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.
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.
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.
Strategies to Prevent Claims Denials
This course defines claims denial management and explains the impact of claims denials on hospitals. It highlights the benefits to hospitals of managing claims denials effectively and describes how claims denials can be managed both before and after denials take place. The course describes types of denials and discusses key strategies for preventing and correcting some common causes of denials.