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Dr. Marc Tucker, DO, FACOS, MBA
Vice President-Compliance and Physician Education 

Darren P. Anderson, MSN, RN, ACM-RN  
Director Clinical Denials Management      
Vidant Health


A number of factors are contributing to the changing dynamics and sense of urgency related to the optimization of the utilization review area of the revenue cycle. These factors include a sharp increase in medical necessity denials, a decrease in the success rate of commercial denial overturns, and the ongoing need for revenue integrity to combat providers’ margin pressures.

Through the eyes of multiple facility provider organization, this webcast event will explore the challenges of utilization review, and strategies to enhance outcomes related to this vital area of the revenue cycle.  Attendees to the event will learn strategies on how to avoid clinical denials, leverage expertise at the right point in the utilization review process, and explore approaches to help ensure appropriate reimbursement.

After This Webinar You'll Be Able To:

  • Understand how to better align a utilization review department to help achieve proper reimbursement
  • Learn leading practices for organizing a high-performing utilization review department
  • Understand the proper utilization of resources, including physician advisors, for a utilization review department
  • Learn how to avoid pitfalls that lead to clinical denials
  • Discover the role technology can play to help streamline utilization review processes
  • Tools & Takeaways:

    • Whitepaper - “Physician Advisor Programs: A Pillar of Thriving Providing Organizations”

    Recommended for:

    CFO, CEO, VP of Revenue Cycle, Directors of Revenue Cycle

    Field of Study: Specialized Knowledge                  
    Delivery Method: Group Internet
    Level: Intermediate                                      
    Pre-work: None                            
    Prerequisites: Basic understanding of the middle revenue cycle area (coding/CDI/utilization review)    
    Contact hours: 1.0


    HFMA members: Free, included with membership                                        
    Non-members: Webinars are not available to non-members. For unlimited access to these webinars and all HFMA benefits, join today.

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    Note: This on-demand webinar is available until December 4, 2019.