Search Results for: Payer Contracting

Auditors recently found that more than half of telehealth services for mental health are billed incorrectly. This online training will help you stop these common coding & billing errors to collect more for these complex claims.

Accurately processing provider credentialing and enrollment requires the ability to swiftly navigate the CAQH portal, which recently changed. Discover how to save time and stress by getting a walkthrough from an expert.

Get payers to overturn more of your denied claims so that you can receive more of the reimbursement you are due. Expert reveals proven appeal letter writing strategies and templates to quickly get more of your denied claims paid.

Both commercial and government payers make provider enrollment more complex than it needs to be, but you’ve got an expert on your side. Get the proven tactics you need to providers approved faster and start getting paid sooner.

Failing to collect copays and deductibles can get you into just as much trouble as collecting them incorrectly.  Protect your practice against costly violations with the actionable tactics in this healthcare attorney-led online training.

Uncover language in your managed care contracts that can help your practice get paid more and avoid hidden pitfalls. Healthcare attorney Michael R. Lowe shows you how to make your managed care contracts work for you.

Medical records are legal documents that support every aspect of patient care, and one medical documentation mistake can get you audited. Then violations, penalties, and unpaid claims follow. Protect yourself with this online training.

About 83% of your non-Medicare/Medicaid claims are governed by ERISA regulations. However, payers don’t want you to know how to apply these rules to take control of your reimbursement. This training shows you how.

Avoid violating Balanced Billing Laws with step-by-step advice from expert Rachel V. Rose, JD, MBA. She’ll help you head off preventable out-of-network, financial hardship, and write-off errors that can cost you millions in penalties.

Credentialing and enrollment 101 for physician practices. Step-by-step strategies to help you master credentialing and enrollment basics to avoid errors and ensure that your revenue keeps flowing.

Avoid common/costly errors and meet requirements of provider credentialing and enrollment online sites with practical advice from national expert, Tracey Tokheim. Improve your accuracy and results while reducing headaches.

When onboarding a new physician into your practice, your process must be flawless. A simple mistake can result in sever reimbursement delays – or worse, payer rule violations.  With this online training you’ll get it right the first time.

The physician credentialing process is a complicated collection of hoops to jump through and moving parts to track. Get a step-by-step, proven process to help you keep cash flowing.

Get insurance carriers to reimburse you more. The key is in how you negotiate your managed care contract. Get expert insider negotiation strategies that give you a huge advantage during your contract negotiations.

You can collect (and keep!) more money from your claims. During this training, two healthcare attorneys will walk you through how to fight back against reduced payer ERISA claim payments and get paid more of what you are due.

CMS has plowed through their appeals backlog, opening their doors to reimbursing your claims FASTER. Get expert tips on winning appeals strategies that convince Medicare and private payers to give you the cash you deserve.

You can eliminate enrollment delays, get paid faster, and avoid re-enrollment disasters by getting your mid-sized to large practice set up to perform delegated credentialing. Get expert tactics on getting it right the first time.

Don’t give up on your under reimbursing contracts due to lack of payer response to your negotiation requests. Learn how to improve payer contract negotiation results. Get the tools you need to secure higher rates and better terms.

Modifier 59 is among the most frequently used modifiers, but also one of the most often denied. Halt those denials and bring in the pay your practice deserves with these essential modifier tips.

When your practice gets an insurance demand letter, it’s no time to panic. Instead, create your response strategy with actionable tips from expert Sean Weiss during this essential online training event.

Bundling is a major source of denials, but you can fight back. This online training helps you overturn bad denials due to 2023 NCCI Edits and RVUs. Master the 2023 NCCI edits to reverse bad denials and improve your revenue.

Get paid more for treating patients with chronic pain – learn to correctly apply new 2023 codes G3002 & G3003. Online training shows you how to code these services (G3002/G3003) more accurately & get higher reimbursement.

All your modifier 25 Cigna claims will start to be denied if you fail to follow the payer’s new documentation submission policy that goes live in a few weeks. Expert training walks you through new rule compliance.

Combat non-Medicare and Non-Medicaid denials with proven ERISA appeal letter writing strategies. Online training helps you get more claims paid.

Before you start charging patients extra for the additional time it takes to refill prescriptions, you must have a handle on how to implement these fees correctly. You can compliantly get paid for prescription refills – find out how.

Correctly billing self-pay patients is more important now than ever. Self-pay patient numbers are rising due to the May 11 PHE expiration. This training will help comply with self-pay billing rules and keep you out of trouble with the Feds.

Last-minute cancellations and patient no-shows can destroy your dental practice’s profitability and upend your carefully planned daily schedule. Discover how to handle these issues.

Avoid delaying and losing reimbursements. Streamline your credentialing and enrollment process – more efficiently manage multiple providers and locations NPIs, Tax Ids, delegated agreements, and more. Proven online training.

Quickly get more of your denied claims paid with proven payer appeal strategies. The key is mastering the nuances of your appeals process by cutting through the red tape. Find out how…

Split/shared and incident-to billing rules have always been confusing, and they’re about to get even more vexing, due to new 2023 rules. Collect 15% more for your APP’s services by mastering the new rules during this training.

Insurance companies are cracking down on how you document therapy progress notes. Even simple mistakes can greatly reduce your ability to get paid, lead to payer audits, recoupments, and penalties.  This training can help.

You can stop providing administrative services to your patients for free. Many payers allow you to charge patients for these cash-only services if you do it compliantly. This expert-led online training will show you how.

You can negotiate with third-party payers to increase your reimbursement – if you know how. This expert-leg online training will provide you with step-by-step contract negotiation strategies that word. Start getting paid more today.

Unfortunately, getting and keeping your dentists enrolled and credentialed in both commercial and government insurance plans is a necessary evil that can take hours, even with the ADA CAQH ProView online portal. The average dentist participates with 30 networks, and with each requiring credentialing every three years, that could mean you’re working on at least[...]

Complying with recent changes when billing for out-of-network and uninsured patients is more complicated due to recent rule changes. Learn how to comply before the audits begin. Sign up for online training today.

You can get paid for denied out-of-network services. The catch is that you must master CMS’ recently implemented IDR process. Get proven strategies to correctly utilize this new process to overturn these previously unpaid claims.

Get the tactics you need to make utilizing the CMS PECOS online Medicare enrollment and credentialing system less confusing and more accurate. Attend this training for practical, expert advice so you get it right the first time.

Billing patient directly may be your best bet of getting paid for commercial payer non-covered services, but you should NEVER do so without the correct forms on file. Attend online training to master non-covered services billing.

Payers include excessive administrative burdens in managed care contracts that delay your reimbursements and add hours of extra processing time for your staff. Get negotiation tactics to cut these burdens & save time and money.

How you manage your outsourced medical billing vendor relationship can seriously increase your claims’ reimbursement and decrease your financial and legal risk. Expert Owen Dahl’s training will show you how.

Your practice is required to create and validate your provider directory listings or be faced with getting kicked off the panel. This online training will help comply with these No Surprises Act rules and keep your revenue flowing.

There is a lot riding on the accuracy of the claims you submit. Missing even one step in the billing process can result in dire consequences — significant reductions in claim reimbursement, increased denials, overpayments/recoupments, refunds, and ultimately audits that lead to massive fines and penalties. From pre-authorizing procedures and collecting copays to appealing claims[...]

You depend on accurate medical coding to keep your practice’s reimbursement flowing — and though it’s not vital for everyone to know HOW to code, it is important to get a basic understanding of coding to preserve your income.

Outpatient payer audits are skyrocketing in 2022. To survive you must be prepared. Get practical, real-word strategies to help you identify and resolve medical record hot zones in your practice – before you get audited.

By making you use virtual credit cards for your reimbursement payments, payers are passing their processing fees on to you. You can refuse and keep more of the money your practice is due. This training will show you how.

If you want to get paid, prior authorizations are a necessary evil. They put an intense burden on your practice, staff, patients, and you.  You can reduce the time they take and improve your overall approval rate with some expert help.

Attorney provides practical advice on how you can reduce Medicaid audit triggers at your practice, more effectively respond to Medicaid audit notices and documentation requests to significantly reduce overpayment demands.

Proven negotiation strategies to use before you sign your next physician/hospital service agreement. This expert training will help you get paid more and protect yourself and your practice against federal and state violations.

Commercial payers are taking their enrollment and credentialing deadlines more serious than ever. Missing a deadline by even a day can have serious consequences for your practice.  

Get proven strategies to help you write an appeal letter template that will get more of your denied claims overturned and improve the reimbursement you receive.   Register for this expert-led online training today to find out how.

You don’t have to settle for the terms and payment amounts in your payer contracts. Implement these proven strategies to negotiate a better deal, keep the plans you what and know when it’s time to get out. Signup today.

Out-of-network collections are complicated. Successfully negotiating with payers, communicating with patients and getting paid what you are due is possible if you know how. Sign up for this expert-lead online training to find out how.

Master proven strategies to get payors to overturn your contract deactivation.  This expert-led online training will walk you through each step and help you head off lost patients by reactivating your contract.

Terminating a payer contract may feel like you’re slaying a dragon but do so for the wrong reasons and you could unintentionally slash your revenue too. Get the strategies you need to decide when you should walk or stay.

Get proven appeal strategies to help you overturn more third-party-payer denials and avoid claim reimbursement reductions. During this live online training, healthcare attorney tells you how.

Avoid common CMS 1500 Claim Form error that lead to delayed payments or completely rejected claims. Expert biller provides you with step-by-step advice that will get you paid faster and more accurately.

Without a recall strategy, many of your patients would never schedule their next visit. This lack of recurring patient care puts your practice at risk of losing hundreds of thousands of dollars in lost revenue…

Getting and keeping your providers enrolled in the most popular payer networks is the only way to ensure the success of your practice. However, it can be complicated and time consuming, but it doesn’t have to be…

There is a lot riding on the accuracy of the claims you submit. Missing even one step in the billing process can result in dire consequences – significant reductions in reimbursement, increased denials, and ultimately…

As Medicare and private payers continue to go after reimbursement paid in error, the chances you’ll get audited has increased. Auditors can dig through your previously filed claims for a “look back period” of 6 YEARS…

Open the doors of those “closed” and “narrowed” insurance panels that will most benefit your practice. Don’t walk away from payers when they deny you access to the patients you want. Use these proven tactics to get…