COVID-19 Addressing financial and operational impacts to providers
The impact of COVID-19 on the healthcare industry has been broad and significant. This webinar explores eight potential scenarios and offers recommendations on how providers can respond to the operational and financial challenges caused by this pandemic.
Learn how issues-such as unemployment, emergency department surge, newly uninsured and non-traditional visits, staffing constraints and others can directly impact your bottom line. Strategies will be shared that you can put in place today to help ensure positive clinical and financial outcomes.
Original Live Webinar Date: (4/28/20)
Health Plans - An Overview
In this course we will address the basic billing rules for major health plans, including an overview of basic billing features and benefits, types of billing rules and minor claim payers and plans.
Managed Care Contracting and Negotiating
This course discusses criteria to use in evaluating the written contract between the provider and managed care organization, which defines the rights and obligations of the parties under the health plan/provider relationship. It also defines key contract terminology, provisions, and clauses and describes reimbursement levels and methodologies. It highlights general issues that commonly arise during the contract negotiation process and describes common negotiation strategies. It defines direct contracting and third-party contracting and points out the differences between them.
Successfully Appealing Denials
This course explains how improving management of the claims denial process can have a positive effect on a hospital's bottom line. It presents best practices that will help to capture a significantly higher proportion of claims and increase collections, including steps and strategies for successful appeals.