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Here’s How to Augment Bottom-Line Revenues by Understanding IBNR Healthcare Claims
One of most relevant financial issues of the PP-ACA and contemporary healthcare and medical reimbursement is known as Incurred But Not Reported (IBNR) healthcare claims. IBNR claims are an indirect result of prospective payments systems, the insurance industry and commercial risk contracts, and to some extent fee-for-service medicine. IBNR claims represent a risk and an opportunity for managed care companies, healthcare organizations, clinics, physicians and related medical providers alike.
Join this enlightening event presented by expert speaker Dr. David Edward Marcinko MBA CMP™ who will provide you detailed insights on IBNR claims so that you do not face any compliance risk and optimize your organization’s bottom line.
Here is a brief sample of some details you may learn:
- Historical Review
- What Is an IBNR Claim?
- IBNR Problems for Healthcare Organizations
- IBNR Claims — Management Volume and Consequences
- Inadequate Cash Flows
- Reserve Shortfalls and Fiscal Instability
- Inaccurate Pricing
- Administrative Cost Increases
- Regulatory Sanctions
- Managed Care Organization Exacerbation of IBNR Claims
- IBNR from a Net Present Value Perspective
- Tax Strategies for IBNRs
- IRS Rules and Regulations
- IBNR Tax Qualifications for Managed Care Organizations
- How Managed Care Organizations Intensify IBNRs
- How Does IBNR Affect Net Present Value?
- IBNR Challenges and Solutions
1. Tax and Court Penalties
- IRC Section 4958
- Excess Benefit Definition
- Taxes under Section 4958
2. Tax Deductibility
- Potential Solutions to the IBNR Challenge
- IBNR Calculations and Methodology
- Actuarial Data Analysis
- Open Referral Analysis
- Historic Cost Analysis
Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.
Who should attend? All charge-master coordinators, coding personnel, billing and claims transaction personnel, internal auditing personnel; and financial and compliance personnel! And, all administrators, accountants, comptrollers, office managers, billing clerks and physician-executives, CFOs, CXOs and other interested parties.
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http://www.audioeducator.com/medical-coding-billing/ibnr_problems-040213.html
ORDER HERE FOR WEBINAR
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Filed under: Accounting, Health Insurance, Practice Management, Videos | Tagged: capitation, commercial risk contracts, Dr. Marcinko, fee-for-service medicine, Health Insurance, healthcare claims, IBNR, Incurred But Not Reported, PPSs, prospective payments systems |
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What Are You Going To Do
[IBNR Claims]
In the ever changing health care landscape, Incurred But Not Reported (IBNR) claims are another indirect result and unintended consequence of modern prospective health care payment system. However, consequences can be both good and bad.
As usual, what happens to us is often not as important as how we response to things that happens. With IBNR claims we can wait for things to happen, make things happen, and they will be a few wondering what the hell happened! What category do you want to be in?
I think our abilities to overcome potential obstacles can be enhanced with situational management skills, gaping the IBNR claims rules and regulations, awareness of potential problems and potential solutions, and effective execution of accepted methods of of estimating IBNR claims.
LeRoy Howard MA CMP® candidate
http://www.CertifiedMedicalPlanner.org
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