropriate circumstances for use

About the presenter:

Bill Haynes, Esq.

Bill Haynes, Esq. serves as the Managing Attorney for Denial Research Group – AppealMasters. Bill is a member in good standing of the Maryland Bar, a member of The Association for Healthcare Denial and Appeal Management, and a member of the American Health Law Association. Bill has experience in healthcare law, including managed care contract analysis, payer-provider arbitrations, and the independent review processes. Bill personally manages a team of attorneys who do legal research, answer legal questions, and draft language for Medicare, Managed Medicare, Medicaid, and Commercial appeal cases, independent reviews, and arbitrations.

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.