Understand Your Patient's Eligibility & Audit Your Payor's Contracts To Increase Business Profits

Session 1 

Understanding Patient's Eligibility, Copays, Co-Insurance, Deductibles & Past Due Balances - 2023 Updates

With the new year approaching and insurance benefits and plans changing as of January 1st now is the time to evaluate your processes! Patient eligibility can hold the key to protecting your bottom line and preventing costly claim delays and denials. Any healthcare practice must verify coverage before services, especially in a new year. There are opportunities to implement new protocols within your office to be more proactive about patient copays, co-insurance, deductibles and even patient past due balances. There are several ways to check eligibility, but certainly ways to simplify and streamline to maximize staff utilization for tasks. Our speaker will give real world examples of processes successfully implemented at busy practices across the country! Common errors, training tips, and a detailed checklist for eligibility verification will be covered in depth. Do not miss this extremely informative webinar, surely to bring you and your practice tools for the upcoming 2023 year.

Webinar Objectives

• Explanation of patient eligibility
• Information obtained during checks
• Understanding eligibility reports
• Implementation of processes
• Preauthorization and referrals
• Tips, checklists, common errors
• Patient involvement

Webinar Agenda

Patient eligibility and coverage, understanding benefits and how to implement processes in office to effectively collect and keep tabs on accounts receivables. Prevent denials, be proactive about issues, past due accounts, better communications throughout departments.

Webinar Highlights

• Understanding electronic eligibility responses (271 reports)
• Best practices of information sharing and getting team “buy-in”
• Patient benefits and how to get them involved
• Collection of copays/past due balances
• Different options for eligibility verifications
• Common issues with eligibility and how to prevent denials

Session 2

How To Audit Your Payer Contracts & Increase Business Profits?

Managing payor contracts is one of the primary challenges that every healthcare provider faces. From changing reimbursement to network irregularities, clauses and understanding fine print, contracting can be a painful part of practicing medicine. Declining income and increasing workload is at the forefront of most medical practices’ minds. Understanding and auditing your current payer contracts is imperative to a successful profitable business.
 
When reviewing contracts, do you know what to look for? What verbiage to be wary of? Do you know your contract renewal date? All of these are important and significant items that need to be addressed.
 
Renegotiating contracts, although sometimes time consuming, can be worth the effort and can bring new markets to your practice.
 
Join this webinar and let our expert walk you through each part of a payor contract, how to understand and utilize this information to be sure your being paid correctly, auditing for hidden clauses, and renew/analyze data for potential renegotiation.

Webinar Objectives

• Low reimbursement
• Incorrect denials
• Wrong timely filing limits
• Network level/tier payment confusion
• Evergreen contracts
• Incentives
• Capitated payments
• Fee for service payments
• Retro-denial/ retraction of payments

Webinar Highlights

• Understanding payor contracts
• How to analyze real data – visit based
• Properly identify payor matrix
• Auditing Explanation of Benefits
• How to renegotiate successfully

Who Should Attend

• Any medical practice
• Office Management/Administration, Billing managers, billers, coders, support staff, front desk staff