Introduction - In today's reimbursement environment many claims for services are not accepted on the first request for payment. Many payers manage claims by requiring detailed information including copies of notes, discharge summaries and authorizations. Getting full payment and maximizing practice revenue will be dependent on the ability of the practice to appeal adverse claims decisions. Participants will find out how to organize the appeals, what information will really be needed and communications to maximize the results. This course is directed towards Physicians, office managers, billing and insurance staff, and front desk staff who open mail and greet patients. 

This Practice Management Audiocast Presentation includes ...

• This Audiocast is of a recent Live Webcast presented by Economedix;
• The next Live Webconferece of this course is scheduled, on Wednesday, March 31 2010  @ 1 PM Eastern - 10 AM Pacific;
• Your registration fee covers the ability for you and your practice to view this presentation for one year along with various course handout materials;
• The ability for ACS Fellows and practice managers to e-mail follow-up questions to Economedix Practice Management Advisors for personalized responses;
• Co-Sponsors - The American College of Surgeons (ACS) and The Professional Association of Health Care Office Management (PAHCOM).
Course Objectives - Completion of this Practice Management Course will provide:
• An understand the how and why third party payers deny claims;
• Devise various appropriate strategies for appealing claims;
• Develop strategies for minimizing appeals (Get paid the first time!);
• Develop follow-up strategies including appeal letters;
• Implement strategies for organizing appeals work in the office; and
• Create strategies to increase the collection rate for the practice and minimize contractual adjustments.
Accreditation - The American College of Surgeons is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education to physicians.
Credits - The American College of Surgeons designates this educational activity for a maximum of 1.5 category 1 credits toward the AMA Physician's Recognition Award. Each physician should claim only those credits that he/she actually spent in the educational activity. PAHCOM has pre-approved this educational activity for 1 CEU towards the PAHCOM CMM designation. To earn the credit, participants must complete the combination Evaluation / CME - CEU Form, that is included in the course materials, and FAX this form back within seven days following the date of the teleconference.
Faculty - The faculty for the course is Mr. Tom Loughrey, MBA, CCS-P. Mr. Loughrey is Chairman of Economedix and a noted practice management consultant to physicians, medical offices and medical societies. For over a decade, Mr. Loughrey has provided consulting services to the College as a part of the Consultant’s Corner at the annual ACS Clinical Congress and regularly is engaged by ACS to speak and teach at meetings and workshops throughout the country.