Safeguard Revenue Cycle from Disruption: Billing Strategies for Continuous Money Inflow

Course Description:

Just this spring a substantial ransomware attack in our industry disrupted the revenue flow of several healthcare providers. Several processes of the healthcare practice revenue cycle, like verification of benefits, claims submission, claims reimbursement, Unpaid payroll and access to care etc. were impacted. The cyber breach at Change Healthcare in 2024 stands out as one of the most significant cyber-attacks in recent memory. Its repercussions extend far beyond immediate industry disruptions, resonating deeply in regulatory circles and catalyzing the proposal of new laws within the healthcare sector. Join the expert Yesenia Servin, to learn how to implement a trusted RCM process in every situation. When the industry is frozen due to a ransomware attack your organization will be able to maintain a healthy and manageable cash flowing route. Don’t let one change organization hold up all your money.

The landscape of healthcare is shifting rapidly. Billing, reimbursement, documentation, coding, credentialing, and compliance have always been complex and now that complexity is dramatically increasing. Expert Yesenia Servin will provide you the practical guide and tactics to build strong RCM process for your practice.

Learning Objectives:

• Learn to build a strong internal RCM process
• Review and discuss the various methods to verify eligibility and benefits
• Implement the various methods to submit claims
• Learn the important step in medical billing and insurance claims process
• Understand how to protect your organization from ransomware attack to safeguard your practice revenue cycle

Areas Covered in the Session:

• Clearinghouse hold ups
• Verification of benefits (VOB)
• Manual claims submissions
• Manual review of reimbursements
• Change Healthcare/ Optum Payment Disruption (CHOPD) impact on Part A Providers and Advance Payments to Part B Suppliers
  • Eligibility Requirements
  • Required Acknowledgement of Terms
  • Payment amount and timelines
• Federal government rules and actions for providers, plans, clearinghouses, and business associates
• Live Q&A Session

Suggested Attendees:

• Healthcare Executives
• Board of Directors
• Chief Compliance Officers
• Chief Privacy Officers
• Chief Information Officers
• Chief Information Security Officers
• Practice Managers
• All Healthcare Practices, Clinics and Hospitals
• DME
• Revenue Cycle Team
• Department directors
• Finance Officers
• Billing Team
• Enrollment Team

About the Presenter:

Yesenia Servin CPMSM, PESC is an expert in credentialing and provider/payer enrollment with over 23 years of experience in the healthcare industry. Yesenia has a deep understanding of Medicare & Medicaid enrollment and is a nationally certified credentialing manager and provider enrollment specialist. Through, YS Credentialing PLLC, Yesenia helps organizations develop and implement best practices guidelines and processes. Guides the credentialing and payer enrollment structure.  Thrives on training and growing administrative, credentialing and enrollment healthcare professionals.

Yesenia manages payer enrollment, keeps team members and colleagues up to date on industry trends, and is a liaison to all departments that impact payer-enrollment processes. Yesenia works with durable medical equipment, hospital and health systems, and community mental health organizations, global managed care organizations as well as providing revenue cycle consulting services to various healthcare providers and organizations. 

Yesenia is a current CharterOak University Faculty, NAMSS member, and is a past NAMSS Educational Conference Guest Speaker, a current member of the NAHRI Leadership Council, current trainer for The Chicago School of Professional Psychology trainer and a TMG Collaborator. Yesenia studied microeconomics and communications at NEIU and healthcare administration at Concordia University Chicago. 

Additional Information:

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

• Internet Speed: Preferably above 1 MBPS
• Headset: Any decent headset and microphone which can be used to talk and hear clearly

Can’t Listen Live?

No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com

Snippet From Our Previous Session:

Related Webinars You May Like:

1. 2024 CAQH ProView/Group Module Updates – What’s New Changes?
2. ERISA: Stop Payer Recoupment to Protect Your Reimbursement

Testimonials:

"This program on HIPAA did a great job providing actionable concepts in a way that updated our team and me, I now know how I will implement the concepts because I already did it in their online seminar, it was easy to ask questions from the speaker at the end of my 60 minutes course"

Melissa Preston, Health Information Management Staff

"David Vaughn covered the material completely and I have a new understanding of when, where and why we need to use an ABN" 

Sandie Fowler, Out of Network Billing Staff

"Great presentation. Able to do during the day. Timing was great"

Tina Duffy, Compliance Officer