Appeals
Target Market:
- Practice Managers
- RevCycle Managers
- Coders, Billers, & AR Specialists
- Physicians & Non Physician Providers
Key Learning Objectives:
- Payer denies that should be appealed
- How to write an appeal
- What should be included in an appeal letter
- Options providers should take if the payer denies the appeal.
- Examples of written appeals
- Resources to help write appeals
A/R Management
Target Market:
- Billers
- RevCycle Managers
- A/R Specialists
- Coders
Key Learning Objectives:
- Following up on unpaid claims in a timely manner
- Knowing your denial codes and how to correct errors
- Reviewing claims prior to submission for errors and payor policy changes
Audits
Target Market:
- Billers
- RevCycle Managers
- A/R Specialists
- Coders
Key Learning Objectives:
- How random in-house audits can help avoid red flags
- External audits can offer a fresh perspective
- How to review high targeted claims that have been recognized as trouble claims, and will be looked at more closely for proper processing
HIPAA
Target Market:
- Compliance/Security Officers
- Practice Administrators
- Operations Managers
- RCM Directors
- Billers/Coders
Key Learning Objectives:
- Participants will be able to identify the core components and foundational requirements of HIPAA compliance, distinguishing between what is legally mandated and common misconceptions.
- Attendees will be able to articulate recent updates and essential changes to HIPAA regulations, understanding their impact on covered entities and business associates.
- Attendees will understand the standards and expectations set forth by the Office for Civil Rights (OCR) regarding HIPAA compliance, including common areas of focus during audits.
- Healthcare providers will be able to apply practical strategies and best practices for safeguarding Protected Health Information (PHI) to meet HIPAA security and privacy rules.
- Covered entities and their personnel will understand how to evaluate the effectiveness of and enhance their current HIPAA compliance posture, minimizing the risk of breaches and penalties.
Motivating Employees
Target Market:
- Practice Managers
- RevCycle Managers
- Providers
- Leaders
Key Learning Objectives:
- Understand motivation theories and how to apply them.
- Identify individual employee motivators and tailor motivational strategies to meet the diverse needs of team members.
- Implement practical motivation techniques to drive employee performance and satisfaction.
- Create a positive work environment, ensuring long-term employee motivation and retention.
- Develop a personal leadership action plan.
