ON-DEMAND WEBINAR

Strengthening your DME Eligibility process to prevent Same or Similar Denials

Are you doing everything you can in your eligibility process to verify that your Medicare patients haven't received same or similar items? If you’re not checking HCPCS codes for same or similar, you’re risking denials and jeopardizing profits.

Prevent denials, decrease write-offs and improve cash flow by automating verification Medicare HCPCS code for same or similar. There's a better way to check same or similar.

WHAT YOU'LL LEARN
+ The DME Triple Check
+ How to optimize your Medicare eligibility process to uncover more billable coverage
  • Why real-time verification matters
  • How to identify deductible, coinsurance and co-pay info
  • How to find equipment with the least amount of patient pay responsibility
  • How to retrieve detailed supplier information, including historical suppliers and equipment
+ Determining Same or Similar
  • Checking Medicare claim history for same or similar equipment
  • How automating your HCPCS code checks, even on A, L and V codes, can dramatically decrease your denial rates and improve cash flow
+ Importance of determining Certificate of Medical Necessity
  • Preventing CMN-related denials
+ Submitting Prior Authorization Requests
  • Learn how to ditch manual processes and streamline prior authorization
ABOUT THE PRESENTER

Crystal Ewing has nearly 20 years of experience in the healthcare industry leading high-profile
industry initiatives. As eSolutions’ Director of Product Management — Claims Management,
she focuses on revenue cycle and compliance solution development, with an emphasis on
clearinghouse. Her areas of expertise include healthcare management, product development,
workflow efficiency and profit improvement plans.

Crystal is the Board Chair of the Cooperative Exchange, The National Clearinghouse Association’s 2020 Board of Directors. She is an active member and former board member of the Workgroup for Electronic Data Interchange (WEDI), and a member of X12. She is a certified medical coder through the American Academy of Professional Coders (AAPC), a Green Belt Six Sigma certified expert, a Microsoft Certified Application Developer and is a nationally recognized expert on HIPAA, HITECH and the ACA.

Find out how a better eligibility process can prevent denials + write-offs.

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