Online Training Course

Prod ID: 369
Grouping Denial Codes to Protect the Bottom Line

Do you have a robust claim denial prevention process? Does it include grouping denial codes? If not, you are likely spending unnecessary time analyzing denials for issues. Grouping denial codes allows you and your team to improve revenue cycle management performance. Arm your reimbursement staff with expert decision-making skills to help them quickly analyze trouble areas and make informed decisions about grouping denial codes.

CEUs

1

Length

55 min

Price

$119.00


In this session, Revenue Cycle Management expert, Taya Moheiser, identifies the indicators of data entry and verification problems that trigger denials that can choke your revenue cycle management performance. You and your team will learn how to establish effective processes that can reduce the time needed for analysis and provide quick indicators of trouble areas.

Shawntea Gordon

MBA, FACMPE, CMOM


Shawntea "Taya" Gordon, MBA, FACMPE is the CEO of Atlas & Perpetua Healthcare Consulting, an organization dedicated to enhancing healthcare practices through fractional Chief Revenue Cycle Officer (CRO) services and comprehensive revenue cycle assessments. A recognized subject matter expert in healthcare compliance, organizational governance, process optimization, and revenue cycle management, Taya also serves on the CUMC Bergan Mercy Hospital Community Board.

With extensive experience in senior-level executive roles across private practices, collaborative institutes, and national care coordination organizations, Taya now focuses on educating and consulting healthcare leaders on operational excellence. Her expertise spans performance improvement, quality enhancement, risk reduction, and transitioning to value-based payment models. She also serves as an adjunct professor for the Howard University and University of the District of Columbia’s joint Revenue Cycle Management Course.

Taya is an active voice in healthcare thought leadership. She serves on the Medical Group Management Association's (MGMA) Government Affairs Council and E/M Workgroup, has co-authored two revenue cycle management books for MGMA, and contributed insights to HIMSS Voices of Innovation Publications, a collaboration with the Cleveland Clinic. She is also the co-host of RevDive, one of the nation’s higher-ranked healthcare podcasts.

A sought-after speaker and author, Taya frequently shares her expertise through organizations like HealthLeaders Media, the Practice Management Institute (PMI), MGMA, and Medical Economics. Her leadership has earned her recognition as the Past President of the HIMSS Nebraska Chapter, former Chair of the Membership and Corporate Development Maryland MGMA Chapter, and a Midland Business Journal "40 Under 40" Executives & Entrepreneurs Award Recipient (2019).

Taya is deeply committed to physician advocacy, community outreach, and healthcare process improvement. She has actively participated in government affairs and legislative committees, lobbying for healthcare reform, and supported community initiatives with Habitat for Humanity Omaha.

You will learn how to establish effective processes in your practice that can reduce the time needed for analysis and provide quick indicators of trouble areas impacting the bottom line.

The most effective way to reduce denials is, of course, to prevent them before they occur! This informative training session will address:

  • How to engage your whole team by calling out trouble-spots that trigger denials
  • Methods for grouping denials codes such as "practice setup, department, focus area"
  • What to do about missing information
  • Applying data as part of your claim denial management strategy
  • Review indicators of data entry/verification problems such as current eligibility verification processes
  • Use technology and automation as support
  • Double-down on verification of benefits with every visit
  • Review how your facility matches up against industry benchmarks

Self-paced online program includes unlimited review of previously recorded instructional lecture and downloadable digital materials for 6 months.

Comments from past participants:

"Excellent training! It gives information on how to do it the right way from the beginning."

"Great information that can be easily implemented. This was a great reminder of why we need correct demographic information and explained in detail why that information is so important." 

"I recommend this program to others. Taya shows you how to look at A/R denials in a different way and stresses the importance of educating staff to have everyone informed and involved in a team effort."

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