PPT-Fundamentals of Denials Management

Haaris Ali MD CDIP ACDIS Agenda Denials Commonly Used Terminology Root Causes Denials Management and Prevention What We See and Why How CDI Plays a Vital Role The Comprehensive Solution Current Payor Trends. WV HFMA Spring Revenue Cycle Workshop 2014. Belinda Bennett & Okey Silman II. Denial Management. Keys to reducing Denials. Tools to identify Denials. How to reduce Denials. System Related. Staff Related. Weaving together the Clinical, Technical, and Legal Components . Glen Reiner, RN, BSN, MBA, VP of Clinical Operations. 08.24.2012. An overview of effective Denials Management approach. Key Performance Indicators – MAP Keys. Cycle Management. : . Dealing . with . Denials. Fred J. . Pane , . B.S.Pharm. .. . Sr. Director of Pharmacy Affairs. . Premier Inc.. . Linda Pearson, . R.N., M.B.A.,CCM. , ACM. , CPHQ. . Manager, Case Management Department. Sustaining a Financially Healthy . Critical Access Hospital. June 15, 2015. Agenda. Critical Access Hospital (“CAH”) and PPS Hospitals. CAH Payments. IP Admissions. Reasonable Cost Payment Principles That . to Accompany . Management. Third Canadian Edition. John R. Schermerhorn, Jr.. Barry Wright. Prepared by: Jim LoPresti. University of Colorado, Boulder. Revised by: Dr. Shavin Malhotra. Ryerson University, Toronto, Ontario. . Making sense of government audits. . . Jennifer Ogden. Audit Solutions Manager. Agenda. Recovery Audit Contractors . Auditor Overview. Audit Process. Data Analysis. Upcoming changes. Why is it important to you?. Nancy l. thygesen, rhia. “confidential and privileged, all rights reserved, lutz”. ICD-10. ICD-10 Information. Implemented . October 1, . 2015. First . set of updates effective October 1, 2016. . April 2017. Presenters. 2. - Proprietary and Confidential -. Peter . Angerhofer. Peter . is a principal at Colburn Hill Group; he brings experience in operations, strategy and health policy to both daily operations as well as long-term vision.. By Melissa Blank-. Harbert. , Vice President &. Nancy Binder, Executive Director. Denials. Documentation is key to Denial Prevention. Denial Prevention – Best Practice . Agenda:. Denial Reasons / Root . Presenters. 2. - Proprietary and Confidential -. Peter . Angerhofer. Peter . is a principal at Colburn Hill Group; he brings experience in operations, strategy and health policy to both daily operations as well as long-term vision.. Complementary . and . Alternative Medicine (CAM). Health Practices. 1.06 Understand the fundamentals of wellness. Complementary Health Practices. Combines alternative health practices and conventional medical practices. . Business Fundamentals. Understands the application of business principles such as Managing Change, Business Finances and Project Management.. You need to explain why the business needs to make changes and then how these can be completed. For business finances, you will need to explain how finances work in a business environment, and this can include part of the profit and loss section. For the project management side of the assignment, you will need to explain what project management is in your role and then outline a couple of projects you have been involved in.. Zinkeng Asonganyi, PharmD. Director of Pharmacy Services-Ambulatory Operations. University of Texas Medical Branch. Objectives . Understand the data and metrics your cancer program or practice must collect and report on to improve revenue cycle management, eliminate waste, and reduce costs. . Compiled by . Coral . F. Fernandez, RN CCDS CCS. August, 2017 – September 2018. 1. INTRODUCTION. Coral F. Fernandez, RN CCDS CCS. 27 years with Baptist. 2. years as a file clerk in HIM (prior to EMR).