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Revenue Cycle

Revenue Cycle

Revenue Management skills include the following domains of expertise and technique.

Insurance billing and collections
Probate and small claims court procedure
Claims adjudication standards
State and federal laws and administrative rulings, including but not limited to
ERISA and Department of Labor Rulings
Workers compensation rules
Motor Vehicle Auto Reparations Acts for each state
Understanding of third-party liability and tort case law
CHAMPUS, TriCare and VA standards and policy requirements, and
Coordination of Benefits
Managed care contracting
Good technique and follow up

The articles and checklists below will help. Also check on classes and webinars for the skills highlighted if you or your staff is in need of a skills refresher.

The Insurance Refund Request: A Legal Analysis

When insurance carriers and employee benefit plan administrators discover a payment made in error for medical services or supplies, they ask the healthcare provider to return the payment - sometimes months or even years after the payment was issued.

Plan Medical Directors May Be Accountable for Denials of Insurance Coverage that cause detriment to the patient

A denial of insurance coverage for a given service may make the service unaffordable to the plan member.

Avoid the Basic Perils and Pitfalls of Managed Care Contracting

A Mulligan is a golf term. Take care not to fall into the following traps:

Managed Care Payment Standards

Ensure you have access to these standards.

Small Claims and Probate Cases: Step-by-Step

Don't be put off ...These cases are procedurally easy to file.

Prepare for Success with Insurance Billing and Collections

For success, you'll need these tools of the trade

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Revenue Cycle

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In the News...

After 12 wonderful years, Maria will take a break from HFMA National Seminars after the January cluster in San Antonio, TX - Jan 21, 22, and 23. Read the news!

Maria has contracted with CRC Press, a Taylor and Francis Group, to author or edit five book manuscripts for release in 2009.

Maria Todd establishes The Healthcare Reimbursement Institute, a new non-profit, online educational community.

June wedding bells ringing for Maria

With new technology Maria offers a total education solution for HFMA and MGMA local chapters that is cost effective, innovative and well-received by members.

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“To anyone considering a busines relationship with Maria Todd, in any capacity or relationship. I make this recommendation without any reservations or qualifications. Maria is a results oriented person, driven by intellectual challenges, with a talent for distilling a lot of information down to the key issues. She has a unique ability to share her knowledge with others." Lionel ("Lon") Bentkower, Product Manager, Staffing Management [2004]