兼容的 & 持续现金流量是
每个人的工作

Join us for a transformative 4-part seminar session that will revolutionize your practice’s 兼容的 financial processes, whether you operate on a cash-based model or engage in 3rd party billing. Just as a tall building requires a strong and deep foundation, your practice’s success relies on a solid financial framework. Without it, the consequences can be devastating, exposing the practice to unnecessary risk.

在这次综合培训中, you and your team members will learn how to establish a sturdy and repeatable foundation for your reimbursement processes, 以及如何顺从地去做. From the doctor to the front desk to the billing department, every team member plays a vital role in ensuring financial success, 同时遵循重要的监管指导.

由Kathy Weidner领导, a seasoned professional with 40 years of professional experience, this workshop goes beyond a traditional seminar or lecture. 它采用亲力亲为的方法, allowing attendees to “discite a faciendo” – Latin for ‘learn by doing.’ Through interactive workbook exercises and practical suggestions, you’ll gain valuable insights into achieving successful reimbursement, 病人和保险公司都有.

在这些会议结束时, you’ll be equipped with actionable steps to evaluate your systems and immediately implement your newfound knowledge in your office. Don’t miss this opportunity to transform your financial processes and enhance the revenue cycle of your healthcare practice.

第3 - 4小时:计费

本节着重于基础, 兼容的, and regulatory pieces that must be established prior to submitting electronic or paper claims.

• Learn how to create a ‘clean’ payable claim following Medical Review Policy for every payer
  • 医疗保险B部分 – See how to utilize the MAC portal to locate diagnosis. 了解正确的诊断层次结构, 过程编码并添加正确的修饰符, the importance of Box 14 on the claim form and appropriate pointing of procedure to diagnosis.
  • 医疗保险C部分(优势) – See how to use online portals to locate forms for out of network services and billing restrictions. Learn about proper coding and modifier usage and when claims must be submitted or not, 不管你的网络状态如何.
  • 商业纳税人 – See how to consult the Medical Review Policy to determine proper coding and modifier usage. Learn how to link fee schedules to charge entry to expedite over-the-counter collections.
  • 自费 – See how to identify the type of self-pay account for each patient. 并非所有的都是一样的, 根据具体情况, current regulations require clinics to give more attention to these cases to be 兼容的.
• Implement the necessary steps to hand the baton from the front desk entry personnel through to the beginning of the billing process, 包括病人账单和合规, 无风险付款计划

5-6小时:收集

Whether collections are coming from the patient or a 3^rd Party payer, a 兼容的 process is necessary for a proper follow-up process. At the end of this section, attendees will be able to:

• Dissect and apply a variety of Explanation of Benefits with the important skill of applying payments 兼容的ly and managing follow-up.
• Decide after reviewing an EOB whether to appeal or not.
• 应用 a bullet proof system for managing collections in the clinic for the following case types:
  • 医疗保险B部分 Interpret a Remittance Advice and decide which portion is billable to a patient.
  • 医疗保险C部分- Analyze the internal Medicare Advantage process and EOBs
  • 商业付款人-应用 EOBs line by line and then learn how to determine whether a zero-pay line item is something that should be appealed.
• 仔细检查病人的整个过程^rd party collections including the detective work that is necessary when trying to figure out why a claim has not been paid

5-6小时:收集

Whether collections are coming from the patient or a 3^rd Party payer, a 兼容的 process is necessary for a proper follow-up process. At the end of this section, attendees will be able to:

• Dissect and apply a variety of Explanation of Benefits with the important skill of applying payments 兼容的ly and managing follow-up.
• Decide after reviewing an EOB whether to appeal or not.
• 应用 a bullet proof system for managing collections in the clinic for the following case types:
  • 医疗保险B部分 Interpret a Remittance Advice and decide which portion is billable to a patient.
  • 医疗保险C部分- Analyze the internal Medicare Advantage process and EOBs
  • 商业付款人-应用 EOBs line by line and then learn how to determine whether a zero-pay line item is something that should be appealed.
• 仔细检查病人的整个过程^rd party collections including the detective work that is necessary when trying to figure out why a claim has not been paid

7-8小时:结束

The essence of the revenue cycle is understanding each of its parts, 以及遵从性含义如何应用于每一个. At the end of this sections, attendees will be able to:

• Recognize and correct non-兼容的 behavior in the revenue cycle
• 应用 federal guidance when setting fees and elective discounts
• Conduct appropriate annual compliance training with all team members
• Construct and apply a legal Code of Conduct for all team members

虚拟教学方法: 

• ppt演示
• 互动式实践培训
• 互动Q /
• 案例研究