One of the most fundamental—and frequently contested—decisions in healthcare is whether a patient should be treated as an inpatient or outpatient.
This second session establishes the clinical and operational groundwork behind level of care determinations, then walks through denial resolution and prevention tactics across four key areas, with real-world examples and best practices throughout.
By the end of this session, you’ll be able to:
- Understand how level of care determinations are made and why they are a common source of denials
- Apply denial prevention, resolution, and appeal strategies to improve overturn rates for level of care denials
- Identify root causes of level of care denials and leverage them to create educational opportunities that drive long-term prevention
