Tracking and preventing radiology denials (Audio Conference)

AUDIOCONFERENCE ON TAPE OR CD

sponsored by
Radiology Manager's Handbook

presented on February 15, 2007

30% of all initial radiology claims get denied, according to industry estimates. No other business accepts payment only 70% of the time, so why should imaging?

Turn that 70% into 100% reimbursement through simple denial tracking and prevention techniques. The bottom line—you cannot measure what you do not understand. You cannot manage what you do not measure.

An effective tracking process can help you identify shortfalls and target concrete solutions to prevent future denials. We show you how.

This 90-minute program offers offers proven techniques that are simple to apply and can have long-range benefits. Walk away with time- and money-saving methods to track and prevent denials.

PROGRAM AGENDA

1. Types of Denials
   1. Administrative
   2. Medical
2. Approaches to Reducing Denials
   1. Front End
      1. Understanding carrier guidelines
      2. Contract management
      3. Clean claims submission
      4. Identifying KPI hotspots
   2. Back End
      1. Use of reporting with physicians, staff, and hospital
      2. Effective appeals
3. Tracking and Reporting
1. What tools/resources are at your disposal?
   1. Billing System
   2. Internet-based
2. What types of denials and how many?
3. Identifying other problem areas
   1. Carriers
   2. Physicians
   3. Coding
   4. Hospital data feed
4. Case Studies
4. Using Information to Get Results
   1. Getting the most out of physician feedback
   2. How can the hospital help you?
   3. Identify and address system errors
      1. Provider
      2. Carrier
   4. Set realistic goals and expectations
   5. Target denials that you can impact, and leave the rest
5. Q&A

LEARNING OBJECTIVES

• Track and report denials trends
• Identify and quantify denials by category and carrier
• Access resources to clarify insurance carriers' payment policies
• Identify tips to process appeals effectively
• Learn to use managed care contracts to reduce denials

FEATURED SPEAKERS

Mark Canada, MHA, CPC, is the Regional Vice President of the Mid-Atlantic Region of Medical Practice Management in Richmond, VA with more than 20 years experience in healthcare management. Mark is actively involved with the Radiology Business Management Association and the American Academy of Professional Coders (both locally and nationally) where he writes and lectures on current coding/billing topics.

Kelly Davies, is the Director of Operations at CBIZ Medical Management Professionals, based in Knoxville, TN. She has worked in the healthcare industry for more than 15 years.  She specializes in strategic management of radiology, anesthesia, pathology and emergency medicine practices; she has worked extensively on joint venture models, practice mergers and governance structures, as well as full development of new business lines utilizing state of the art technology.

BONUS MATERIAL INCLUDED IN YOUR MATERIAL PACKET!

In addition to the expertise and advice presented during this audioconference, you'll also receive a slide presentation of the program materials and tools. These materials are provided with PDF links.

WHO SHOULD LISTEN?

Radiology administrators, billers, coders, billing associates, compliance officers, HIM, physicians, administrators

Purchase a tape or CD of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.

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