Deciphering Denials Data: Improve Processes for Better Analysis and Prevention

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Deciphering Denials Data: Improve Processes for Better Analysis and Prevention

Product Code: YHHA022119

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$259.00
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Deciphering Denials Data: Improve Processes for Better Analysis and Prevention

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Presented on:
Thursday, February 21, 2019 | 1:00–2:30 p.m. Eastern

Presented by:
Tracey A. Tomak, RHIA, PMP

Brought to you by:
NAHRI

Medicare and commercial payers continue to aggressively audit and deny claims using data analysis, but few provider organizations proactively utilize data analysis to prevent and address those very same denials. Data analysis helps identify the root causes of denials at the facility level, which is critical in improving processes to mitigate them. However, understanding which data elements to analyze and how to trace denial reasons back to root causes can be complex, and success requires a multidisciplinary, team-based approach.

Join Tracey A. Tomak, RHIA, PMP, for this 90-minute webinar and interactive Q&A to learn how to apply a data- and team-based denials prevention program at your facility. Tomak will take you through the process of identifying the key players who must be involved to facilitate a team-based approach to denials prevention. She will demonstrate how to develop a proactive denials management action plan using data analytics. Sample denial and audit reports will show you how to create data-based root cause trending and detail reports for your facility.

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

  • Understand the difference between the issue or reason code (RARCs and CARCs) and the root cause of the denial
  • Determine which data elements are already available for a facility’s use in denials management data analysis
  • Develop a denials management/prevention program with a better understanding of key data elements to create or use for improved data analysis

Agenda

  • Define the differences between payer issue and reason codes and the root cause of the denial at the facility level
    • Compare denial codes with payers’ denial issues
    • Discuss common root causes facilities should begin to report and analyze
    • Evaluate denial issues in terms of root causes
  • Identify the key players who should be involved in reviewing denial and audit data
    • Determine what is at stake for each team member's department
    • Gather the relevant data to use for your analysis
    • Sample trending reports
  • Create a denials action plan based on data analysis findings
    • Establish ways to prioritize multiple root causes
    • Develop an action plan from a root cause
    • Case study
  • Live Q&A

Who Should Listen?

  • Revenue cycle directors, managers, and staff
  • Revenue integrity directors, managers, and staff
  • Billing and reimbursement staff
  • Compliance directors, managers, and staff
  • HIM directors, managers, and staff
  • Coding managers and staff
  • Chargemaster managers and staff
  • Contract management staff
  • Auditors

Meet the Speaker

Tracey Tomak


Tracey A. Tomak, RHIA, PMP, is the senior director of project management and client engagement at Intersect Healthcare in Towson, Maryland. She has more than 20 years of experience in revenue cycle with a focus on hospital coding, charge capture, and denials management. In her current role, Tomak coordinates project implementation of Intersect Healthcare’s Veracity denial and audit management software. She works with clients to ensure they are fully utilizing the Veracity software to effectively manage commercial and government audits and denials.

 

Instructions

Webinar system requirements and program materials: 
To fully benefit from the webinar 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. 

CAN'T LISTEN LIVE? 
No problem. The On-Demand version will be 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.