Get expert guidance on preventing denials and focusing appeals efforts for success. The evolution of reimbursement models and uncertainty regarding healthcare laws and CMS policy means that to keep the doors open and prevent insolvency, organizations cannot afford to write off appealable denials that are winnable. Organizations need sound, practical information on overturning denials. This Boot Camp is your key to proven strategies for success and will answer your questions on denials management and appeals processes. You’ll leave the class armed with a thorough understanding of the audit and appeal process and ready to put your new knowledge into action for tangible results.
Medicare Boot Camp®—Healthcare Claims Audit is your key to proven strategies for success and will answer your questions on designing a claims audit that is meaningful to an organization.
This Boot Camp teaches you about developing a claims audit process from beginning to end, incorporating official guidance and regulations required for an effective compliance program. You’ll leave the class armed with a thorough understanding of how to build a strategic risk-based audit and ready to put your new knowledge into action for tangible results.
You will leave this program knowing how to:
Assess areas of risk
Structure a risk-based audit
Effectively select an audit sample
Draft meaningful audit reports
Develop a strategic risk-based audit to reduce denials and maximize revenue
Medicare Boot Camp®—Denials and Appeals Version is your key to proven strategies for success and will answer your questions on denials management and appeals processes.
This Boot Camp teaches you about the latest claim audit and appeal issues based on official guidance and regulations. You’ll leave the class armed with a thorough understanding of the audit and appeal process and ready to put your new knowledge into action for tangible results.
You will leave this program knowing how to:
Prepare for CMS audits
Navigate the appeals process up through and beyond the Administrative Law Judge level
Research denials and upcoming audit focus areas
Implement policies to support efficient appeals and identify appropriate denials to appeal
Live In Person Medicare Boot Camp®—Denials and Appeals & Medical Auditing provides an in-depth look at denials management and appeal processes. In addition, this Boot Camp teaches you how to develop a meaningful claims audit process from beginning to end, incorporating official guidance and regulations needed for an effective compliance program.
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