San Francisco, CA - April 10

Summary

Unpaid or underpaid claims remain a constant challenge for healthcare providers. This seminar guides participants through the plans, pitfalls, and successes of designing a best-practice denials system that is consistent with today's complex reimbursement environment.

Prerequisites

General knowledge of revenue cycle work flows and processes

After this seminar, you'll be able to:

• Apply Lean Six Sigma principles to analyze the prevalence of denials and discrepancies and identify root causes.
• Develop a denials resource center that focuses on the prevention, detection, and correction of denials, rejections, and payment discrepancies through sustainable workflows.
• Review language in managed care contracts to minimize denials, assess the impact of healthcare reform on payer contracts, and address problem areas in managed care contract terms.

Tools and Takeaways

Framework for creating a denials resource center; list of metrics designed to improve internal denials-control processes and managed care contracts

Faculty

David C. Hammer
Senior Vice President, MedAssets

Continuing Education: 7 CPE credits
Level: Intermediate

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