Denials Management | Patient Access Auditing Strategies

Weslaco | Corpus Christi | Victoria | Uvalde

Tue, Feb 9th 2010, 08:00

Two Topics in Each of Four Cities!

February 9: Weslaco

February 10: Corpus Christi

February 16: Victoria

February 18: Uvalde

4 Hours CPE Credit

Denials Management
One of the best indicators to help determine the effectiveness of a provider’s revenue cycle is to look at denied claims. Many claims are rejected or denied at some point in the collection process, directly impacting net revenue. A large portion of all denials considered unrecoverable can be prevented with improved controls. This session will focus on various leading practice high-value evaluation techniques for improving denials management processes, including tracking, reporting, and classification methods.

♦Obtain an understanding of key denials management activities performed, risks and typical deficiencies that commonly exist, and discuss strategies for improving overall payment accuracy monitoring and resolution processes.

♦Discuss review objectives, methodology, approach, and scope setting considerations. Strategies and procedures for benchmarking and performing data analysis, sampling, and statistical extrapolation will be presented.

Patient Access Auditing Strategies
Patient access is one of the most important areas that impact patient satisfaction and hospital reimbursement. Ineffective processes typically result in patient dissatisfaction, billing problems, excessive insurance denials, and extensive rework activity. The effectiveness and accuracy of the patient access functions can significantly impact an organization’s profitability and many revenue cycle/finance personnel are focusing their efforts in this area. This session will focus on various leading practice strategies and techniques for performing patient access reviews and evaluating process effectiveness and improvement opportunities that lead to a reduction of compliance, financial, and operational risks.

♦Participants will obtain an understanding of the key activities performed, typical deficiencies and risks most commonly experienced, and strategies for improving processes to positively impact performance.

♦Address the necessity or benefit for conducting a patient access review and discuss controls for enhancing key patient access processes and data accuracy.

Speakers
Richard Williams
Richard is a Director in Protiviti’s Dallas office and a key leader in Protiviti’s Healthcare Revenue Risk Solutions practice. Richard has more than 11 years professional experience providing operational, financial, and regulatory consulting and internal audit services to the healthcare industry. Prior to joining Protiviti, Richard was a Project Manager at Arthur Andersen focusing on healthcare internal audit and risk consulting.

Don Billingsley
Don is an Associate Director in Protiviti’s Dallas office and a key leader in Protiviti’s national healthcare practice. Don has more than 16 years experience working in the healthcare industry and has worked with numerous healthcare providers to assess and improve their revenue cycle operations and processes. Prior to joining Protiviti, Don worked as a revenue cycle consultant at Arthur Andersen and held a position as a care manager and compliance auditor for one of the largest diversified specialty healthcare management organizations.

Dates and Times
Cost: $35
(both sessions include lunch)

Weslaco | February 9, 2010
9:30am – 2:00pm
Knapp Medical Center
1401 E. Eighth St. | Weslaco, TX 78596
956.968.8567 | Map/Directions

►Register OnLine for Weslaco

Corpus Christi | February 10, 2010
9:30am – 2:00pm
CHRISTUS Spohn Hospital Corpus Christi—Memorial
2606 Hospital Blvd. | Corpus Christi, TX 78405
(361) 902-4000 | Map/Directions

►Register OnLine for Corpus Christi

Victoria | February 16, 2010
9:30 am - 2:00 pm
Citizen's Medical Center
2701 Hospital Dr. | Victoria, TX 77901
361.573.9181 | Map/Directions

►Register OnLine for Victoria

Uvalde | February 18, 2010
9:30 am - 2:00 PM
Uvalde Memorial Hospital
1025 Garner Field Rd. | Uvalde, TX 78801
830.278.6251 | Map/Directions

►Register OnLine for Uvalde

Agenda

Registration: 9:30 - 10:00 am
Patient Access Auditing: 10:00 - 11:45 am
Lunch: 11:45 am - 12:15 pm
Denials Mgmt. Approach: 12:15 - 2:00 pm

For more information, please contact Tammie Jackson at tljacks@transunion.com

These Sessions are generously sponsored by:

Knapp Medical Center

CHRISTUS Spohn Corpus Christi Memorial

Citizens Medical Center

Uvalde Memorial Hospital

and