Training Course
Syllabus:
PROGRAM DETAILS Effective insurance and managed
care billing and collection is now a critical function for almost every health
care provider. Unfortunately, most providers have not gained, but rather lost,
revenue potential due to changes in the insurance industry. The industry has now
moved into the world of Internet Based Policies and Procedures, Electronic
Medical Record (EMR) and Electronic Claims Submission.
The purpose of this seminar is to help you understand insurance claims
preparation, submittal and follow-up strategies. Techniques for interpreting
different insurance contracts and understanding medical policies to yield
positive results will also be covered. Participants in this comprehensive
training program, whether novices or veterans, can expect to receive current and
expert advice that can be utilized immediately following the seminar.
WHAT YOU WILL LEARN
- Using the CPT and ICD-9 codes
- Understanding insurance contracts
- Utilizing website information for insurance, Medicare and Medicaid
Industries
- Reducing payment delays, denials and rejections
- Effective Medicare, Medicaid, workers' compensation and managed care
strategies
- Current billing and reimbursement issues
- How to make the claims process more efficient
- Proper attachments and documentation
- Understanding insurance contract implications and provisions
- Optimization of insurance follow-up efforts
- Reducing delays, denials and rejections
- Techniques for handling "problem" claims
- Understanding the appeals process
ABOUT THE SPEAKER Cheryl C. House, RMC,
is the president and partner of CCH Medical Consultants, a consulting and
management firm. She is also a Healthcare Director for New Horizons Learning
Centers in their Healthcare Information Management Department. Ms. House has
been in consulting, management and billing for over 30 years. Through the course
of her career she has been a health care educator, practice manager and
collections manager for some of the major hospital systems in the Midwest. Her
responsibilities included classroom teaching and reimbursement problem-solving.
Ms. House is author of several coding training manuals and has been the editor
of several coding and computer newsletters. Her extensive administrative and
financial managed care experience deals with all aspects of health care billing.
She is a Registered Medical Coder through The Medical Management Institute and a
Certified Healthcare Instructor through National Healthcare Association. Ms.
House is a very knowledgeable billing and managed care consultant as well as an
excellent seminar instructor. WHAT PEOPLE ARE SAYING
"Most informative seminar I?ve been to yet!! Cheryl is awesome!" -
Linda Fleck, Office Manager Bismarck, ND
"This is the most informative seminar I have had the opportunity to
attend. Cheryl was extremely knowledgeable and pleasant. This was not a boring
seminar." - Terry L. Harrell, Office Manager, Louisville, KY
"This seminar, very informative. The book/manual has a lot of valuable
information to take back to the office. Excellent manual." - Jeffrey Ware,
University of Utah Plastic Surgery, Salt Lake City, UT
WHO SHOULD ATTEND
- Billing, Insurance and Coding Personnel
- Physician Office Managers
- Medical and Hospital Billing Managers
- Insurance Managers
- Business Managers
- Financial Managers
- Medical Assistants
- Medical Records Personnel
CREDITS:
This program has prior approval by the American Academy of
Professional Coders for 6.0 Continuing Education Units (Index #CCE0302070254B).
Granting of prior approval in no way constitutes endorsement by AAPC of the
program content nor the program sponsor.
This program/activities has been granted prior approval by the
American Association of Medical Assistants (AAMA) for 6 Continuing Education
Units. Granting Approval in no way constitutes endorsement by the AAMA of
neither the program content nor the program's sponsor.
Insurance, Billing, Claims and Collections meets the
criteria of the Professional Association of Health Care Office Managers and is
approved for 6 CEUs.
This seminar qualifies for 6 continuing education hours as
required by many national, state and local licensing boards and professional
organizations. Save your course outline and certificate of completion, and
contact your own board or organization for specific filing requirements.
SEMINAR CLASS TIME:
Seminar Check-In 7:30 AM Training Class 8:00 AM - 3:30 PM |