At the 2022 Annual Meeting, SCHIMA recognized PayerWatch’s Association for Healthcare Denial and Appeal Management (AHDAM) for the webinars they provided to SCHIMA members at the beginning of COVID. By making it possible for SCHIMA members to obtain their Continuing Education Units (CEUs) online, PayerWatch’s AHDAM demonstrated its commitment to supporting HIM professionals and advancing SCHIMA’s leadership position.

“We would like to thank SCHIMA member Malissa Powers who helped make the webinar series possible,” stated Denise Wilson MS, RN, RRT, the Senior Vice President at PayerWatch and President of AHDAM. PayerWatch’s experts are proud to contribute to the continuous learning opportunities for HIM professionals, and it is an honor to be recognized as an industry leader.

PayerWatch is the nation’s leading provider of payer denial, audit, and appeal solutions. Our software and services help defend healthcare providers from government and commercial payer denials and audits. Over 500 hospitals recognize PayerWatch as a valued partner to protect their revenue.

###

For more information, contact Brian McGraw, President & CEO of PayerWatch, at 410-252-4343 or info@payerwatch.com.

The post PayerWatch Wins the 2022 SCHIMA Champion Award appeared first on PayerWatch.

Rick Scott recently joined the Intersect Healthcare, Inc. (IHI) and Denial Research Group, Inc. (DRG) as Senior Vice President – Business Development. Rick is tasked with evaluating the business to identify opportunities that will be beneficial to the organization, and ultimately deliver value to our business partners. Rick is dedicated to building and maintaining long-term relationships that will be beneficial for both our clients and IHI/DRG.

Rick has been a business development professional for over 30 years. He worked for five years as a Commercial Lines Underwriter at The Hartford Insurance Group, and for the past 25 years as Vice President – Business Development at BFPE International, a woman-owned, national leader in designing, providing, and installing fire protection systems and equipment.

Rick was an active member of the Fire Suppression System Association (FSSA) for over 20 years (He served in all of the executive roles in the organization, including treasurer, vice president, and president). Rick also serves on the Board of Directors for the State of Maryland Athletic Hall of Fame.

The post Meet our new Senior VP of Business Development! appeared first on PayerWatch.

“Achieving this crucial benchmark is validation of our ongoing commitment to the security of our clients’ protected health information,” said Intersect Healthcare CEO Brian McGraw. “This certification provides our clients with a trusted security framework, adding an extra layer of confidence that their patient data is safely and securely protected.”

HITRUST CSF Certified status demonstrates that the Intersect Healthcare’s denial management and appeal outsourcing solutions have met industry-defined, regulatory requirements and are appropriately managing the risks associated with PHI. This achievement places Intersect Healthcare in an elite group of organizations worldwide that have earned this certification. By including federal and state regulations, standards and frameworks, and incorporating a risk-based approach, the HITRUST CSF helps organizations address these challenges through a comprehensive and flexible structure of prescriptive, scalable security controls.

“The security of our clients’ data is of paramount importance to us,” said Vivek Radhakrishna, Vice President of Engineering, Intersect. “Attaining HITRUST certification confirms our dedication to the highest levels of information security and compliance.”

The post Intersect Healthcare Achieves HITRUST CSF® Certification appeared first on PayerWatch.

September 20, 2018, Towson, MD—Intersect Healthcare, the leader in Payment Compliance, Audit & Denial Management software for hospitals and health systems, announced it will be presenting its full suite of VERACITY revenue recovery software at the 90th AHIMA Convention and Exhibit.

Intersect Healthcare is the pioneer and leading developer of online solutions for managing audits, denials, and appeals. Its VERACITY software suite is a business process, denial/audit workflow management and appeal communication tool designed to help providers accelerate their response to commercial denials and regulatory audits, as well as identify their underlying causes. VERACITY delivers improved denial and audit resolution to hospitals and other healthcare service providers. VERACITYä is used by over 400 hospitals and health systems nationwide to recover revenue from tens of thousands of payer audits and denials each year.

Brian McGraw, Intersect Healthcare CEO, stated, “We love the AHIMA conventions and have participated and presented at the expo in the past. We are more passionate than ever about helping healthcare providers fight for their rights against payers and win back more revenue. Our hospital clients are better equipped to reduce denials and win more appeals.”

Healthcare professionals tasked with writing appeals and improving their revenue cycle can meet with the AppealMasters staff during the convention. AppealMasters is a team of highly specialized clinical and coding revenue recovery experts. They assist healthcare providers in responding to every kind of government and commercial appeal and help manage the appeal process. As one of the leading appeal educators in the U.S, hospitals and healthcare providers trust the AppealMasters experts to guide them in achieving successful appeals while also saving time and resources, and simplifying the appeal process.

Intersect Healthcare will be hosting the popular “Whac-An-Auditor” game during the expo. Participants are encouraged to stop by and compete to win prizes for their favorite charity or themselves.

To learn more about Intersect Healthcare or AppealMasters, please visit http://www.intersecthealthcare.com or call (410) 252-4343

The post Intersect Healthcare to Present its Suite of Payer Compliance, Audit & Denial Management Software at the 90th Annual AHIMA Convention and Exhibit appeared first on PayerWatch.

Learning Objectives:

• Explain the difference between DRG validation and clinical validation
• Describe how Clinical Documentation Specialists (CDS) are a natural fit for managing denials and authoring appeals.
• Explain how to establish clinical guidelines
• Explain how CDS professionals can expand their “traditional” roles by proactively asking for specific clinical documentation to support documented diagnoses ahead of clinical validation denials.
• Show how the AHIMA practice brief on compliant queries actually supports clarification of diagnosis documentation.
• Show why queries can be used to support Clinical Validation in the medical record.
• Write a valid argument to support a clinical diagnosis entered in the medical record.

Audience Benefits:

The CDS professional who attends this session will gain a greater knowledge and insight into payer behaviors around clinical validation audits and denials. Audience members will learn about opportunities to expand their role to support real-time documentation of clinical diagnoses in the medical record. Attendees will come away with practical strategies to argue for appropriate clinical diagnoses in the appeals process.

The Summit is being held at Holiday Inn Baltimore Inner Harbor. Denise’s presentation will be Tuesday, August 7, 2018: 1:40 PM-2:40 PM. Don’t miss out!

The post Join Denise Wilson at the 2018 AHIMA CDI Summit appeared first on PayerWatch.

April 15-18, 2018, Towson, MD—Intersect Healthcare, a leading developer of Payer Compliance, Audit & Denial Management software for healthcare providers, announced its full suite of VERACITY revenue recovery software will be presented at HCCA’s 22nd Annual Compliance Institute.

Intersect Healthcare is the pioneer in online solutions for managing audits, denials, and appeals. Its VERACITY software suite is a business process, workflow management and appeal communication tool designed to help providers accelerate their response to commercial denials and regulatory audits, as well as identify their underlying causes. VERACITY is now used by over 400 hospitals and health systems nationwide to recover revenue from thousands of payer audits and denials each year.

Brian McGraw, Intersect Healthcare CEO, shared, “Healthcare Providers are facing new challenges every day to providing excellent care while maintaining profitability. Our purpose is to empower hospitals to increase profit by decreasing their denial write-offs so they can focus on what they do best. Our hospital clients are better equipped to communicate across their appeal teams, win more disputes, and ultimately reduce denials.”

Along with the VERACTIY software suite, members of AppealMasters staff will be in attendance. AppealMasters is a team of revenue recovery experts who educate and assist healthcare providers in responding rapidly to government audits and commercial denials. They rank among the leading appeal educators in the U.S, and hold regular webinars designed to educate the appeals community on how to use evidence-based guidelines to win more clinical and coding appeals.

Denise Wilson, MS, RN, RRT, Vice President of Clinical Appeals at AppealMasters, added, “Winning appeals and protecting hospital revenue requires effective tools, medical knowledge and a strategic approach. With our VERACITY software, combined with the education from our AppealMasters team, we train and equip hospitals to win more appeals.”

Intersect Healthcare will be hosting the popular “Whack-A-Payer” game during the expo. Participants are welcome to stop by and compete to win fun prizes. Intersect Healthcare will have a grand prize of one dozen Jumbo Maryland Crab Cakes that can be shipped to anywhere in the U.S.

Case managers and transitions of care professionals can also visit Intersect Healthcare and AppealMasters at the following upcoming industry event:

• The 2018 ACMA National Conference, April 24-27 in Houston: Visit Intersect Healthcare and AppealMasters at Booth #631

To learn more about Intersect Healthcare or AppealMasters, please visit http://www.intersecthealthcare.com or call (410) 252-4343

About Intersect Healthcare & AppealMasters

Intersect Healthcare, Inc. (IHI) is one of the nation’s leading vendors of Payer Compliance, Audit & Denial Management software for healthcare providers. Intersect Healthcare has developed the most comprehensive solution for managing audits, risks, denials, and appeals. Currently used by over 300 healthcare systems nationwide, the VERACITY software suite is an easy-to use, effective, and affordable appeal management solution for payer denials.  Intersect Healthcare, Inc. leverages Software as a Service (SaaS) technology to assist organizations in streamlining appeal processes, reducing denials and complying with government audit requirements.

AppealMasters is a team of medical necessity and coding appeal specialists providing bench support services and appeal education to hospitals throughout the U.S. Their staff consists of experienced appeal experts made up of physicians, certified coders, and registered nurses with specialized training to protect hospital revenues.

The post Intersect Healthcare Presents its Suite of Payer Compliance, Audit & Denial Management Software at HCCA’s 2018 Compliance Institute appeared first on PayerWatch.