Revenue Cycle Management
With the challenges during the COVID-19 pandemic, hear from experts in the industry on how they managed through the challenges within revenue cycle and health information management functions to maintain and improve, outcomes, and financial performance.
his webinar will review the complexity of the lifecycle of information and the challenges that can cause an organization to go “off course,” creating risks, increasing costs, and affecting all business decisions, including patient care.
Appealability: Assessing and Rating a Denial for the Possibility of Overturn – This session will cover how to develop a payer-specific scoring system for the possibility of overturning issue-specific payer denials. The value of developing a scoring system in terms of allocating scarce resources to revenue recovery will be discussed.
HIM professionals play a vital role in an organization’s revenue cycle. This session will provide attendees with the opportunity to learn about factors influencing revenue cycle and strategies for effectively managing revenue cycle challenges in healthcare.
Learn the differences between inpatient hospital and inpatient rehab facility coding and documentation. How you determine your Principal diagnosis, secondary diagnoses, episode of care, and procedures codes are not the same as for an inpatient hospitalization. Learn what an IRF-PAI is, what it represents, how to complete one, correctly; and the impact this can have on your revenue.
The presentation will explain what a Chargemaster is and why the Chargemaster matters in a value based payment environment. We will touch on responsibilities for chargemaster maintenance and how to perform a charge-master review, as well as the importance of charge capture and reconciliation.
The effective transformation of clinical processes and data into financial processes and data is still a considerable challenge for most healthcare provider organizations. The opportunity where these two domains blend often creates incomplete and sometimes inaccurate patient and clinical information leading to suboptimal reimbursement, compliance risks and potential government imposed penalties. This presentation will include examples and lessons learned from various hospital experiences, will reveal strategies to rethink processes, data flow and relationships to enhance and sustain this critical juncture of providers’ operations through collaboration and data driven decision making.
Provides an overview of the impact of code assignment on quality and payer metrics (HCC, HEDIS, etc.,) and how variations of documentation interpretation and coder skill can have a direct positive or negative impact on patient care and patient and physician profiles. Presentation will also address COVID-19 for both telehealth and in-person visits and impact to quality and the revenue cycle.