On-Demand Webinar:

Reimbursement Strategies for Denials Management:

To Appeal or Not to Appeal?

The topic of understanding when and how to appeal decisions remains highly relevant today due to several factors.

With the increasing complexity of payer requirements, individuals and entities often find themselves facing decisions that they believe to be unjust or unfavorable. In such circumstances, knowing how to effectively navigate the appeals process can be crucial in seeking redress and ensuring compensation. Therefore, understanding the principles and strategies behind appeals remains pertinent in today’s dynamic and interconnected world.
This webinar provides insights on:
  • Identifying situations that merit appeal and assessing the feasibility of pursuing such actions.
  • Gaining practical skills to evaluate the potential success of appeals, thus enabling attendees to make informed choices about their next steps.
  • Showing a comprehensive overview of best practices for navigating the appeals process, equipping attendees with the strategies and knowledge needed to compile compelling arguments, gather relevant evidence, and present their case effectively.
  • Learning about the importance of timing, procedural requirements, and potential pitfalls to avoid, ensuring they approach the appeals process with confidence and clarity.
Access the On-Demand Webinar
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CONTACT US TO LEARN MORE ABOUT TELCOR RCM

Contact Speakers

Sarah Stewart

VICE PRESIDENT, REVENUE CYCLE SERVICES
TELCOR

Sarah Stewart, vice president of revenue cycle services (RCS), has more than 15 years of medical billing experience. She is responsible for keeping RCS customers on a successful path with collection and efficiency improvements while driving profitability. 

Email Sarah

Darla Wanitschke

DIRECTOR, CUSTOMER SUCCESS
TELCOR

Darla Wanitschke, director of customer success, joined TELCOR in January 2010. Darla has also served as a director of revenue cycle management for two molecular diagnostic labs, showcasing her versatility and depth of expertise in the laboratory space.

Email Darla

Ann Lambrix

VICE PRESIDENT, RCM SOLUTIONS
LIGHTHOUSE LAB SERVICES

Ann Lambrix, vice president of RCM solutions at Lighthouse Lab Services, has almost 20 years’ experience in healthcare billing. She’s developed provider payment guidelines for third-party administrators, managed an audit team, identified significant savings, and more.

Email Ann

The TELCOR Product Line

Outsourced Lab Billing

TELCOR Revenue Cycle Services allows labs to outsource their billing to experienced revenue cycle professionals, while gaining complete access and transparency to their data.

Revenue Cycle Management

TELCOR RCM empowers laboratories to control their revenue cycle and billing functions better than any solution on the market today. By switching to TELCOR, labs gain unparalleled visibility to manage its revenue ensuring collections are increased and operating costs are minimized.

Point of Care

Used by more than 2,500 hospitals across the country to manage rapidly expanding POC programs, TELCOR QML® is the most comprehensive POC data management and connectivity system in the market today. QML provides workflow efficiency, scalability, and compliance as hospital POC programs encompass new device types and ambulatory facilities.

How TELCOR Streamlines the Appeals Process

TELCOR customers like Orange Pathology have been able to reduce the time to create an appeal package by over 50% using tools within TELCOR RCM.

TELCOR RCM users utilize the Document Management module which stores all of the documentation tied to a patient’s account. Staff are then able to easily generate payer specific letters and attach the necessary documents.

Once you’re ready to send out the package, you have the option to use:

  • Fax
  • Upload directly to the payer portal
  • Direct mail

Your team is then able to monitor each appeal’s status, set expected response rates and enable timely follow-up within the application to make sure they are being processed promptly. You also have insight into your process by accessing data on turnaround time, appeal count, amount paid post-appeal, success rates and more which can affect your overall strategy.

By streamlining package creation and gaining the ability to track and analyze different aspects of the process, labs can increase the volume of appeals they send out and improve success rates while providing the insight to make better strategic decisions further driving revenue growth and overall profitability for the lab.