ICD-10: What We Have Learned & What We Need to Know
Event Code: BCW001
On-Demand Webinar
With far-reaching tentacles that touch every area in healthcare, the mammoth ICD-10 undertaking has even the most prepared organization (both physician and hospital) facing uncertainty as we wait for the dust to settle. The biggest obstacles that have arisen are:
- The seventh character and what is the correct one to assign. Is the care aftercare or is the patient still receiving care in the acute stage or the injury?
- What is the best order of the ICD-10 codes assigned to the encounter
- The increased specificity as related to the body parts means you need to be well versed in anatomy or you won’t be selecting the proper code.
- Denials for something that you previously got paid for under ICD-9. Have you received the new LCD policies and the revised policies published January 4th by CMS?
- Biggest hiccups that are out from third party payers.
Purchase & Watch Webinar
Credentialing
Event Code: BCW001
On-Demand Webinar
Provider enrollment requirements have substantially increased due to requirements of the Affordable Care Act. Incorrect enrollment will stop or delay the contracting process. Provider Enrollment is the process of enrolling health care providers with Medicare, Medicaid and Third Party Health Insurance Plans. Upon completion of the enrollment process you may submit claims for services and they will be approved and paid. The provider enrollment process takes between 2 to 6 months to achieve "contracted" status -- plan ahead and get started early to avoid payment rejections. This session guides you through the enrollment process to ensure that you receive correct payment for your services. The webinar hits the top 10 items that you need to make sure you have addressed to enroll a provider in MI.
Purchase & Watch Webinar
Billing 101
Event Code: BL04202016
Online Webinar
Wednesday, April 20, 2016
12:00 - 1:00 p.m.
This session is intended to be an abbreviated training for new billers, as well as a refresher for seasoned billers or billers who might have changed specialties. You will learn what little pieces of information are important to coding correct. You will learn how to successfully get the claim paid the first time it is sent to the health plan. You will learn about some of the resources you have available today to help in correct coding, claim submission as well as successful claim follow-up and appeals.
Apr. 20 Webinar - Register Online
Or register by phone: 517-336-7581
Managing Accounts Receivable
Event Code: MG05182016
Online Webinar
Wednesday, May 18, 2016
12:00 - 1:00 p.m.
What you should look at to know if your practice is a top performer:
- Days in outstanding Accounts Receivables (AR)
- Percentage of collections
- Self-pay balances
- Coding trends
- Bell curves
- Frequency reports
- Fee schedules
How and where do I find benchmarks to compare what we are doing and know when I should throw the red flag for help? This session will give you resources to help develop a plan to manage the AR in your practice to make sure you are capturing the greatest reimbursement possible.
May 18 Webinar - Register Online
Or register by phone: 517-336-7581
Reading Remittance Advice
Event Code: RRA06152016
Online Webinar
Wednesday, June 15, 2016
12:00 - 1:00 p.m.
We will look at the varied remittance advices (RA) that come from all the third party payers including, governmental and private payers. How do you understand what all the remark codes, adjustment codes and notes really mean? Do you understand what is being denied for a legitimate reason and what you should question? Where does your contract with the third party payer come in to play with some of the remark codes?
This session will provide guidance on understanding the RAs and what appropriate action is needed to get the claim paid.
Jun. 15 Webinar - Register Online
Or register by phone: 517-336-7581
Tips and Tricks on Working Rejections
Event Code: WR07202016
Online Webinar
Wednesday, July 20, 2016
12:00 - 1:00 p.m.
Now that you understand the Remittance Advice, how can you successfully overturn the rejections? Does the rejection make sense or was there an error of the part of the insurance? Was the service documented correctly at the practice and what should the documentation contain to support the CPT and ICD-10 codes billed? How do you add an addendum to the documentation if necessary and appropriate?
This session will provide you with tips on how to effectively and efficiently work claim rejections to maximize reimbursement in a timely manner.
Jul. 20 Webinar - Register Online
Or register by phone: 517-336-7581
Claim Appeals
Event Code: AP08172016
Online Webinar
Wednesday, August 17, 2016
12:00 - 1:00 p.m.
You have submitted the claim but received an incorrect rejection. How do you appeal that decision? Do you appeal the claim or do you submit a new and clean claim? This session will review the time line for appeals to Medicare and Medicaid, as well as several third party payers. You have to follow the guidelines set by the health plan and submit appeals timely. Learn how Michigan’s Timely Payment Laws may affect claim submissions that do not require an appeal. What documentation is used to support the appeals and successful receive the appropriate reimbursement.
Aug. 17 Webinar - Register Online
Or register by phone: 517-336-7581
Compliance in the Office
Event Code: CP09212016
Online Webinar
Wednesday, September 21, 2016
12:00 - 1:00 p.m.
This session will review the compliance training and standards that every practice should have in place today. When did you have your fraud and abuse training that is required by Medicare and all the Medicare Advantage Programs? What are the repercussions of a non-compliant office? This session will help you locate resources and training that helps to keep your medical practice compliant.
Sep. 21 Webinar - Register Online
Or register by phone: 517-336-7581
ICD-10 for 2017 & Routine Waiver of Copays
Event Code: ID10192016
Online Webinar
Wednesday, October 19, 2016
12:00 - 1:00 p.m.
This session will provide you with ICD-10 updates for 2017. Because the code set has been frozen for several years, we expect many changes. We have been on ICD-10CM for a full year and seen many areas that need tweaking. Have provided further clarification on the use of the 7th character for injuries and how do we make sure that we are all coding the same way? Have the ICD-10-CM guidelines changed in any sections? BMI is an area that ICD-10 confuses us. Will 2017 bring any clarification on Pediatric vs. Adult?
This session will address the question of waiving co-payments for your patients. Is it ever appropriate?
Oct. 19 Webinar - Register Online
Or register by phone: 517-336-7581
Year-End Wrap Up
Event Code: YW11162016
Online Webinar
Wednesday, November 9, 2016
12:00 - 1:00 p.m.
This session will look at best practices for the year-end closing for a medical practice. It will provide guidance on important tasks that should be done to ensure all claims have been submitted, rejections worked, payments posted, personal balances billed and refunds issues.
This session will also offer tips on when you should review credit balances and send out refund checks, when should you send a 2nd run of patient statements and is it worth the expense, and how many collection calls should we be making at the end of the year. This session will offer tips on how to get physicians/providers to get all their documentation submitted and signed so the all the services are coded and billed. Join this session and create your own checklist to ensure you have done all you can to make the year end on a good financial note.
Nov. 9 Webinar - Register Online
Or register by phone: 517-336-7581
Legal Alerts
Event Code: LA12212016
Online Webinar
Wednesday, December 21, 2016
12:00 - 1:00 p.m.
Dec. 21 Webinar - Register Online
Or register by phone: 517-336-7581