Readmission Denials in 2025: How to Effectively Appeal Insurance Denials and Win More Cases
Denial management is a cornerstone of effective revenue cycle operations, yet it remains a persistent challenge for healthcare organizations. Every denial represents delayed revenue, increased administrative burden, and the potential for lost reimbursement. To stay ahead, revenue cycle professionals must adopt proactive strategies to prevent and resolve denials while enhancing efficiency and cash flow.
In this webinar, participants will gain in-depth insights into the current and latest approaches to managing denials effectively. We’ll explore how to identify root causes, analyze trends, and implement data-driven solutions to address common denial issues. Attendees will also learn how to build stronger workflows, leverage technology, and foster team collaboration to minimize preventable denials.
Key topics include:
Identifying and addressing high-risk areas for denials
Developing workflows that streamline denial resolution
Leveraging analytics and reporting to track trends and measure success
Proactive communication strategies with payers to reduce denials
Creating an organizational culture that prioritizes denial prevention
Whether you're a revenue cycle leader, billing specialist, or practice administrator, this session will provide actionable tools and insights to optimize denial management processes, improve financial outcomes, and enhance operational efficiency. Don’t miss this opportunity to transform your approach to denials and maximize your organization’s reimbursement potential.
Learning Objectives
Identify the most common causes of claim denials and understand their financial impact on healthcare organizations
Analyze denial trends and patterns to uncover root causes and areas for improvement
Develop streamlined workflows and processes to enhance denial resolution efficiency
Leverage data analytics and reporting tools to monitor denial performance metrics and measure the success of improvement efforts
Implement proactive strategies to reduce preventable denials and improve first-pass claim acceptance rates
Enhance communication skills to expedite claim resolution and improve reimbursement outcomes
Incorporate technology solutions, such as automated claim scrubbing and denial tracking, to improve efficiency and accuracy in denial management
Foster a culture of accountability and collaboration within the revenue cycle team to prioritize denial prevention and long-term success
Areas Covered in the Session
Denial Prevention Strategies
Denial Management No-Nos
Denial Management Best Practices
How to Identify Problem Areas
Critical Staff Workflow Activities
Denial Management Education for Staff
Appeals Process
Denial Prioritization Strategies
Accounts Receivable Evaluation
Live Q&A Session
Suggested Attendees
Healthcare Executives and Adminstrors
Physicina Practice Owner or Clinics
Physicians and NPPs
Revenue Cycle Managers/ Directors
Billing Managers/Directors
Meical Coding Manager and Staff
Practice Administrators
Qualified Healthcare Professionals
Medical Assistants
Claims Adjusters
Front Desk Supervisors
About the Presenter
Shawntea (Taya) Gordon is a visionary leader in the healthcare industry, bringing a wealth of expertise in revenue cycle management, strategic planning, and medical practice leadership. As the CEO of Atlas & Perpetua Healthcare, LLC, Taya combines innovation and excellence to guide organizations toward operational efficiency and financial success. Taya holds an Executive Healthcare MBA from Creighton University and a Bachelor of Science in Healthcare Management from Bellevue University. Her commitment to professional excellence is further reflected in her status as a Fellow of the American College of Medical Practice Executives (FACMPE), a mark of distinction in healthcare leadership.
Taya is an accomplished author, contributing groundbreaking insights to publications such as Revenue Cycle Management: Don’t Get Lost in the Financial Maze and Advanced Strategy for Medical Practice Leaders: Financial Management Edition, both published by MGMA. As the host of the RevDive Podcast, she continues to educate and inspire healthcare leaders across the nation.
Professional Contributions
A sought-after educator and advocate, Taya serves as a professor at Howard University and holds influential roles on various boards, including the CUMC-BM Hospital Community Board and the Dignity in Healing Collective, where she acts as Treasurer. She also lends her expertise as a Council Member for MGMA Government Affairs and as a consultant for MGMA, shaping policies and strategies that impact healthcare delivery nationwide. Her past leadership includes serving as President of NE HIMSS and as an instructor with the Practice Management Institute.
Awards and Recognition
Taya's leadership and dedication have earned her numerous accolades, including MGMA's Extraordinary Leader Award (2021), the Midlands Business Journal's 40 Under 40 honor (2019), and Maryland's prestigious Governor’s Citation for Volunteerism (2016).
Through her dynamic leadership, authorship, and advocacy, Taya Gordon continues to shape the future of healthcare, driving meaningful change for providers and patients alike.
Additional Information
System Requirement:
Internet Speed: Preferably above 1 MBPS
Headset: Any decent headset and microphone which can be used to hear clearly
Live Course Cancellation Policy: If for any reason Skillacquire need to cancel this program, Skillacquire will notify participants by email of the cancellation no less than 24 hours prior to the expected start time.
For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com