Strategies to Best Navigate Your Relationship with 3rd Party Payers

Session Information

Regional Event: national
Start Date: 08/22/2025 10:20 am
End Date: 08/22/2025 12:00 pm
Location: Bayhill 17

Speakers in this session...

  • Brandy Brimhall

    Brandy Brimhall

    Brandy has served chiropractic and multi-discipline practices since 1999. She has received professional certification from the AAPC as a Certified Professional Coder, a Certified Professional Compliance Officer and a Certified Professional Medical Auditor; from the Practice Management Institute (PMI) as a Certified Medical Compliance Officer; and from the ChiroCode Institute as a ChiroCode Certified Chiropractic Professional Coder.

    She has routinely been featured in a number of publications as well as presents at seminars and webinars across the country.  Brandy provides training and education as well as assists practice with coding/collections/compliance and revenue cycle systems.  She is the owner of the Chiropractic Virtual Assistant for coding/billing/collections/compliance Q/A at C-HelpDesk.

    Sessions...

    Identifying Interferences in the Revenue Cycle System
    Regional Event: national
    Start Date: 08/22/2025 1:00 pm
    End Date: 08/22/2025 2:40 pm
    Location: Bayhill 17
    Session details

    Just as providers assess patients to uncover interferences that impact health — leading to symptoms and conditions — we can apply the same diagnostic approach to the revenue cycle system.

    Your practice’s revenue cycle can also present with “symptoms” when something’s off:

    1. Claims rejections
    2. Denials
    3. Recoupments
    4. Audit risks
    5. Patient balance confusion
    6. Disruptions in clinic/patient relationships— and more.

    While the revenue cycle system is imperfect, these interferences can be identified and addressed to minimize the revenue cycle challenges that healthcare facilities are often struggling with.

     

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    Strategies to Best Navigate Your Relationship with 3rd Party Payers
    Regional Event: national
    Start Date: 08/22/2025 10:20 am
    End Date: 08/22/2025 12:00 pm
    Location: Bayhill 17
    Session details

    You sometimes hear it called, “playing the insurance game” and the idea of playing this type of “game”, intimidates some providers, motivates others and causes uncertainty and frustration to just about everyone.  Join this segment as we discuss the foundation and fundamentals to understanding how third party payers/networks work, what their expectations are, and how to communicate with them in their own “language”, from payer-to-payer.  Learning points include:

    • The foundation of coverage – determining if your claim should be covered/allowed
    • Getting to know your payers – discussing specific qualifying criteria for coverage
    • The language of coding – payer specific (high level) and how to learn their guidelines
    • In-network vs out-of-network – what that means to you, your billing and your patients
    • Denial management – Determining if your denials are appealable
    • What your EOBs/ERAs are telling you
    • The impact to your practice and your patients

     

    Click Here and Rate This Course

You sometimes hear it called, “playing the insurance game” and the idea of playing this type of “game”, intimidates some providers, motivates others and causes uncertainty and frustration to just about everyone.  Join this segment as we discuss the foundation and fundamentals to understanding how third party payers/networks work, what their expectations are, and how to communicate with them in their own “language”, from payer-to-payer.  Learning points include:

  • The foundation of coverage – determining if your claim should be covered/allowed
  • Getting to know your payers – discussing specific qualifying criteria for coverage
  • The language of coding – payer specific (high level) and how to learn their guidelines
  • In-network vs out-of-network – what that means to you, your billing and your patients
  • Denial management – Determining if your denials are appealable
  • What your EOBs/ERAs are telling you
  • The impact to your practice and your patients

 

Click Here and Rate This Course