Cost:

Free for HFMA Members
Buy HFMA Membership to Attend

Audience:

Hospitals and Other Providers
Business Partners
Physicians and Other Practitioners

Career level:

Experienced Professional
Student
Early Careerist

Recommended for:

Claims
Reimbursement
Revenue Cycle

Delivery Method:

Self Study

Advance Preparation:

None

Prerequisites:

None

Course Availability:

18 Months

How To | Denials Management
Distinguishing coding denials from clinical validation denials is an ongoing challenge, and a good place to review processes.
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How To | Denials Management
Root causes for denials should be defined operationally to determine the level of analysis required internally.
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How To | Denials Management
Coders need to understand billing expectations, how the billing process works and how the revenue cycle is affected.
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How To | Denials Management
Successful denial management and prevention strategies require the right mix of people capable of handling the process from beginning to end.
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Course | Intermediate | Denials Management
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...
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Course | Intermediate | Denials Management

Exception-Based Processing - Non-Paid Claims

Course | Intermediate | Denials Management

Exception-Based Processing - Non-Paid Claims

Description

This course addresses follow-up procedures for unresolved health plan and liability payer, also known as third-party payers, accounts and common account resolution procedures and activities specific to lien issues.
After this program, you'll be able to..
  • Identify the different type of liens used to secure payment of a debt or action

Related Courses | Denials Management

On Demand Webinar | Overview | Revenue Cycle

Use the butterfly effect to prevent denials, improve financial results

A butterfly flaps its wings, causing a hurricane halfway around the world.  Learn how to apply the butterfly effect by making minor changes in the front-end of your revenue cycle to eliminate denials, increase POS collections and improve patient satisfaction, causing minor financial improvements.

We'll breakdown how Magnolia Regional Health Center used the butterfly effect to impact patient access, leading to a 50% reduction in denials, 600% increase in cash collections and 90th percentile in patient satisfaction. You'll learn how to put the butterfly effect to work in the front-end of your revenue cycle.

Original Live Webinar Date:  4/7/20

On Demand Webinar | Intermediate | Revenue Cycle

Denial management and prevention: What is the difference and why you need both


Working denials is costly, it delays collections and uses valuable and expensive resource time.

The webinar will cover the process and analytics needed to identify denials that are preventable, how to work within your organization to assign actions needed to prevent denials and how to continuously measure and monitor data and workflows to increase clean claims.

We also cover how to develop and implement a denial management plan, using reporting, analytics, technology, measuring, monitoring and communication to reduce denial and appeal turnaround time, decreasing days in A/R, timely filing and appeal denials.

The subject will be presented from three perspectives: billing operations, front-end operations and analytics development.

You will be introduced to a 12-step program for developing and implementing your own denial prevention and management plan.

Course | Basic | Patient Access

Importance of Insurance Verification

In this course we highlight the various types of health insurance that your patients may present at registration. We'll review the fundamentals of Medicare, Medicaid, and third-party liability plans. You'll learn how verifying a patient's insurance eligibility and benefits affect the coordination of benefits process, which determines the primary payer and secondary payer on a claim.


Estimated course completion data: 30 minutes

Course | Intermediate | Denials Management

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.


Estimated course completion time: 3 hours