Karen VanLaningham
Karen VanLaningham moved to Atlanta from California with encouragement from family and friends. Karen started her medical billing company Back in the Black Solutions, Inc., assuring client delight and superior billing and coding services.
In her free time, she likes to create simple wearable jewelry with different metals, leather and natural stones. Karen also works with the local Insight Program for drug-addicted teens, and love promoting the great work the program does to save young lives.
About the Book
Margin pressure is mounting. For some organizations, the margin is nonexistent. The challenge of raising the quality of care amid reimbursement reform has become a universal dilemma. And while the dilemma is real, it represents a curve in the road—not an impregnable obstacle. Rise beyond today’s challenges with Back in the Black Solutions. Our experts at BITBS will step by step walk you through claim and appeal processes, with guidance that enables you to make the right coding decision at the right time, to ensure optimal reimbursement and perfect compliance.
With the best-in-class solutions, you’ll conquer denials, master practice management for greater revenue, navigate the preclaim review minefield, maximize revenue with f2f reimbursement guidance, nail down efforts to skirt E/M claim denials, ace ICD-10 coding for optimum reimbursement, sort out modifier madness, and fly through appeals like a pro.
Secrets of Successful Provider Contracting lays out best-in-class legal, financial, and compliance strategies for profitable and successful contract negotiations. If you’re struggling to increase your revenue and ensure effective compliant contracts, then BITBS is for you!
Learn How...
- Loss. Medical Group Management Association (MGMA) calculates that 20 to 30 percent of medical practice revenue is lost in contract negotiations.
- Risk. Did you know that civil penalties for violating the Anti-Kickback Statute (AKS) increased to $73,588 per kickback, plus three times the amount of the kickback, in 2016? And that criminal penalties could lead to imprisonment?
- Protect your revenue and safeguard your practice against regulatory contract challenges with Back in the Black Solutions, Inc Secrets of Successful Provider Contracting.
- Know what to look for and how to outsmart payer contract pitfalls. Take control of third-party contracts, learn the ins and outs of public and private exchange provider contracts, understand the facts for accepting exchange patients through state exchanges, master the stark truth to avoid violations, and so much more.
Uncover in These Pages...
Reduce denials, improve A/R, and stay compliant with Master Denial Management. Ace the intricacies of a successful claim and appeal submissions to get the revenue you deserve:
- 5 critical steps to earn the Medicare reimbursement you deserve.
- Conquer denials with proven strategies.
- Nail down practice management with priceless tips to secure revenue.
- Zip through compliance and documentation issues for clean claims.
- Navigate the pre-claim review minefield.
- Secure your revenue with face-to-face reimbursement guidance.
- Take the guesswork out of correct coding and billing across specialties.
- Spearhead efforts to avoid E/M claim denials.
- Master ICD-10 coding for optimal reimbursement.
- Clear up modifier madness.
- Ward off CCI edit denials.
- Fly through appeals like a pro.
- Commandeer the Medicare Fee-for-Service appeals process.
- And much more!
Your medical claims are the lifeblood of operations. Don’t risk your financial health to lost reimbursement.
