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Gain step-by-step knowledge of how to assess and implement improvements to your billing office.

Ultimate Collections - Managing Billing Process Improvement - Facilitator Led


Item #: F12UCF
Meeting Dates: 07/01/2011 - 06/30/2012


Could you or a colleague benefit from

  • Increasing the revenue of your practice?
  • Identifying the areas of your billing system that are in most need of improvement?
  • A billing process improvement plan that is customized for your practice?

What are the essential keys to maximizing the performance of your billing office? How can you manage, monitor and improve your entire billing system – from information collection to insurance and patient follow-up? How do you leverage your aging analysis report to the advantage of your practice?

In Ultimate Collections: Managing Billing Process Improvement you will gain step-by-step knowledge of how to assess and implement improvements to your billing office to get the revenue stream working the way it should. You will benchmark key indicators to analyze and measure your essential functions and processes. You will also examine billing processes throughout the patient encounter, identify critical areas for improvement and gain individualized feedback on how to create and incorporate measurable changes into your billing office.

Throughout the course you have access to the course facilitator to ask specific questions related to your practice and situation.

Learning objectives

  • Assess key data to monitor your billing and collections processes
  • Apply benchmarks and diagnostic tools to assess billing processes
  • Customize a billing process implementation plan for your practice

Course agenda

Unit 1 (activities)

  • Contracting
  • New employee training
  • Information collection
  • Claims, denials and payments
  • Aging analysis
  • Analysis and reporting
  • Work with facilitator on an implementation plan

Unit 2 (case studies)

  • Just the facts
  • Continuous improvement?
  • What would Mary do?
    Back-end office clues

Unit 3

  • Discussion and facilitator feedback

This course has been approved for 9 credit hours as assigned by ACMPE.

With paid registration, you will also receive a free copy of the best-selling book The Physician Billing Process 12 Potholes to Avoid in the Road to Getting Paid, 2nd Edition, up to a $128 value.

Following completion of this course, you may be interested in

Understand and Transform Your Medical Office Insurance Staff

Facilitator-led dates

  • Feb. 16
  • April 19
  • June 21

Note: This Facilitator-led course is available for six weeks (42 days) from the first time you login to your course.

Sarah J. Holt, PhD, FACMPE

Sarah has a PhD in Policy Analysis with a health care emphasis from St. Louis University, an M.A. in Counseling from Southeast MO State University, and an undergraduate degree in education. She has done extensive research on how medical office insurance staff members make decisions relating to insurance reimbursement and how complexity influences organizations.

She teaches health policy and health care reimbursement at the graduate level at Southeast MO State University and speaks on health care management topics to audiences of physicians, management, and staff. Sarah has led Cape Girardeau Surgical Clinic, Inc. to be recognized as a Better Performer numerous times. She is the author of the new book, Get the Money in the Door: Physician Billing Basics.

Course agenda

Unit 1 (activities)

  • Contracting
  • New employee training
  • Information collection
  • Claims, denials and payments
  • Aging analysis
  • Analysis and reporting
  • Work with facilitator on an implementation plan

Unit 2 (case studies)

  • Just the facts
  • Continuous improvement?
  • What would Mary do?
    Back-end office clues

Unit 3

  • Discussion and facilitator feedback

Who should participate

  • Practice administrators who want specific knowledge about how to analyze their billing operations, manage stakeholders and maximize revenue
  • Individuals who are looking to develop skills related to revenue responsibility

If this course isn’t quite right for you, we would recommend The Basics of Billing or Understand and Transform Your Medical Office Insurance Staff.

Career level

  • Overview

Credit hours

  • 9 credit hours as assigned by ACMPE

Syllabus

Webinar

  • Assessment tools & processes
  • Improvement Plan
  • Stakeholder management
  • Customizing for your practice

Unit I

  • Contracting
  • Employee training
  • Pre-Registration – Check-In – Charge Entry Assessment
  • Claims – Denials – Payments
  • Insurance & Patient Follow-Up
  • Improvement Plan Development

Unit II

  • Stakeholder management
  • Case Study 1: Mastering factual information
  • Case Study 2: Implementing improvements
  • Case Study 3: Building a case for change
  • Case Study 4: Managing back-end office staff

System Requirements

  • A personal computer with a Pentium processor with either speakers or headphones
  • Internet connection with a minimum speed of 56K baud dial-up (DSL, cable or T1 connection is recommended for viewing necessary archived lectures), Internet Explorer or Mozilla Firefox as well as Adobe Flash Player and Adobe Acrobat Reader
  • A computer with speakers or headphones is necessary for audio sections
  • Note: The MGMA online platform uses “frames” and may not be compatible with software for those who are sight-impaired

What's different about online courses?

Taking a course on the computer can be both different from and similar to a traditional classroom experience. The learning process is the same, but an online course provides immediate resources.
Facilitators and students maintain their traditional roles. The facilitator places lessons and materials online for you to use – you set your own pace. The instructor is available to have a conversation with you, but won’t be online at the same time.
You interact with the course content on the screen, just as though you were in a classroom, and have discussions with classmates on an online discussion board.

You can ask questions or reply to others' questions or responses at any time. You will have exercises to complete on your own. And, as with classroom-based courses, you will have a multiple-choice assessment at the end of each week to gauge your comprehension and progress.

How are the courses formatted?

Generally, online courses follow this weekly format:

  • Overview – Learning objectives are explained
  • Readings and resources – Read from your textbook and other online materials
  • Content – The main topic is presented
  • Case studies – Examples illustrating the main topic are provided, based on either small or large group practices
  • Practice activities – An assignment related to the main content is given
  • Assessment – Complete a multiple-choice exam
  • Summary – The week’s content is reviewed, which prepares you for the following week
  • Discussion – Participate in a facilitator-led discussion board to get your questions answered and see how your peers apply the information

How does working online add to your education experience?

Online courses provide these convenient features:

  • Search – Search for course content
  • Notes – Take notes you can save for reference
  • Calendar – Review scheduled tasks from the facilitator
  • Chat – Talk directly to one or all class participants
  • Discussion board – Ask questions and discuss course topics in an open forum with facilitator and classmates
  • E-mail – Communicate with the facilitator or any course participant
  • Location – View your progress relative to each week’s content
  • Assessment – Complete 10-15 multiple-choice questions (not graded) at the end of each week (you can retake the assessment as often as you like)
  • Bookmark – Save your place if you need to leave the course and pick up later

MGMA Online Course - Transfer Policy 

If there are unexpected demands on your time or you are not able to complete the course within the six weeks, MGMA strongly recommends you transfer into another course.

Your transfer request must be received within the first two weeks of the course. After that time, you will be charged a $100 administrative fee after two weeks have passed.

Transfer requests by telephone are not valid.

All transfer requests must be submitted in writing to the:
MGMA Learning & Networking Center
Attention: John Crawford
104 Inverness Terrace East
Englewood, CO 80112-5306

Letters may be faxed to 303.784.6099

Cancellation Policy 

All registration cancellations must be received by MGMA no later than 48 hours prior to the start of each program and are subject to a $100 processing fee per course.

  • No credit or partial or full refund will be made for failure to attend after this date
  • Cancellations by telephone will not be accepted
  • No credit is available for text materials sent (when applicable)
  • All cancellations must be submitted in writing to:

    MGMA Service Center
    104 Inverness Terrace East
    Englewood, CO 80112

    Cancellation letters may also be faxed to 303.784.6110
If for any reason, MGMA must cancel one of its programs or turn you away due to limited attendance your registration fee will be refunded in full. However, you are responsible for your own airline and hotel reservations. MGMA cannot be held accountable for any cancellation charges caused by program cancellation or attendance limitations.

Please call the MGMA Service Center toll-free at 877.275.6462, ext. 1888, if you need to send someone in your place. If the new attendee has a different MGMA membership status, the registration fee will be adjusted accordingly.

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