PPT-Denials and Appeals and CDI

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. 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. 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 . A Discussion with the . RAC. Trac-Compatible Vendor Community. Elizabeth Baskett, Senior Associate Director, Policy, AHA. Katie Christensen, PCS, AHA RACTrac Contractor. April 20, 2011. Agenda . Thanks for Making . . 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 . August 29, 2017. About the Speakers. Paul Shorrosh. NAHAM Board Member and Industry Standards Committee Chair. Founder and CEO, AccuReg. Jase DuRard. Chief Revenue Officer, AccuReg. Agenda . What do CFOs need and want?. 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.. I concur RICHARD SHACKLEFORD Administrative Judge Vice Chairman Armed Services Board of Contract Appeals I concur OWEN C. WILSON Administrative Judge Vice Chairman Armed Services Board of Contract App To resolve Federal tax controversies without litigation on a basis which is fair and impartial to both the Government and the taxpayer promotes a consistent application and interpretation of and volun Revised April 2016 with more sample appeals and adjustments and ICD10 denials. Step by step guide to handling denied medical claims to take them to completion. Appeals are explained, when they are necessary and how to file one along with explanations for adjustments to claims and how they differ from appeals. Also included are complete instructions for writing a formal appeal. This is a great resource for any medical biller. 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.