Join HRG expert, Megan Smith, as she instructs on referrals & authorizations and clarifies the differences between the two. We review insurance benefit hierarchy and dive into coverage levels based on plan benefits. Megan discusses types of authorization denials and how to investigate them and shows tips on sending medical records when appealing a no-authorization denial.
Read MoreWith the declaration of the COVID-19 Public Health Emergency, medical services expanded quickly; especially in the telemedicine space. Now that the regulatory dust has settled, Megan Smith, HRG Executive Director of Training and Quality, walks you through billing for expanded telehealth services using new CMS guidance. She also suggests methods for keeping COVID-19 billing resources organized and readily available for billing staff.
Read MoreHRG Executive Vice- President, OutPartnering Center™, Jason Coffin, will discuss the delicate process of managing self-pay in times of economic crisis. He will share best practices and tools to effectively balance productivity with patient satisfaction through this unprecedented time.
Read MoreThis presentation covers the complex and often times overwhelming task of denial prevention. As long as there has been insurance, there have been insurance claim denials. Through ever-changing government regulations and insurers tightening their belts, what once was a much less complex denial process has become a challenge for healthcare providers of all sizes.
Read MoreWith ever-changing billing policies, securing reimbursement for telehealth services can be tricky. When you add in the 2020 expanded services and recent CMS waiver of originating site requirement due to COVID19; billing virtual E&Ms has become more complex. During this webinar, Megan Smith, HRG Executive Director of Training and TQA, will discuss which virtual services can be billed and the CMS requirements for each, examples of when to use Telehealth specific modifiers, and recent billing guidance from CMS, UHC, and BCBS.
Read More
