Session 1 - Credentialing in 2023, Tips for Success
Credentialing and Re-credentialing is hard work. And it is getting more difficult with changes in rules and regulations set by payers. Medical practices spend endless hours on the phone struggling to accomplish getting contracts, effective dates, even to find a representative to speak with There is much to be learned about this topic that only a seasoned credentialing staff member would know from painful experience, let us help you! From creating a valuable CV (Curriculum Vitae) to filling out applications, submission of those applications, follow up, credentialing process, follow up, contracting, more follow up, and finally the effective date Stephanie will walk you through the process, step by step to show you what NOT to do and how to be successful in your quests to become participating with insurances you desire. We will also discuss contract review, prior to accepting rates given by payers.
Please join us for this extremely thorough and what will be jam packed with tips session on credentialing speaker while she helps you get credentialed and become an expert yourself. Our speaker has 20 years’ experience with credentialing and will bring secrets of her success in this space.
Webinar Objectives
In depth look at credentialing and contracting process. Commercial and Government payers will be covered in this session. Speaker will review the step-by-step process of filling out applications, with tips along the way of what to watch for, how to be successful in your process to get your contract as fast as possible.
Webinar Agenda
- Overview of process
- CV creation (Curriculum Vitae)
- Filling out applications
- Submission of applications-what to include
- Credentialing process in depth
- Contracting process in depth
- Contract and rate (reimbursement) review
- Effective date and welcome letters
- Follow up tips for success
- Q&A
Webinar Highlights
- Contracting
- Credentialing
- Errors to watch for
- Tips for Success
- Follow up strategies
- Q&A
Session 2 - Understanding Payer Denials: How To Prevent and Resolve Costly Mistakes?
Payer denials can be time consuming, frustrating and costly for a medical practice. Revenue cycle management is an ever changing space and billers/coders must move with these changes to stay on top of denials and more importantly the prevention of these costly mistakes. It’s been said that upwards of 86% of denials are avoidable!
In this webinar, we will identify common payer remittance codes that relate to claim denials, explain what they mean, and provide the steps necessary to resolve the issue(s) preventing the claim from processing. Once we understand how to interpret the reason the claim is denied by studying the remittance codes, it is much easier to determine if there was an error or an omission in the original claim submission. Most of the time it is not necessary to contact the payer, which can be very time consuming. We will also identify extra steps that may be taken to prevent future denials of the same claim for a different reason.
There are several payer denial trends that our speaker will cover, please join us for this very informative session that will be sure to bring several tips to even the most seasoned billing teams.
Webinar Objectives
- Front end denials-how to prevent
- Types of denials-make sure you are working these from all sides
- Precertification and medical necessity denials-how to handle these costly claims
- Common coding errors causing denials
Webinar Agenda
- Identify when to raise a physician query before encountering a denial
- Recognize methods of compliance to support the denial management process
- Become aware of the insurance/ payer guidelines to avoid denials
- Reduce the claims rejection encounters by the facilities
- Discover ways to improve the coding and billing process leading to improved Revenu Cycle Management (RCM)
- Share resources and new information with the whole team
Webinar Highlights
- Modifiers to assist in denial prevention
- Eligibility and patient involvement
- Documentation tips for medical necessity
- Appeal and resubmission pointers
- Time saving tools for success
Who Should Attend
- All types of Medical billing professionals, private practices, ASC, etc
