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Unravel 835 remittances from payers and reveal a wealth of information on root causes of denials, empowering you to prioritize remediation and leverage technology to reduce claim denial rates.
$259.00 – $359.00
Here’s important information about 835 remittances: The data contained in the 835s from payers is a treasure trove of objective information of your denials—but only if your organization knows how to access and unravel the payers’ codes associated with every claim transaction. Fortunately, this RACmonitor webcast will introduce you and your team to the wealth of data and the opportunities that the 835s offer. With information about the payers’ use of codes, root causes can be analyzed to determine which has the greatest impact on the bottom line at your facility: whether it be a certain physician, service line, specific codes, or process that needs a redesign both in the clinical or revenue cycle arena.
Too often organizations lack the insight into the cause of denials, with neither the revenue cycle team or the utilization review committee having access to the objective information needed to impact change or failing to act on the data they do have. Now through this webcast your team will have both: new information on denials as well as the ability and knowledge to act on the data they have.
Understanding the story behind the denial is the first step in developing prevention strategies. In today’s denial environment, you and your team need to identify what the organization did – or didn’t do – that caused the denial and what strategies must be addressed to prevent those denials from occurring going forward.
Utilization review professionals; revenue cycle professionals; utilization review committee members; physician advisors; lead hospitalists.
Stefani Daniels is the founder and senior advisor to Phoenix Medical Management, Inc, a boutique consulting firm that specializes entirely on case management and utilization review. Ms. Daniels is a member of the editorial board of Lippincott’s Professional Case Management journal and co-author of the popular text The Leader’s Guide to Hospital Case Management and The Hospital Guide to Contemporary Utilization Review and a contributing author to the 2nd and 3rd edition of CMSA’s Core Curriculum for Case Managers.
Marie Stinebuck has been a nurse for 25 years with 13 years of experience in case management and more than a decade in hospital case management leadership. Her roles have included leadership of teams in case management, utilization review, denials management, clinical documentation. Marie holds an MBA and a master’s in nursing leadership. She currently has an active role on the American Case Management Association board.
Vik Torpunuri is a healthcare entrepreneur with a passion to build innovative and disruptive solutions leveraging data. Vik is currently leading a national healthcare analytics company that improves outcomes by lowering cost of care, improving quality, and recovering earned revenue. Company’s innovative patient-centric AI driven big data platform connects the dots across the patient care continuum – home, clinic, hospital, nursing home, pharmacy, lab – uniquely identifying patients across all care settings.
