title: A multidisciplinary approach to denials prevention.
abstract: Children's National Medical Center's approach to preventing denials and managing response to audits includes the following: Mapping out problem areas in the claims submission process and developing solutions with the help of a multidisciplinary team. Using case managers to help prevent denials and assist in the appeal of rejected claims. Requesting oral reconsideration of pended claims and supporting attending physicians in orally responding to the payer's medical team regarding the case.
authors.affiliation: Streamline Health, Cincinnati, USA. rick.leach@streamlinehealth.net
authors.forename: Rick
authors.initials: R
authors.lastname: Leach
authors.forename: Mary
authors.initials: M
authors.lastname: Daymont
authors.forename: Julie
authors.initials: J
authors.lastname: Roby
authors.forename: Linda
authors.initials: L
authors.lastname: Metro
authors.forename: Sandra
authors.initials: S
authors.lastname: Walter
mesh_terms: D019090:Case Management; D004219:District of Columbia; D004469:Economics, Hospital / Q000458:organization & administration*; D017598:Efficiency, Organizational; D006776:Hospitals, Pediatric; D006801:Humans; D007349:Insurance, Health, Reimbursement; D033183:Interdisciplinary Communication; D019982:Organizational Case Studies