Division Director Denial Prevention
CurrentI am directly responsible for the audit and review of all accounts that have been denied or written off for Methodist Healthcare System in San Antonio. In addition to auditing, I provide education and process improvements to decrease/eliminate denials and write offs for the San Antonio Division. My role also includes ongoing education to facility staff as well as physicians in relation to LCD/NCD requirements for compliant billing. I present results and opportunities to facility CFO's and VP's to implement change, this includes developing action plans and worksheets to assist staff and physicians with documentation requirements to reduce billing denials and write offs. My feedback is shared with our contract negotiating staff for introduction of possible contract changes. I present a Compliance grid and a Billing Alert grid to each Facility Ethics and Compliance Committee as part of maintaining a compliant billing process.