FREE WEBINAR
Overcoming Claim Denials:
Effective Strategies for Prevention and Appeals Success
Aired On March 26, 2025
60-Minute Webinar Sponsored By
Join our webinar to explore the reasons behind insurance claim denials, strategies for prevention, and the importance of an effective appeal process to optimize revenue cycle performance.
Claim denials are an ongoing challenge, perpetuated by the ever-changing coverage requirements imposed by insurance companies on laboratory tests. Join this insightful webinar, as we delve into the intricate philosophy behind the practice of denials from various perspectives, including those of physicians, laboratories, insurance companies, laboratory benefits managers, and patients. By examining these differing viewpoints, we can gain a comprehensive understanding of the motivations and implications of denials.
"Overcoming Claim Denials: Effective Strategies for Prevention and Appeals Success," will present proven strategies to prevent and reduce denials, minimizing the burden on all parties. Recognizing that preventive measures may not always be feasible, or denials may be unavoidable, we explore the importance of a robust appeal process to ensure service reimbursement and patient coverage.
Armed with a better grasp of the reasons behind denials, coupled with actionable insights into both denial prevention and the appeals process, this webinar aims to equip participants with the knowledge and tools to optimize their revenue cycle performance. By leveraging this information, healthcare providers can enhance their financial stability and ensure that patients receive timely and appropriate care.
This free 60-minute webinar, sponsored by Quadax and hosted by Dark Daily, is your chance to explore why denials occur and strategies for improved appeal success.
Please join us for this insightful webinar.
Key Learnings:
During this webinar, you will:
- Understand current denial trends and the burden of the practice of denials on all parties involved.
- Explain why denials occur, the different categories of denials, and what a denial really means.
- Discuss how denials can be avoided, how to work with stakeholders to diminish the need for denials, and how the practice of denials may evolve in the future.
- Summarize the complexities of the appeal process within the insurance industry. Recount strategies for improved appeal success and how the process should vary based on a variety of factors.
- Assess the importance of leveraging technology and appeal analytics to reduce costs and maximize reimbursement.
- Examine appeal success metrics between different types of laboratory testing and different payer groups, such as Medicare Advantage plans, and provide a business case for appeals.
Expert Speakers
Tom Cronin, MBA
Senior Vice President, Revenue Cycle Strategy & Analytics, Quadax
Tom Cronin has 25 years of experience in revenue cycle management for laboratories. Starting his career in software development, he designed and developed systems and reporting tools to manage reimbursement processes. Tom then moved into managing reimbursement for independent laboratories in personalized medicine. He has implemented solutions for laboratories with newly commercialized tests and for tests that progressed to the standard of care. Tom currently consults with laboratories on reimbursement best practices and industry changes and manages a Business Intelligence team that uses analytics to gain insights into reimbursement trends across Quadax’s revenue cycle lines of business.
Mark Hiatt, MD, MBA, MS
CEO, Hiatt Advisory Services
Stanford-fellowship-trained physician Mark Hiatt advises precision medicine companies in validating their diagnostic technologies and gaining market access for them. Previously, Dr. Hiatt guided liquid biopsy pioneer Guardant Health as its VP of medical affairs. He has also served as a clinical leader for a multi-state health insurance plan, national medical benefits management company, national accreditation body, radiology department, regional health system, and precision oncology and AI companies. He was also the voice of the Medical Moment on radio stations in two states.
Dunyell Conrad
Product Manager of Appeals, Quadax
Dunyell Conrad has more than a decade of experience in laboratory revenue cycle management, specializing in the appeals process. Throughout her career, she has managed operations teams across the entire revenue cycle, from patient access to patient billing. Dunyell’s extensive knowledge includes researching payer requirements at all levels of appeals and creating tailored solutions that drive optimal reimbursement. In her current role as Product Manager, she supports denial management and appeals solutions within Quadax’s proprietary software platform, continually enhancing processes, adopting new technologies, and driving improvements in revenue cycle performance.
Who should attend?
- All laboratory specialties, including Molecular/Genetic, Toxicology, Pathology, Clinical and Hospital Outreach
- Owner, President, Executive/C-Suite, Pathologist, Controller, Finance, VP/Director/Manager/Supervisor of Revenue Cycle, Market Access, Appeals Manager, Consultant
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