Jun 13, 2019 11:30 AM CDT
Price Transparency – More Than Just a CMS Requirement
Description of the goal(s) of the presentation:
Effective January 1, 2019, the Centers for Medicare & Medicaid Services (CMS) requires all hospitals operating within the U.S. to make public via the internet a list of the standard charges for items and services they provide. In this session, we’ll review the CMS requirement and focus on next steps as hospitals develop policies for setting prices and communication strategies that move them closer to the goal of price transparency.
1) Discuss the progression of price transparency, why price transparency is getting so much attention and whether hospital prices really matter to hospitals and consumers
2) Recognize and understand the CMS requirement for hospitals to make their standard charges public via the internet
3) Describe methodologies hospitals are using to evaluate and set charges that are rational and defensible Brief outline of the presentation: a) CMS Price Transparency Requirements b) Price Transparency - Common Definitions c) What's Driving Price Transparency? d) Pricing Practices in the Spotlight e) Guiding Principles & Policy Considerations f) Moving Beyond Federal Requirements g) Evaluating & Setting Defensible Charges
Target Audience: Health Care Management
Presented by: Brenda P. Christman, Managing DirectorHealth Care Performance Advisory Services, BKD Jackie M. Nussbaum , Director Health Care Performance Advisory Services, BKD
May 9, 2019 11:30 AM CDT
Hospital Care Management & Clinical Appeals: Importance to the Bottom Line
Description of the goal(s) of the presentation: Key industry shifts are driving renewed attention on care management, including the key components of case management, utilization review, and denials management. This session outlines areas that impact performance and covers key questions and process metrics to monitor progress.
1) Identify three core operational touchpoints … Morethat impact performance
2) Understand key questions for assessing these areas of impact
3) Understand pertinent KPIs and Process Metrics for these touchpoints
Brief outline of the presentation:
a) Brief History of Key Industry Shifts
b) Three Core Operational Touchpoints
c) Measuring Effectiveness
d) Examples of Use Cases
e) Hot Topics for HFMA Region 7
Target Audience: Hospital Management Presented by: Cindi J. Goddard, Senior Managing Consultant Health Care Performance Advisory Services, BKD
December 18, 2018 - 11:30 AM CDT
Annual Wellness Visit; Welcome To Medicare Examination; Preventive Medicine-Are Not Interchangeable
Goals of the presentation is for a comprehensive understanding of all the denials occur in the revenue cycle surrounding Medicare services for the AWV and the IPPE; and disconnect with the differences in those and Preventive Medicine which is still statutorily excluded. Review of the documentation needs, the timing parameters and other requirements both for coding and for appropriate reimbursement.
Brief outline of the Presentation:
Over-view of the documentation requirements
Understanding the frequency parameters
Know how to split out the preventive medicine portions (screening) that are covered from services that are not
Know how diagnostic codes can impact coverage
Revenue Cycle, Coding, CFO, Physician Office staff, Physicians
Jennifer Swindle VP of Quality and Service Excellence with Salud Revenue Partner
Sep 13, 2018 12:00 PM CDT
Has Your Organization Gone Write-Off Blind?
In this webinar attendees will be presented with a different view of write-offs and ideas on how to find additional dollars of opportunity within their organization.
Brief Outline of the Presentation:
1. What does it mean to be Write-Off Blind?
2. How does Write-Off Blindness happen within an
3. What can your organization do about it?
Identify not just the typical claim problems of denials
and underpayments but also explore claims that have
“less than optimal reimbursement.”
Identify how the setup of the systems and policies in
an organization could be aiding in a system becoming
CFO’s, Revenue Cycle Professionals, Reimbursement and Managed Care Professionals, Billing Professionals, and Financial Analysts
This webinar was presented by Michelle Conard from Mosaic Consulting Solutions LLC.
August 9th, 2018 12:00 PM CDT
Innovations in Value Based Program Delivery
In this presentation attendees will be provided with an opportunity to gain a better understanding of Total Cost of Care and Value Based Program Delivery from a national perspective.
*understand national program measurement and measurement
*Discuss areas of focus for total cost of care improvement
* Update on what employers look for when considering benefit
programs that favor high value providers
Physician practice leadership, hospital leadership (CEO. COO, CMO, CIO, CFO), revenue cycle professionals, coding professionals, and billing professionals
This webinar is being presented by Jennifer Atkins and Jennifer Nowak with Blue Cross Blue Shield
July 12th, 2018 12:00 PM CDT
The Hidden Cost of Prior Authorization
Medical prior authorization is a fact of life for provider organizations given our country's escalating costs of care. To address this requirements, hospitals and medical groups manage pre-auth requirements for medical tests and procedures using a large variety of tools and processes, with an associated commitment of personnel. In this presentation attendees will review the hidden costs of prior authorization based on studies and our own workflow analyses conducted for hospital and medical group clients.
Brief outline of the presentation
*We will share models for assessing your organization's
potential return on investment from streamlining each phase of
the process - eligibility, case submission and tracking,
submitting clinical information, and communicating with health
plans and third-party administrators.
*We will also share best practices including the use of
electronic prior authorization technology, to generate
operational cost savings. For example, automating manual
processes can save as much as 50% in operating costs.
Learning objectives (minimum of 3):
1. Identify the costs incurred across medical prior authorization (PA) processes
2. Assess your organization's potential for savings in each phase of the PA process
2. Calculate the operational costs savings for applying electronic prior auth tools
CFOs, Revenue Cycle Professionals, and Patient Access Leaders
This webinar is being presented by Jonathon Murray with eviCore Healthcare.
April 26th, 2018 12:00 PM CDT
Retail, Urgent Care, Micro Hospitals and Beyond: The Evolution, Promise, and Unknowns of Alternative Care Settings
In this presentation attendees will learn about the emerging spectrum of alternative care settings and provide a framework for evaluating how development and integration of one or more of them might benefit your organization
Brief outline of the presentation:
Alternative care access points – such as retail clinics, urgent care centers, freestanding emergency departments, and micro-hospitals - have proliferated, and in many cases thrived, in the current consumer-focused, value-based healthcare environment.
Through expanded patient access, greater cost-efficiency of care delivery, and improved convenience and patient satisfaction – these sites can be profitable on a stand-alone basis and, importantly, present a relatively low-cost means of new patient acquisition and the potential for downstream revenue.
Evaluating whether development and integration of one or more of these settings might benefit your organization, however, requires a nuanced understanding of the “niche” it fills, the likely rate of acceptance and adoption by the local population, and the business case for each of them.
• Identify and differentiate among these alternative care settings, including patient populations and care needs best served, limitations and potential risks, regulatory and payment considerations, and other factors
• Describe the business case for integration of these alternative care settings, including typical direct financial results, as well as broader, organization-level financial implications, such as their potential role in new patient acquisition
• Cite examples of hospitals and health systems that have successfully integrated these new care settings and their rationale for doing so
• Communicate the potential value of these alternative settings and begin to evaluate the potential fit of various settings into their organization’s overall ambulatory care strategy
This webinar is being presented by Danielle Bangs with Veralon
April 10,2018 12:00 PM CDT
How HIM & PFS can Collaborate to Improve Revenue Cycle Efficiency
Diminishing profit margins and an increased pressure to perform make organizational issues like interdepartmental communication and siloed work cultures unacceptable. Fortunately, the results show that by promoting collaboration, raising departmental awareness and assigning accountability - hospitals will see the benefits of improved business processes in their accounts receivables.
During this session attendees will learn about tactics to improve revenue cycle efficiency by promoting interdepartmental communication and understanding.
Brief outline of the presentation
*Understand the billing basics for HIM
*How to build your team
*Working edits/denials – determining who is responsible
*Cost of unnecessary denials
*Medically Unlikely Edits (MUE’s)
*Results and final thoughts
Participants will learn KPIs for accounts receivables.
Discuss strategies to improve cohesiveness throughout revenue cycle departments.
Identify techniques to decrease common coding related denials.
Revenue Cycle and HIM Professionals
This presentation is being presented by Sue York with efficientC
March 22, 2018 12:00PM CDT
Top 7 Methods to Improve the Financials of Your Physician Enterprise
In this presentation attendees will learn about the questions management and board members should be asking about their owned practices, in relation to compensation models, quality of care, referrals, operations, and fee schedules, among others, and how they can respond to answers they find.
• How to properly evaluate key aspects of practice performance
• Approaches to strengthening each key aspect of performance
• Ways to increase the strategic value of the physician
• Including how to make MIPS work for your physician
Physician practice leadership and hospital leadership (CEO, CFO, COO)
This webinar is being presented by Rudd Kierstead with Veralon
March 15, 2018 12:00 PM CDT
The Hidden Dangers of Liability
In this presentation attendees will be provided an overview of the complexity of managing accident claims including best practices in billing, patient advocacy, and compliance for every patient and every payment source across the US. With our speaker’s legal and HIPAA expertise, the content presents insights to avoid legal issues while optimizing the reimbursements available to hospitals for accident claims. Much detail is provided regarding the challenges hospitals face in managing this unique financial class along with real-life examples of legal violations and damages incurred in recent years. The ultimate objective for the speaking event is to educate, enlighten and engage hospitals to consider and review their current processes and learn how to properly manage Accident Claims.
1. Explains the differentiation between “No-Fault” vs. “Liability” insurance types
2. Defines the accurate coordination of benefits process with each of these insurance types
3. Describes common pitfalls associated with accident claim billing
4. Articulates how “MSP” laws impact coordination of benefits and how they are differentiated from commercial and self-pay patients
Physician practice leadership, hospital leadership (CEO, COO, CMO, CIO, CFO), revenue cycle professionals, coding professionals, billing professionals, and patient access professionals
This webinar is presented by Michael Ford, JD with MRA
March 6, 2018 12:00 PM CDT
Washington Update: Current Issues and Future of Healthcare
In this presentation attendees will be provided a greater understanding of how the current political climate impacts healthcare constituencies and the future of healthcare. Richard will also help attendees gain an understanding of how past policy impacts future initiatives.
Brief outline of the presentation:
1. Health Care Reform: The American Health Care Act and the
Better Care Reconciliation Bill – An Uncertain Future
2. How Will Major Constituencies Be Impacted?
3. Discussion: What is Your Organization Thinking About and
Doing Preparation for Healthcare Changes in the Future?
4. Trends in Healthcare
*Participants will identify factors impacting healthcare policy
*Participants will recognize trends and issues impacting today's
*Participants will articulate how current events and factors
impact future healthcare delivery
All Healthcare Professionals
This webinar is presented by Richard Cameron with Ankura Consulting
Dec 12, 2017 12:00 PM CDT
Tackling the Complexities of Value-Based Physician Compensation
In this presentation attendees will learn how new revenue models for health systems call for new compensation models for physicians, models that provide incentives for quality as well as productivity. This presentation will discuss the design of value-based compensation models to minimize the pain of potential risks (disgruntled physicians, physicians who "take a hit", lower productivity) while maximizing results. Potential implications for MIPS will be discussed as relevant.
Description of the goals for this presentation:
*How much of an incentive is enough
*How quality and cost-effectiveness should be measured
*Phasing in the plan
*Understanding the basic concepts in designing value-based
*Know how to set quality and cost-effectiveness targets in
*Be able to develop alternative incentive models for simulation
*Understand the factors to be simulated in testing incentive
Physician practice leadership, hospital leadership (CEO, COO, CMO, CIO, CFO), and revenue cycle professionals
This webinar is being presented by Stuart J. Schaff with Veralon
Nov 28, 2017 12:00 PM CDT
Protecting Health Care Providers from Cyber & Fraud Threats
In this presentation attendees will learn about cyber risk and fraud that pose a major challenge to health care providers. Join BKD to learn more about this informative session and to learn about what you can do to address these key risks.
*Describe how health care providers can protect themselves from cyber & fraud threats
* Share best practices in cybersecurity monitoring and incident response
* Discuss how your organization can use the latest technology to mitigate fraud risks
Brief outline of the presentation:
Managing cyber risks is a key challenge for health care management and boards. A continual stream of data breaches, hacks and ransomware attacks (e.g. WannaCry) creates enormous challenges for health care providers that aren’t prepared to confront them.
In this webinar, we’ll explore how cyber threats have morphed to create a new sense of urgency and how providers can prepare for, survive and recover from an attack.
Healthcare providers are also at risk of internal fraud and embezzlement. According to the Association of Certified Fraud Examiners Report to the Nations, the average organization loses 5 percent of its annual revenue to fraud. This session will also update you on current trends related to fraud technology and things that you can do to mitigate fraud risks.
The intended audience is:
Healthcare administrators, internal audit executives, IT executives
Your webinar presenters are:
Jan Hertzberg and Bryan Callahan with BKD CPAs & Advisors
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