Guidepost Consultants & Mentoring

Guidepost Academy

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If you’re interested in a 1 on 1 for any of these topics listed below, or if you have other areas of interest, please don’t hesitate to reach out. We look forward to hearing from you and discussing how we can be a solution. info@guidepostconsultants.com

March 2024

GP103: Mastering Pre-Billing Audits: Ensuring Clean Claims and Compliance

Course Description:

Designed specifically for practice owners, administrators, and billing staff, this workshop addresses the critical aspects of clean claim billing. With a staggering 66% of denials originating from controllable factors within the practice, it becomes imperative to delve into the essentials of ensuring clean claims.

The cornerstone of a robust compliance plan, the pre-billing audit, serves as a proactive measure for self-auditing. By meticulously scrubbing encounters for accurate patient demographic and insurance information, practices can significantly mitigate denials and amplify revenue streams.

This workshop goes beyond merely highlighting the significance of pre-billing audits; it equips participants with practical strategies to seamlessly implement this crucial process within their practice environments. Through interactive sessions and hands-on demonstrations, attendees will gain actionable insights into streamlining their billing procedures and fortifying their revenue cycles.

 

Objectives:

  1. Understanding the critical role of pre-billing audits in clean claim billing.

  2. Identifying controllable factors contributing to claim denials.

  3. Leveraging pre-billing audits as a proactive measure to enhance revenue generation.

  4. Exploring tools to facilitate efficient pre-billing audit processes.

Whether you’re a seasoned practice owner, a diligent administrator, or part of the billing team, this workshop empowers you to proactively address billing challenges and optimize revenue streams through comprehensive pre-billing audits. Join us to unlock the potential of clean claim billing and propel your practice towards financial success.

The owner of our group introduced us to Guidepost Consultants about a month or so ago & the experience we have with Connie & her team is amazing. Connie & her team is a God-send. Thank you

Feb 2024

GP102: Managed Care Contract Audit

Objectives:

  • Importance of auditing third-party payor contract
  • Compliance with payment terms
  • Excellent training tool for entire clinic team
  • Interactive Q&A session

 

Course Description

This course is designed for the practice owner &/or Administrator

 

Regularly scheduled contract audits are the best way to know what’s working well and what needs additional attention or training in your practice.  Auditing assures that proper payments are being made, correct bookkeeping is happening and most of all, that the tenants of your agreement are being honored.  This workshop is the perfect way to start this important compliance activity.

I enjoyed the content and it was very informative. The content also helped me solidify my confidence in what I already know while also providing keys to keeping organized while billing! I will recommend this to anyone I know taking on billing!

Jan 2024

GP101: Managed Care Maintenance

Objectives:

  • Basic understanding of third-party payor contracts
  • Understand the most relevant components of a contract
  • Discuss fee schedule management
  • Interactive Q&A session

 

Course Description

This course is designed for the practice owner &/or Administrator

 

Understanding the scope of the contract can be daunting.  We’ll break it down during this workshop.  You must know what services are covered in the contract, what licensure is covered, what are the covered services and/or CPT, DME or wellness codes.  We’ll walk through the compensation details of the contract – what’s the reimbursement metrics, time parameters for submission of a clean and complete claim, and the rules for billing participants.  What about fee schedule maintenance?  We’ll show you where you can find them & update them.   We’ll give you practical solutions to manage your contracts on a quarterly schedule.

The managed care contract management course really opened my eyes to how little I know about the contracts I have signed and a starting point to better negotiate future contracts.

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