Current Courses In AppealWise
AppealWise Module #1
Masterclass on Pioneering Appeals & UR Excellence
Dive deep into the latest innovations and best practices in appeals and UR, including hands-on strategies to enhance service quality and efficiency. Discover the top ten winning UR program services for 2023, and fine-tune your skills in writing impactful appeal letters that get results.
AppealWise Module #2
Inpatient Insights—
The Two Midnight Rule & Medicare Compliance
Gain clarity on the Two Midnight Rule and its implications four years later, understand the fundamentals of Medicare reimbursement, and stay updated with the latest Medicare claims processing changes. This module ensures inpatient services are appropriately billed and compliant.
AppealWise Module #3
Mastering Medicare Compliance—Advanced Strategies
Master the use of HINN/ABN forms and unravel the nuances of Condition Code 44 with case studies and decision trees. Equip yourself with the know-how to handle inpatient self-denial and Part B inpatient services billing effectively.
AppealWise Module #4
Overcoming Obstacles in Healthcare—
Mastering Appeals through Lessons Learned
Learn from real-world denials, including those related to COVID-19, sepsis, and readmissions. This module presents a retrospective analysis of denials to prepare you for future challenges in medical appeals.
AppealWise Module #5
Navigating Patient Transitions and Medical Necessity
Understand the subtleties of patient discharge, readmission criteria, and the intersection of behavioral health with medical necessity reviews. Develop critical thinking with tools for clinical decision support.
AppealWise Module #6
Mastering Medicare Hearings—Insights and Updates
Get insider perspectives with interviews from a retired Administrative Law Judge (ALJ), and learn the art of writing proposed decisions. Stay up-to-date with the latest Medicare hearing book updates.
AppealWise Module #7
Mastering Medical Reimbursement—
Strategies for Surgery Denials and
Revenue Cycle Optimization
Tackle surgery denials head-on with proven peer-to-peer (P2P) strategies, and learn how to prevent them. Discover the role of revenue cycle automation in enhancing your financial health and compliance.
