Living in a Price Transparent World
Increasing federal and state regulations are causing many hospitals to struggle to stay up-to-date with ever-changing coding and compliance rules, as well as developing and maintaining a defensible and transparent pricing strategy. This presentation is designed to address the regulatory requirements for price transparency and key industry trends that impact CDM structure, revenue and patient satisfaction. We will also address next steps for you to consider when implementing an effective Internal Audit and Monitoring program to minimize risk and optimize revenue. With the help of a hospital revenue cycle leader, we will dive into the challenges providers face and discuss solutions for tackling the complexities of living in a price transparent world.
Do you Know your Patient’s Social Determinants?
What are social and economic determinants of health, and why are they so important? Let’s look at social determinants of health (SDOH) together and see how they apply to healthcare and informatics. We will also see how documentation of SDOH can impact healthcare, and why SDOH data is worthwhile to collect.
Thursday, April 23, 2020
3.0 – Organizational Management and Leadership, Revenue Cycle, and Evolving Topics
Eston Rodgers, RHIA
Health Information Manager
Bon Secours Mercy Health
Kyle Sherseth, CHFP
Kyle Sherseth, CHFP, is Vice President of Advisory Services at nThrive. In his role, Sherseth lends his reimbursement expertise to strategic pricing reviews that protect and improve client revenue, while increasing the defensibility of Charge Description Master (CDM) pricing. He offers over 10 years of experience in revenue cycle optimization, insurance reimbursement validation, and CDM management. Sherseth earned his Bachelor of Business Administration in Finance from the University of Georgia and is a Certified Healthcare Financial Professional (CHFP) through the Healthcare Financial Management Association (HFMA).
Tiffany Ortiz, RHIT, CCS, CCS-P
Tiffany has worked for the Veterans Health Administration (VHA) for 24 years and has been a certified coding specialist for 20 years. She has worked as a coder, auditor, supervisor, and now as an analyst for the VHA. She has served as a subject matter expert for a national council providing expert advice and education to coders and HIM professional working within the VHA for 14 years. She has been serving as a SCHIMA Board member for the past two years as the treasurer, and one year as a first-year delegate. She is also serving as an AHIMA practice council member of Health Information Technologies and Innovation.