The Wild Wild West: Bringing Structure and Oversight to Commercial Payer Integrity Audits

Description: The pressure to reduce the cost of healthcare and the often-confusing public perception of widespread Medicare and Medicaid fraud has caused both government and commercial payers to increase healthcare audits. These massive projects can bring mission-critical Health Information Management (HIM) processes to a halt, impacting compliance, care quality and financial performance. As a result, private payer audits need more focused review, instead of broad scopes and mass denials. This session delves into the challenges of commercial payer audits, provides insight to improve the integrity of these audits, and offers best practices to navigate the complicated process in its current state.

Webinar Date: This was presented as part of OHIMA's 2022 Annual Meeting - March 22, 2022
Duration:
1 hour

Speaker: As Senior Director of Revenue Cycle Solutions for MRO, Dawn Crump, MA, SSBB, CHC, oversees revenue cycle and business office specific solutions. She has over 25 years as an experienced healthcare leader with extensive knowledge of provider compliance and revenue cycle operations. She has held leadership roles in large health systems, small revenue cycle startups and in a value-based care technology company, where she managed quality and compliance. Crump has a passion for improving healthcare and reducing administrative burdens, especially across revenue cycle functions and payer audits. She has spoken at numerous HCCA, AHIMA and HFMA events, and is a national author on compliance and revenue cycle topics. She attended University of Missouri- Columbia, and currently serves as secretary of the Greater Heartland HFMA chapter.

Click here to register for this webinar!

Cost: $25 Members / $35 Non-Members
1 AHIMA CEU*
Domain: Revenue Cycle Management
Impact Area: Drive Financial Outcomes in Healthcare

*AHIMA CEUs are also accepted by the AAPC! Check eligibility on the AAPC website.

 

Course Details

Content01:00:00
Listen to Webinar 01:00:00
© Copyright 2024 | Terms | Privacy | MC LMS, Inc. | Designed by Boldare