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Region V - Optimizing Reimbursement Through Clinical and Financial Collaboration

13 Feb 2017 2:36 PM | Ronald Gallagher (Administrator)

Thursday, February 23, 2017 11:00 a.m. (CST)/12:00 p.m. (EST)/

Speaker: Linda Corley

Summary: Two healthcare reimbursement themes have taken center stage for 2017 — “pay for performance” and “proof of revenue integrity.” These interconnected clinical and financial requirements highlight the need for compliant processes that support collaboration of all hospital staff members. And, while the regulatory guidance is generally well-known, the structural and operational “how-to’s” for achieving clinical and financial joint performance outcomes are proving more difficult to define and implement. This missing structure for optimizing the new payment methodologies brings about a need for understanding and developing compliant “change management” strategies. Even though healthcare is experiencing its fifth year of value-based payment, many providers are still attempting to capture optimum cash utilizing outdated patient care management, charge capture, coding and billing processes and evaluation through misaligned performance metrics. This session will present practical and proven best practice revenue cycle leadership job roles and team member operational work flows to meet the challenges of 2017 compliant reimbursement.

Learning Objectives:

  • Understand what regulatory changes have been made for 2017 payment methodologies, and why collaboration plays such an important role in optimum reimbursement.
  • Discuss how each revision to the major payment initiatives should be (and can be) successfully implemented in the revenue cycle through organizational and leadership changes in daily processes.
  • Define “patient care management” and its importance to optimum payment.
  • Know what best practice processes can be utilized to improve clinical and financial operations.
  • Discuss how “change management” should and can be used to drive permanent and sustainable improvement in compliant reimbursement that will withstand external audits through proof of revenue integrity.

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