Maximizing Revenue Integrity: Strategies and Tools for Payer Audit Management

On-Demand


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Event Summary

In today's ever-evolving healthcare landscape, navigating the challenges posed by increasing payer audits and denials demands a proactive and expertly crafted approach to claims accuracy and compliance. To effectively tackle these challenges, healthcare organizations must adopt an integrated solution that tracks the entire audit process, from initial request receipt to denial and appeal resolution. You need a robust system for data collection, and data analysis.

Armed with this information, you can target areas that require further internal audits, training, or both. This comprehensive and systematic approach is vital for mitigating the financial risks associated with payer audits and ensuring sustained success.

In this webinar, you will learn how implementing a strong audit management process can help you maximize revenue and enable you to target areas in need of further education and training for coding and CDI staff. You will also learn about key strategies and tools to manage DRG audits without becoming overwhelmed.

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Learning Objectives

  1. Learn how to implement a strong audit management process
  2. Learn about the tools/systems necessary for successful Audit Management
  3. Learn how to use the data from your Audit Management system to identify areas in need of further education and training

This program has been approved for (1) continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).

To receive this on-demand CEU, you must:

  1. Complete the form above to access the recording
  2. Take the post-event survey, which will be emailed to you from [email protected] within 24 hours
Please allow up to two weeks to receive your CEU certificate, which will be sent via email. If you have any questions, email us at [email protected].

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Course Professor


Barbara Carr, RHIA

Strategic Advisor, Verisma

Barbara has over 40 years of experience in HIM. Most recently she was the Assistant Vice President of HIM for the Einstein Healthcare Network in Philadelphia, PA. Einstein is a multi-facility 800+ bed teaching integrated healthcare system. Prior to Einstein, Barbara was the Corporate Director of HIM for ChristianaCare, a 1000+ bed teaching healthcare network in Wilmington, DE.

Barbara Carr, RHIA

Strategic Advisor, Verisma

Barbara has over 40 years of experience in HIM. Most recently she was the Assistant Vice President of HIM for the Einstein Healthcare Network in Philadelphia, PA. Einstein is a multi-facility 800+ bed teaching integrated healthcare system. Prior to Einstein, Barbara was the Corporate Director of HIM for ChristianaCare, a 1000+ bed teaching healthcare network in Wilmington, DE.

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