PAYER DENIALS FROM HELL!

Three hospital nightmares you cannot make up.

Medicare's WISeR experiment. Aetna's coming trauma-charge edit. A troubling appeals gap. We will examine the real rules, ask tough questions, and leave with three Monday actions.

Just when you thought hospital denials couldn't get any scarier, payers have found new ways to keep revenue-cycle teams awake at night!

AI-assisted prior authorization. Trauma claims caught in bizarre payment rules. Denials that might be overturned—but never get appealed.

These aren't ghost stories. They're real reimbursement nightmares. And they could be coming for your hospital's revenue!

(FYI - I don't personally celebrate Halloween but I'm not above using the idea to promote a show! 🎃 )

Join us for a special SCARY edition of Finally Friday! LIVE, where our expert panel investigates three frightening developments:

👻 NIGHTMARE #1: The AI Prior Authorization Monster!
Medicare's WISeR experiment is changing utilization patterns. Is technology helping eliminate unnecessary care—or creating new barriers for patients and providers?

🧟 NIGHTMARE #2: The Case of the Missing Ambulance Claim!
Aetna's upcoming trauma billing requirements raise a chilling question: Could your hospital's trauma payment depend on an ambulance claim you don't control?

⚰️ NIGHTMARE #3: The Appeals Graveyard!
New insurance data reveal how few denials are ever appealed. How much recoverable hospital revenue could be buried because nobody fought back?

But we're not just telling scary stories. We're finding ways to defeat the monsters!

Our panel will examine what these developments really mean, challenge questionable payer practices, and identify practical steps hospitals can take to protect reimbursement.

You'll leave with ideas for:

• Identifying dangerous payer rules before they become expensive denials.

• Strengthening documentation and medical-necessity defenses.

• Deciding which denials deserve an appeal.

• Finding and fixing process failures that put revenue at risk.

No tricks. Just practical insights, spirited debate, and maybe a few terrifying payer stories of your own!

Join us LIVE, bring your questions, and discover which reimbursement monsters your hospital needs to confront next.

Because the scariest denial is the one you could have prevented—or successfully appealed.