Case Management's Role in Managing Third Party Payer Denials
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Website https://www.onlinecompliancepanel.com/webinar/Case-Management-s-Role-in-Managing-Third-Party-Payer-D |
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Category case management system, financial case management system, Revenue cycle, Medical necessity, Reducing denials, Preventing denials, case management, third Party Payer Denials, revenue cycle management, healthcare revenue cycle management, revenue cycle management companies, revenue cycle services, case management programs, revenue cycle billing
Deadline: December 04, 2017 | Date: December 05, 2017
Venue/Country: Online, California, U.S.A
Updated: 2017-11-14 21:06:31 (GMT+9)
Call For Papers - CFP
Case management, as a member of the revenue cycle team, plays a strategic role in the implementation of strategies aimed at reducing and/or preventing third party payer denials. Reducing and preventing denials requires proactive and hard-wired processes that engage the entire interdisciplinary care team. The causes of denials are complex and therefore require complex solutions. This program will review the causes of denials and key strategies for reducing and preventing them. Solutions will include key members of the interdisciplinary care team including physicians, physician advisors, case management leaders and case managers. Strategies for analyzing your denial rate will also be included.Objectives of the Presentation:Understand the role of the case manager in providing strategies for reducing denialsDiscuss the key roles for preventing denials, including the roles of the interdisciplinary care teamReview key case management strategies for denial prevention and managementWhy Should you Attend:Before a department of case management can reduce its denial rate, it first needs to understand what elements within and outside the hospitals are contributing to these denials. Once these root causes have been identified, strategies for correcting them and hard-wiring new practices can be implemented. Reducing denials is an interdisciplinary problem and can only be solved using interdisciplinary solutions.If your hospital wants to reduce its rate of denials using a strategic approach, this program is for you. Understanding denials in a comprehensive way will positively affect your practice as a case manager or a case management leader.Areas Covered:Key case management roles impacting denialsTypes of clinical reviewsDenial managementCategorizing denialsKey case management strategies for reducing denialsRoles of team membersDefinition of revenue cycleRevenue cycle process stepsStakeholdersDefinitions of medical necessitySteps in care coordination where denials can occurSteps in the discharge planning process where denials can occurPayer expectationsHow case management causes denialsHow third party payers cause denialsWho will Benefit:RN Case ManagersDirectors of Case ManagementCase Management Senior LeadersDirectors of FinancePhysician AdvisorsDirector of case managementCase managersDirectors of nursingDirectors of patient flowDirector of revenue cycleChief financial officersChief operations officersChief medical officerHospitalistsDirector of quality managementNursing home directorsDirector of home careFor Registration:https://www.onlinecompliancepanel.com/webinar/Case-Management-s-Role-in-Managing-Third-Party-Payer-Denials-504198/DECEMBER-2017-ES-OURGLOCALNote: Use Promo Code HYED6Z and get 10% off on registration (Valid till DECEMBER 31st 2017)
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