Tomorrow's Live Webinar - Medicare and Medicaid Appeal: 2024 CMS Rules and Regulatory Changes Register Here
$239
Format: | Live Webinar |
Presenter: | Larry DeHoyos, CPCS, PESC |
Event Date: | TBD |
Time: | 3 pm ET | 2 pm CT | 1 pm MT | 12 pm PT |
Duration: | 60 minutes |
Location: | Online Webinar |
Event Materials (Key Required)
Course Description
All too often a Medical Services Professional (MSP) performs both Credentialing and Payor Enrollment functions in their day to day role; however, our process generally will culminate to the receipt of the “Effective Date Letter.” However, this is only half the way in Payor Enrollment - The true final step is a successful paid claim for the services rendered by the enrolled provider. Claims are denied for many reasons, but a standard catch all denial reason falls into a Credentialing/ Payor Enrollment bucket usually we see the standard B7 Denial. The provider was not certified/eligible to be paid for this procedure/service on date of service” or “Services not covered by plan.” All of these relate back to the original task at hand we set out to do for the organization. In this session, we will explore and identify common claim denials and entertain some troubleshooting tasks when the EOB is returned to you without the reimbursement check attached.
Learning Objectives
Areas Covered in the Session
Suggested Attendees
About the Presenter
Larry DeHoyos, CPCS, PESC is a thought leader and innovator with more than 24 years working experience as a Medical Staff Professional. He is nationally certified as a Provider Credentialing Specialist and also holds certificates in Provider Enrollment and as a Transformational Healthcare Champion. His expertise spans all 50 states within a multitude of healthcare spaces including Health Plan, Managed/Specialty Care, Outpatient/Surgical spaces, Laboratories and most recently within a Healthcare Staffing Agency as Director of Credentialing for a per diem staff network of over 32,000 nursing professionals. Larry’s knowledge and experience sets his intent outside of the bounds of the industry and focuses on helping organizations solve challenges in process, technology and compliance within Credentialing, Provider Enrollment, Revenue Cycle and Accreditation Readiness. He is an active member with the National Association of Medical Staff Services and state and local chapters for California, Massachusetts and Texas. He has spoken on various industry topics for platforms as McKnight’s Long Term Care News, NAMSS, National Provider Enrollment Forum, and various State and Local Associations of NAMSS.
Additional Information
After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.
System Requirement:
Can’t Listen Live? No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience.
For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com
This is a Live Virtual session.
A new way of immersive learning that allows you to engage live with our instructor and peers providing you with the flexibility to juggle the new work-life balance.
Purchase Order Form - Click Here to download PO form.
Snippet From Our Previous Session
Testimonials
"This program on HIPAA did a great job providing actionable concepts in a way that updated our team and me, I now know how I will implement the concepts because I already did it in their online seminar, it was easy to ask questions from the speaker at the end of my 60 minutes course."
Melissa Preston, Health Information Management Staff
"David Vaughn covered the material completely and I have a new understanding of when, where and why we need to use an ABN"
Sandie Fowler, Out of Network Billing Staff
"Great presentation. Able to do during the day. Timing was great."
Tina Duffy, Compliance Officer