Session 1 - How To Get Payers To Approve Authorization Requests Quick!
Speaker - Stephanie Thomas
Duration - 60 Min
Pre authorizations is an important part of a medical practice. If you are seeing patients out of network, even more so! Commonly health care providers and practices are scrambling to find balance between time for patient care and the increasing administrative burden of prior authorizations and denials. On average, 14.6 hours per week is spent on pre-authorizations and UM (utilization management), totalling more than $68,000 per year, per practice. Let us show you how to simplify this process and save valuable time for your staff and practice.
Some of the major insurance companies have extremely specific guidelines, being educated and confident of this up front will significantly increase your success rate. Provider cannot allow payers to determine how patients are treated, this webinar will allow your practice to take back that power and get authorizations and referrals upon first submission. Our expert speaker Stephanie Thomas will show your team tips on how to identify where to find payer-specific guidelines and what to provide in requests to get better results from their hard work!
Make sure your entire care team attends this highly informative webinar, this will protect your bottom line.
Webinar Objectives
Webinar Agenda
Webinar Highlights
Session 2 - Navigating Denials: A Comprehensive Guide to Claim Reimbursement
Speaker - Lynn M. Anderanin
Duration - 60 Min
Claim denials are an important part of the revenue cycle and a reason for low reimbursements. The first step of denials management is understanding the transaction codes sets that are used by insurance companies to deny claims and confirm that a denial is valid. Once a denial is found to be incorrect, it has to be appealed to show the denial was incorrect. This process can be set up to be streamlined to save time and resources. Organizing the process allows multiple staff to be involved so that staff strengths are used. This process will also assist in identifying trends when insurance companies have changed their policies or coding and billing staff are unaware that errors are being made.
Too often processing denials is put on the back burner to charge processing and payment posting. This webinar is going to look at the most common denials and give attendees valuable information on how to better manage denials so that reimbursement is not left on the table. Also this webinar will discuss methods of creating a process to ensure that timely filing limits are met and learn how tracking denials can assist in understanding changes in insurance carrier policies.
Webinar Agenda
We will review the denial and remark codes of the most common denials and where these can be found as well as common claims edits that also code denials. We will walk through setting up a proven denials management process that includes recognizing trends in denials that can assist in seeing policy or coding changes that need to be implemented. When the denial is incorrect it is important to write an effective appeal for reimbursement and real examples will be shared
Webinar Highlights
Session 3 -An Effective Out-of-Network Workflow to Increase Reimbursement and Stay Compliant
Speaker - Thomas J. Force, Esq
Duration - 60 Min
Create an Out-of-Network Workflow to Maximize Reimbursements
Join this information-packed webinar with, out of network veteran attorney Thomas J. Force, J.D., Esq. to learn about eligibility, charge analysis and understanding the Summary Plan Description and its terms. During the webinar Mr. Force will discuss on low-payments and denial resolutions. The webinar will also address the application of ERISA, ERISA requirements and what happens when ERISA demands are not met. The attendees will learn about the appeals process and patient collections. Thomas will also discuss the different strategies for In-Network v. Out-of-Network claims.
The Attendees will learn the effective techniques for Balance Billing. They will learn about the Federal Prompt Payment requirements. The Webinar will discuss what a recoupment and audit is, the reasons that insurance companies give as the basis for the overpayment demands and what steps should be taken to defend against the insurance company’s overpayment demands. The Webinar will address the ERISA obligations and protections and the importance of a provider obtaining a valid Assignment of Benefits. It will also set forth the notifications which must be sent out by the insurance company when it conducts an audit and seeks recoupment.
Mr. Force will go through what should be done when a provider receives an audit or overpayment demand, how to object, appeal, hire an expert and make document requests. He will also address the state insurance laws regarding time frames to request recoupments.
The Attendees will also be informed of the best practices to reduce the risk of fraud allegations.
Webinar Highlights
This program will teach you how to:
Who Should Attend
This is a combo of 3 different webinars
Date | Conferences | Duration | Price | |
---|---|---|---|---|
Oct 17, 2024 | Have You Recovered From The Data Breach? Top 10 Denial and Clearinghouse Resolutions to Maximize Your Revenue | 60 Mins | $199.00 | |
Sep 05, 2024 | Streamlining the Credentialing Process: Avoiding Common Pitfalls! | 60 Mins | $199.00 | |
Jul 02, 2024 | Contract Negotiation - Make Sure You Are Being Paid What You Are Worth! | 60 Mins | $199.00 | |
May 14, 2024 | Pain Management Coding in 2024: Strategies to Reduce Denials and Increase Revenue! | 60 Mins | $199.00 | |
May 13, 2024 | How To Audit Your Payor Contracts, Appeal For Denials & Get Your Pre-Auth Requests Approved Quickly? | 180 Mins | $399.00 | |
Apr 11, 2024 | 2024 Coding & Billing Updates for Orthopedic | 60 Mins | $199.00 | |
Jan 11, 2024 | Pre Authorizations In 2024: How To Be Successful! | 60 Mins | $199.00 |