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  Current Topics in the REVENUE CYCLE area:
Financial Tools That Impact the Health Care Revenue Cycle
This discussion focuses on how front-end demographic and financial verification, identity verification and financial assessment tools can have immediate impact on a health care facility's revenue cycle; specifically billing, patient accounts and collections. It is designed for Finance officers and Patient Financial Services personnel. Presented by TransUnion Healthcare Information Solutions.
Presented by: Trans Union Healthcare Solutions
Contact: Donika Davis , Coordinator
Games Payors Play: Common Medical Management Loopholes Payors Use to Decrease Hospital Reimbursement
This is a case-based seminar, focused on the common tools employed by managed care and government payors to withhold payment or demand return of previous paid claims. We will review such topics as contractual language, standards and guidelines, the use of Medical Management organizations to raise quality concerns, and how to mount an effective defense again these techniques.
Presented by: Executive Health Resources, Inc. (EHR)
Contact: Donika Davis , Coordinator
When to Use Physicians in Hospital-Payor Contract Negotiations
Managed care contracts are frequently negotiated with little input from physicians or nurses with daily experience working at the payor provider interface. In fact, these clinicians need to be involved in negotiation for several reasons. First, these clinicians hold the medical management departments accountable in the course of the life of the contract. Second, these clinicians can assist finance in identifying and closing loopholes that increase hospital exposure. Specific attention will be given to medical management, clinical review, quality and service expectations.
Presented by: Executive Health Resources, Inc. (EHR)
Contact: Donika Davis , Coordinator
The Uninsured Population - Balancing Quality Patient Care and Financial Risk
This presentation will discuss the growing issue of the uninsured patient population and how they can directly impact a hospital's balance sheet. It also presents best practices as well as financial tools that can help address revenue, bad debt and charity issues. This presentation is designed for Financial Officers and Directors of the Revenue Cycle.
Presented by: TransUnion Healthcare Solutions
Contact: Donika Davis , Coordinator
Using Clinicians to Impact the Revenue Cycle
This presentation examines the impact that physicians and nurses have on the revenue cycle and recommends specific areas for operational focus. Included are ten questions to ask to evaluate your denial management efforts, ten qualities in a good physician advisor, and ten steps to creating the role of physician advisor. In addition, several approaches to creating a multidisciplinary clinical denial program and a length of stay management program are presented. Presented by Executive Health Resources, Inc. (EHR).
Presented by: Executive Health Resources, Inc. (EHR)
Contact: Donika Davis , Coordinator
Underpayments Exposed
A major challenge of providers today is how to efficiently and accurately identify true underpayments and then collect the payment. This session sheds light on the financial reality for today's institutions relative to underpayments. Actual examples of hard-to-identify underpayments will be discussed and attendees will receive tips on how to develop short and long term strategies to manage, recover and prevent underpayments.
Presented by: Concuity, Inc.
Contact: Donika Davis , Coordinator
Ten Ways To Improve Contract Yield
Most providers acknowledge that their payer contracts, to one extent or another, fall short of expected reimbursement. This session explores how using best practices within the Contract Revenue Cycle is a key component in getting the most from their payer contracts. The session includes contracting tips to improve underpayment recovery, denial management, workflow and overall contract compliance.
Presented by: Concuity, Inc.
Contact: Donika Davis , Coordinator
Managing The Contract Life Cycle
This session helps attendees understand the contract lifecycle. It will also address where managed care information gaps occur in an organization and how to over come some of the gaps to improve contract performance. Attendees will learn ways to analyze contract performance throughout the term of the contract to compare expectations to actual results. Session explores the value of contract modeling in negotiations and compiling performance information.
Presented by: Concuity, Inc.
Contact: Donika Davis , Coordinator
 
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