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.
5 ways disease management and telemonitoring programs with home health can transform quality of care
Providers and insurers have a financial stake in keeping patients out of the hospital. When an effective system isn't in place, the cost can be striking. Those costs can absolutely be saved. This webinar will review the challenges that hospitals and home health agencies face when dealing with chronic disease and readmissions. The webinar will also explore an efficient solution.
Home telemonitoring can augment home healthcare services during a patient's transition from hospital to home. With these strategies you can decrease readmissions, decrease skilled nursing visits and increase patient satisfaction and compliance.
Advanced cost accounting: An organization's journey to Level 7 costing
Healthcare providers have little to no access to accurate, comprehensive, and actionable information on the cost of care. While hospitals and health systems represents roughly $2 trillion of the annual spend on U.S. healthcare, close to 30% area operating at a loss. As healthcare organizations face the challenge of reducing variation, waste and inefficiency to invest in higher value care, they need access to data and methodologies that can help them. Baptist Health began the journey to and cost accounting using the HFMA-Strata 7 Cost Accounting Adoption Model as their roadmap. In this session, discover how Baptist Health developed more sophisticated advanced processes and workflows to increase the accuracy and accessibility of their cost data... and achieve more meaningful, accurate financial output.
PAE: 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.