Session 1 - Credentialing in 2023, Tips for Success

Credentialing and Re-credentialing is hard work. And it is getting more difficult with changes in rules and regulations set by payers. Medical practices spend endless hours on the phone struggling to accomplish getting contracts, effective dates, even to find a representative to speak with There is much to be learned about this topic that only a seasoned credentialing staff member would know from painful experience, let us help you! From creating a valuable CV (Curriculum Vitae) to filling out applications, submission of those applications, follow up, credentialing process, follow up, contracting, more follow up, and finally the effective date Stephanie will walk you through the process, step by step to show you what NOT to do and how to be successful in your quests to become participating with insurances you desire. We will also discuss contract review, prior to accepting rates given by payers.

Please join us for this extremely thorough and what will be jam packed with tips session on credentialing speaker while she helps you get credentialed and become an expert yourself. Our speaker has 20 years’ experience with credentialing and will bring secrets of her success in this space.

Webinar Objectives

In depth look at credentialing and contracting process. Commercial and Government payers will be covered in this session. Speaker will review the step-by-step process of filling out applications, with tips along the way of what to watch for, how to be successful in your process to get your contract as fast as possible.

Webinar Agenda
  • Overview of process
  • CV creation (Curriculum Vitae)
  • Filling out applications
  • Submission of applications-what to include
  • Credentialing process in depth
  • Contracting process in depth
  • Contract and rate (reimbursement) review
  • Effective date and welcome letters
  • Follow up tips for success
  • Q&A
Webinar Highlights
  • Contracting
  • Credentialing
  • Errors to watch for
  • Tips for Success
  • Follow up strategies
  • Q&A

Session 2 - The Ultimate Masterclass To Understand Payer Denials & Resolve Costly Mistakes

Are you tired of the confusion and frustration that comes with navigating Payer denials? Is your practice leaving money on the table because of the ever-evolving regulations? Look no further! Our exclusive Denials Masterclass is your golden ticket to unlocking the secrets of this complex process.

Speaker will discuss about Front End Denials Like Demographic Info, Internal Coverage Dates, Authorization Info, NDC & Quantity, Referral, Referring API, ICD 10 Verification. We will also discuss Clearing House Edits like Coerage/Eligibility, Subscriber Info (DOB,Address,ID#), Payer Examples like CIGNA, Provide Credentialing, MSP. Including EOB Denials like Coverage & COB, Global Period, Medical Necessity, Non-covered Benefits, Medical Records Requirement, Lack of information on a claim.

Understand when do you need to send an appeal and when it is not necessary.

There are several payer denial trends that our speaker will cover, please join us for this very informative session that will be sure to bring several tips to even the most seasoned billing teams.

Webinar Objectives
  • Front end denials-how to prevent
  • Types of denials-make sure you are working these from all sides
  • Precertification and medical necessity denials-how to handle these costly claims
  • Common coding errors causing denials
Webinar Agenda
  • Identify when to raise a physician query before encountering a denial
  • Recognize methods of compliance to support the denial management process
  • Become aware of the insurance/ payer guidelines to avoid denials
  • Reduce the claims rejection encounters by the facilities
  • Discover ways to improve the coding and billing process leading to improved Revenu Cycle Management (RCM)
  • Share resources and new information with the whole team
Webinar Highlights
  • Modifiers to assist in denial prevention
  • Eligibility and patient involvement
  • Documentation tips for medical necessity
  • Appeal and resubmission pointers
  • Time saving tools for success
Who Should Attend
  • All types of Medical billing professionals, private practices, ASC, etc