Toni Elhoms
In today's rapidly evolving healthcare environment, ensuring payment accuracy is critical to maintaining a strong financial foundation. Insurance payer contracts are complex and often riddled with ambiguous terms and hidden discrepancies that can lead to underpayments, delayed reimbursements, and revenue leakage. This webinar will explore the strategic importance of auditing healthcare insurance payer contracts and how regular audits can drive significant financial improvements for healthcare providers. Attendees will walk away with practical insights into best practices for contract review, common pitfalls to watch for, and tools to identify discrepancies in claims and reimbursements. Whether you're in healthcare finance, revenue cycle management, or compliance, this session will equip you with the knowledge to improve contract performance and ensure your organization is paid accurately and timely.
Webinar Objectives
Each payer operates with its own unique reimbursement structure, making it easy for discrepancies to occur—whether from claim processing errors, misinterpretation of contract terms, or outdated fee schedules. Without timely and proactive audits, providers risk being underpaid without even knowing it, or may encounter costly delays in uncovering and correcting payment gaps.
Webinar Agenda
Webinar Highlights
Who Should Attend?
Toni Elhoms, CCS, CPC, CPMA, CRC, AHIMA-Approved ICD-10-CM/PCS Trainer, is an internationally known speaker and recognized subject matter expert on medical coding, reimbursement, compliance, and revenue cycle management. She is the Founder and CEO of Alpha Coding Experts, LLC (ACE). She holds multiple credentials with the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC). Toni's expertise extends to inpatient and outpatient coding, compliance, billing, and reimbursement. She serves as ACE’s Senior Consultant and conducts training and educational seminars across the country. With over a decade of industry experience, Ms. Elhoms has led and supported hospital systems, universities, physician practices, payers, law firms, government agencies, and other entities on coding, billing, and compliance initiatives.Toni is a frequent contributor to various media outlets, a highly sought-after conference speaker, and a regular guest on industry podcasts. She is frequently an expert and consulting witness in civil and criminal litigation matters. Ms. Elhoms was appointed as an editorial advisory board (EAB) member for The Coding Institute (TCI) in 2020. She created and regularly hosted the Alpha Coding Podcast series (rated a top industry podcast) to share her industry Pro-Tips. She is a regular volunteer and mentors a network of Revenue Cycle Management (RCM) and Health Information Management (HIM) professionals across the United States.
