May 26 | Preventing Medical Denials Before They Start

Live Webinar

Thursday, May 26, 2026, 2:00 – 3:00 PM CST

Medical necessity denials remain one of the most persistent and expensive challenges in the revenue cycle. They create rework, delay reimbursement, and force revenue cycle, coding and clinical teams into reactive appeals processes that drain time and cash flow. In this webinar, we will share real examples of how organizations have seamlessly moved denials prevention upstream. By leveraging content that powers strengthening documentation, aligning clinical and coding workflows with commercial payer policies, and validating medical necessity requirements earlier in the process so claims are more accurate before submission. We will also discuss other coding and denials solutions that can work together.

Speakers

Learning Objectives

• Understand CMS’s 2027 Medicare Advantage and Part D policy changes and their impact on risk adjustment, reimbursement, and chart review practices
• Identify how updates to CMS-HCC and RxHCC models affect documentation, coding, and compliant risk capture at the point of care 
• Apply strategies to strengthen documentation accuracy and clinical data quality to support defensible risk adjustment and payment integrity  

CPE Information

• CPE Award Amount: 1.0 (60-minute segment)
• Program Level: Basic
• Program Prerequisite: None
• Advanced Preparation: None
• Delivery Method: Group Internet Based
• Topic: Medicare Payment and Reimbursement
• Field of Study: Finance

CPE Sponsor- Healthcare Financial Management Association is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.nasbaregistry.org

In order to receive CPE credit for this session, you must participate in 50 minutes of the presentation for this one hour program. You must also respond to the 4 polling questions that will appear during the session and complete the online evaluation within 2 business days after the webinar.

Meeting Code: 26AT18RAT18 

For more information regarding refund policies, as well as any program concerns, please contact our offices at 800.252.4362 or, [email protected].

Sponsored by:

Content Type: Live Webinar

Topic: Medicaid Payment and Reimbursement

Delivery Method: Group Internet Based

Program Level: Basic

Recommended For: Billing

CPE Hours: 1.00

Finance: 1.00