Strategies and Tactics for Retrospective Denied Claims Appeals
October 9, 2014 - online event CA USMentorHealth
webinars@mentorhealth.com
Phone:8003851607
Fax:302-288-6884
Overview: In this program, the presenter discusses strategies and tactics for better outcomes on retrospective denied claims appeals. She describes how to weave together the clinical, technical, and legal components for effective denials management and improved revenue cycle management. Done correctly, providers can positively impact a hospital’s financial bottom line. The presenter will share sample form letters and templates that will bolster your appeals arguments and provide the audience with tips and tools for how to structure an integrated, effective process to achieve the best outcomes Areas Covered in the Session: Understand how to effectively establish a denials management integrated process including team composition, workflows, processes and procedures. Identify specific denials management challenges and ways to overcome them Review the importance of accurate data collection and analysis Understand how to prevent future occurrences Who Will Benefit: Contract Analysts And Negotiators Revenue Cycle Managers And Directors Billing Staff Refund Analysts And Processors CFO's And Patient Financial Services Managers Outpatient Clinic And ASC Managers Healthcare Business Managers Hospitalists And Private Practice Physicians Medical Group Administrators Physical, Occupational, Speech Therapists Behavioral Healthcare Providers Independent Nurse Practitioners Home Healthcare Providers Medical Equipment And Supply Providers Pharmaceutical Manufacturers ACO Executive Directors Members Of UR Committees Case Managers Compliance And Audit Professionals Health Information Managers Hospital Board Members Consultants Maria K Todd Contracting strategy and organizational development (OD) for integrated health delivery systems has been a passion and a pursuit of our workshop leader since 1983. Maria Todd started her career in health administration in the multi-specialty group practice setting, and later designed and developed more than 150 IPAs, PHOs and MSOs during the Clinton Administration. In 1995, McGraw Hill and HFMA co-published her book, The Managed Care Contracting Handbook, and then in 1997, her book, title IPA, PHO, MSO Development Strategies was released. Both how-to books were written to help providers develop reimbursement strategies and design, plan and launch integrated health systems. Each sold more than 4000 copies. Considering there are about 7500 licensed hospitals in the USA, that number is considered a smashing success. In 2009, the sequel to ththe Contracting Handbook was updated and in 2012, her book, Physician Integration and Alignment: IPA, PHO, MSO ACOs and Beyond, was published by CRC | Productivity Press Both are once again, breaking industry sales records. She's been analyzing and negotiating managed care contracts and practicing organizational development as a facilitator since the 1980s.