Readmission Denials in 2025: How to Effectively Appeal Insurance Denials and Win More Cases

Event Materials (Key Required)

Denial management is a cornerstone of effective revenue cycle operations, yet it remains a persistent challenge for healthcare organizations. Every denial represents delayed revenue, increased administrative burden, and the potential for lost reimbursement. To stay ahead, revenue cycle professionals must adopt proactive strategies to prevent and resolve denials while enhancing efficiency and cash flow.

In this webinar, participants will gain in-depth insights into the current and latest approaches to managing denials effectively. We’ll explore how to identify root causes, analyze trends, and implement data-driven solutions to address common denial issues. Attendees will also learn how to build stronger workflows, leverage technology, and foster team collaboration to minimize preventable denials.

Key topics include:

  • Identifying and addressing high-risk areas for denials
  • Developing workflows that streamline denial resolution
  • Leveraging analytics and reporting to track trends and measure success
  • Proactive communication strategies with payers to reduce denials
  • Creating an organizational culture that prioritizes denial prevention

Whether you’re a revenue cycle leader, billing specialist, or practice administrator, this session will provide actionable tools and insights to optimize denial management processes, improve financial outcomes, and enhance operational efficiency. Don’t miss this opportunity to transform your approach to denials and maximize your organization’s reimbursement potential.

Learning Objectives:
  • Identify the most common causes of claim denials and understand their financial impact on healthcare organizations
  • Analyze denial trends and patterns to uncover root causes and areas for improvement
  • Develop streamlined workflows and processes to enhance denial resolution efficiency
  • Leverage data analytics and reporting tools to monitor denial performance metrics and measure the success of improvement efforts
  • Implement proactive strategies to reduce preventable denials and improve first-pass claim acceptance rates
  • Enhance communication skills to expedite claim resolution and improve reimbursement outcomes
  • Incorporate technology solutions, such as automated claim scrubbing and denial tracking, to improve efficiency and accuracy in denial management
  • Foster a culture of accountability and collaboration within the revenue cycle team to prioritize denial prevention and long-term success
Areas Covered in the Session:
  • Denial Prevention Strategies
  • Denial Management No-Nos
  • Denial Management Best Practices
  • How to Identify Problem Areas
  • Critical Staff Workflow Activities
  • Denial Management Education for Staff
  • Appeals Process
  • Denial Prioritization Strategies
  • Accounts Receivable Evaluation
  • Live Q&A Session
Suggested Attendees:
  • Healthcare Executives and Adminstrors
  • Physicina Practice Owner or Clinics
  • Physicians and NPPs
  • Revenue Cycle Managers/ Directors
  • Billing Managers/Directors
  • Meical Coding Manager and Staff
  • Practice Administrators
  • Qualified Healthcare Professionals
  • Medical Assistants
  • Claims Adjusters
  • Front Desk Supervisors
Presenter Biography:

Shawntea (Taya) Gordon is a visionary leader in the healthcare industry, bringing a wealth of expertise in revenue cycle management, strategic planning, and medical practice leadership. As the CEO of Atlas & Perpetua Healthcare, LLC, Taya combines innovation and excellence to guide organizations toward operational efficiency and financial success. Taya holds an Executive Healthcare MBA from Creighton University and a Bachelor of Science in Healthcare Management from Bellevue University. Her commitment to professional excellence is further reflected in her status as a Fellow of the American College of Medical Practice Executives (FACMPE), a mark of distinction in healthcare leadership.

Taya is an accomplished author, contributing groundbreaking insights to publications such as Revenue Cycle Management: Don’t Get Lost in the Financial Maze and Advanced Strategy for Medical Practice Leaders: Financial Management Edition, both published by MGMA. As the host of the RevDive Podcast, she continues to educate and inspire healthcare leaders across the nation.

Professional Contributions
A sought-after educator and advocate, Taya serves as a professor at Howard University and holds influential roles on various boards, including the CUMC-BM Hospital Community Board and the Dignity in Healing Collective, where she acts as Treasurer. She also lends her expertise as a Council Member for MGMA Government Affairs and as a consultant for MGMA, shaping policies and strategies that impact healthcare delivery nationwide. Her past leadership includes serving as President of NE HIMSS and as an instructor with the Practice Management Institute.

Awards and Recognition
Taya’s leadership and dedication have earned her numerous accolades, including MGMA’s Extraordinary Leader Award (2021), the Midlands Business Journal’s 40 Under 40 honor (2019), and Maryland’s prestigious Governor’s Citation for Volunteerism (2016).

Through her dynamic leadership, authorship, and advocacy, Taya Gordon continues to shape the future of healthcare, driving meaningful change for providers and patients alike.


Additional Information:

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For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com


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Snippet From Our Previous Session

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Attendee’s Reviews from the Previous Session:

     1 Month ago By:- Cheryl Colbert

I thought the information was great. It was very informative and I would like to review the webinar again.

     2 Weeks ago By:- Stephanie Janes

I really enjoyed the presenter. She was extremely knowledgeable and added in some humor.

     5 Days ago By:- Liza Tan

Good presentation. Speaker was very upbeat which made paying attention easy.