Marketing and Empathy Psychology
The CMS Final Rule and Denial Trends 2024

By - Lynn Anderanin, CPC, CPB, CPMA, CPC-I, CPPM, COSC

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Join us for an insightful webinar focused on understanding denials in healthcare billing and the significant updates to the CMS Physician Fee Schedule for the year 2024. This session is designed to empower healthcare professionals with the knowledge and strategies needed to effectively manage denials and navigate the latest changes in physician reimbursement.

In this comprehensive presentation, attendees will gain valuable insights into the root causes of denials, common denial trends, and proactive strategies for reducing denial rates and optimizing revenue cycle management. Our expert speakers will share practical guidance on identifying denial patterns, implementing corrective actions, and leveraging technology and data analytics to streamline denial management processes.

Additionally, participants will receive a detailed overview of the CMS Physician Fee Schedule Final Rule for 2024, including updates to payment rates, quality reporting requirements, and regulatory changes impacting physician reimbursement. By understanding the implications of the fee schedule updates, attendees will be better equipped to address denials related to reimbursement discrepancies and ensure compliance with regulatory requirements.

Areas Covered in the Session:

  • Root Causes of Denials: Understanding the primary reasons behind healthcare denials, including claim submission errors, coding discrepancies, and payerspecific requirements.
  • Common Denial Trends: Identifying prevalent denial trends in healthcare billing, such as denials related to medical necessity, duplicate claims, and timely filing limits.
  • Proactive Denial Management Strategies: Exploring proactive approaches to denial management, including improving documentation practices, implementing staff training programs, and leveraging technology solutions for claims processing.
  • Claim Rejection Analysis: Techniques for analyzing claim rejections to identify patterns, root causes, and opportunities for process improvement.
  • Effective Appeals Processes: Developing effective appeals processes to challenge denied claims, including understanding payer appeal requirements, preparing compelling appeal letters, and tracking appeal outcomes.
  • CMS Physician Fee Schedule Updates: Understanding the key updates to the CMS Physician Fee Schedule for 2024, including changes to payment rates, quality reporting requirements, and regulatory updates impacting physician reimbursement.
  • Impact of Fee Schedule Changes on Denials: Exploring how updates to the CMS Physician Fee Schedule may impact denial rates, reimbursement discrepancies, and overall revenue cycle management.
  • Documentation Best Practices: Learning documentation best practices to support accurate coding, billing, and reimbursement, including tips for capturing essential details and meeting payer requirements.
  • Utilizing Data Analytics: Leveraging data analytics tools and reports to monitor denial trends, track key performance indicators, and identify opportunities for process optimization.

Why to Join the Session:

Attendees of this webinar will walk away with enhanced denial management skills, a comprehensive understanding of the 2024 CMS Physician Fee Schedule updates, and practical strategies for optimizing revenue cycle performance. They’ll learn how to reduce denial rates, ensure compliance with regulatory requirements, and streamline claims
processing workflows. With improved appeals management techniques and data-driven decision-making capabilities, attendees will feel empowered to navigate denials effectively and contribute to the financial success of their organizations.

What you will Gain

After attending the webinar, participants will be equipped with the knowledge and skills to significantly reduce denial rates, streamline claims processing workflows, and increase revenue capture. By implementing proactive denial management strategies learned during the session, attendees will see tangible improvements in their organization’s revenue cycle performance. They will also have a thorough understanding of the latest updates to the CMS Physician Fee Schedule, enabling them to accurately navigate reimbursement changes and ensure compliance with regulatory requirements. Ultimately, attendees will achieve greater efficiency, accuracy, and financial success in their roles within healthcare billing, coding, and revenue cycle management.

Who Should Attend:

Medical Billers and Coders, Revenue Cycle Managers, Practice Managers/Administrators, Healthcare Finance Professionals, Health Information Management (HIM) Professionals, Physicians and Healthcare Providers, Payer Representatives, Consultants and Advisors, Quality Assurance and Compliance Officers,Healthcare IT Professionals

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Speaker Detail

Lynn Anderanin, CPC, CPB, CPMA, CPC-I, CPPM, COSC

Lynn Anderanin, CPC, CPB, CPMA, CPC-I, CPPM, COSC is the Sr. Coding Educator for Healthcare Information Services, a revenue cycle management and consulting service in the Chicagoland area. Prior to relocating to Chicago, Lynn was the Billing Office Manager and surgical coder for Hand Surgery Associates, now Michigan Surgery Specialists in the Detroit Area. She has over 40 years’ experience in all areas of the physician practice including Practice Administrator, Billing Manager, and Director of Operations. Her experience is primarily in the specialties of Orthopaedics, Rheumatology, and Hematology/Oncology. She has been a speaker for many conferences, including the AAPC National Conferences and Workshops, Community Colleges, Audio Conferences, Certification classes, and Webinars. Lynn became a CPC in 1993, a Certified Instructor in 2002, a Certified Orthopedic Surgery Coder in 2009, an examination in which she participated in creating. She passed the Certified Practice Manager exam in 2015, the Certified Medical Auditor exam in 2016, and the Certified Professional Biller exam in 2021. Lynn is the founder of the first local Chapter of the AAPC in Chicago, which is now 25 years old, and a former member of the AAPC National Advisory Board as well as several other Committees for the AAPC.

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