Welcome to episode nine of the RevTech Rx Podcast- Your prescription for a healthy revenue cycle! This episode is powered by Streamline Health, a leader in pre-billing coding optimization.
Learning how to prevent medical billing denials is crucial for healthcare providers as claim denials continue to rise and inflate billing- and insurance-related costs (BIR). Our panel of experts discuss their five tips for denials prevention, which include simply communicating and verifying insurance prior authorization. We also dig into more complicated tips such as setting up a line of communication between patient financial service teams and the clinical team for case management.
With these tips, revenue cycle professionals can gut check their existing processes and perhaps learn new opportunities to reduce denials.
Connect with our panel of experts:
David Kosloski- Host
https://www.linkedin.com/in/david-kos...
Ian Sullivan- Senior Director at HealthRise Solutions
https://www.linkedin.com/in/iansullivan1/
Jodi Stewart- Senior Vice President of Services at Streamline Health
https://www.linkedin.com/in/jodi-stewart-8244a316/
Chapters
00:00 Introduction
00:43 Tip # 1 From Jodi: Using Pre-bill Auditing Technology
1:34 Tip # 1 From Ian: Understanding Payer Contracts
3:13 Tip # 2 From Jodi: Have an Updated Chargemaster
3:36 Tip # 2 From Ian: Establish a Revenue Integrity Team
5:40 Tip # 3 From Jodi: Expanding on the Revenue Integrity Team
6:45 Tip # 3 From Ian: Implementing a Pre-service Team
9:59 Tip # 4 From Jodi: Managing Out-Patient Claims
10:40 Tip # 4 From Ian: Optimize your H.I.S.
12:01 Tip # 5 From Jodi: Establish Key Performance Indicators
13:05 Tip # 5 From Ian: Build a Partnership Between Case Managers and the Revenue Cycle Team
14:03 How to Prevent EMR Gaps
15:48 The Importance of a Revenue Integrity Team
18:08 The Valley Between Case Managers and the Revenue Integrity Team?
20:00 Jodi's Summary of Her 5 Tips for Preventing Denials
20:20 Ian's Summary of His 5 Tips for Preventing Denials
21:00 Conclusion
Supervision of your hospital’s revenue integrity can be complex and time-consuming. With an ever-shifting landscape of rules and regulations, it can be difficult to keep up with the world of revenue cycle management. Welcome to RevTech Rx, a podcast designed to educate and inform about revenue integrity and revenue cycle management strategies. Kickstart (or restart) your revenue cycle tactics with tips from industry thought leaders and revenue experts on a wide range of valuable and specific topics.