))
Live Denials Q&A 9/5/24 - Hospice, SNF, Home Health denials + takebacks
Manage episode 438443439 series 3000080
Indhold leveret af Vanessa Moldovan. Alt podcastindhold inklusive episoder, grafik og podcastbeskrivelser uploades og leveres direkte af Vanessa Moldovan eller deres podcastplatformspartner. Hvis du mener, at nogen bruger dit ophavsretligt beskyttede værk uden din tilladelse, kan du følge processen beskrevet her https://da.player.fm/legal.
In this episode, Vanessa Moldovan, CEO and Founder of 'For the Love of Revenue Cycle,' leads a live Q&A session on handling denials in medical billing. Participants from different sectors of the healthcare revenue cycle, including medical billing for home visits, nursing homes, and surgery centers, discuss challenges they face with denial codes, modifiers, and reimbursement issues. Key topics include understanding the new FY 2024 hospice final rule, addressing denials related to modifier codes, and strategies for handling electronic remittance advice (ERA) take-backs. Suggestions for actionable steps and resources, such as consulting specific websites and joining relevant forums, are also shared.
00:00 Introduction and Purpose of the Q&A Session
00:49 Challenges in Revenue Cycle and Denials
02:07 Participant Introductions and Their Goals
03:11 Open Forum for Questions and Discussions
04:14 Lauren's Denial Issue with Chronic Care Management
09:26 Exploring Possible Solutions and Resources
21:08 Roseanne's Issue with Take Backs on ERAs
28:22 Provider Targeting by Payers
28:38 Options for Receiving Take Backs
29:03 Challenges with Electronic ERAs
29:44 Appeal Deadlines and Paper Forms
30:11 Denials Due to Grouper Edits
30:53 Hospital Denials and Resources
33:13 Questions on Prolonged Services Billing
37:08 Issues with Nursing Home Billing
45:29 Seeking Expert Advice and Final Thoughts
76 episoder
Del
