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HFMA 2007 ANI


Integrating People, Processes and Technology for Effective Denials Management

Session #: 807-A14
Presenter(s): Robert Carlisle, Sr.; Maria Stolze; Brenda White
Session Length: 1:45 hr.
Event: 2007 HFMA ANI
Date: June 24-27, 2007

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After this session, you will be able to:

Apply the tactics one organization used to reengineer their process for managing claim denials for medical necessity and OCE/CCI edits. It was able to:
Effectively address outpatient billing issues
Detect and correct outpatient billing errors before the bill dropped
Reduce processing time for resolution of LMRP edits from 22.4 days to 5.22 days
Reduce daily number of accounts holding for LMRP edits from 278 to 47
Reduce daily accounts receivables for LMRP edits from $514,903 to $86,984 Understand why improving the revenue cycle requires collaboration between all departments involved in the process.
Use practical strategies and tools for communicating, implementing and monitoring the new revenue cycle vision and required process changes.



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