4 New Revenue Cycle Courses!
Good Faith Estimations
In this course we will review the requirements and implementation of Good Faith Estimations (GFE). Participants will gain an understanding of when GFEs are necessary, the essential components of the estimation template, and the patient's rights to dispute discrepancies in their charges. The course will cover expectations of Good Faith, Medicare training opportunities, and the scope of care that falls under GFE. Additionally, the course will delve into the required notifications that must be posted within healthcare facilities and the critical timeframes for GFE submissions. By the end of the course, participants will be equipped with the knowledge and skills to effectively manage and submit GFEs in compliance with regulatory standards.
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The Art of the Appeal
In this comprehensive course, we will delve into the intricacies of payer appeals and reconsiderations. Participants will learn the critical differences between a reconsideration and an appeal and how to determine which process is appropriate based on specific circumstances. The class will emphasize the importance of being adept in navigating appeals and understanding the nuances that can affect outcomes. Key topics will include timely filing deadlines for various payers, identifying appropriate situations for submitting appeals, and ensuring submissions are directed to the correct addresses. Additionally, we will cover the essential components required for a successful appeal, strategies for thinking like a payer, and recognizing extenuating circumstances that may lead to a denial being overturned. The course will also provide an overview of different payer guidelines for appeals and reconsiderations, empowering participants to effectively challenge denials and persist until a resolution is achieved.
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Refund Processing
Refund processing is a critical component of financial management for healthcare facilities. In this course, you will learn the significance of maintaining and responding to refund requests. The course will guide you through the instructions on refund letters, identifying legitimate refund requests, and disputing invalid ones. Additionally, we will explore best practices for reviewing refund letters, responding to payers, regularly evaluating credit balances, and understanding your rights regarding recouped payments. By the end of this course, you will be equipped with the knowledge and tools to handle refund processing efficiently and effectively.
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Medicare Bad Debt
This course provides an in-depth review of the Medicare Bad Debt submission process. Participants will explore the various requirements for reporting Medicare Bad Debts and understand the prerequisites necessary before submission. The course will cover the importance of reasonable collection efforts and the necessary documentation to support Medicare bad debt claims. Additionally, attendees will learn about the accounting periods applicable to bad debts and the methods used to determine bad debt expense. This course is essential for those seeking to enhance their knowledge and proficiency in Medicare bad debt reporting and compliance.
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