Prod ID: 434Learn how to efficiently manage claim denials. Revenue cycle management expert, Taya Gordon, offers practical solutions for improving the denial management workflow in your practice.
1
45 min
$119.00
There are many reasons a claim may be denied. Be sure that you understand the terminology of denials, remittance codes, the role of charge capture, and the impact of taxonomy codes. Of course, the best method for managing denials is to prevent them from occurring in the first place. The instructor discusses denial prevention goals and identifies proactive processes that will help you optimize prevention methods and ensure your claims denial rate stays under control.
Know how to determine the value of a claim denial and your rights and responsibilities when appealing them. Learn how to effectively communicate with payers to reach claim resolution.
Highlights:
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Taya GordonEMBA, FACMPE, CMOM |
Shawntea "Taya" Gordon is a subject matter expert in healthcare compliance, organizational governance, process optimization, and revenue cycle management. Having held senior-level executive management positions in private practices, collaborative institutes, and national care coordination organizations, Taya now educates and consults on all areas of healthcare operations. Teaching and consulting topics include performance improvement, quality improvement, risk reduction, and the shift to value-based payment methodologies. Taya also functions as Chief Revenue Cycle Officer for H4 Technology, LLC, a Data Management Software as a Service (DMSaaS) organization providing services to hundreds of providers across the nation.
A proud member of the Medical Group Management Association's (MGMA’s) Government Affairs Council and E/M Workgroup, Taya co-authored the publication: Revenue Cycle Management: Don’t Get Lost in the Financial Maze. Her thoughts on the innovative use of people and IT was included in the HIMSS Voices of Innovation Publication in 2019, coordinated by the Cleveland Clinic. She is also a noted speaker and author for organizations such as HealthLeaders Media, the Practice Management Institute (PMI), MGMA, and Medical Economics.
Taya is the Past President of the HIMSS Nebraska Chapter, former Chair of the Membership and Corporate Development Maryland MGMA Chapter, and was recognized in 2019 by Midland’s Business Journal as a ‘40 Under 40’ Executives & Entrepreneurs Award Recipient.
Passionate about physician advocacy, community outreach, and healthcare improvement processes, she has volunteered in several terms on government affairs and legislative committees lobbying for healthcare improvement and various committees with Habitat for Humanity Omaha.
Comments from past participants:
"I recommend this session. It offers a different way than I had previously looked at my denials, such as 0 to15 days vs the 30 days for claim status."
"Very informative and a great way to strengthen management skills. It provided good information that we touch on each day."
"This was a helpful reminder to ensure that our front desk staff are educated on the importance of full and accurate registration for clean claims."
Effective Denial Management and Rejection Prevention
Grouping Denial Codes to Protect the Bottom Line