Avoid Medicare billing errors and learn how to review rejections and denials.
Learn strategies to reduce Medicare billing errors which can apply to any payer and any practice. This material will review denials, grouped by reason code, and then reviews learning processes to implement within the organization to prevent the denials in the future and improve practice efficiency. This information is beneficial for a practice owner or a manager who isn't in the day-to-day claims filing and will help improve processes within your organization, grade staff better during annual evaluations, and improve overall cash flow while reducing audits and denials.
Agenda
Faculty
Angela Miller, BBA, CHC, CMC
Medical Auditing Solutions, LLC
- In January 2005, she started Medical Auditing Solutions, LLC, in Dallas, TX, to work with health care providers in the same areas; with about 80% of clients being physician practices, it is important to her to see providers be successful and this industry as it is difficult to have really successful and timely billing and collections
- She has been a health care consultant for 24 years; as a health care compliance and billing expert, she works with hospitals, physician practices, dentists, mental health, DME suppliers and various other health care providers
- Experienced in OIG compliance programs, HIPAA requirements, billing and coding issues, process improvement, accreditation, payer audits and defense audits, and investigations
- Extensive experience with Medicare, Medicaid, and commercial plans and is very experienced with assessment systems and identifying problems that cause cash flow problems as well as identifying gaps in claims processing internally
- Creates and provides regulatory compliance programs, policies, training related to management, billing, coding and cash flow, and collections analysis
- Experienced in private and government audits and investigations, self-disclosures and internal investigations and understands the importance of being proactive based on her experience
- Spent 12 years in corporate compliance with a durable medical equipment (DME) supplier; she rose from billing to compliance and for the final five years, served as the compliance officer for a large U.S. DME company
- With support of the executive, she improved cash flow by working closely with staff, provided specifically tailored training which ensured faster cash turnaround, and reduced audits and overpayments
- Can be contacted at 409-673-7103 or [email protected]
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