Southwest Hospital Partners with McBee to Appeal Cases Resulting in $27M Recovered
Learn how a Southwest children's hospital partnered with McBee resulting in $27M recovered and over 2,500 denials overturned.
Overcoming Denials and Appeals with these 5 Action Items
There are many different factors that can lead to rising audits and denials within any healthcare organization. Even when all the boxes seem to be checked, denials continue to rise. Take these five action items to expedite the appeals when faced with growing denials within your hospital or health system.
Don’t Become a Target: Understand OIG Transfer DRG Audits
Join McBee experts as they dive into Transfer DRG audit best practices and trends, as well as provide OIG audit findings and recommendations.
Beat the Audit Heat: Ensure Quality Home Health Medical Necessity and Face-to-Face Documentation
Inadequate medical necessity and face-to-face (F2F) documentation are the source of many denials, and auditors will look specifically for accurate F2F and medical necessity documentation that supports the skilled services provided to patients.
Implementing A Multifacted Approach for Strategic Denial Management Within Health Systems
There are many different factors that can lead to rising audits and denials within any healthcare organization. Even when all the boxes seem to be checked, denials continue to rise.
ED case reviews reduce denials by 50%
This 1,000 bed urban hospital was consistently denied an average of $1 million per month from third-party payers, mostly for one-day inpatient stays through the ED for which documentation reflected observation level of care.