Spotlight on Case Management Excellence
Featuring Stephen Ricks from Seton Family of Hospitals
- Event Date:
- Event Time: Noon Central
- Event Type: Virtual Signature Learning Series
Declining Medicare reimbursements are impacting hospitals’ viability. As health systems struggle to manage the conflicting pressures of cost and revenue, case management departments are increasingly shifting their focus to commercial plans to offset the reimbursement decline. Management of this conflict means eliminating unnecessary observations and consistently addressing the commercial admission review process by expanding utilization review best practices. This session will focus on how the case management team at Seton Family of Hospitals was able to create change and secure critical reimbursement dollars by focusing on health plan patient populations.
The Spotlight on Case Management Excellence series from Executive Health Resources brings together case management professionals to share best practices and elevate health care.
By attending this event, participants will:
- Understand why hospitals may have unnecessarily high commercial observation rates and identify the factors that lead to missed opportunities to appropriately status a case as inpatient with health plans
- Evaluate the time/resource impact you could expect on your teams by expanding UR to health plans and learn how to best allocate existing utilization management resources
- Recognize future trends in: Commercial payer contracting Utilization management Denial management
Speaker:
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Stephen Ricks obtained his undergraduate degree at Texas A&M and his masters of science in social work at the University of Texas. He worked as a therapist at Shoal Creek Hospital for 5 years. After the purchase of Shoal Creek Hospital by Seton, Stephen joined the case management team as the Operations Manager for Seton Medical Center Austin. He then was promoted through various levels of increasing responsibility until occupying his current position as Network Director of Case Management for Seton Family of Hospitals. He and his team have developed a program recognized in the field as a leader in innovation and best practice. Stephen lives in Smithville, Texas on land surrounded by two state parks with his wife, chickens and dogs. |
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