Streamline Patient Financial Services Workflows for Revenue Cycle Success

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Streamline Patient Financial Services Workflows for Revenue Cycle Success

Product Code: YHHA011519

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Streamline Patient Financial Services Workflows for Revenue Cycle Success

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Presented on: Tuesday, January 15, 2019 | 1:00–2:30 p.m. ET 

Presented by: Tanja Twist, MBA/HCM

Sponsored by: RCA, NAHRI

Efficient patient financial services (PFS) processes are key to supporting revenue cycle operations. The PFS department plays a key role in critical revenue cycle functions, from coverage and insurance verification to collections and denials management. However, tightening budgets, expanding duties, and staffing shortages often leave the department struggling to do even more with less while maintaining quality and efficiency.

Join Tanja Twist, MBA/HCM, for this 90-minute program with an interactive live Q&A. Twist will illustrate how to optimize PFS workflows and systems from the front end to the back end. Attendees will learn how to increase point-of-service collections, improve insurance verification systems, and develop successful denials management processes. Twist will walk through PFS work queue management and analysis of Medicare Remittance Advice Remark Codes and Claim Adjustment Reason Codes. She will share tips for tracking and resolving denials by type and explore best practices for testing processes and addressing errors. Case studies, tools, and workflow examples will demonstrate how to put theory into practice.

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

  • Define PFS process improvements
  • Explain automated claim status request workflow designs
  • Analyze denial statistics
  • Demonstrate denials management processes and workflows

Agenda

  • Developing and refining efficient front-end patient financial services (PFS) systems
    • Improving automated insurance verification
    • Addressing denials with automated proactive coverage checks
    • Using automated claim status requests for insurance follow-up and collections
    • Workflow examples
  • Case study: Testing processes to identify and address errors
    • Denial codes 252 and 16
    • Identifying initial denials management process errors
    • Addressing downstream consequences of process errors
    • Recommended resolution
  • Utilizing PFS systems to improve denials management
    • Automating targeted denials management tasks
    • Front-end improvements
    • Work queue management
    • Tracking denial types
    • Identifying and correcting root causes
  • Live Q&A

Who Should Listen?

  • Business office managers
  • Directors of patient financial services
  • Managers of patient financial services
  • Vice presidents of patient financial services
  • Vice presidents of revenue cycle
  • Patient financial services staff
  • Payer contracting staff
  • Revenue integrity directors/managers
  • Revenue integrity staff

Meet the Speaker

Tanja Twist
Tanja Twist, MBA/HCM,
has over 25 years of experience in healthcare revenue cycle management with a focus on reimbursement and denial management. Twist has served as director of patient financial services and overall operations officer for large and small hospitals as well as professional providers and provider groups. 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.

Twist has a bachelor’s degree in business management and a master’s degree in business administration with a certification in healthcare management. She is a nationally recognized speaker on governmental recovery programs, commercial denials, and best practices to avoid audits. Twist is on the board of the Western Region chapter of the American Association of Healthcare Administrative Management, was a board member for the Workgroup for Electronic Data Interchange, and is an active member of the Southern California chapter of the Healthcare Financial Management Association.


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 $249 value! 

PLEASE NOTE 
Participation in the webinar is just $249 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.