Denials Management – Strategies To Increase Revenue

Date:  April 14, 2010; 12:00 PM - 1:00 PM (CST)

Cost:  FREE

One of the most challenging tasks in the business office is tackling insurance denials. If not handled properly no payment will ever be made on that hospital service.  This discussion will be directed to critical access hospital CEOs, CFOs, administrators, finance managers, CDM Coordinators and other executives. We will focus the discussion on key areas of denials management analysis, the most appropriate appeals process as well as staff education.  We will also provide an example of a flowchart of denials action and a successful denials management case study; including each step of the process and issues addressed for practical application.

Upon attendance at this session, participants will understand how to:

• Review their entire collection process from point of service collections to claims adjudication.
• Create a successful denials management team
• Fix issues at the source of denial
• Proper claims denial management tactics
• How to manage the process to lower your overall denial rate

About the presenter:
C. Jeanne Solberg, MA, RHIA is currently an independent health information management consultant.  She is a senior health care professional with varied experience in hospital operations management with a strong emphasis in clinical and financial data management; electronic record installations; revenue cycle management; and government regulatory compliance.  Ms. Solberg served as Chair of the Commission on Accreditation of Health Information and Information Management Education (CAHIIM) and has also chaired AHIMA’s Program Committee.  She has been active in the Minnesota HIMA, serving as president and program committee co-chair.  She was also active in the Pennsylvania HIMA serving as chair and member of multiple committees.  Ms. Solberg has spoken nationally and internationally on subjects including decision support, data management, and electronic health information and record technology. She serves as adjunct faculty member with the College of Saint Scholastica’s masters program.