Nov 9, 2017 12:00 PM CDT
Finding Gold in Zero Balance Account Reviews
In this presentation attendees will be provided a comprehensive report on the often-hidden opportunities that can be identified when reviewing accounts that have been closed and have a zero AR balance. The gold to be mined from this work can be in the form of additional cash that is available from third-party payers as well as specific claim information that provides insight into work flows and processes that can be improved to prevent future claim denials, delays and underpayments.
Brief outline of the presentation:
•Provide an overview of the need for zero balance reviews
•Describe short- and long-term objectives of zero balance reviews
•Explain the differing opportunities between government and private third-party payers
•Review most common reasons impacting the level of payment or non-payment by payers
•Describe the resources, both technological and labor-intensive, required to conduct a zero-balance review
•Summarize documentation required to file appeals
•Discover the opportunities in zero-balance account reviews
•Understand what is required to conduct such a program
•Find out how to determine the ROI for a zero-balance review
•Understand the risk of an ineffective program
CFOs, Revenue Cycle Leaders, Managed Care Executives, Reimbursement Managers
This webinar is being presented by Jesse Ford, President & CEO of Salud Revenue Partners
Recorded Oct 12, 2017 12:00 PM CDT
Wage Index: The Last Frontier
In this presentation attendees will learn how Medicare, for many hospitals, is the biggest payor and a vital component to the health of their bottom line. With societal and political pressures mounting to reduce a hospital ls reimbursement, now is the time to ensure the “Wage Index” used in calculating your Medicare reimbursement is correct. The Wage Index is one of the last areas that can have a direct impact on your future Medicare payments.
Brief outline of the presentation:
*Overview of the Wage Index and how it calculated
*Potential impacts to the CBSA
*Key Assessment areas
* Excluded Areas/Non PPS Areas
* Hours – Conversion form GL to Payroll data
* Contract Labor
* Physicians (Part A focused)
* Residency programs
1) Understand the theory behind Wage Index adjustments and the components that go into determining your Wage Index value.
2) Learn which operational areas can significantly impact your Wage Index value, and how to incorporate internal review strategies to improve your Wage Index.
3) Examine how changes in your Wage Index impact your facility’s future Medicare payments.
Reimbursement Managers, Controllers, CFO’s, Hospital Accountants, Finance VP/Dir, Reimbursement Controller
Presented by Eddie Phibbs from Eide Bailly
Recorded September 28, 2017 12:00 PM CDT
Healthcare Forensics Data Mining
In this presentation attendees will learn how fraud can wreak havoc on organization financial performance and undermine business objectives. No business is immune from the risks associated with fraud. Health care organizations have some unique and rampant risks for fraud and embezzlement.
Brief outline of the presentation:
With stories from the trenches and often overlooked prevention tips, you will be simultaneously educated and entertained during this fast-paced program designed for those with or without an accounting background. Detection of fraud can be a difficult issue, but forensic data mining is a cutting-edge method of detection combining complex tools and mathematical algorithms to identify unusual patterns and other indications of fraudulent activity, particularly in accounts payable, vendor and payroll data.
*Evaluate organizational processes for risks of fraud. Examine trends and new development in embezzlement schemes in health care
*Develop advanced fraud prevention & detection methodologies
*Examine trends and new development in embezzlement schemes in health care
All internal audit staff and management
Presented by Gary Moss with BKD CPAs & Advisors
Recorded Sep 12, 2017 12:00 PM CDT
Top Reasons the IRS Will Audit You
In this presentation attendees can learn how over the years, the IRS has been using data analytics to gauge Form 990 risks, and the agency is starting to audit tax-exempt entities based on those findings. Join BKD for a discussion on determining the risk associated with an organization’s Form 990 and how to be proactive instead of reactive.
Brief outline of the presentation:
1. IRS data analytics approach to Form 990
2. IRS FY work plan
3. IRS focus
4. Form 990 risk items
• Discuss the IRS fiscal year 2016 Exempt Organization Work Plan
• Describe the risk areas of IRS focus
• Identify Form 990 risky questions that could pose issues for organizations
CFOs and financial personnel at tax-exempt organizations
Presented by Mike Engle from BKD
501(r) (6) - ECA & Creating Collection Policy - Learn the Requirements to stay Compliant
Description : The Affordable Care Act (ACA) added new requirements that hospitals must comply with to keep their tax-exempt status under 501r. Many hospitals have yet to make these changes because the final regulations clarifying certain details were just released in December of 2014. The presentation will be an overview of the 501r 6. You will learn:
1. What are the NEW Extraordinary Collection Actions (ECA)
2. What are NOT ECAs
3. How to Notify of “intended” ECAs
4. Application Period Suggestions
5. Suggestions for 501r Compliant Collection Policy
Presented by Shawn Gretz, Vp of Sales at AmeriCollect
501r 5 - Amounts Generally Billed (AGB) Topic Area: IRS Regulations
Description: Amounts Generally Billed – Who, What, When, Where, and How We will review the IRS regulation 501(r) with particular attention to the calculation and implementation of AGB. By the end of the session, participants will:
• Know how to calculate AGB for their facility and when it should be applied
• Understand various options and examples of how the proposed regulations might be applied at their facility and other facilities
1) Know which charges and services are to be included in the regulation
2) Know how to calculate AGB
3) Know what should be done and by when
Who is the intended audience?: Patient Financial Services Managers, Accounting, CFOs
Presented by Brian Stephens, CFO Ministry Door County Medical Center
501(r) (4) - Updating your Financial Assistance Policy - Learn the Requirements to stay Compliant
Description:The Affordable Care Act (ACA) added new requirements that hospitals must comply with to keep their tax-exempt status under 501r. Many hospitals have yet to make these changes because the final regulations clarifying certain details were just released in December of 2014. The presentation will be an overview of the 501r 4.
Learning objectives (minimum of 3): You will learn:
1. FAP Requirements: Possible Additions and Required Additions.
2. Plain Language Summary: What is it and how to create it.
3. Widely Publicized: What are the Requirements.
4. Emergency Medical Care Policy: Requirements
Presented by Shawn Gretz of Americollect
The Patient is Now Your Third Largest Payer
Description:Hospitals are now dealing with a major new player in the payment of hospital bills. That new payer is their patient. Never before have patients carried so much of the cost of their healthcare. Starting with high premium, high deductible health care plans offered by employers and ending with the increasing cost seniors must pay out of pocket for Medicare patients are owing the hospital over 40% of the receivable. Hospital administrators will learn what it takes to obtain what is owed to them by the patient. It involves a significant amount of time, energy and re-engineering of their current behavior in dealing with their patients.
1.Learn how to "flip the norm" within the current patient receivables hierarchy.
2. Define the seven key areas of cash leakage in the hospital
3. View how technology alone is unable to solve the patient receivable problem.
4. Learn how advocacy, teaching and mentoring can increase cash
5. See how to transform the patient financial experience in your hospital and increase patient satisfaction scores.
Presented by Niel Veriup, from Patient Matters
Strategies for Success for Medicare DSH post-ACA
Description: This presentation will focus on the importance of providers actively managing the Medicaid and Medicare membership in their patient populations. With the advent of Healthcare Reform, the importance of the Medicaid population for all providers continues to increase geometrically as the proper reporting and management of this population has material tangential effects in the areas of Electronic Health Record reimbursement, Federal/State disproportionate share (DSH) payments, 340B programs and Uncompensated Care reporting.
By utilizing patient population intelligence, providers can benefit from increased governmental reimbursements and assist their patients in qualifying and maintaining enrollment in the State and Federal healthcare/financial programs they are entitled.
Attendees of the presentation will learn strategies to:
I. Pro-actively manage the eligibility of Medicaid and near-Medicaid members to optimize reporting of this key metric in the Post-ACA Federal DSH environment to include:
o S-CHIP (TXXI) to Medicaid conversion
o Retroactive changes in eligibility
o Medicaid churn management
II. Gain visibility into utilization and membership trends for they key demographic cohort.
III. Integrate Medicare eligibility and enrollment status with Medicaid for dual-eligible member management.
IV. Manage the reporting and updating of key Uncompensated Care metrics into the CMS Medicare Cost Reporting database for prospective UCP payments.
Presented by Robert F. Gricius, Chairman, CEO and founder of NAVEOS
Implementing an Effective Denials Management Program
Description: This session will provide tools to help identify the root cause of your denials within your revenue cycle. You will learn the reasons for denials, what are your top claim adjustment reason codes and how to identify the root cause of the denials. Who is the intended audience?: Hospital CEO, CFO, COO, marketing and strategy staff, board/trustee Brief outline of the presentation: Planning Ten Years Out: Knowing Your Hospital’s Market
Today's presenter will be: Marie Murphy, CHFP, Health Care Consulting Manager, with Eide Bailly
A Deeper Dive into MIPS: The Merit Based Incentive Payment System on Jun 14, 2016 12:00 PM CDT at:
During this webinar, we will dive deep into the complexities of implementing the proposed MIPS requirements. The Merit Based Incentive Payment System, a quality payment program designed to reimburse eligible clinicians for care provided to Medicare beneficiaries through four performance categories begins in 2019. Each of the four performance categories will be dissected, including their relation to each other as well as what organizations need to begin doing now to prepare.
Description of the goals of the presentation:
1) Describe what MIPS is, and how the existing quality incentive programs under Medicare are impacted.
2) Describe measurement under the four MIPS performance categories, including proposed scoring in the implementation year of 2019.
3) Identify 5 key steps organizations should take before the end of the year to ensure they are prepared for MIPS performance measurement
1.Learners will be able to explain the four performance categories of MIPS and the percentage of the overall composite score for each in 2019.
2.Learners will be able to identify key actions to take before the measurement year begins on January 1, 2017.
3. Learners will gain a solid understanding of the overall MIPS program and its proposed trajectory of moving fee for service to value based payment.
Targeted Audience: CFO's, VP& Director of Revenue Cycle, Director of Quality Control and Assurance, Practice Administrators
Webinar presented by:
Penny Osmon Bahr, CHC, CPC-I
Health Solutions Director of Avastone Health Solutions