Log in


west virginia medical group management association

  • Home
  • Winning the Denials' Battle by Reducing Risk, Rework, and Lost Revenue

Winning the Denials' Battle by Reducing Risk, Rework, and Lost Revenue

  • Tuesday, February 17, 2026
  • 12:00 PM - 1:00 PM
  • Webinar

Registration

  • No cost to participate

Registration is closed


Winning the Denials' Battle

by Reducing Risk, Rework, and Lost Revenue

     This session will provide expert insight into the following:

  • The true cost of denials on cash flow, productivity, and compliance risk
  • Top denial categories and what they really mean (medical necessity, eligibility, authorization, coding, bundling, timely filing)
  • Front-end fixes that prevent denials before the claim is submitted
  • Documentation and coding practices that reduce audit flags and medical necessity denials
  • Building an efficient denial work queue and appeal workflow
  • When to appeal vs. when to write off
  • Staff accountability and metrics that drive continuous improvement


      Learning Objectives:

  • Identify the most common root causes of claims denials
  • Implement preventive strategies at registration, coding, and charge capture
  • Analyze denial reports to spot trends and prioritize recovery efforts
  • Apply structured appeal techniques to improve overturn rates
  • Develop a proactive denial management process that improves revenue performance

Featured Speaker:

 





Jan Hailey

MHL, CMC, CMCO, CMIS, CMOM, CMCA E/M


Jan Hailey has more than 30 years of experience in healthcare. She is proficient in administration, coding, and billing roles, and teaches medical office professionals around the country how to excel in their careers. Jan has also been instrumental in the development of PMI's Workforce Initiatives program. 

Jan's affinity for teaching has helped countless healthcare providers and medical office professionals over the years. During her expansive career, she has served as Director of Quality for Saint Joseph Physician Network located in Mishawaka, IN, and Director of Care Management with Select Health Network, an entity of Saint Joseph Health System. As Care Management Director, Jan led the physician network and comprehensive interdisciplinary team across the health system working closely with providers, management, staff, community, and payers to develop strategies for process improvement, gap closures, and patient experience. She developed a documentation improvement program and a Hierarchical Condition Category (HCC) coding education program to predict future healthcare utilization by accurately reporting patient complexity.

Prior to joining Saint Joseph, Jan was the Director of Quality, Coding, and Compliance for one of the largest health systems in Northern Indiana. She has a Master of Health Leadership and four professional certifications in office management, coding, insurance processing, and compliance. She is a member of WPS Government Health Administrators (Medicare) Provider Outreach and Advisory Group.


Continuing Education Units

Earn up to 1.0 continuing education unit hours for each hour of education from the ACMPE, American College of Medical Practice Executives. Our events are eligible for continuing education units as awarded by other professional associations. We recommend that you contact your professional association for their approval process.



     

Please register today! WVMGMA members are free to participate. Non-members may register for a $50 fee or register today for a WVMGMA membership and receive webinars at no additional cost.


Powered by Wild Apricot Membership Software