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 Road to External Review

Wednesday, July 14th | 2PM – 3PM

FREE TO ATTEND!

Presenters: Denise Wilson, MS, RN, RRT, Senior Vice President, Intersect Healthcare + AppealMasters and Bill Haynes, Esq. Managing Attorney, Intersect Healthcare + Denial Research Group

Free CEUs for our AHDAM Members!

Summary:

Many denial and appeal management specialists are not aware that there are often opportunities to continue an appeal outside of the payer’s internal appeal process. Join us to learn how to move an appeal to an external review where the best opportunity for overturn exists.

Learning Objectives:

  1. Determine whether a denied claim has the option of being filed to external review.
  2. Identify the primary state and the primary federal organizations that describe the steps for taking an appeal to external review.
  3. Explain how to research state external review processes in the learner’s state.

Click Here To Register!

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

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On October 30, 2020 CMS announced a pilot process to enable Medicare Administrative…

From The Knowledge Center

Top Tips for Successful Clinical Validation Appeal Arguments

By Breen Nabors, RN, CCDS | March 30, 2021  The dreaded denial letter comes across your desk disputing a major diagnosis that undoubtedly will impact your facilities reimbursement. Try not to fret. Think of it…

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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.