Auditing Payer Contracts For Payment Accuracy


SPIN A WHEEL TO GET SOME DISCOUNTS
December 29, 2025
Available all day
60 Mins
Toni Elhoms, CCS, CPC, CPMA, CRC, CEMA, AHIMA-Approved ICD-10-CM/PCS Trainer
$249.00
$249.00
$299.00
$249.00
$249.00
$179.00
$179.00
$249.00
$179.00
$249.00
$249.00
$179.00
$179.00
All prices mentioned above are for single user access only. For multi-user access, kindly call us on +1 562-340-6155 or email us at support@webinarmailings.com.

In today's rapidly evolving healthcare environment, ensuring payment accuracy is critical to maintaining a strong financial foundation.  Insurance payer contracts are complex and often riddled with ambiguous terms and hidden discrepancies that can lead to underpayments, delayed reimbursements, and revenue leakage. This webinar will explore the strategic importance of auditing healthcare insurance payer contracts and how regular audits can drive significant financial improvements for healthcare providers.  Attendees will walk away with practical insights into best practices for contract review, common pitfalls to watch for, and tools to identify discrepancies in claims and reimbursements. Whether you're in healthcare finance, revenue cycle management, or compliance, this session will equip you with the knowledge to improve contract performance and ensure your organization is paid accurately and timely.

Webinar Objectives

Each payer operates with its own unique reimbursement structure, making it easy for discrepancies to occur—whether from claim processing errors, misinterpretation of contract terms, or outdated fee schedules. Without timely and proactive audits, providers risk being underpaid without even knowing it, or may encounter costly delays in uncovering and correcting payment gaps.

Webinar Agenda

  • Understand the financial and operational impacts of inaccurate payer reimbursements
  • Identify key components and clauses in payer contracts that require regular auditing
  • Utilize data analytics to uncover trends, inconsistencies, and underpayments
  • Develop an effective contract audit framework for ongoing payer performance evaluation
  • Implement corrective actions and negotiation strategies based on audit findings

Webinar Highlights

  • Discuss the hidden costs of inaccurate payments
  • Explore common contract clauses that contribute to underpayments and denials
  • Discuss real-world examples of successful payer audits and recovered revenue
  • Outline the tools and technologies to streamline the contract audit process
  • Discuss how to build cross-functional teams for contract performance oversight
  • Highlight compliance risks associated with unmanaged payer agreements

Who Should Attend

  • Medical Coding Specialists
  • Medical Billing Specialists
  • Medical Auditing Specialists
  • Private Practice Physicians
  • Managed Care Professionals
  • Operations Leadership
  • Practice Administrators
  • Office Managers
  • Compliance Officers/Committees  
  • Chief Medical Officer

📚 Full Access to 150+ Pre-Recorded Webinars

Instantly unlock our comprehensive library of 150+ pre-recorded webinars covering crucial topics in U.S. healthcare—ICD-10, CPT updates, denial management, appeals, RCM optimization, pre-authorization, and more.

 

What Do You Think About This Webinar?

Like (1) Dislike

Toni Elhoms

Toni Elhoms is an internationally known speaker and recognized subject matter expert on medical coding, reimbursement, compliance, and revenue cycle management. She is the Founder and CEO of Alpha Coding Experts, LLC (ACE).  She holds multiple credentials with the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC).   Ms. Elhoms' expertise extends to both inpatient and outpatient coding, compliance, billing, and reimbursement.  Ms. Elhoms serves as ACE’s Senior Consultant and conducts training and educational seminars across the country on a variety of topics including, but...

Read More