Auditing Payer Contracts For Payment Accuracy

In today's rapidly evolving healthcare environment, ensuring payment accuracy is critical to maintaining a strong financial foundation.  Insurance payer contracts are complex and often riddled with ambiguous terms and hidden discrepancies that can lead to underpayments, delayed reimbursements, and revenue leakage. This webinar will explore the strategic importance of auditing healthcare insurance payer contracts and how regular audits can drive significant financial improvements for healthcare providers.  Attendees will walk away with practical insights into best practices for contract review, common pitfalls to watch for, and tools to identify discrepancies in claims and reimbursements. Whether you're in healthcare finance, revenue cycle management, or compliance, this session will equip you with the knowledge to improve contract performance and ensure your organization is paid accurately and timely.

Webinar Objectives

Each payer operates with its own unique reimbursement structure, making it easy for discrepancies to occur—whether from claim processing errors, misinterpretation of contract terms, or outdated fee schedules. Without timely and proactive audits, providers risk being underpaid without even knowing it, or may encounter costly delays in uncovering and correcting payment gaps.

Webinar Agenda

• Understand the financial and operational impacts of inaccurate payer reimbursements
• Identify key components and clauses in payer contracts that require regular auditing
• Utilize data analytics to uncover trends, inconsistencies, and underpayments
• Develop an effective contract audit framework for ongoing payer performance evaluation
• Implement corrective actions and negotiation strategies based on audit findings

Webinar Highlights

• Discuss the hidden costs of inaccurate payments
• Explore common contract clauses that contribute to underpayments and denials
• Discuss real-world examples of successful payer audits and recovered revenue
• Outline the tools and technologies to streamline the contract audit process
• Discuss how to build cross-functional teams for contract performance oversight
• Highlight compliance risks associated with unmanaged payer agreements

Who Should Attend

• Medical Coding Specialists
• Medical Billing Specialists
• Medical Auditing Specialists
• Private Practice Physicians
• Managed Care Professionals
• Operations Leadership
• Practice Administrators
• Office Managers
• Compliance Officers/Committees  
• Chief Medical Officer

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