Last week Christina Bruenderman, TMC’s Director of Denials and Appeals, shared the top reasons for PDPM and Managed Care denials and how to prevent them.
The CMS SNF 5-Claim Probe and Educate reviews have been ongoing since June of 2023. “Despite the fact that these five-claim probes are going on and there have even been some TPE audits going on,” Bruenderman said, “Managed Care still wins the award of giving us the most activity.” She provides the top 5 denial trends from Managed Care and best practices to prevent and appeal them.
At the end of the webinar, she answers questions from the audience about the five-claim probes, Section GG, primary diagnoses, and more.
