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Live Denials Q&A 9/5/24 - Hospice, SNF, Home Health denials + takebacks
Manage episode 438443439 series 3000080
In this episode, Vanessa Moldovan, CEO and Founder of 'For the Love of Revenue Cycle,' leads a live Q&A session on handling denials in medical billing. Participants from different sectors of the healthcare revenue cycle, including medical billing for home visits, nursing homes, and surgery centers, discuss challenges they face with denial codes, modifiers, and reimbursement issues. Key topics include understanding the new FY 2024 hospice final rule, addressing denials related to modifier codes, and strategies for handling electronic remittance advice (ERA) take-backs. Suggestions for actionable steps and resources, such as consulting specific websites and joining relevant forums, are also shared.
00:00 Introduction and Purpose of the Q&A Session
00:49 Challenges in Revenue Cycle and Denials
02:07 Participant Introductions and Their Goals
03:11 Open Forum for Questions and Discussions
04:14 Lauren's Denial Issue with Chronic Care Management
09:26 Exploring Possible Solutions and Resources
21:08 Roseanne's Issue with Take Backs on ERAs
28:22 Provider Targeting by Payers
28:38 Options for Receiving Take Backs
29:03 Challenges with Electronic ERAs
29:44 Appeal Deadlines and Paper Forms
30:11 Denials Due to Grouper Edits
30:53 Hospital Denials and Resources
33:13 Questions on Prolonged Services Billing
37:08 Issues with Nursing Home Billing
45:29 Seeking Expert Advice and Final Thoughts
83 episoder
Manage episode 438443439 series 3000080
In this episode, Vanessa Moldovan, CEO and Founder of 'For the Love of Revenue Cycle,' leads a live Q&A session on handling denials in medical billing. Participants from different sectors of the healthcare revenue cycle, including medical billing for home visits, nursing homes, and surgery centers, discuss challenges they face with denial codes, modifiers, and reimbursement issues. Key topics include understanding the new FY 2024 hospice final rule, addressing denials related to modifier codes, and strategies for handling electronic remittance advice (ERA) take-backs. Suggestions for actionable steps and resources, such as consulting specific websites and joining relevant forums, are also shared.
00:00 Introduction and Purpose of the Q&A Session
00:49 Challenges in Revenue Cycle and Denials
02:07 Participant Introductions and Their Goals
03:11 Open Forum for Questions and Discussions
04:14 Lauren's Denial Issue with Chronic Care Management
09:26 Exploring Possible Solutions and Resources
21:08 Roseanne's Issue with Take Backs on ERAs
28:22 Provider Targeting by Payers
28:38 Options for Receiving Take Backs
29:03 Challenges with Electronic ERAs
29:44 Appeal Deadlines and Paper Forms
30:11 Denials Due to Grouper Edits
30:53 Hospital Denials and Resources
33:13 Questions on Prolonged Services Billing
37:08 Issues with Nursing Home Billing
45:29 Seeking Expert Advice and Final Thoughts
83 episoder
Alla avsnitt
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1 Ep. 37 Revolutionizing Patient AR with Dugan Winkie 21:52

1 Ep. 36 Conferences: The Game-Changer for Your Career & Business 29:33

1 Live Denials Q&A 11/7/24 - DRG Trends, Telehealth Changes + Tech Trends 41:39

1 10/30/24 Live Q&A Mastering Payer Defense 57:27

1 Tech-Enabled RCM, Live Webinar (Recorded 10/18/24) 1:11:23

1 Live Denials Q&A 10/15/24 - Tips for Denial Beginners 53:36

1 Live Denials Q&A 10/3/24 - Tackling Tough Denials 53:38

1 Ep. 34 Maximizing Provider Revenue with Payer Contract Insights 32:51

1 Live Denials Q&A 9/17/24 - Utilizing Contracts When Resolving Denials 52:49

1 Ep. 33 Insurance AR: Claims with No Response 27:49

1 Live Denials Q&A 9/5/24 - Hospice, SNF, Home Health denials + takebacks 50:10

1 Live Denials Q&A 8/1/24 - Navigating Out of Network Denials 57:12

1 Ep 32 Tech-Enabled RCM: Tips and Solutions with Mike Marshall + Vanessa 50:35

1 Live Denials Q&A 7/16/24 - payer denial trends creating complexity 1:00:39
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