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Fall Conference Series - Session 4
Wednesday, September 14, 2022, 11:00 AM - 1:00 PM EDT
Category: Educational Conference - Virtual

MaHIMA Fall Conference Series - Session 4 will focus on the Regulatory Compliance and Data Analytics to Reduce Denials

This session will consist of 2 presentations from 11am to 1pm EST.

11am -12pm EST Presentation 1 Regulatory Compliance
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
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.

12pm -1pm EST 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.
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.

Register for all 5 sessions of the Fall Conference Series or just this one!  Registration for all options can be found here.

Full agenda can be seen here for all 5 sessions of the 2022 Fall Conference Series.  If you pay for all the sessions you can watch the recorded sessions on the LMS.

Pricing for these virtual education session separately- for a total of 2 CEUs
50.00 for Members; 
75.00 for Nonmembers; 
35.00 Emeritus and 
25.00 Student

Pricing for the full 5 sessions of the series- for a total of 10 CEUs
225.00 for Members; 

300.00 for Nonmembers; 
150.00 Emeritus and 
40.00 Student


Contact: Elisa Pelchat