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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Leveraging ADT, HL7 Data May Help Hospitals Prevent Denials

Check out this article by Nina Youngstrom from the Report on Medicare Compliance with input from Kendall Smith, M.D., Chief Medical Officer of Intersect Healthcare + AppealMasters, and Tracey Tomak, Area Vice President of Intersect Healthcare + AppealMasters.

Leveraging ADT, HL7 Data May Help Hospitals Prevent Denials

The Power Behind Standards of Care in Successfully Appealing Medical Necessity Denials

Wednesday, September 15th | 2PM – 3PM

FREE TO ATTEND!

Presenters: Denise Wilson, MS, RN, RRT, Senior Vice President, Intersect Healthcare + AppealMasters; Kendall Smith, MD; Chief Physician Advisor, Intersect Healthcare + AppealMasters

Summary:

Payment for medically necessary services always comes down to whether treatment proposed or provided is equivalent to the current standard of care. Standards of care are used to determine patient status in the hospital as well as coverage of procedures or services. Join us as we present the power behind leveraging standards of care in medical necessity arguments for inpatient and outpatient medical services.

Free CEUs for our AHDAM Members!

Click Here To Register!

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Receive updates about the growth of AHDAM, the nation’s only association dedicated to the Denial and Appeal Management Professional! Be the first to know when new resources and education are available.

Become a Healthcare Denial and Appeal Expert!

Members receive access to the monthly newsletter, white papers, policies and procedures, job descriptions, and the Appeal Writing Workshop.

Newsletter
Published monthly exclusively for members of AHDAM.
Policies and Procedures
A sampling of policies and procedures to help your teams do the right thing effectively and efficiently.
Appeal Writing Workshop
This members-only area presents the appeal writing specialist with self-paced educational tools to learn successful, proven strategies in all aspects of appeal writing.
Whitepapers
Informational documents authored by experts in their specialized field within healthcare denial and appeal management.
Job Descriptions
A variety of job descriptions submitted from the healthcare denial and appeal community.

Latest Industry News

Medicare Advantage in 2021: Enrollment Update and Key Trends from Kaiser Family Foundation

June 29, 2021

By Denise Wilson | June 29, 2021 | CMS, Medicare Advantage Kaiser Family…

UHC to Audit Sepsis Claims on a Pre-Pay Basis

May 11, 2021

By Denise Wilson | May 11, 2021 | Audits, Denials, Evidence-Based Guidelines, Medicare…

Quality Assurance of COVID-19 Reimbursements and Reporting

March 25, 2021

This bill establishes documentation requirements for testing, treatment, and reporting related to COVID-19;…

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From The Knowledge Center

Appeals Shortcut – Orthopedic Surgery

R. Kendall Smith, MD, SFHM Chief Physician Advisor, Intersect Healthcare View presentation here: Appeals Shortcut – Orthopedic Surgery Quite often appeal writers are faced with the challenge of appealing a denial based on lack of…

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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.

ANNUAL MEMBERSHIP
$125/ yr
Members receive access to the monthly newsletter, white papers, policies and procedures, job descriptions, and the Appeal Writing Workshop.
BECOME A MEMBER

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.