Cadie Mcgonagill
sr director, payer relationsAmerican Association for HomecareWith more than 28 years of experience in the HME industry, Cadie has extensive experience in contract negotiations, business intelligence, and billing operations, achieving revenue growth through data-informed decision-making. She currently serves as Senior Director of Payer Relations for AAHomecare.
Before her tenure with the Association, Cadie was the Vice President of Managed Care for a national provider and oversaw nationwide payer strategy, leading a high-performing team and managing revenue growth initiatives. She also served as the chair of the Payer Relations Council for the Association, guiding policy advocacy and strategic industry initiatives as a volunteer leader.
From Denial to Dollars: Advanced Billing and Payer Strategies Workshop
Presented by: ACU-Serve
Advance Billing and Payer Workshop
This session offers a comprehensive examination of critical challenges within billing, coll
…Presented by: ACU-Serve
Advance Billing and Payer Workshop
This session offers a comprehensive examination of critical challenges within billing, collections, compliance, audit processes and how to work with payers to resolve the issues. Attendees wi
…Presented by: ACU-Serve
Advance Billing and Payer Workshop
This session offers a comprehensive examination of critical challenges within billing, collections, compliance, audit processes and how to work with payers to resolve the issues. Attendees will gain insights into common operational pain points and receive actionable guidance for effectively addressing these issues. The presentation will feature interactive discussions and real-world case
…Presented by: ACU-Serve
Advance Billing and Payer Workshop
This session offers a comprehensive examination of critical challenges within billing, collections, compliance, audit processes and how to work with payers to resolve the issues. Attendees will gain insights into common operational pain points and receive actionable guidance for effectively addressing these issues. The presentation will feature interactive discussions and real-world case studies to enhance engagement and practical understanding.
Key Topics of Discussion
Billing and Collections
Emphasis will be placed on the creation of clean claims that align with payer-specific billing guidelines, including the correct use of modifiers, narratives, span dates, and other critical elements. The variability among payers will be addressed.
Payer Contract Negotiations
A review of critical contract provisions that will impact future billing and collections activities. Learn how to negotiate favorable terms and identify potential challenges based on language in your payer agreements.
Key Data Elements
Using dashboards with key data elements in tracking the payer’s performance include volume, accounts receivable and denial information, trended over time. Learn the standard data elements that your organization should be prepared to provide when working with payers on A/R or audit issues.
Payer Relations and Billing
How to build relationships with payers and when to ask for assistance with claim issues.
The session will explore best practices for achieving and maintaining an effective line of communication with payer partners.
Compliance and Audit
A review of Medicare and payer’s third-party auditing companies that frequently audit DME services will be conducted, highlighting the most frequent violations and offering practical approaches to mitigate risk.
Subject matter experts will present essential performance metrics across each operational area, equipping suppliers with the tools to monitor organizational health and drive continuous improvement. Participants will leave the session informed, confident, and empowered to implement best practices within their respective organizations.
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Payer Relations Power Hour
Hear from the AAHomecare Payer Relations Council on what topics are being tackled for the DME Industry and what strategies are being discussed for the
…Hear from the AAHomecare Payer Relations Council on what topics are being tackled for the DME Industry and what strategies are being discussed for the future. This session will give you the most up to date information in the Payer Relations world.
T
…Hear from the AAHomecare Payer Relations Council on what topics are being tackled for the DME Industry and what strategies are being discussed for the future. This session will give you the most up to date information in the Payer Relations world.
Topics Covered:
- National Issues Update
- Medicare Advantage
- State Medicaid
- Payer Initiatives
- Value of HME
- Technology
- Audit Activity
Hear from the AAHomecare Payer Relations Council on what topics are being tackled for the DME Industry and what strategies are being discussed for the future. This session will give you the most up to date information in the Payer Relations world.
Topics Covered:
- National Issues Update
- Medicare Advantage
- State Medicaid
- Payer Initiatives
- Value of HME
- Technology
- Audit Activity
