Description

Turn denied claims into stronger, more successful appeals.

This practical webinar will provide a proven framework for analyzing denial rationales, strengthening documentation, organizing persuasive appeal packages, and responding confidently to TPE, SMRC, UPIC, ADR, and other Medicare claim denials.

KEY WEBINAR TAKEAWAYS

• The current audit environment and what every hospice should know
• A consistent, step-by-step process for reviewing denied hospice claims and organizing documentation to support a complete and timely appeal
• How to construct a persuasive appeal package by sequencing evidence, presenting clinical facts clearly, and building a logical narrative for the reviewer
• The essential components of a successful appeal and common mistakes that weaken an appeal submission
• Creating a standardized workflow for hospice claim appeals that improves efficiency, ensures regulatory compliance, and promotes consistency across your organization

BONUS MATERIALS

• Free 30-minute consultation with hospice support specialists to answer questions and offer guidance

WEBINAR DETAILS

Medicare oversight of hospice providers has never been greater. The current increase in Targeted Probe & Educate (TPE), SMRC, UPIC, and other post-payment audits resulting in higher claim denial rates and punitive sanctions requires hospices to defend their care and their claims through well-developed, organized, and persuasive appeals. A successful appeal requires more than just regulatory and clinical knowledge — it requires a systematic approach to analyzing the record, organizing evidence, and presenting a compelling case that withstands regulatory scrutiny and doesn’t open the organization to further investigation.

 This webinar is designed specifically for hospice executives, owners, compliance professionals, appeals specialists, clinical reviewers, and managers who are responsible for understanding, overseeing, or preparing Medicare claim appeals. Participants will learn a practical, repeatable process for developing strong appeal packages — from reviewing denial rationales and evaluating the medical record to constructing clear, evidence-based and compliance-driven narratives in a reviewer-friendly submission. Whether you're responding to a TPE, SMRC, UPIC, ADR, or other denial, you'll leave with tools and workflows that improve efficiency, consistency, and confidence throughout the appeals process.

THIS WEBINAR WILL BENEFIT THE FOLLOWING AGENCIES:

• Hospice

WHO SHOULD ATTEND?

• C-suite execs and hospice owners
• Hospice compliance professionals
• Clinical managers
• Hospice appeals specialists
• Anyone on your team involved in the claims review and appeal process

TAKE-AWAY TOOLKIT

• Employee training log
• Interactive quiz
• PDF of slides and speaker’s contact info for follow-up questions
• Attendance certificate provided to self-report CE credits

NOTE: All materials are subject to copyright. Transmission, retransmission, or republishing of any webinar to other institutions or those not employed by your institution is prohibited. Print materials may be copied for eligible participants only.

Presented By

Jen Kiehl-Miller

 Hospice Support Specialists