Speaker
Karen Bowden, RHIA
Senior Vice President, Consulting
Craneware InSight
Webinar Summary
Drawing upon what she has seen in 25 years of hospital administrative and consulting experience, Karen Bowden, RHIA, drills into the five most common reasons for payer denials: eligibility; authorization/referral; missing, incomplete and invalid data; file limits; and medical necessity. The webinar identifies each category's most common root causes, and outlines corrective actions to take to prevent denials. Actual examples are presented to illustrate interactions with payers, and the program provides a method for using denials data to improve negotiations with managed-care payers.
Karen Bowden has managed fiscal and clinical operations in large academic teaching facilities in Pittsburgh and Boston, and is widely recognized as an expert in finding sources of untapped revenue. She is currently Senior Vice President of Consulting for Craneware InSight (formerly ClaimTrust).
After This Webinar You Will Be Able To:
- Reduce your denial rate by implementing the suggested actions
- Identify and correct problems upstream, before they lead to denials and the consequent rework
- Aggregate the data that will put you in a stronger position when you negotiate with payers
Recommended for:
CFOs, Compliance Directors, HIM Directors, PFS Directors, VPs of Revenue Cycle, Case management Directors, Patient Access Directors.
Pricing
Members: Free
Non-Members: $99