In the ever-evolving healthcare landscape, efficient and effective billing and revenue cycle management (RCM) services are not just about good business sense—they are essential for survival. Shrinking profit margins due to reduced payor allowances, increased regulation, and extensive payor red tape mean that operating efficiently is crucial. Additionally, heightened enforcement efforts by government payors and commercial insurance companies through medical record and billing audits can result in significant financial penalties. Compliance with documentation and billing is legally mandatory.

This comprehensive webinar, led by industry experts Vicki Myckowiak and Toni Elhoms, combines practical insights and actionable strategies to help healthcare providers ensure their RCM and billing compliance are handled appropriately. Whether you are deciding between internal billing or outsourcing, or looking to improve your auditing processes, this session is designed to equip you with the knowledge and tools to enhance your practice’s financial viability and compliance.

Webinar Objectives

• Understand the pros and cons of internal vs. outsourced billing and RCM.
• Learn negotiation tactics and essential contract terms for outsourcing billing services.
• Gain practical strategies for ensuring compliant billing and collections.
• Discover top tips for internal auditing of accounts to prevent common billing issues.
• Improve your accounts receivable management and reduce denial rates.

Webinar Agenda

• Overview of Accounts Receivable: Understand the fundamentals of managing accounts receivable.
• Auditing Patient Accounts: Learn what to look for during internal audits to ensure accurate and compliant billing.
• Identifying and Correcting Issues: Use real-world examples to identify common billing issues and learn how to correct and prevent them.
• Questions and Answers: Engage with our expert speakers to address your specific concerns and gain personalized insights.

Webinar Highlights

• Merits of Internal Billing and RCM: Evaluate the benefits and challenges of managing billing in-house.
• Merits of Outsourcing Billing and RCM: Assess the advantages and potential pitfalls of outsourcing billing services.
• Negotiation Tactics for Outsourced Billing: Learn how to effectively negotiate with billing companies to get the best service agreements.
• Contract Terms and Pressure Points: Identify key contract terms and critical pressure points to consider when outsourcing.
• Tactics for Compliant Billing and Collection: Explore methods to ensure your billing and collections comply with regulations.
• Internal Auditing Tips: Gain insights into auditing patient accounts, identifying common issues, and preventing future problems.
• Denial Prevention: Understand the causes of common denials and learn how to avoid them.
• Proper Payment Posting: Learn correct payment posting techniques to avoid incorrect write-offs.
• Bundled Charges and Modifiers: Improve revenue by correctly handling bundled charges and modifiers.
• Eligibility and Recoupments: Create better workflows to manage eligibility issues and prevent auto-recoupments.

Who Should Attend

• Physicians
• Practice Administrators
• Hospitals and Other types of Facilities
• Billing Companies
• Medical office staff
• Office managers
• Pre authorization staff
• Billing staff
• Billing managers
• Front desk staff
• Medical assistants
• CNA’s