Join Our Community of Healthcare Denial and Appeal Management Experts!

The Association for Healthcare Denial and Appeal Management is the nation’s only association dedicated to Healthcare Denial and Appeal Management. Join our community who share the latest tips, tools, and strategies. Members receive access to valuable resources such as monthly newsletters, free CE certificates for attending our webinars, white papers, policies and procedures, job descriptions and the Appeal Writing Workshop.

JOIN OUR EXPERTS TODAY

AHDAM VIRTUAL WORKSHOP SERIES


The Association for Healthcare Denial and Appeal Management (AHDAM) presents the 2024 Virtual Workshop Series. These interactive tracks are led by field experts who will dive deep into crucial topics that are vital to understanding the complex and ever-changing nature of the denial and appeal management process. This series is specifically designed for healthcare professionals who are involved in denial and appeal management and/or revenue cycle management. Early bird registration is now open through December 15, 2023!

REGISTER NOW

PAST WEBINAR:

MEDICARE ADVANTAGE AND THE 2-MIDNIGHT RULE IN 2024

Presentation Date: Wednesday, November 29, 2023

The date for the CMS Final Rule (CMS-4201-F) on Medicare Advantage Plans (MAP) is approaching fast. The final rule published 4/15/2023 goes into effect on 1/1/2024. Are you ready? This is the rule that reinforces the expectation from CMS that MAPs follow the 2-midnight rule that has been in place for traditional, Fee-for-Service (FFS) Medicare for 10 years. The Final Rule also reinforces the expectation for MAPs to adhere to the inpatient-only procedures list. What is your team doing to prepare?

Join us as we discuss the specifics of the Final Rule that apply to MAPs, the 2-midnight rule, the inpatient-only list, and denials and appeals. We’ll discuss what you need to do now to ensure your team is ready for the new rule. Special attention will be given to how to monitor and report MAP compliance with the new rule. We can’t level the playing field if we aren’t all following the same rules.

Presenters:
  • Denise Wilson, MS, RN, RRT, Senior Vice President, PayerWatch + AppealMasters, President, AHDAM
  • Kendall Smith, MD, Chief Physician Advisor, PayerWatch + AppealMasters
Download the Slide Deck
Government Patient Status Appeal Template

 

 

Advocacy, Training, and Support



AHDAM provides ongoing training and resources led by subject matter experts.

EXPLORE ON DEMAND WEBINARS

Denial, Audit, and Appeal Solutions



PayerWatch is the nation’s leading provider of denial, audit, and appeal solutions.

LEARN MORE
 

Ask Fellow Experts! The AHDAM community is here to support and promote professionals working in the field of healthcare insurance denial and appeal management through education and collaboration. Submit your questions and we will share with the community relevant, thought-provoking, and difficult questions answered by our panel of experts.

GET YOUR QUESTIONS ANSWERED

Our vision is to create an even playing field where patients and healthcare providers are successful in persuading medical insurers to make proper payment decisions.

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.