Online Training Course

Prod ID: 550
From Chaos to Clarity: Data-Driven Denial Prevention

Do you have a robust claim denial prevention process? Does it include grouping denial codes? Are you pulling data from your own claims to assess? If not, you may be spending unnecessary time analyzing denials for issues. Move from chaos to clarity with a proven data-driven denial prevention strategy.

CEUs

1

Length

55 min

Price

$119.00


Learn how to proactively manage denials with analytics. Grouping denial codes allows you to improve the practice’s revenue cycle management performance. Arm your reimbursement team with expert decision-making skills to help them quickly analyze trouble areas and make informed decisions.

Prevent missed opportunities from hurting your revenue cycle!

The most effective way to reduce denials is to prevent them before they occur. Revenue Cycle Management expert, Taya Gordon, reviews industry reported claims statistics and highlights solutions to common problems that can choke your revenue cycle management performance. Implement data-driven workflows that provide early alerts for potential denial triggers and utilize a proven strategy for proactive prevention.

Learning objectives:

  • Recognize indicators of common claims problems and explore solutions
  • Identify methods for grouping denials codes
  • Know what to do when information is missing
  • Learn how to apply data as part of your claim denial management strategy
  • Understand how technology and automation can optimize efficiency

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.

Participants will be guided through the steps of implementing workflows and applying strategies to effectively reduce and prevent future denials, decrease days in A/R, and reduce the need for lengthy appeals.

No prerequisites are required.

Self-paced online program includes unlimited review of previously recorded instruction and access to downloadable companion materials for 6 months.

Comments from past participants:

  • "It was very informative and the instructor was very knowledgeable."
  • "I found it to be a good annual audit of your systems functions, processes and annual training topics."
  • "Excellent content. I appreciate the updated information."

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