Description: Admission/Discharge/Transfer feeds from your hospital information systems combined with a skintight grasp on payer-specific rules and policies can immediately improve your denial prevention efforts. Join Denial Management experts Tracey Tomak, RHIA and Kendall Smith, MD as they discuss interventional strategies for decreasing high dollar denials using the latest prevention techniques and technologies.

Session Description:

• Using AI to move back-end denial experience into front-end Predictive Payer Behaviors
• CDI meet PDI - Clinical Documentation Integrity, please meet Payer Documentation Integrity
• Watchlist to Worklist - Watch how Automated Triggers can assist in denial proofing and audit proofing your patients
• Coding the Payer, Contract and Clinical Business Rules - Spreadsheets No More!

Webinar Date: This was presented as part of IHIMA’s 2022 Virtual Annual Meeting – April 2022

Duration: 1 hour

Speaker: Tracey Tomak is a Registered Health Information Administrator and Project Management Professional with over 20 years of experience in revenue cycle with a focus on hospital coding, charge capture and denial management.   In addition, Tracey is an AHIMA- Approved Revenue Cycle Trainer.

During her career at Intersect Healthcare, Tracey has been responsible for coordinating project implementation of Intersect Healthcare’s Veracity denial and audit management software as well as providing Training and Education. Tracey works directly with clients to ensure that they are fully utilizing the Veracity software system in order to effectively manage commercial and government audits and denials.

Tracey is an active member of AHIMA, IHIMA and HFMA. Tracey is a regular guest speaker, lecturer and author on revenue topics such as the Denial Prevention methodology, Root Cause Analysis, and Audit and Denial Activity as well as general revenue integrity issues.

Speaker: Dr. Kendall Smith is a Senior Fellow in Hospital Medicine (SFHM) and currently acts as Chief Physician Advisor for AppealMasters, a leading appeal educator and appeal services firm for hospitals and health systems. He’s been deeply involved in denial and appeals management throughout his hospitalist career, working collaboratively with UR/Case Management departments as well as Managed Care and Hospital C-Suite executives.

His familiarity with managed care denials led him to design and implement a number of CDI programs, including those at the Cleveland Clinic in Florida and the MedStar Washington Hospital Center. He has served as a physician leader on hospital revenue cycle management teams while also serving as a the Physician Advisor for Clinical Resource Management. Dr. Smith is also an AHIMA ICD-CM/PCS approved trainer/ambassador.

Areas of Expertise for Speaking/Writing: Clinical Validation, Clinical Documentation Integrity, Denial Prevention, Payer Behavior/Compliance, Medical Necessity, Inpatient, Outpatient, Legal Issues, Audits, and Denials.

Click HERE to register for this webinar!

Cost: $25 Members/ $35 Non-Members

1 AHIMA CEU*

Domain: Revenue Cycle Management  

*AHIMA CEUs are also accepted by the AAPC. Check eligibility on the AAPC website.