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Strategies to Reduce Medicare Billing Errors

Avoid Medicare billing errors and learn how to review rejections and denials.

Learn strategies to reduce Medicare billing errors which can apply to any payer and any practice. This material will review denials, grouped by reason code, and then reviews learning processes to implement within the organization to prevent the denials in the future and improve practice efficiency. This information is beneficial for a practice owner or a manager who isn't in the day-to-day claims filing and will help improve processes within your organization, grade staff better during annual evaluations, and improve overall cash flow while reducing audits and denials.

Runtime: 94 minutes
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Why Lorman?

Over 33 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Agenda

Review Strategies to Reduce Medicare Billing Errors

  • Types of Rejections and Denials
  • Types of Reports to Monitor and Frequency
  • Processes That Should Be in Place

Review Types of Rejections and Denials

  • Rejections Are Front-End via the System and Clearinghouse
  • Denials Are Once the Claims Enter the Payer Door
  • All Codes Are Different and Important to Create a List in Your Office

Review Types of Reports to Monitor

  • Discuss Daily Reports for Balancing
  • Discuss Daily Reports for Claims Submission Tracking and Monitoring
  • Discuss Weekly Reports to Review From Cash Posting
  • Discuss Monthly Reports to Monitor High Level to Keep Tabs on Staff
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More Program Information

Why Lorman?

Over 33 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Credits

OnDemand Webinar

This course was last revised on March 17, 2020.

Call 1-866-352-9540 for further credit information.

  • AHIMA 1.5 including Informatics, Analytics, and Data Use 1.5
     
  • This program has been approved for 1.5 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
     

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

Audio & Reference Manual

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

MP3 Download

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

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More Program Information

Why Lorman?

Over 33 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Faculty

Angela Miller, BBA, CHC, CMC

Angela Miller, BBA, CHC, CMC

Medical Auditing Solutions, LLC

  • In January 2005, she started Medical Auditing Solutions, LLC, in Dallas, TX, to work with health care providers in the same areas; with about 80% of clients being physician practices, it is important to her to see providers be successful and this industry as it is difficult to have really successful and timely billing and collections
  • She has been a health care consultant for 24 years; as a health care compliance and billing expert, she works with hospitals, physician practices, dentists, mental health, DME suppliers and various other health care providers
  • Experienced in OIG compliance programs, HIPAA requirements, billing and coding issues, process improvement, accreditation, payer audits and defense audits, and investigations
  • Extensive experience with Medicare, Medicaid, and commercial plans and is very experienced with assessment systems and identifying problems that cause cash flow problems as well as identifying gaps in claims processing internally
  • Creates and provides regulatory compliance programs, policies, training related to management, billing, coding and cash flow, and collections analysis
  • Experienced in private and government audits and investigations, self-disclosures and internal investigations and understands the importance of being proactive based on her experience
  • Spent 12 years in corporate compliance with a durable medical equipment (DME) supplier; she rose from billing to compliance and for the final five years, served as the compliance officer for a large U.S. DME company
  • With support of the executive, she improved cash flow by working closely with staff, provided specifically tailored training which ensured faster cash turnaround, and reduced audits and overpayments
  • Can be contacted at 409-673-7103 or [email protected]
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Why Lorman?

Over 33 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

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Pay once and get a full year of unlimited training in any format, any time!

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Questions? Call 877-296-2169 to speak with a real person.

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Product ID: 407160
Published 2020
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