Overview:
As the healthcare industry moves toward a value based reimbursement model rather than fee for service, it is crucial that the provider and ancillary staff understand how ineffective reporting can lead to dollars lost. We will review the 3 critical areas that require skilled management. Understand that patients are more educated about their healthcare and are increasingly responsible for more out of pocket costs. High dollar deductibles may result in self pay realities and bad debt increases. Learn areas that increase your chances for an audit. Are you ready for the challenge?
Why should you Attend: Revenue is dependent upon proficiency in multiple areas. In today's environment, it is risky to maintain the status quo and increasingly important to obtain and maintain skilled business staff. The granularity of the ICD-10 code set requires understanding of the official coding conventions and guidelines, the ability to apply those guidelines, and the ability to recognize when reporting may lead to revenue delay, reduction or loss.
Additionally, other factors affect your revenue stream. This includes patients with high deductible plans, collection of much more than a small co-pay, and staff understanding of regulations that govern telephone collection activity. Don't leave money on the table or invite an audit into your practice. Audits are often the result of weak billing and coding skills.
This program will review several areas that will cost you money if poorly handled.
Areas Covered in the Session:
Required specificity in coding
Documentation necessary for ICD-10 reporting
Why coders must frequently query for clarification
How ambiguous diagnosis reporting affects you r bottom line
Internal collections versus outsourcing. What should you consider
Staff effective in handling problem claims? Developing appeals?
Who Will Benefit:
Coders
Billers
Revenue cycle
Physicians
Mid-level providers
Nurses
Claims follow-up Managers
Managers
Speaker Profil
Instapay Healthcare Services specializes in providing comprehensive medical billing and ICD 10 coding solutions.
Boost your revenue cycle and minimize billing complexities with our experienced professionals. Explore the full range of our services on our Google Business Profile page.
Fax:- 9179607960
InstaPay Healthcare Services is a leading medical billing and coding service provider in New York. We specialize in charge capturing, claim submission, and denial management services. Our team of experienced healthcare providers ensures timely and accurate account receivable management.
Are you an optometry practice looking to streamline your billing process? Look no further! Instapay Healthcare Services has got you covered with top-notch Optometry Billing Services. Say goodbye to billing hassles and hello to efficiency!
Overview: Become knowledgeable and understand the False Claims Act, Anti-Kickback Statute, Physician Self-Referral Law, Excluded Individuals and additional criminal/civil laws that may worsen the punishment if these laws are violated. Understand the criteria of each law, exceptions and how to identify an issue that requires mitigation.
Why should you Attend: Are you able to distinguish with certainty an agreement, contract or activity that is permissible versus one that is not under our current healthcare laws and regulations? Do you have a contract organization system where reviews are done regularly and retained centrally? Do you conduct auditing and monitoring of potential high risk compliance areas related to fraud, waste and abuse? If you are uncertain or need additional guidance on recognizing potential violations of healthcare fraud, waste and abuse regulations and how to audit and monitor for non-compliance, this training is for you.
Areas Covered in the Session:
Define and describe elements of the Anti-kickback Statute, False Claims Act, Exclusionary Rule, Physician Self-Referral Law and potential penalties for violations
Discuss exceptions and related criteria to the Physician Self-Referral Law and the Anti-Kickback Statute
Identify common potential issues that may result in violations and how to avoid or mitigate them
Provide examples on how to comply with the regulations
Describe areas to audit, monitor and implement policies/procedures for compliance
Who Will Benefit:
Health care providers
Revenue cycle management employees
Coders, Billers
Compliance officers
Contract management
Compliance and Internal Audit professionals
Healthcare administrators
Speaker Profile
Gail Madison Brown is a registered nurse and an attorney with over 25 years of experience in health care. For the last 15 years she has focused on health care compliance and revenue cycle management operations. Gail's experience ranges from starting new compliance programs and making impr
Revenue cycle management is the contemporary aspect that is under discussion to be outsourced or is now being outsourced due to various reasons, but mainly due to the financial viability it provides to the doctor's office.
Dental Revenue Cycle Management is a crucial aspect of business operations in the dental industry. It involves the efficient handling of financial processes, including insurance claims, billing, and payment collection
By implementing effective strategies, practitioners can streamline their operations and optimize financial outcomes. Efficient Chiropractic Revenue Cycle Management involves tasks such as patient scheduling, insurance verification, billing, and collections.
Methodist health system has managed to recover from the pain points of revenue cycle management with automation. Medical billing services and the overall healthcare delivery can improve in return if progressed in the same manner.
Are you tired of dealing with the complexities of dental billing? Struggling with claim denials, delayed payments, and compliance issues? Say goodbye to these challenges with the expert dental billing services from Instapay Healthcare Services!
We are thrilled to announce that Instapay Healthcare Services is now offering specialized Chiropractic Revenue Cycle Management (RCM) and Chiropractic Billing Services across the U.S.!
Struggling to keep your billing in check while providing top-notch care to your patients? Say goodbye to billing headaches and hello to seamless revenue management with Instapay Healthcare Services!
Overview: Many medical entities are increasingly struggling to manage revenue effectively. Self pay is on the rise due to high deductibles. Bad debt is increasing. What is your plan to manage these areas? Staff trained in denial management? Variances? Are they handling these areas in a timely manner? Payers have time limits in which dollars can be salvaged. Missing those strategic times mean dollars lost. Don't leave money on the table. We will discuss multiple avenues in which strong training and timely action can equal $$$.
Why should you Attend: Don't lose hard earned revenue. Learn tips to strategic follow up, when and how to manage the appeal process. Is the claim appealable? Partial payments and why? Today's industry of high dollar deductibles create the necessity to expend additional efforts on self-pay accounts. There is a significant difference in collecting small co-pays and managing large balances. Bad debt creep? What is your plan for managing these areas?
Areas Covered in the Session:
Hire the right staff - Then engage in ongoing education
Variances and denial management
Billing compliance
Coding for specificity, co-existing conditions and correct modifiers
Supporting medical necessity
CCI edits and unbundling
Productivity
Claims follow up
Payer processing edits
Additional development requests
Handling problem claims and appeals
Who Will Benefit:
Coders
Billers
Revenue cycle
Physicians, mid-level providers
Nurses
Claims follow-up
Managers
Speaker Profile
Dorothy D. Steed is an Independent Healthcare Consultant and Educator in Atlanta. She was a Medicare specialist for a large hospital system and a physician coding audit supervisor for another hospital system, with 38 years of experience in healthcare. Additionally, she is an instructor at a state technical college in Atlanta, provides auditing & training in both facility and physician services, and has been a speaker at several healthcare conferences.
Ms. Steed has written articles for
Struggling to manage billing efficiently? Instapay Healthcare Services provides Chiropractic Billing Services that increase revenue for your practice. Our trusted solutions streamline payments, improve cash flow, and allow you to focus on your patients.
Contact us now to learn more!
Fax:- 9179607960
The US healthcare system is made up of complexities. A system in which people with disabilities and above the age of 65 are covered by Medicare and Medicaid programs, clinicians ought to make their financial cycles a priority. When it is the first thing on your to-do lists, medical claims approve at a much faster rate without having to worry about denials.