From Reaction to Prevention: Revolutionizing Denials Management with Pre-Bill Reviews

Description: This session explores a proactive strategy to combat revenue leakage and prevent denials through a physician advisor-led, tech-enabled pre-bill review process. We will demonstrate how to leverage data to identify high-risk cases before billing. Attendees will review real-world case studies that illustrate how targeted chart reviews uncover critical documentation and coding opportunities, ensuring DRG accuracy, securing appropriate revenue, and strengthening denial defense.

Learning Objectives:

  • Describe a data-driven methodology for identifying and targeting high-risk cases for pre-bill review
  • Identify common documentation and coding opportunities that impact DRG accuracy, revenue capture, and denial risk
  • Analyze real-world case studies to apply pre-bill review strategies that successfully prevent denials and secure appropriate reimbursement
  • Explain how pre-bill review process stengthens revenue integrity and reduces payer disputes

Webinar Publish Date: This was presented as part of the OHIMA 2026 Annual Meeting & Trade Show - March 11, 2026.
Duration:
1 hour

Speaker: Hassan Rao, MD, CPC, CCS, ACPA-C, is a physician advisor, Associate Chief Medical Officer and VP of DRG Services at Brundage Group. Dr. Rao is passionate about the impact of clinical documentation and coding on quality, denials and the impact on the revenue cycle. While maintaining practice as a hospitalist at an academic medical center, Dr. Rao leads the DRG service line at Brundage Group where he collaborates closely with coders and CDIs on pre-bill chart reviews.

 

Click here to register for this webinar!

Cost: $25 Members / $35 Non-Members
1 AHIMA CEU*
Domain: Revenue Cycle Management

*AHIMA CEUs are also accepted by the AAPC! Check eligibility on the AAPC website.

Course Details

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