Live Denials Q&A 9/5/24 - Hospice, SNF, Home Health denials + takebacks

In this episode, Vanessa Moldovan, CEO and Founder of 'For the Love of Revenue Cycle,' leads a live Q&A session on handling denials in medical billing. Participants from different sectors of the healthcare revenue cycle, including medical billing for home visits, nursing homes, and surgery centers, discuss challenges they face with denial codes, modifiers, and reimbursement issues. Key topics include understanding the new FY 2024 hospice final rule, addressing denials related to modifier codes, and strategies for handling electronic remittance advice (ERA) take-backs. Suggestions for actionable steps and resources, such as consulting specific websites and joining relevant forums, are also shared.  00:00 Introduction and Purpose of the Q&A Session 00:49 Challenges in Revenue Cycle and Denials 02:07 Participant Introductions and Their Goals 03:11 Open Forum for Questions and Discussions 04:14 Lauren's Denial Issue with Chronic Care Management 09:26 Exploring Possible Solutions and Resources 21:08 Roseanne's Issue with Take Backs on ERAs 28:22 Provider Targeting by Payers 28:38 Options for Receiving Take Backs 29:03 Challenges with Electronic ERAs 29:44 Appeal Deadlines and Paper Forms 30:11 Denials Due to Grouper Edits 30:53 Hospital Denials and Resources 33:13 Questions on Prolonged Services Billing 37:08 Issues with Nursing Home Billing 45:29 Seeking Expert Advice and Final Thoughts