Reduce Denials and Overturn Appeals: Strategies for Managing Denials Data, Processes, and Outcomes - On-Demand

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Reduce Denials and Overturn Appeals: Strategies for Managing Denials Data, Processes, and Outcomes - On-Demand

Product Code: YHHA071217D

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$259.00
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Reduce Denials and Overturn Appeals: Strategies for Managing Denials Data, Processes, and Outcomes - On-Demand

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Available On-Demand

Presented on:
Wednesday, July 12, 2017

Presented by:
Tanja Twist, MBA/HCM

Level of Program:
Intermediate

Effective denials management is dependent on knowing how to interpret and work with denials data. But given the sheer volume of this data, some healthcare organizations may be tempted to write off many denials, leaving significant dollars on the table in the process. This outcome can be avoided, however; through strategic data management, organizations can build effective denials management teams and processes for turning denials into successful appeals. Listeners will learn how to manage denials data, analyze the impact of key state and federal regulations, and use data to identify and address the root causes of denials.

During this 90-minute program, expert speaker Tanja Twist, MBA/HCM, will lead listeners through this process as well as dive into common denials and explain how to track denials trends. She will offer guidance on creating an effective denials management program and targeting denials/appeals education. Twist will also explain best practices for reducing denials and crafting appeals.

At the conclusion of this program, participants will be able to:

  • Explain common denials and strategies for tracking denials trends 
  • Analyze denials data and identify opportunities for successful appeals 
  • Create an effective denials management team 
  • Implement a practical process to reduce denials on the front end 
  • Identify best practices for reducing and managing denials and successful appeals 
  • Demonstrate how to target denials and appeals education


Agenda

  • Denials: Overview and background
    • Types of denials
    • Relevant federal and state regulations
    • Payer manuals and contracts
  • Analyzing denial data
    • Reviewing remittance advice
    • Selecting software
    • Creating a denial database
    • Monitoring data
  • The denials management processes
    • How to build a denials management team
    • Implementing a denial dashboard
    • Resolving denials and handling upheld denials
  • Best practices for denials management
    • Analyzing outcomes
    • Key performance indicators
    • Identifying root causes
    • Staff education and buy-in
  • Live Q&A


Who Should Listen?

  • Revenue cycle managers, directors, and staff
  • Revenue integrity professionals
  • HIM managers, directors, and staff
  • Billing managers and staff
  • Admitting managers and staff
  • Auditors and recovery auditor coordinators
  • Case managers
  • Business office supervisors and managers
  • Patient financial services


Tools 

  • Sample appeals letters 
  • Sample Recovery Auditor dashboard 
  • Denials assessment tool


Continuing Education

AAPC
(Live + On Demand) -This program has the prior approval of AAPC for 1.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. (Ability to claim CEH’s for this webinar expires on: 7/11/18).

American Health Information Management Association (AHIMA)
(Live + On Demand) - This program has been approved for 1.5 continuing education unit for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor. (Ability to claim CEU’s for this webinar expires on: 7/11/18)


Meet the Speaker

Tanja TwistTanja Twist, MBA/HCM, has more than 25 years of experience in healthcare revenue cycle management, with a focus on reimbursement and denials management. Twist has held the position of director of patient financial services, as well as overall operations officer for large and small hospital facilities, professional providers, and provider groups. Twist currently works for the University of California Los Angeles (UCLA) Health Systems. She advocates for hospitals and providers nationwide, providing revenue cycle management services supported by a deep knowledge of state-specific issues and unparalleled expertise in Medicare, Medicaid, and commercial reimbursement. 


Webinar system requirements and program materials: 

To fully benefit from the webcast experience, please note you will need a computer equipped with the following: 

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

COULDN'T LISTEN LIVE? 
No problem. The On-Demand version is now available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $259 value! 

PLEASE NOTE 
Participation in the webinar is just $259 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email customerservice@hcpro.com if you have questions.