PayerWatch

𝐇𝐨𝐰 𝐏𝐞𝐞𝐫-𝐭𝐨-𝐏𝐞𝐞𝐫 𝐑𝐞𝐯𝐢𝐞𝐰𝐬 𝐂𝐚𝐧 𝐒𝐚𝐯𝐞 𝐋𝐢𝐯𝐞𝐬 This eye-opening article highlights how 𝐩𝐞𝐞𝐫-𝐭𝐨-𝐩𝐞𝐞𝐫 𝐫𝐞𝐯𝐢𝐞𝐰𝐬 can be a game-changer in healthcare. Linda Brown, a patient with a rare blood disorder, was 𝐝𝐞𝐧𝐢𝐞𝐝 𝐥𝐢𝐟𝐞-𝐬𝐚𝐯𝐢𝐧𝐠 𝐛𝐥𝐨𝐨𝐝 𝐭𝐫𝐚𝐧𝐬𝐟𝐮𝐬𝐢𝐨𝐧𝐬 until her doctors intervened through a peer-to-peer review process, ultimately saving her life. It’s a powerful reminder of the importance of advocating for patients' rights and ensuring that providers have the support to perform these critical reviews. #PatientAdvocacy #PeerToPeer #MedicalClaims #HealthcareDenials https://lnkd.in/eBhN3zWF

Upcoming Complimentary Webinar: 🚨Bridging the Gap: Physician & Revenue Cycle Collaboration in Denial Prevention🚨 Denials are rising, and hospitals are feeling the financial strain. But what if the key to reducing them lies in stronger physician and revenue cycle collaboration? 📅 March 26, 2025 | 2:00 – 3:00 PM EST Join us for a powerful session where experts will cover: ✔️ The financial impact of increasing denials ✔️ The evolving role of physicians in payer negotiations ✔️ AI-driven analytics & structured workflows to prevent denials ✔️ Real-world success stories of physician-led appeal strategies Don't miss this opportunity to gain actionable insights and improve financial outcomes. Register now below! 🔗 https://lnkd.in/emVkAquu

Denials Are Taking a Toll—But They Don’t Have to Recent data shows insurers denied 19% of in-network claims in 2023, with only a small fraction of those being appealed. The outcome? Providers are losing millions in revenue. At PayerWatch, we give healthcare organizations the tools and insights they need to not just manage denials—but overcome them. From automated workflows to actionable payer contract data, we help providers take control of their revenue cycle and win appeals more effectively. It’s time to stop accepting denials as a cost of doing business. With the right strategy, these losses can be reversed. #DenialManagement #RevenueCycle #HealthcareAppeals https://lnkd.in/ggWCFpAu

THIS IS ATROCIOUS! UnitedHealth's AI tool for evaluating claims "has a 90% error rate, meaning nine of 10 appealed denials were ultimately reversed". All of that burden being placed on hospitals and patients NEEDLESSLY!! Not even taking into account the disastrous repercussions it could have on patient health. https://lnkd.in/eNrmhmKJ

Shareholder proposes UnitedHealth issue apology letters signed by board members and executives to families when claims are wrongfully denied. There's a novel idea!! https://lnkd.in/ed6ZmR2G

It is always a privilege to have you share your expertise and insights Richelle Marting! Thanks so much for joining us.

YOU ARE NOT GOING TO WANT TO MISS THIS ONE! Join SIX industry experts as they discuss how to leverage data to uncover payer behavior, build stronger appeal strategies, and push back on denials more effectively. Ryan O'Hara R. KENDALL SMITH, Jr., MD, SFHM, ACPA-C Richelle Marting JD, MHSA,RHIA,CPC,CEMC,CPMA Brian Moore Edgar Agvanyan MD Sean Lilley, MS Brian McGraw #denialmanagement #appealstrategies https://lnkd.in/eMJApRgv

YOU ARE NOT GOING TO WANT TO MISS THIS ONE! Join SIX industry experts as they discuss how to leverage data to uncover payer behavior, build stronger appeal strategies, and push back on denials more effectively. Ryan O'Hara R. KENDALL SMITH, Jr., MD, SFHM, ACPA-C Richelle Marting JD, MHSA,RHIA,CPC,CEMC,CPMA Brian Moore Edgar Agvanyan MD Sean Lilley, MS Brian McGraw #denialmanagement #appealstrategies https://lnkd.in/eMJApRgv

Last webinar of 2024. DON'T MISS IT!!! REGISTER HERE: https://lnkd.in/eCNuQJi7

Denials management is more than just a revenue cycle issue—it’s a clinical concern that directly impacts patient care and organizational efficiency. 75% of Revenue Cycle Executives say denials are on the rise. Thats Alarming!! Read more to explore insights into improving denial resolution and enhancing the provider-payer relationship. #DenialsManagement #RevenueCycle #HealthAdvocacy #PayerWatch