Description: Health care administrators are making denials management a number one priority in 2024. Over twelve percent (12%) of hospital claims are initially denied costing health systems up to two percent (2%) of net patient revenue and that number continues to rise. Ninety percent (90%) of those claims are preventable yet only a fraction is appealed or responded to due to lack of resources resulting in lost revenue. Health care administrators and CFOs have also identified claim denials as their organization’s biggest challenge. This presentation will address the impact of denials; top causes of denials; analyze the root cause of denials and trends to reduce denials and claim rejections; how to mitigate root causes; and, improving the efficiency of appeals process to minimize revenue leakage and maximize collections. We will also discuss measuring and reporting the success of the denials management and prevention program.

Webinar Date: This was presented as part of IHIMA’s 2025 Annual Meeting & Exhibit – April 2025 

Duration: 1 hour

Speaker: Colleen Goethals, MS, RHIA, FAHIMA has over 35 years of healthcare experience possessing vast knowledge of HIM operations, revenue cycle management and privacy. She is the Vice-President of Mid-Revenue Cycle for CorroHealth. Past experience includes HIM/Revenue Cycle Regional Director and HIM Director and Corporate Privacy Officer. She is an author and frequent speaker on topics related to leadership, revenue cycle, release of information, and HIPAA Privacy and Security. Colleen is a past AHIMA Board member; past-President, Director and Delegate of the Illinois Health Information Management Association (ILHIMA), ILHIMA Distinguished Member, an AHIMA fellow and NARA Certified in Federal Records Management. She is also the recipient of AHIMA’s Triumph Award for Advocacy and Policy and Wisconsin (WHIMA) Distinguished Service Award.

Click HERE to register for this webinar!

Cost: $25 Members/ $35 Non-Members

1 AHIMA CEU*

Domain VIII: Evolving Topics/Other HIIM Relevant Topics

*Relevant AHIMA CEUs are accepted by the following organizations: American Academy of Professional Coders (AAPC) and Association of Clinical Documentation Integrity Specialists (ACDIS)