REDUCE INSURANCE CLAIMS DENIALS

Increase Profits by Decreasing Insurance Denial Triggers and Appealing Denials More Effectively

Denied medical claims drain critical financial resources away from patient care, putting unnecessary strain on cost control and your revenue cycle. Most health systems in the United States lose significant net revenues as a result of payment denials from private and government payers. With a formal denial management program that includes a rigorous training curriculum, your facility can reduce the potential for loss. The Mastering Patient Access Library from the Healthcare Financial Management Association was designed specifically to provide revenue cycle staff with the tactics necessary to improve denial management. With this library, your staff will learn how to decrease insurance claim denials by correctly securing more of the critical required information in advance, obtaining precertification when necessary, understanding payers’ contracted requirements, and appealing denials more effectively. With better denial management processes in place, your bottom line will improve along with both HCAHPS ratings and employee satisfaction.

Impact:

Submit More Clean Claims

• Collect more accurate coordination of benefits data
• Obtain and document precertification
• Screen for medical necessity and eligibility efficiently
• Ongoing revenue cycle staff training
• Spend less time and resources researching and correcting denied claims
• Create more efficient and effective work flow processes
  
  

Increase Patient Satisfaction

• Help patients understand insurance concepts such as precertification

Features:

• Comprehensive library totaling over 20 hours of material
• Suitable for both new-hire and refresher training for experienced staff
• Industry, peer-reviewed education from the healthcare industry leader
• Complemented by HFMA’s Mastering Medicare Billing library and other content libraries

This library is essential for:

• New-hire orientation programs
  
• Ongoing revenue cycle staff training

This library supports:

• Professional development programs
  
• Employee retention improvement initiatives

Courses in Library:

This comprehensive library includes the following courses:

• Scheduling Part 1
• Scheduling Part 2
• Pre-Registration
• Registration Part 1
• Registration Part 2
• Registration Part 3
• Validation of Demographic and Insurance Information
• Insurance Verification
• Precertification
• Claims Denial Management Part 1
• Claims Denial Management Part 2
• Claims Denial Management Part 3

Subject Matter Experts

The Mastering Patient Access library was developed by the experts at the Healthcare Financial Management Association.

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