Session 1 - Understand The Root Cause Of Denials & Proven Steps To Prevent Them In Future
Denials are inevitable in a medical practice. They are costly, time consuming, frustrating and can even cause patients to lose faith in our staff. Insurance payers have many ways to deny claims. Front end edits or errors, clearinghouse rejections, and explanation of benefits (EOB/ERA) denials. This leaves a lot of room for coding and billing staff scrambling to work all the possible issues one account may encounter.
The key to making sure your staff is proficient in denials is knowing what to look for and what your billing software and clearinghouse is capable of. Our expert speaker will go into deep detail of these three categories of denials, where to find them, what types of errors or denials they will be, and better how to prevent them in the first place. The industry top 10 denials will be discussed at length, broken down to the basics, and each given a proven process to prevent this in the future. Can you imagine, your top 10 denials being no more?
Preventing a denial can take a bit more time on the front end, but once policies and training is set in motion drastic improvements in the revenue cycle will begin.
Don’t miss this highly informative webinar. If your practice is suffering from denials this is your answer. Let our expert assist you in creating helpful processes, learn tips on implementation, and watch your denial % drop while your revenue soars.
Session Objectives:
- Top 10 denials-detail on why this denial occurs, proven steps to prevent in the future
- Types of denials-what to watch for, where to find them
- Billing software-how to use the tools that are available to you
- Clearinghouse rejections-what do these mean, how to appropriately attack these issues
- Tips for training and implementing new processes
- Importance of patient involvement
Session Agenda:
Decreased reimbursement, increase in denials, need for internal processes, lack of understanding of denial management, inaccurate work on team causing delay in claims processing
Session Highlights:
- Process improvement
- Denial prevention
- Training tips
- Patient involvement
- Audits-internal and external
Session 2: How To Clean Up Accounts Receivable (A/R) And Boost Revenue
Accounts receivable (A/R) aging is one of the hardest areas in a medical practice. Its frustrating to work on, figure out what’s going on, circling back to the same claim numerous times and getting different answers, and more. Insurance payers count on billers NOT fighting rejections and denials, they know that 80% of denials don’t ever get worked and get adjusted off. That’s a very scary number.
Don’t let the insurance companies dictate your revenue, more than they already can. You must have a handle on your denials, and you’re outstanding accounts receivable, both patient and insurance, to know what is collectable and truly attainable. Deep dive of report examples will be given, tips on working old A/R, both patient and insurance, as well as real world examples will be provided, and valuable revenue boosting information offered. Insurance companies are always looking for ways to deny claims, withhold reimbursement, slow processing for silly reasons and reject for missing information.
Our speaker has over 20 years in this field and has national exposure and has seen it all. Let her help you with all your tough cases, bring questions to our valuable Q&A session held at the end of the session.
Session Objectives:
- Proper reports to run weekly and monthly
- Patient demographics and eligibility importance
- CPT and ICD10 entry-medical necessity and proper diagnosis linkage
- Credentialing and billing specifics-Group vs personal NPI/Tax ID
- Injury claims-what needs to be included
- How to work denied claims
- Appealing claims for success
- Documentation tips for success
Session Agenda:
- Best reports to run for a clean A/R
- Top tips for working old A/R
- Common errors/omissions and denial reasons from payers (National payer knowledge)
- Q&A-BRING YOUR TOUGH CASES AND QUESTIONS!
Session Highlights:
- Increase revenue from payers
- Decrease errors and denial rates
- Improve internal processes
- Understand payer specific processes and rules
- Track A/R and denials for boosted revenue
Who Should Attend:
Office Management/Administration, Billing managers, billers, coders, support staff, front desk staff, Medical professionals that deal with billing claims, claim clean up, accounts receivable, denial work, or any other related job in the billing and coding field.
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