You have analyzed your contracts, negotiated with the payers, and set new rates. Your job may look finished, but the fun is just starting! Short of reviewing every EOB and ERA, how can you ensure that the new rates are loaded correctly and that procedures are paid appropriately? What are medical practices nationwide doing to confirm that claims are being paid according to contract? What about multiple procedure discounts, modifiers, different rates for different specialties, and other contracting nuances? Should you take a different approach to underpayments vs. denials? How can you prioritize and track successful appeals?
Discover tools that can prioritize information and communicate results via email and dashboards. Develop exception reports that focus efforts on the most important problems. Empower your business office and your contracting team with automated, customized information while ensuring that your payer contracting efforts are implemented, tracked, and rewarded.
Learning Objectives:
OSMA physician and associate members: FREE
Staff of OSMA member: FREE
Non-member: $200