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Best Practices for Payer Communications

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Presenter Stephanie M Sjogren, COC, CPC, CDEO, CPMA, CPC-I
Broadcast Date 9/20/2023
Time 10:00am PT / 11:00am MT / 12:00pm CT / 1:00pm ET
Presentation Length 60 minutes
Price $65 (Non-members $85)
1 CEU
A
Coding Billing Management
Best Practices for Payer Communications Webinar

Learn More About Payer Communications

There is no dark side and light side in healthcare, at the end of the day we are all trying to achieve the same goal. Our patient’s wellbeing and optimal health is paramount. To do this both the payers and the providers need to work together collaboratively.
In this presentation we will learn the cost of bad communication, how to collaborate successfully, why payer-provider alignment improves cost containment – on both sides, identifying quality metrics you are being measured against – it’s importance to your revenue, how the happiness of your patients with their health plan depends on your relationship with their health plan. And of course, what can you do to strengthen this relationship?

Learning Objectives/Agenda

• How to collaborate successfully with payers
• The cost of bad communication
• Identifying quality metrics you are being measured against
• How the happiness of your patients with their health plan depends on your relationship with their health plan
• What can you do to strengthen this relationship?

Why is this topic important?

Quality improvement and good payer collaboration is important for provider revenue streams but also patient happiness which improves CMS scores.

Who would benefit from this topic?

• Coders
• Billers
• Practice Managers
• Revenue Cycle Managers
• Compliance Officers

What’s the presenter's background/expertise on this topic?

Stephanie Sjogren works as Director, Medical Coding and Provider Reimbursement on the payment integrity team for an insurer. She and her team create and maintain reimbursement policies and coding edits to ensure proper claims adjudication in addition to performing claim audits and reviews to prevent fraud, waste, and abuse. Prior to working on the payer side, she performed provider medical record audits and provider education at a women's healthcare group. Sjogren has also worked with physicians and staff to integrate and use electronic health record systems effectively and to be compliant with federal and CMS’ rules and regulations.

Stephanie M Sjogren, COC, CPC, CDEO, CPMA, CPC-I

About The Author

Stephanie M Sjogren, COC, CPC, CDEO, CPMA, CPC-I

Stephanie Sjogren works with payment integrity to ensure proper claims adjudication and to prevent fraud, waste, and abuse. Prior to joining Connecticare, she performed provider audits and education at a women’s healthcare group.

Sjogren has also worked with physicians and staff to integrate and use electronic health record (EHR) systems effectively and to be in compliance with the Centers for Medicare & Medicaid Services (CMS) rules and regulations. Her areas of specialty are evaluation and management (E/M), auditing, and CDI. Sjogren has served as an officer for the Hartford, Connecticut, local chapter.

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