{"product_id":"mastering-denial-management-a-physician-advisors-playbook-9798349355080","title":"Mastering Denial Management: A Physician Advisor's Playbook","description":"\u003cp\u003eMastering Denial Management: A Physician Advisor's Playbook\u003c\/p\u003e\u003cp\u003eBy Stuart M. Hoffman, MD, FACS, CHCQM\u003c\/p\u003e\u003cp\u003eIn today's complex healthcare landscape, physician advisors play a critical role in safeguarding hospital revenue, ensuring compliance, and advocating for patient care. Mastering Denial Management: A Physician Advisor's Playbook is the definitive resource for navigating the intricacies of peer-to-peer (P2P) conferences and denial management.\u003c\/p\u003e\u003cp\u003eDrawing from years of frontline experience, Dr. Stuart Hoffman offers a comprehensive guide to mastering the art of overturning insurance claim denials, empowering physician advisors to drive better patient outcomes and protect organizational revenue. This book delivers actionable strategies, real-world case studies, and expert insights into the evolving physician advisor role-bridging the gap between clinical expertise and administrative oversight.\u003c\/p\u003e\u003cp\u003eInside you'll discover: \u003c\/p\u003e\u003cul\u003e\n\u003cli\u003eProven frameworks for preparing and executing successful P2P conferences.\u003c\/li\u003e\n\u003cli\u003ePractical tools to interpret payer policies and align clinical documentation with insurance criteria.\u003c\/li\u003e\n\u003cli\u003eStrategies for crafting persuasive appeals grounded in clinical evidence and regulatory guidelines.\u003c\/li\u003e\n\u003cli\u003eTechniques to foster collaboration with insurance medical directors and mitigate denials proactively.\u003c\/li\u003e\n\u003cli\u003eCase studies that illuminate best practices and lessons learned from complex denial scenarios.\u003c\/li\u003e\n\u003c\/ul\u003e\u003cp\u003eWhether you're a seasoned physician advisor or stepping into the role for the first time, this handbook provides the essential knowledge to excel in denial management, streamline workflows, and advocate confidently for patients and hospitals alike.\u003c\/p\u003e\u003cp\u003eEmbrace the opportunity to transform your hospital's financial health while reinforcing its commitment to exceptional patient care.\u003c\/p\u003e\u003cp\u003e\u003c\/p\u003e\u003cbr\u003e\u003cbr\u003e\u003cbr\u003e\u003cb\u003eAbout the Author\u003c\/b\u003e\u003cbr\u003e\u003cb\u003e\u003ci\u003eHoffman, Stuart M.:\u003c\/i\u003e\u003c\/b\u003e - Dr. Stuart Hoffman is a board-certified general surgeon and physician advisor with additional certification in healthcare quality and management. He trained in general surgery at Brown University School of Medicine and now serves as Chair of the Utilization Review Committee at two hospitals in the University of Vermont Health Network. With expertise in hospital utilization management, clinical documentation integrity, and insurance denial appeals, Dr. Hoffman brings a systems-level perspective to care delivery reform. He is the author of Mastering Denial Management: A Physician Advisor's Playbook, a resource for physicians navigating the complexities of medical necessity and payer policy.","brand":"Denialmgmt LLC","offers":[{"title":"Default Title","offer_id":51359146869010,"sku":"9798349355080","price":89.99,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0831\/4771\/8930\/files\/img_b48a3b41-27d7-4acd-a112-40c56e8a47cb.jpg?v=1749582411","url":"https:\/\/surprise-castle.myshopify.com\/products\/mastering-denial-management-a-physician-advisors-playbook-9798349355080","provider":"Surprise Castle","version":"1.0","type":"link"}