Bio:

Chris Ruth, is the Co-Founder of Golden Legacy Solutions, an authorized KPC Herbs distributer, providing the highest quality East Asian herbal medicine to practitioners across the country. He has been in the acupuncture field since 2011.  He previously served as the Associate Dean of the DAOM Program at Emperor’s College, where he guided students through their academic projects and presentations.

East Asian Herbal Medicine: Introduction and Safety Description:

Have you wondered what the acupuncturist next door is recommending for their patients?  Have you wondered what that bottle of Chinese herbs is in that bag of your patients' supplements?  In this webinar, we’ll introduce and discuss East Asian herbal medicine, also known as Chinese herbal medicine and TCM.  We’ll discuss some common formulas uses, safety and manufacturing, and how determine which product is right for your patient.

Understanding Credentialing and Enrollment

Healthcare credentialing and enrollment with third-party payers is among the first steps that must be taken when expecting to prepare claims and submit to insurance payers for your claims processing and reimbursement.  In this segment we are going to review the following essentials as it relates to credentialing and enrollment -

1. Understanding the differences between in- and out-of-network with insurances and how to make the best decision for your practice
2. What exactly is healthcare credentialing and enrollment and why it matters to new and established practices
3. How to determine which payers are right for you in your practice region
4. What are the general steps for credentialing and enrollment and how long does it take
5. What's the next step after enrollments are approved
6. How soon before adding a new provider to your business, starting in or opening a new business in healthcare should you begin the credentialing and enrollment process

Session 1 – The DISRUPTIVE Method & Foundations for PI Negotiations (Part 1 of 4)

1. Who your most dangerous negotiation is with
2. Payment downers in PI
3. So why PI?
4. The 4Ds of insurers and law firms
5. Going through attorney “fouls” you need to spot so you can stop
6. The 4 stages of all negotiations
7. The importance of understanding law firm negotiation types: analysis, accommodators and assertives
8. The 5 steps to win in law firm negotiations
9. Introducing Negotiations Aikido: because getting paid in PI is a contact sport
10. Introducing the DISRUPTIVE Method: how you apply the Aikido skills you will develop here

Compliance in Provider Enrollment with Third-Party Payers (part 1 of 2 part series)

Like all types of businesses, compliance with the applicable rules and regulations is a foundational piece to a sustainable business.  Healthcare is no exception.  Though there are many components to compliance in healthcare, the focus for this webinar is exclusive to provider/payer credentialing and enrollment with third-party payers.  This often misunderstood area of compliance increases the business and provider risk and vulnerability in many different ways.  Learning points for this session includes:

1. Understanding the business/provider responsibility for being properly established (for both in- and out-of-network claims submission) with payers you are submitting to
2. Identifying your obligations to maintain compliance when changes are made (ex.  adding a new location, moving to a new location, adding a new provider, etc.)
3. Recognizing the downstream impact of improper provider or practice data on record with third-party payers and how to easily and proactively minimize risk in this area

Chris Ruth, is the Co-Founder of Golden Legacy Solutions, an authorized KPC Herbs distributer, providing the highest quality East Asian herbal medicine to practitioners across the country. He has been in the acupuncture field since 2011.  He previously served as the Associate Dean of the DAOM Program at Emperor’s College, where he guided students through their academic projects and presentations. 

Identifying Interferences in the Revenue Cycle System - PART 1 and Part 2

Just as providers assess patients to uncover interferences that impact health — leading to symptoms and conditions — we can apply the same diagnostic approach to the revenue cycle system. Your practice’s revenue cycle can also present with “symptoms” when something’s off:

1. Claims rejections
2. Denials
3. Recoupments
4. Audit risks
5. Patient balance confusion
6. Disruptions in clinic/patient relationships— and more.

While the revenue cycle system is imperfect, these interferences can be identified and addressed to minimize the revenue cycle challenges that healthcare facilities are often struggling with. In this two-part series, bring your pencil and paper and join us for a hands-on exploration of your own revenue cycle system. You’ll learn how to:

1. Diagnose the sources of breakdown in billing and collections
2. Identify patterns that signal larger systemic issues
3. Make informed decisions on how to minimize interferences
4. Improve collections, reduce compliance vulnerabilities, and enhance operational confidence
5. Let’s treat your revenue cycle with the same care and strategy you use with patients — and set it on a path toward measurable, sustainable improvement.