Package Description

MaHIMA Fall Conference Series Session 4 was recorded on Wednesday, September 14, 2022.  This session will consist of 2 presentations for a total of 2 CEUs.

Presentation 1
Title:  What “They” Think We Know About Medicare Just Because We Work In Healthcare
Presenter:  Virginia Gleason, CPHRM, CCM, CDIP is a Senior Manager of Advisory Services at Saviswta
Summary:   When Providers know or are reasonably expected to know a service is not covered by Medicare, the patient has to be provided notice of the non-coverage in advance of the service. If Medicare has published the coverage rule in any of its publications and/or on its website we are “reasonably expected” to know and “should” know. It is hard enough for providers to keep pace with all of the Medicare coverage requirements but do we even know if Medicare coverage rules apply to this patient? Well, that depends on the patient’s Medicare plan type.  Before we can decipher the coverage rules, we have to know the difference between Medicare A, B, C and D along with coverage limitations under each section. Just because we work in healthcare, it doesn’t mean we know all of the details related to Medicare coverage and patient responsibility.

In this session, we’ll cover the Medicare knowledge that is key to all things compliance, coverage and denials. What does it mean to be a Participating Provider and when to Medicare’s rules extend beyond Medicare beneficiaries.

Presentation 2
Title:  The Power of Data: Using Analytics to Reduce Denials 
Presenter:  Matt Vargocko is a healthcare professional with over 14 years’ experience in the field of HIM, Revenue Cycle, Analytics and Consulting.
Summary:  Healthcare organizations accumulate large amounts of data on a daily basis. Having a clear, holistic picture of your revenue management data using analytics is an effective tool in the reduction of denials. Data is power. Data analytics allows for the identification of problem areas and insight to determine the appropriate modification to internal processes. In this session, learn how to make data work for your organization, steps to implement a denials program, and how analytics can transform your revenue management.

Pricing for this virtual education session - for a total of 2 CEUs
40.00 for Members; 
65.00 for Nonmembers; 
25.00 Emeritus and 
10.00 Student

Registration can be found here. 
You will be granted immediate access to the content once registration is completed.  The CEUs will be sent to you directly upon completion of the session online