Eagle-eyed reimbursement experts Ronda Buhrmester of VGM & Associates, and Dan Fedor of VGM’s U.S. Rehab, review some of the most horrific claim denials as they assemble the pieces left behind to determine the culprit. They, along with the witnesses (the attendees), will re-create the scene of the prior authorization request/claim submission and investigate each one to determine if it was an innocent error, or intentional, or something even darker. Muhahahaha!

This is an interactive session where the attendees WILL participate during the investigation of some of the most hair-raising denials (claim submission, prior authorization, audit, etc.). We WILL uncover what went horribly wrong from the intent of the policy to that fateful day of the denial.

You are probably asking yourself, “What will I gain from this session?” There will be several takeaways, including:

Identifying the motive of the contractors when implementing medical policies into prior authorization and processing guidelines.
Learning how to conduct a detailed analysis of the evidence (denial), trace it back to the policy to determine what went wrong with the objective to resurrect the current denial(s), and implement procedures to reduce (eliminate) the chance of these horrible denials in the future.

We’ve recruited Kim Cuce, who is now with VGM, to assist with the investigations.

If you have any cold cases of your own, bring them to be analyzed by the forensic team (remember no PHI).

Event Date and Time

April 18, 2024 from 8:30 a.m.-12:30 p.m.

Event Location

Hilton Garden Inn Hartford North/Bradley International Airport

555 Corporate Dr

Windsor, CT 06095

Hotel Lodging Information

Hilton Garden Inn Hartford North/Bradley International Airport

555 Corporate Dr

Windsor, CT 06095

860-688-6400

Discounted Room Rate

$139/night plus taxes and fees. Discounted rooms are first come, first serve until the room block is sold out or the room block expires, whichever takes place first. Room block expires Monday, March 25, 2024.

Click HERE to reserve your room!

If you choose not to stay, parking is complimentary.

Questions

If you have questions about this event, please contact U.S. Rehab at 800-987-7342 or info@usrehab.com.

Cancellations minimum seven days prior to the event will be honored with a full refund of purchase price paid. No refunds will be made inside of seven days prior to the event. VGM/U.S. Rehab reserves the right to cancel or reschedule this event. If the event is rescheduled or canceled, registered students will be notified immediately. The prepaid registrants will be eligible for a full refund or can reschedule for another education event.

Important notice regarding COVID-19

Please note any interaction with the general public poses an elevated risk of being exposed to COVID-19 and other illnesses. We cannot guarantee that you will not be exposed while in attendance at the event. U.S. Rehab is not responsible for the health and safety of this event. We encourage you to follow the safety policies, as well as local laws and restrictions.

Forensic Denials DME 2024 – Season 3: Episode 1