Who Told the Patient?!

Medicare Self-Denials and the Notification Nobody Wants to Own

A Hospitals are increasingly comfortable making Medicare self-denials and rebilling under Part B when appropriate.

But one operational question still causes confusion:

**Who owns patient notification?**

Many organizations lack a consistent, documented process defining responsibility, timing, delivery, and proof of compliance.

Recent RAC Relief discussions show wide variation—from Epic automation to ownership by UR, PFS, Revenue Integrity, Compliance, or HIM.

This Finally Friday! LIVE session will examine real-world workflows, common gaps, audit readiness, and practical ways to build a reliable process. Participants are encouraged to share what is working — and what is not.

Agenda for Today:

( and we suspect this will have to be continued next week! )

• Who Really Owns Patient Notification After a Medicare Self-Denial?
• What Happens When the Claim Is Corrected—but the Patient Is Never Notified?
• The Compliance Risk Hiding Inside an Incomplete Notification Process
• What Medicare Actually Expects—and What Your Organization Needs to Prove
• What RAC Relief Members Are Seeing in the Real World
• Can Epic Help Hard-Wire the Process—or Does It Just Move the Problem?
• UR, Billing, Compliance, HIM—or Someone Else? Comparing Ownership Models
• The Audit-Trail Question: Can You Prove the Notice Was Generated, Sent, and Documented?
• Where Self-Denial Notification Workflows Most Often Break Down
• Building a Process That Doesn’t Depend on Someone Remembering
• What Other Hospitals Are Doing—and Which Practices May Be Worth Stealing

The Bottom-Line Question:
What Does a Weak Process Put at Risk?

Registration is FREE.

Even if you cannot attend live, register today and we'll provide access to the on-demand recording.

Who Should Watch:
• Utilization Management
• Utilization Review
• Physician Advisors
• Healthcare Information Mgmt.
• Anyone else involved in 
healthcare operations roles