Eye care coding can be incredibly challenging due to medical necessity requirements, modifier must-haves and eligibility issues. Every claim that needs to be reworked and/or refiled costs your practice an average of $25. You can improve cash flow by having a clean claims rate of 95% or higher, which indicates that the majority of your claims are processed by the clearinghouse on the initial submission. Better initial claims processing saves time and resources for your practice by avoiding having to rework claims and also saves you money by avoiding clearinghouse charges for refiling claims. Learn how to sort through these issues to get claims paid the first time around.
If you’re struggling with a high denials rate – or delayed cash flow or high write-offs – it’s time to remedy your claims billing with improvements that will drive down your denials rate and accelerate your claims payment. In this webinar by expert speaker Jennifer Godreau, CPC, CPMA, COPC, CPEDC, AHIMA-Approved ICD-10-CM/PCS Trainer, you will learn the top reasons that ophthalmology and optometry claims are denied. You’ll get the ammunition to fight denials when you should, and turn around your billing department and processes to get more claims processed the first time around.
Jen will show you how to process cleaner claims by using strategies to work denials so that you can reduce insurer payments in A/R. You’ll understand the source of denials and how to research the facts you need to file claims accurately. Also, you’ll get the scoop on insurers’ differences that can make sorting out denials seem like shooting at a moving target.
Who Should Attend
Jen Godreau, CPC, CPMA, COPC, CPEDC, AHIMA-Approved ICD-10-CM/PCS Trainer specializes in medical coding, billing and compliance for pediatrics, ophthalmology, optometry, family practice and otolaryngology, including allergy and audiology. As vice president of programs for Eye Care Leaders and Visionaries, she brings best-of-industry eye care solutions to healthcare practices. Top industry thought leaders turn to her members-only Eye Care Visionaries program for advance practice management and leadership content, events...
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