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    s not in order to guide your overall patient financial engagement initiatives and optimize results HFMA Business Profiles Accretive Health Partners with Providers to Excel in a Rapidly Transforming Revenue Cycle Environment Emad Rizk MD president and CEO of Accretive Health discusses the uncertainty facing hospitals and the transitions affecting revenue cycle management HFMA RESOURCE LIBRARY 10 Ways to Reduce Patient Statement Volume and Reduce Costs No two patients are the same Each has a very personal healthcare experience and each has distinct financial needs and preferences that have an impact on how when and if they chose to pay their healthcare bill It s no longer effective to apply static billing techniques to solve the complex challenge of collecting balances from patients The need to tailor financial conversations and payment options to individual needs and preferences is critical This presentation provides 10 recommendations that will not only help you improve payment performance through a more tailored approach but take control of rising collection costs HFMA Business Profiles Conifer Health Solutions Helping Providers and Employers Build a Foundation for Better Health Jim Bohnsack vice president solution corporate development for Conifer Health Solutions explains how the company helps healthcare providers leverage data to deliver better outcomes while optimizing reimbursement for all payment arrangements HFMA RESOURCE LIBRARY Reduce Patient Balances Sent to Collection Agencies Approaching New Problems with New Approaches This white paper written by Apex Vice President of Solutions and Services Carrie Romandine discusses the importance of patient segmentation and messaging specifically related to the patient revenue cycle Applying strategic messaging that is tailored to each patient type will not only better educate consumers on payment options specific to their billing needs but it will maximize the amount collected before sending to collections Further targeted messaging should be applied across all points of patient interaction i e point of service customer service patient statements and analyzed regularly for maximized results HFMA Business Profiles Ontario Systems Optimizing Accounts Receivable in a Rapidly Changing Environment Steve Scibetta senior director of channel sales for Ontario Systems healthcare product line shares insights into effectively managing receivables HFMA RESOURCE LIBRARY The Future of Online Patient Billing Portals This white paper written by Apex President Patrick Maurer discusses methods to increase patient adoption of online payments Providers are now seeking ways to incrementally collect more payments due from patients as well as speeding up the rate of collections This white paper shows why patient centric approaches to online payment portals are important complements to traditional provider centric approaches HFMA Business Profiles Optum Enabling Transformative Change Elena White vice president of risk quality and network solutions for Optum discusses how healthcare providers can leverage data and technology as they enable risk in their organization HFMA RESOURCE LIBRARY Payment Portals Can Improve Self Pay Collections and Support Meaningful Use Increased electronic engagement between healthcare providers and patients provides significant opportunities for improving revenue cycle metrics and encouraging patients to access EHRs This article written by Apex Founder and CEO

    Original URL path: https://www.hfma.org/MSC/login.aspx?ver=forum (2016-02-10)
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  • Articles
    Chain Best Practices from Other Industries September 2011 Technology The CFO s Role in an Enterprise Data Warehouse Rollout November 2014 The True Cost of Implementing Handhelds September 2011 Treasury Cash Management Automated Payment System Optimizes Working Capital September 2011 BACK TO PAGINATION Recent Articles January 2016 Geisinger s Money Back Guarantee Targets Patient Experience New Era Planning Analytics Assessing Population Health Management Market Opportunity Ask the Expert Business Metrics November 2015 Elements of Successful Population Health Management Programs Ask the Expert Preparing for the Annual Bond Rating Review October 2015 Building a Sustainable Telehealth Program Tool Telehealth Pilot Atlantic General Hospital Monthly Clinical Goal Report Ask the Expert Method for Resolving Operational Pain Points Article Archive ACOs NY Rural Providers Turn Medical Homes into an ACO February 2015 One CFO s Role in a Joint ACO January 2014 Accountable Care New Model New Risks September 2012 Accounting Reporting ANI Presentation Current Accounting and Reporting Developments July 2012 Bad Debt Now More Than Ever Collections Need to Be Patient Friendly June 2012 Benchmarking Metrics and Forecasting ROI Beyond the Dollar A Strategic Approach to Patient Payment Programs August 2015 Are Your Baseline Financial Projections on Target November 2014 Emory s Approach to Developing Population Health Metrics May 2014 Using Predictive Modeling to Navigate New Payment Models February 2014 Holding Health Spending to GDP 0 or Below Provides Path to Sustainability February 2013 Calculating ROI of Clinics Targeting Low Income Patients April 2012 Understanding the Dollars Tied to Readmissions UMMMC s Approach March 2011 Budgeting The Evolution of Budgeting Toward Rolling Forecasting June 2012 Bundled Payment and Other New Payment Approaches A Respected Health Economist on the Future of Payment Reform July 2015 Bundled Payments Building Cost and Quality Skills While Broadening the Patient Base June 2014 Capital Financing and Allocation Addressing the Impact of New Era Investments on Credit Ratings May 2015 Intermountain Builds More Discipline into Its Capital Decision Making Process November 2013 Rating Agencies to Middle Market We re Watching July 2013 Before Budget Time 5 Questions to Review with Business Development Marketing May 2011 Montefiore s Balanced Portfolio of Capital Investments February 2011 Market Fluctuations and Municipal Financial Troubles Signal Need to Remain Vigilant CFO Interviews What Does Financial Success Look Like in the CAH World June 2014 The CFO of a Successful FQHC Shares Population Management Advice April 2014 Co Management Learnings from the Front Lines Physician Co Management at Columbus Regional Health Cost Containment Reducing Contract Labor Costs Compliance Risks with Vendor Neutral Arrangements March 2012 Direct to Employer Contracting Memorial Hermann and Aetna Partner Around Direct to Employer Network May 2015 Electronic Health Records Steer Clear of Five EHR Landmines April 2011 Enterprise Risk Management Defining the Role of Invested Assets Is Essential to Success May 2013 Facilities A Strategic Approach to Facilities Provides a Path to Increased Efficiency From Forum Sponsor March 2014 P3 Delivery for Facility Assets Benefits and Risks April 2013 For Better or Worse When Hospitals Acquire Real Estate Along with Physicians October 2011 Operating Leases Property Owners React to Hospital Requests for Leasing Changes June 2011 Operating Leases Industry Reaction to Proposed Changes in Accounting Treatment April 2011 Operating Leases Proposed Changes in Accounting Treatment March 2011 Repurposing the Post Occupancy Facility Evaluation February 2011 Health Insurance Marketplaces Forum Poll Revenue Cycle Problems and Exchange Plans April 2014 What the Navigator Rule Means to Providers July 2013 Healthcare Payment Reform Presentation Alternative Healthcare and Payment Models January 2015 Leadership Ethics Communication One CFO s View on How Patient Satisfaction Improves the Bottom Line October 2014 Helping Your Employees Save for Retirement May 2014 Need to Finish On Time On Budget Offer to Shave Your Head March 2011 A 5 Step Ethical Approach to Changing Retirement Benefits January 2011 Creating a Workplace Financial Literacy Program January 2011 Medicare Compliance RAC OIG Identifying Gray Zone Medical Necessity Cases Before Auditors Do March 2012 Physician Relationships Hitting the Accelerator Moving Acquired Physician Practices to a Standardized Operating Model June 2013 Kadlec Health System s Four Step Approach to Physician Integration February 2013 Uniting Physicians at Iowa Health System November 2012 Getting Physicians Input on Compensation July 2012 Using a Site Specific Action Plan to Improve Practice Performance May 2012 Managing Employed Physicians Through Integrated Budgeting February 2012 Choosing the Right Compensation Model for Physicians October 2011 Financially Aligning with Physicians July 2011 On the Rise Physician On Call and Medical Direction Compensation May 2011 Privacy Security HIPAA HITECH Security Assessment January 2011 Productivity Process Improvement Zeroing in on Patients with a High Risk for Potentially Preventable Admission Jan 2013 Quality Improvement The Changing Basis of Competition in Health Care July 2015 CFO Thinks Out of the Box to Add Millions to the Balance Sheet May 2013 Revenue Cycle Patient Financial Engagement Starts with Communication April 2015 Service Line Management Mitigating Outsourcing Challenges October 2012 The Shift from Patient Acquisition to Patient Retention A Split Decision March 2011 Social Media Using Social Media to Accelerate Your Healthcare Finance Career June 2012 Strategic Partnerships Mergers and Acquisitions CARC and RARC Code Update August 2015 Management Services Agreements Offer Path to Efficiency Growth August 2015 Strategies for Effective Due Diligence in Healthcare Affiliations August 2015 X Ray Vision Radiology Equipment Deserves Close Attention During a Merger April 2015 Is Hospital M A Waning January 2015 Evaluation of MTIs Critical in Efforts to Maximize Partnership Synergies September 2014 The Right Path to Integration Insights from Health Executives September 2014 One CFO s Role in a Merger July 2014 The Structure of Value Take Aways from HFMA s Thought Leadership Retreat October 2013 Post Merger Integration Tactics from BJC HealthCare October 2013 Before the Merger Balance Sheet and Investment Considerations March 2013 ANI Presentation Exploring Strategic Alternatives in an Era of M As and Private Equity September 2012 Private Equity Firms Court Healthcare Organizations November 2011 Legal and Regulatory Snafus to Avoid During Mergers Acquisitions May 2011 Duke s CFO Provides Insight Into Duke LifePoint Joint Venture

    Original URL path: http://www.hfma.org/Content.aspx?id=770 (2016-02-10)
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  • Tools
    Organizational Chart January 2013 Supply Chain Management Purchasing Accountability Structure for Perioperative Supply Chain Initiative June 2011 Sample Physician Preference Card for Surgical Procedures May 2013 Sample Request for Proposal Clinical Laboratory System Sample Value Analysis Team Charters February 2011 BACK TO PAGINATION Recent Tools Telehealth Pilot Atlantic General Hospital Monthly Clinical Goal Report October 2015 Monadnock Community Hospital Endowment Fund Investment Policy September 2015 Monadnock Community Hospital Days Cash Model September 2015 Financial Due Diligence Checklist August 2015 FASB Accounting Standards Update Not for Profit Reporting Model Changes Summary August 2015 Tool Archive Accounting and Budgeting Sample PHO Financials January 2015 Bad Debt and Charity Care Reporting RFP for Bad Debt Vendors February 2015 Calculating Uncompensated Care Costs Benchmarking Forecasting Sample FQHC Performance Dashboard April 2014 Checklist Laying the Groundwork for a Successful Predictive Modeling Exercise February 2014 Template for Communicating P L on Readmissions March 2011 Capital Financing and Allocation Sample Investment Policy Statement November 2011 Charity Care and Financial Counseling Sample ACA compliant Charity Care Financial Assistance Policy February 2014 Sample Scripts Assessing Patient s Ability to Pay March 2006 Sample Patient Financial Letter and Verification Form March 2006 Costing and Managerial Accounting Total Margin Dashboard July 2014 Electronic Health Records Governance of Informatics at Bristol Hospital April 2015 EHR Total Cost of Ownership Assessment April 2011 Environmental Sustainability Hospital Sustainability Committees and Members November 2013 Waste Management Poster on the Role of Every Employee November 2013 Facilities Real Estate Performance Metrics October 2011 Gainsharing Calculations for Employee Gainsharing September 2013 Job Descriptions A CAH s CFO Job Description June 2014 CHRISTUS Health s Strategic Volume Template March 2014 Sample Job Description HIPAA Compliance Coordinator March 2006 Leadership Management and Communication Park Nicollet s Financial Concepts for Department Leaders Presentation July 2015 Employee Service Standards from Lafayette General Health October 2014 Sample Employee Performance Improvement Plan January 2013 Sample Policy Incentive Compensation for Patient Access and Admission Staff Topics to Cover in a Workplace Financial Literacy Program January 2011 Organizational Charts and Tools A Health System s Corporate Finance Organizational Chart July 2013 Payment Reforms Bon Secour s Value Oriented Payment Performance Dashboard April 2013 Physician Relationships Assessing Physician Alignment Integration Needs October 2013 Medical Practice Clinical Productivity Evaluation July 2011 Physician Alignment and Integration Readiness Assessment July 2011 Physician Practice Assessment and Checklist for Optimization June 2013 Physician Practice Start Up Action Plan Summary January 2012 Template for a Physician Practice Action Plan May 2012 Term Sheet for Initial Physician Employment October 2011 Policies Procedures Telemetry Discharge Policy from Newark Beth Israel Medical Center May 2015 Quality Improvement Edward s Operational Improvement Team Scorecard July 2014 Assessing Quality and Patient Safety Integration October 2013 UMC s Revenue Integrity Department Purpose Statement March 2013 UMC s Revenue Integrity Department Structure March 2013 Revenue Cycle Sample OR Flow Data Sheet February 2014 Sample Revenue Cycle Governance Council Charter May 2013 Service Line Management Checklist Service Line Analysis September 2013 Service Line Planning Annual Calendar June 2013 Top 10 Questions a Clinical Service Line Business Plan Needs to Answer October 2012 Strategic Partnerships Mergers and Acquisitions Indicators that Provide Clues on When to Merge Partner or Affiliate September 2014 Checklist for Due Diligence May 2011 Phase One Due Diligence Checklist February 2010 Phase Two Due Diligence Checklist February 2010 Strategic Planning Priorities NMHS Strategic Planning and 90 Day Action Plan Templates November 2014 C Suite Organizational Chart with Chief Strategy Officer May 2014 Bellin Health s Energy Grid for Tracking Strategic Initiatives February 2013 Centra Health s Revenue Cycle Organizational Chart January 2013 Criteria for Prioritizing Clinical Improvement Projects March 2013 Piedmont Healthcare s Revenue Cycle Organizational Chart January 2013 Questions to Ask Before Assembling an ACO Team June 2011 St Barnabas Hospital s Revenue Cycle Organizational Chart January 2013 Supply Chain Management Purchasing Accountability Structure for Perioperative Supply Chain Initiative June 2011 Sample Physician Preference Card for Surgical Procedures May 2013 Sample Request for Proposal Clinical Laboratory System Sample Value Analysis Team Charters February 2011 Please login to add your comments Advertisements HFMA Business Profiles McKesson Leveraging Predictive Analytics to Rein in Operating Costs A leader from McKesson discusses how healthcare reform is forcing hospitals and health systems to take a different approach to capacity management and patient flow HFMA RESOURCE LIBRARY 6 Patient Revenue Cycle Metrics You Should Be Tracking and How to Improve Your Results Patient financial engagement is more challenging than ever and more critical With patient responsibility as a percentage of revenue on the rise providers have seen their billing related costs and accounts receivable levels increase If increasing collection yield and reducing costs are a priority for your organization the metrics outlined in this presentation will provide the framework you need to understand what s working and what s not in order to guide your overall patient financial engagement initiatives and optimize results HFMA Business Profiles Accretive Health Partners with Providers to Excel in a Rapidly Transforming Revenue Cycle Environment Emad Rizk MD president and CEO of Accretive Health discusses the uncertainty facing hospitals and the transitions affecting revenue cycle management HFMA RESOURCE LIBRARY 10 Ways to Reduce Patient Statement Volume and Reduce Costs No two patients are the same Each has a very personal healthcare experience and each has distinct financial needs and preferences that have an impact on how when and if they chose to pay their healthcare bill It s no longer effective to apply static billing techniques to solve the complex challenge of collecting balances from patients The need to tailor financial conversations and payment options to individual needs and preferences is critical This presentation provides 10 recommendations that will not only help you improve payment performance through a more tailored approach but take control of rising collection costs HFMA Business Profiles Conifer Health Solutions Helping Providers and Employers Build a Foundation for Better Health Jim Bohnsack vice president solution corporate development for Conifer Health Solutions explains how the company helps healthcare providers leverage data to deliver better outcomes

    Original URL path: http://www.hfma.org/Content.aspx?id=780 (2016-02-10)
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  • Ask the Experts
    areas Prior to joining HFMA as an employee Todd served in a volunteer role on HFMA s Senior Financial Executive National Advisory Committee as well as a chapter president and HFMA regional executive Capital Financial and Strategic Questions Pierre Bogacz Pierre Bogacz is a managing director and co founder of HFA Partners LLC An independent registered municipal advisor IRMA Pierre has with more than 20 years experience working with hospitals and health systems physician groups and other providers in the following areas Tax exempt bond financings Bank debt Bank direct placements Credit enhancement Interest rate swaps Bond ratings Mergers and acquisitions Private equity Business valuation Robert J Ellertsen FHFMA Robert J Ellertsen FHFMA is a former hospital CFO with more than 35 years experience in healthcare finance His areas of expertise include the following ACO development Management of healthcare finance staff Financial ratio analysis Outsourcing of billing self pay collection bad debt collection and coding functions Financial management of hospital based physician practices RBRVS and CPT financial and statistical analysis Physician performance benchmarks Overcoding or undercoding of physician professional services Incentive compensation for primary care physicians TRICARE capital reimbursement Michael J Neuman CPA FHFMA Michael J Neuman CPA FHFMA is senior vice president of finance CFO for Kennedy Krieger Children s Hospital in Baltimore Prior to joining Kennedy Krieger Michael served in the healthcare consulting practice of KPMG in Baltimore His areas of expertise include Operational budgeting Capital planning and financing Revenue cycle management Managed care contracting Grants management Investments Risk management Productivity improvement Treasury and cash management Third party cost reporting Physician Engagement Payment Curtis Bernstein Curtis Bernstein CHFP CPA ABV ASA CVA is a principal Pinnacle Healthcare Consulting Curtis and his colleagues can answer questions related to Physician practice valuation Physician compensation valuation The transfer of assets or equity between organizations Stark and anti kickback laws Ancillary services valuation Fair market value and commercial reasonableness Hospital valuation ICD 10 implementation issues Katie Gilfillan Katie joined HFMA in April 2014 as director healthcare finance policy physician and clinical practice where she is responsible for developing content and services that are significant to physicians clinicians and physician practices Prior to joining HFMA Katie spent over 12 years working in physician associations including the Illinois State Medical Society and the American Medical Association where she advocated for physician issues in the areas of public health clinical practice and education Katie has a Bachelor of Science from the University of Iowa and a Master of Social Work from the Jane Addams College of Social Work at the University of Illinois at Chicago Operational Service Line Management Rosemary Rotty MHA FHFMA Rosemary Rotty MHA FHFMA is director of service line finance at UMass Memorial Healthcare UMMHC where she functions as the lead business partner to various clinical service lines She is responsible for the coordination of many financial functions related to service line performance reporting and acts as the primary liaison between the clinical service lines and the department of finance Rosemary s knowledge base covers Strategic planning and capital planning Service line analytics Benchmarking and metrics Budget and forecasting David A Williams CPA FHFMA David is a partner and leader of healthcare reimbursement and advisory services HORNE LLP He is also conference co chair for HFMA s Region 9 With 25 years of experience David s specific areas of expertise include the following Reimbursement and policy issues related to Medicare and Medicaid Strategic planning Visioning with physicians Community health needs assessment Quality and outcome efficiency LEAN Due diligence Debt capacity M A structure Payment Reimbursement Medicare Medicaid Managed Care Paula R Dillon Paula R Dillon is the Director of Managed Care for the Illinois Hospital Association Paula has 20 years of experience in the managed care industry including 14 years working for hospitals and health systems Her areas of expertise include Reimbursement and negotiation strategies Employer Direct contracting solutions Medicare Advantage contracting approaches Payer performance metrics Insurance exchanges Medicaid Managed Care expansion approaches Craig Ganger Craig Ganger is the director of managed care and decision support for Premier Health in Dayton Ohio Responsibilities include managed care negotiations and contracting for Premier s four hospitals and over 400 employed physicians financial analysis for facilities including pro formas for business expansion and product line P Ls and contractual budgeting and analysis His areas of expertise include Managed care negotiation and strategy Health insurance exchanges Financial analysis for decision making Contract reimbursement strategy and analysis Susan Horras Susan is the director healthcare finance policy health plan and population health initiatives in the Healthcare Financial Practices Group at HFMA In this role Susan is responsible for creating content strategy and product services to enhance skill sets for the health plan segment She also serves as staff to the Principles and Practices Board of the HFMA Prior to joining HFMA she was the director of network economics for Wellmark Blue Cross and Blue Shield where she was focused on provider payment policies and strategy Prior to working at a Health Plan Susan was the CFO at a critical access hospital for three years Susan also has leadership experience at a mid size hospital and healthcare consulting with McGladrey Matt Levsen CPA MBA FHFMA Matt Levsen CPA MBA FHFMA is the Associate CFO of University of Missouri Health Care Columbia MO He has more than 30 years of healthcare finance experience in varying roles at healthcare organizations Matt is a past member of HFMA s Board of Examiners and has been actively involved with his local HFMA chapter for many years His areas of expertise include Medicare and Medicaid reimbursement Chargemaster Managed care contracting Decision support Michele Marcum CHFP Michele Marcum CHFP is director of contracting Humana Inc She has served on the board of HFMA s Idaho Chapter and HFMA s Board of Examiners She is a frequent presenter on managed care and reimbursement topics Her areas of expertise include Contract language Negotiation Payer performance evaluation Medicare Advantage plans ACA implementation and administration Chad Mulvany Chad Mulvany is a technical director for HFMA and is based out of the association s Washington D C office Chad is responsible for creating content covering reimbursement issues and healthcare reform He also is a regular contributor to hfm magazine and speaks frequently to local chapters Chad has more than 10 years of revenue cycle and reimbursement experience working as both an internal and external consultant to large healthcare systems Prior to joining HFMA he helped Fortune 500 companies re engineer their innovation and marketing processes as a consultant at the Corporate Executive Board Revenue Cycle Christine Fontaine CHFP CPAM Christine Fontaine CHFP CPAM is vice president of revenue cycle solutions for OptumInsight She has more than 20 years of experience in healthcare finance in physician and hospital business offices Christine is also a frequent presenter at industry conferences on topics related to revenue cycle operations and best practices Her areas of expertise include Patient centric access processes Denials management and prevention strategies Key performance indicators Staff training Implementation of technology solutions David Hammer FHFMA CHFP David Hammer FHFMA CHFP is a principal at Healthcare Performance Management Consultants In his 30 years of experience David has held a variety of positions with leading integrated delivery networks and health systems Big Four consulting firms IT vendors and revenue cycle outsourcing companies He is also a frequent industry speaker and is widely published author in national publications often focusing on key performance indicators and metrics His areas of expertise include Health reform and evolving payment mechanisms Cost accounting Revenue cycle transformation Enterprise scheduling and patient access Health information management Revenue cycle management Denials management Bob Hoover Bob Hoover FACHE is director revenue cycle for Meadville Medical Center Health System Meadville Pa He has cash flow responsibilities for both the medical center and physician practices For the last 30 years Bob has held corporate revenue cycle and reimbursement positions with both not for profit and for profit healthcare organizations including seven years with Ernst Young s Healthcare Advisory Services Practice His areas of expertise include Revenue cycle management People skills coaching Medicare reimbursement Financing and administration Turnaround cash flow Ruth Landé Ruth Landé is the vice president of patient revenues at Memorial Sloan Kettering Cancer Center the world s oldest and largest private cancer center She has over 20 years experience and is responsible for all aspects of the revenue cycle both on the professional and technical sides She is happy to answer questions related to revenue cycle operations including Registration Coding Charity care Regulatory compliance Technology Patient satisfaction Suzanne Lestina Suzanne Lestina FHFMA CPC is AvadyneHealth s vice president of client innovation In this role Suzanne will execute strategies that will lead the industry in next generation revenue cycle concepts Prior to joining AvadyneHealth Suzanne was HFMA s director of revenue cycle MAP Her areas of expertise include HFMA MAP MAP App Key performance indicators and benchmarks Revenue cycle best practices Self pay process Up front financial communications Technical claims submission questions 5010 X12 electronic data standards Brenda Loper Brenda Loper is regional director of access services for four Sentara Healthcare hospitals She has 40 years of revenue cycle management experience and has been awarded a Six Sigma Green Belt and an HFMA Founders Medal of Honor Her areas of expertise include Access management centralized and decentralized Developing and sustaining working relationships with clinical areas where staff who do registration access functions do not report to the central department Access staff education Access staff productivity issues in an ED Patient accounting Kelly McGinnis Kelly McGinnis FHFMA is director of revenue cycle for HealthAlliance of the Hudson Valley in Kingston N Y and has almost 30 years experience in various healthcare settings Trained in Six Sigma principles Kelly looks to implement best practices for streamlining and integrating all aspects of the revenue stream Kelly has also been involved with HFMA chapters in helping other HFMA members obtain certifications Her areas of expertise include Managed care Billing and follow up Credit and collections Chargemaster Registration scheduling Revenue cycle performance improvement Caswell Samms III Caswell Samms III is a network CFO with Health Hospital Corporation a public benefit corporation and the largest municipal healthcare organization in the country Caswell serves as network CFO for Generations Northern Manhattan Health Network one of HHC s seven strategically integrated Networks which is comprised of two hospitals Lincoln Medical Center 347 beds and Harlem Hospital Center 286 beds and three Neighborhood Family Health Centers His areas of expertise include Revenue cycle Budgeting Planning Business development General accounting Reimbursement Christoph Stauder CPA FHFMA Christoph is president Stauder Consulting LLC in Beaverton Oregon that specializes in improving revenue cycle operations for hospitals and physician groups He wrote the first edition of HFMA s PFS Study Guide in 1996 and is the author of HFMA s Certification Candidate Practicum an all day seminar offered nationally by HFMA His areas of expertise include All aspects of revenue cycle management for hospitals and physician groups Hospital and physician group price setting Clinical documentation improvement Budgeting ROI analysis Sandra Wolfskill Sandra Wolfskill FHFMA is HFMA s director healthcare finance policy revenue cycle MAP Previously she was President of Wolfskill and Associates Inc a revenue cycle consulting firm serving the healthcare industry across the country Sandra has extensive real world experience as a patient financial services director CFO IT Director and for the past 18 years as a revenue cycle consultant She is the author of Patient Access Director s Handbook and other titles and holds an undergraduate degree cum laude from Wittenberg University and a master s degree from the University of Delaware Legal Compliance Robin A Johnson Robin has her own law firm that represents healthcare providers and other not for profit institutions Her practice focuses on not for profit corporations healthcare reimbursement licensure accreditation and compliance on behalf of community mental health centers hospitals clinics home health agencies large physician practices accreditation agencies and professional associations of healthcare providers Robin s specific areas of expertise include Reimbursement including Medicare and Medicaid Insurance law Licensure and accreditation HIPAA Fraud and abuse Not for profit corporate organization and mergers Marty Knutson Martha Marty Ann Knutson JD CPC focuses her San Diego law practice on helping organizations and individual healthcare providers get and stay in compliance with the many local state and federal healthcare requirements Her areas of expertise include Compliance program design and development Disability issues ADA Rehabilitation Act Civil Rights Act of 1964 EMTALA Fraud and abuse restrictions HIPAA HITECH Licensure matters Reimbursement including Medicare and Medicaid Stark physician self referral Elizabeth M Mills Elizabeth M Mills is senior counsel in the Chicago office of Proskauer Rose LLP and a member of the healthcare department Her practice is focused both on healthcare organizations and tax exemption issues for not for profit organizations She is particularly interested in Requirements for hospital tax exemption including Section 501 r requirements Form 990 requirements Legal and tax issues in all aspects of hospital physician integration Joint ventures Joint operating agreements System affiliations Richard C Parker Richard C Parker is an executive director with CBIZ KA Consulting Services a financial management consulting company which provides financial compliance and operational consulting services to the healthcare industry He has more than 25 years experience in the healthcare field both in a provider and consulting setting Richard s interests include CMS RAC risk assessment and recovery DRG coding guidance Medical necessity guidance Regulatory affairs projects Compliance risk and auditing Training related to medical necessity and coding Business associates HIPAA privacy Internal controls Please login to add your comments Advertisements HFMA Business Profiles McKesson Leveraging Predictive Analytics to Rein in Operating Costs A leader from McKesson discusses how healthcare reform is forcing hospitals and health systems to take a different approach to capacity management and patient flow HFMA RESOURCE LIBRARY 6 Patient Revenue Cycle Metrics You Should Be Tracking and How to Improve Your Results Patient financial engagement is more challenging than ever and more critical With patient responsibility as a percentage of revenue on the rise providers have seen their billing related costs and accounts receivable levels increase If increasing collection yield and reducing costs are a priority for your organization the metrics outlined in this presentation will provide the framework you need to understand what s working and what s not in order to guide your overall patient financial engagement initiatives and optimize results HFMA Business Profiles Accretive Health Partners with Providers to Excel in a Rapidly Transforming Revenue Cycle Environment Emad Rizk MD president and CEO of Accretive Health discusses the uncertainty facing hospitals and the transitions affecting revenue cycle management HFMA RESOURCE LIBRARY 10 Ways to Reduce Patient Statement Volume and Reduce Costs No two patients are the same Each has a very personal healthcare experience and each has distinct financial needs and preferences that have an impact on how when and if they chose to pay their healthcare bill It s no longer effective to apply static billing techniques to solve the complex challenge of collecting balances from patients The need to tailor financial conversations and payment options to individual needs and preferences is critical This presentation provides 10 recommendations that will not only help you improve payment performance through a more tailored approach but take control of rising collection costs HFMA Business Profiles Conifer Health Solutions Helping Providers and Employers Build a Foundation for Better Health Jim Bohnsack vice president solution corporate development for Conifer Health Solutions explains how the company helps healthcare providers leverage data to deliver better outcomes while optimizing reimbursement for all payment arrangements HFMA RESOURCE LIBRARY Reduce Patient Balances Sent to Collection Agencies Approaching New Problems with New Approaches This white paper written by Apex Vice President of Solutions and Services Carrie Romandine discusses the importance of patient segmentation and messaging specifically related to the patient revenue cycle Applying strategic messaging that is tailored to each patient type will not only better educate consumers on payment options specific to their billing needs but it will maximize the amount collected before sending to collections Further targeted messaging should be applied across all points of patient interaction i e point of service customer service patient statements and analyzed regularly for maximized results HFMA Business Profiles Ontario Systems Optimizing Accounts Receivable in a Rapidly Changing Environment Steve Scibetta senior director of channel sales for Ontario Systems healthcare product line shares insights into effectively managing receivables HFMA RESOURCE LIBRARY The Future of Online Patient Billing Portals This white paper written by Apex President Patrick Maurer discusses methods to increase patient adoption of online payments Providers are now seeking ways to incrementally collect more payments due from patients as well as speeding up the rate of collections This white paper shows why patient centric approaches to online payment portals are important complements to traditional provider centric approaches HFMA Business Profiles Optum Enabling Transformative Change Elena White vice president of risk quality and network solutions for Optum discusses how healthcare providers can leverage data and technology as they enable risk in their organization HFMA RESOURCE LIBRARY Payment Portals Can Improve Self Pay Collections and Support Meaningful Use Increased electronic engagement between healthcare providers and patients provides significant opportunities for improving revenue cycle metrics and encouraging patients to access EHRs This article written by Apex Founder and CEO Brian Kueppers explores a number of strategies to create synergy between patient billing online payment portals and electronic health record EHR software to realize a high ROI in speed to payment patient satisfaction and portal adoption for meaningful use HFMA Business Profiles Somnia Bending the Healthcare Cost Curve Toward Improved Anesthesia Value Somnia President and CEO Marc Koch MD MBA explains how hospitals can drive transformative change in the perioperative experience for outstanding clinical and financial outcomes HFMA RESOURCE LIBRARY Large Health System Drives 10 UP Patient Payments and 10 DOWN Billing related Costs Faced with a rising tide of bad debt a large Southeastern healthcare system was seeing a sharp decline in

    Original URL path: http://www.hfma.org/ContentDetail.aspx?id=27136 (2016-02-10)
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  • Forum Contest
    two per individual in one calendar year All HFMA award decisions are final Questions All questions and inquiries about this contest can be sent to Forum editor Betty Hintch at bhintch hfma org Publication Date Thursday January 21 2016 BACK TO PAGINATION Share with your Forum peers and win a 200 Amazon gift card To encourage networking and conversation among HFMA Forum members we will be awarding two 200 Amazon gift cards quarterly to Forum members How Can You Enter It s simple Just share your thoughts experiences and questions through the various Forum networking venues See the instructions below for details All questions and inquiries about this contest can be sent to Forum editor Betty Hintch at bhintch hfma org How to Participate Starting on Jan 1 2016 you will automatically be given points every time you share something via the Forum networking venues You will receive 1 point every time you ask a question or share your own experiences or advice Submit a question to the Forum s panel of experts via the Ask the Expert service Add a comment in the comments section of any Forum article or Q A The comment section is at the bottom of most Forum articles and Q As Access your Forum article archive CFO Forum Legal Regulatory Forum Payment Reimbursement Forum Revenue Cycle Forum Post a question on the Forum listserv or answer a colleague s listserv question If you have not done so already subscribe to the Forum listserv After you subscribe you can email listserv members at HFMAFORUMS LISTSERV HFMA ORG You will receive 3 points for more significant contributions If you write an article that is posted on a Forum share a tool e g policy procedure scorecard checklist that your Forum colleagues can adapt or make another significant contribution you will receive 3 points Queries about contributions can be sent to Forum editor Betty Hintch at bhintch hfma org Two Types of Prizes Once a quarter we will award two Amazon gift cards to two Forum members The most active Forum member A 200 Amazon gift card will be awarded to the Forum member who earns the most points for contributing to the Forums as described above The best response or question A 200 gift card will be awarded to the Forum member who posts the most detailed and helpful piece of how to advice or shares the most helpful tool as determined by HFMA staff When Will the Prizes Be Given The winners will be determined at the end of each quarter and the prizes will be distributed shortly thereafter Other Specifics This contest is open to Forum members only Learn more about the Forums and subscribe Members of the Forum expert panels and HFMA employees are not eligible to enter One individual could potentially win both prizes in one quarter However to maintain an even playing field we are limiting the number of gift cards that Forum members can win to two per individual in one calendar year All HFMA award decisions are final Questions All questions and inquiries about this contest can be sent to Forum editor Betty Hintch at bhintch hfma org Publication Date Thursday January 21 2016 Please login to add your comments Advertisements HFMA Business Profiles McKesson Leveraging Predictive Analytics to Rein in Operating Costs A leader from McKesson discusses how healthcare reform is forcing hospitals and health systems to take a different approach to capacity management and patient flow HFMA RESOURCE LIBRARY 6 Patient Revenue Cycle Metrics You Should Be Tracking and How to Improve Your Results Patient financial engagement is more challenging than ever and more critical With patient responsibility as a percentage of revenue on the rise providers have seen their billing related costs and accounts receivable levels increase If increasing collection yield and reducing costs are a priority for your organization the metrics outlined in this presentation will provide the framework you need to understand what s working and what s not in order to guide your overall patient financial engagement initiatives and optimize results HFMA Business Profiles Accretive Health Partners with Providers to Excel in a Rapidly Transforming Revenue Cycle Environment Emad Rizk MD president and CEO of Accretive Health discusses the uncertainty facing hospitals and the transitions affecting revenue cycle management HFMA RESOURCE LIBRARY 10 Ways to Reduce Patient Statement Volume and Reduce Costs No two patients are the same Each has a very personal healthcare experience and each has distinct financial needs and preferences that have an impact on how when and if they chose to pay their healthcare bill It s no longer effective to apply static billing techniques to solve the complex challenge of collecting balances from patients The need to tailor financial conversations and payment options to individual needs and preferences is critical This presentation provides 10 recommendations that will not only help you improve payment performance through a more tailored approach but take control of rising collection costs HFMA Business Profiles Conifer Health Solutions Helping Providers and Employers Build a Foundation for Better Health Jim Bohnsack vice president solution corporate development for Conifer Health Solutions explains how the company helps healthcare providers leverage data to deliver better outcomes while optimizing reimbursement for all payment arrangements HFMA RESOURCE LIBRARY Reduce Patient Balances Sent to Collection Agencies Approaching New Problems with New Approaches This white paper written by Apex Vice President of Solutions and Services Carrie Romandine discusses the importance of patient segmentation and messaging specifically related to the patient revenue cycle Applying strategic messaging that is tailored to each patient type will not only better educate consumers on payment options specific to their billing needs but it will maximize the amount collected before sending to collections Further targeted messaging should be applied across all points of patient interaction i e point of service customer service patient statements and analyzed regularly for maximized results HFMA Business Profiles Ontario Systems Optimizing Accounts Receivable in a Rapidly Changing Environment Steve Scibetta senior director of

    Original URL path: http://www.hfma.org/Content.aspx?id=29084 (2016-02-10)
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  • Articles
    Compliance Officers April 2011 HITECH Security Assessments January 2011 Data Breaches on the Rise January 2011 Do You Know Where Your Data Is Two Tactics to Prevent Breaches January 2011 Productivity and Process Improvement Automated Time Deductions for Meal Breaks Can Be Very Costly June 2011 RACs MACs and Other Anti Fraud Efforts Tips for Systemizing Your RAC Response July 2011 Medicaid Recovery Audit Contractors Coming Soon March 2011 RAC Appeal Hurdles January 2011 Red Flag Rule Red Flags Rule Clarified Meaning of Creditor Narrowed January 2013 Amendment Exempts Providers from Red Flag Rule January 2011 BACK TO PAGINATION Recent Articles January 2016 Concerns Raised Over Changes to 340B Program November 2015 NLRB Expands Joint Employer Concept Checklist Minimizing Joint Employer Status October 2015 HIPAA Breaches Eight Lessons Learned Tool Pick Your HIPAA Safeguards Article Archive Anti Kickback Stark and Related Regulations Beneficiary Inducements in the Era of Healthcare Reform May 2014 Fraud and Abuse Waivers May 2014 Caught Between Scylla and Charybdis Halifax Settles Fraud Case April 2014 Assisting Patients with Insurance Premiums October 2013 Extending the Stark Law to Medicaid October 2013 The Stark Law Essentials A Primer on Self Referral May 2012 The Risks of Compensating Physicians for On Call ED Coverage September 2011 Getting OIG s Blessing for a Physician Alignment Strategy May 2011 Antitrust Issues An Antitrust Primer February 2015 M A Basics How to Avoid a Broken Deal February 2015 Supreme Court Hears Georgia Antitrust Case January 2013 ACO Markets and Anticompetitive Power January 2012 CDM Charge Capture and Coding Coordinated Documentation Will Bolster Coordinated Care June 2014 Status Indicator E Causes Chargemaster Confusion June 2014 OIG Audits Error Rate Is 76 for OPPS Drug Billing July 2012 Conflict of Interest A History of Financial Conflict of Interest in Medical Research October 2012 New Financial Conflict of Interest Rules for NIH Medical Research October 2012 Consumer Laws Ensuring Compliance with Consumer Credit Laws May 2012 Employment Relations Human Resources New NLRB Election Rule May Increase Union Activity July 2015 Healthcare Providers Are You at Risk as a Federal Government Contractor November 2013 M A Due Diligence and Immigration Paperwork May 2013 Filtering Out Smokers February 2012 False Claims Proactive Steps Against False Claims Suits March 2014 Healthcare Compliance Programs Separation of Compliance and Legal Functions Key to Effective Hospital Compliance Program May 2015 Compliance Budgets April 2013 Corporate Compliance Programs A Primer April 2012 Healthcare Legal Defining Medically Necessary Procedures May 2013 Good Habits for PR Crisis Management May 2013 Hospitals Face Stealth Audits of Community Benefit Activities March 2013 The Rise of the RCO Doctrine in Health Care June 2012 Antitrust Law in the Era of Health Reform October 2011 Healthcare Reform SCOTUS Has Spoken What Do We Do Now September 2012 What If the Supreme Court Throws Out the ACA April 2012 Rhetoric and the Health Reform Appeal March 2012 ACOs and Bundled Payment More Uncertainty or More Opportunity September 2011 ACO Rule Provides Uncertainty and Opportunity May 2011 ICD 10 The ICD 10 Transition Experts Fear Problems Ahead IRS Compliance New Requirements for Tax Exempt Hospitals February 2011 Media Relations Be Proactive in Media Relations Experts Say March 2014 Medicaid Presumptive Eligibility for Medicaid February 2014 State Positions on Expansion of Medicaid September 2012 Medicare Compliance OIG Avoiding and Managing CMS Audits August 2015 Changes to Two Midnight Rule Raise Concerns July 2015 A Perfectly Legal Way to Help Patients Pick Higher Quality Post Acute Providers April 2015 Fraud Control Program ROI Nearly 8 1 April 2015 Old 2 Midnight Issues Continue to Fester January 2015 What Inpatient Cases Meet the 2 Midnight Rule January 2015 Finding Your Lost Inpatients November 2014 OIG Posts Work Plan for 2015 November 2014 Dual Eligibles Get More Attention September 2014 OIG Report on Abuse or Neglect in Nursing Facilities September 2014 Medicare Coverage for Skilled Care Clarified July 2014 OIG Fraud Alert Lab Payments to Referring Physicians July 2014 Lawsuit Filed over Medicare Appeals Moratorium June 2014 New Medicare Auditor Supplemental or Superfluous January 2014 e Criteria to Understanding Meaningful Use Compliance July 2011 Putting Observation Status on Observation March 2011 Do Medicare Patients Really Need Another Beneficiary Notice February 2011 Fraud Enforcement It s the Best of Times and the Worst of Times February 2011 CMS Revises Confirms MD Supervision Rules January 2011 Miscellaneous Justice Department Issues Guidance on Effective Communication February 2014 Physician Issues Promoting Physician Services Under Stark Anti Kickback March 2013 Physician Compensation Don t Run Afoul of the Feds September 2012 Privacy HIPAA and Cybersecurity Minimizing the Cost of a Data Breach October 2014 The Challenge of Cloud Security September 2013 Beware of Cybercrime July August 2013 HIPAA Preempts State Law Court Rules June 2013 HIPAA and Cloud Computing May 2013 A Pocket Guide to PHI Disclosures to Family Friends and Others Involved in a Patient s Care Payment April 2013 Protecting Patient Privacy We Make it Harder Than It Needs to Be April 2013 Straddling the Line Between Patient Privacy and Law Enforcement Requests February 2013 Privacy Breaches and State Law November 2012 Helpful Resources for Planning Your 2013 Compliance Agenda November 2012 Meaningful Use May Increase Risk of Privacy Breaches November 2011 Preventing Data Breaches via Business Associate Arrangements November 2011 Securing Employee Smartphones and Tablets Against Data Breaches October 2011 OIG Report Foreshadows Scrutiny of IT Policies July 2011 PHI Disclosures for TPO Purposes Burdensome or Not June 2011 Social Media s Message to Compliance Officers April 2011 HITECH Security Assessments January 2011 Data Breaches on the Rise January 2011 Do You Know Where Your Data Is Two Tactics to Prevent Breaches January 2011 Productivity and Process Improvement Automated Time Deductions for Meal Breaks Can Be Very Costly June 2011 RACs MACs and Other Anti Fraud Efforts Tips for Systemizing Your RAC Response July 2011 Medicaid Recovery Audit Contractors Coming Soon March 2011 RAC Appeal Hurdles January 2011 Red Flag Rule Red Flags Rule Clarified Meaning of Creditor Narrowed January 2013 Amendment Exempts Providers from Red

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  • Tools
    Mobile Data Protection Portable Devices May 2011 A Checklist for Managing Compliance Risks Related to Social Media April 2011 Trends and Overviews A Sample ACA compliant Charity Care Financial Assistance Policy February 2014 A Compliance Checklist for Human Resources June 2013 BACK TO PAGINATION Recent Tools Checklist Minimizing Joint Employer Status November 2015 Pick Your HIPAA Safeguards October 2015 Summary of CMS Audit Procedures August 2015 Tool Archive Audit and Internal Controls Sample Compliance Program Effectiveness Survey May 2012 Elements of an Essential Corporate Compliance Program April 2012 Sample Policy on Third Party Billing Audits January 2012 Billing and Collections Appropriate Steps for Ending the Patient Physician Relationship April 2014 Sample Patient Financial Policy April 2014 CDM Charge Capture and Coding Policy and Procedure E M Coding for Physician Claims June 2012 Employment Relations Human Resources Compliance Checklist for the Ambush Election Rule July 2015 Union Organizing Do s and Don ts January 2014 Healthcare Compliance Programs Board Oversight of the Healthcare Compliance Function May 2015 IRS Checklist for Community Benefit Activities March 2013 Media Relations Model Media Relations Policy March 2014 Medicaid Process for Hospital Presumptive Eligibility Opportunity February 2014 Medicare Compliance RAC OIG Request for Re review of Medical Claims Related to Jimmo v Sebelius July 2014 Medicare Program Integrity Contractors at a Glance January 2014 Checklist Medicare Medicaid Cost Report Preparation November 2013 Sample Letter of Agreement Payment for Services Rendered by Another Facility January 2013 Checklist Preventing Outpatient Drug Billing Overpayments July 2012 Sample Hospital RAC Work Plan and Policy February 2012 RAC Steering Committee Meeting Minutes Template July 2011 Checklist for Good Policy Documents March 2011 Sample RAC Appeal Letter February 2011 A Flowchart for Determining Whether to Appeal an Overpayment Claim January 2011 RAC Timeframes and Deadlines January 2011 Miscellaneous Survey to Determine Compliance with ADA on Effective Communication May 2014 Privacy and HIPAA and Cybersecurity A Nine Point Initial Assessment to Prevent Data Breaches October 2014 Sample Form for Law Enforcement Requests for Protected Health Information September 2014 Checklist Due Diligence in Contracting with a Cloud Service Vendo r September 2013 Checklist Possible Pros and Cons of Cloud Computing and Storage September 2013 Checklist HIPAA and Safe Harbor Issues for Encryption September 2013 Checklist for Preventing Malware Attacks July August 2013 A Pocket Guide to PHI Disclosures to Family Friends and Others Involved in a Patient s Care Payment April 2013 HIPAA Compliance Tool Business Associate Contract Checklist April 2013 Sample Report Comparing State Federal Privacy Breach Regulations November 2012 Summary of OIG s 2013 Work Plan Part I Medicare A B November 2012 Checklist Responding to an OCR Investigation or Audit March 2012 Data Security Questions to Ask Potential Business Associates November 2011 Meaningful Use Risk Assessment PHI Security Questions for Providers November 2011 Policy Compliance Committee Purpose October 2011 Sample Policy Electronic Messaging General Standards May 2011 Sample Policy Mobile Data Protection Portable Devices May 2011 A Checklist for Managing Compliance Risks Related to Social Media April 2011 Trends and Overviews A Sample ACA compliant Charity Care Financial Assistance Policy February 2014 A Compliance Checklist for Human Resources June 2013 Please login to add your comments Advertisements HFMA Business Profiles McKesson Leveraging Predictive Analytics to Rein in Operating Costs A leader from McKesson discusses how healthcare reform is forcing hospitals and health systems to take a different approach to capacity management and patient flow HFMA RESOURCE LIBRARY 6 Patient Revenue Cycle Metrics You Should Be Tracking and How to Improve Your Results Patient financial engagement is more challenging than ever and more critical With patient responsibility as a percentage of revenue on the rise providers have seen their billing related costs and accounts receivable levels increase If increasing collection yield and reducing costs are a priority for your organization the metrics outlined in this presentation will provide the framework you need to understand what s working and what s not in order to guide your overall patient financial engagement initiatives and optimize results HFMA Business Profiles Accretive Health Partners with Providers to Excel in a Rapidly Transforming Revenue Cycle Environment Emad Rizk MD president and CEO of Accretive Health discusses the uncertainty facing hospitals and the transitions affecting revenue cycle management HFMA RESOURCE LIBRARY 10 Ways to Reduce Patient Statement Volume and Reduce Costs No two patients are the same Each has a very personal healthcare experience and each has distinct financial needs and preferences that have an impact on how when and if they chose to pay their healthcare bill It s no longer effective to apply static billing techniques to solve the complex challenge of collecting balances from patients The need to tailor financial conversations and payment options to individual needs and preferences is critical This presentation provides 10 recommendations that will not only help you improve payment performance through a more tailored approach but take control of rising collection costs HFMA Business Profiles Conifer Health Solutions Helping Providers and Employers Build a Foundation for Better Health Jim Bohnsack vice president solution corporate development for Conifer Health Solutions explains how the company helps healthcare providers leverage data to deliver better outcomes while optimizing reimbursement for all payment arrangements HFMA RESOURCE LIBRARY Reduce Patient Balances Sent to Collection Agencies Approaching New Problems with New Approaches This white paper written by Apex Vice President of Solutions and Services Carrie Romandine discusses the importance of patient segmentation and messaging specifically related to the patient revenue cycle Applying strategic messaging that is tailored to each patient type will not only better educate consumers on payment options specific to their billing needs but it will maximize the amount collected before sending to collections Further targeted messaging should be applied across all points of patient interaction i e point of service customer service patient statements and analyzed regularly for maximized results HFMA Business Profiles Ontario Systems Optimizing Accounts Receivable in a Rapidly Changing Environment Steve Scibetta senior director of channel sales for Ontario Systems healthcare product line shares insights into effectively managing receivables HFMA RESOURCE

    Original URL path: http://www.hfma.org/Content.aspx?id=826 (2016-02-10)
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  • Articles
    2010 Shared Savings Accounting for Non Performance Related Variation in Shared Savings Contracts January 2015 Six Ways to Address Non Performance Related Variation in ACO Contracts January 2015 Supply and Technology Reimbursement Medical Technology Reimbursement Finding the Value Proposition May 2011 BACK TO PAGINATION Recent Articles January 2016 Negotiating Tips for ACO Contracting Ask the Expert Non Contracted Insurer Payment Rates Tool Checklist for Successful ACO Contracting November 2015 Utilization Review Reduces Inpatient Denials Checklist Commercial Utilization Review October 2015 2015 Medicare Physician Cuts Identified Ask the Expert Reimbursement Implications of Pediatric Trauma Designation Article Archive Billings and Collections Diagnosing Physician Practice Financial Pains May 2015 Proceed With Caution When Considering Patient Discounts June 2014 Retro Termination and Insurance Overpayments January 2013 Payer Performance Data Guides Improvement November 2012 Saint Francis Halves Days in A R with a Payer Focused Strategy May 2012 Chargemaster Simple Steps for Meeting the ACA s Price Transparency Requirements November 2014 Reducing Chargemaster Prices Aligns with Miami Children s Strategic Goals April 2014 Coding Documentation CCI Edits at the Department Level January 2013 Facility Fees Developing a Facility Fee Strategy May 2014 Health Insurance Marketplaces Major Hospital Companies Share Contracting Strategies in Fledging Insurance Market June 2013 Trinity Health Is Proactively Preparing for the Health Insurance Marketplaces May 2013 Lessons from the First Health Insurance Marketplace March 2013 Health Insurance Exchanges Benefits and Challenges for Hospitals November 2011 Preparing for Increased Churn in 2014 November 2011 Managed Care Using KPIs to Assess Payer Performance October 2014 Improving Contract Negotiations at Premier Health March 2014 Avoiding Commercial Payer Recoupment July 2013 Payer Rates Versus Relationships Which Is More Important June 2013 Checklist Essential Contract Elements in Managed Care Contracts April 2013 Dis enrolling a Patient from a Group Plan While on FMLA April 2013 Successfully Negotiating Managed Care Contracts April 2013 Navigating Your ERISA Contracts October 2012 MedStar Health Builds Strong Payer Relationships Through Communication March 2012 PR Campaigns May Improve Payer Negotiations Enhance Market Value January 2012 Balancing IP OP Reimbursement Increases to Maximize Margin Opportunity September 2011 Data Mining Payments and Contracts September 2011 How Commercial Payers Rate on Rates June 2011 Montefiore s Take on Successful Risk Based Contracts for Population Management June 2011 Payer Provider Parity Beyond Just Being Fair April 2011 Effective Negotiation Preparation to Maximize Rate Increases February 2011 Medicaid Reimbursement Highlights from Feb 4 Open Door Forum on 2 Midnight Rule March 2014 Determining and Mitigating the Impact of the Clinic Visit HCPCS Code Compression January 2014 DSHing About DSH Cuts Preparing for Dramatic Change January 2013 MetroHealth Seeks Medicaid Waiver to Improve Safety Net Reduce Charity Rolls September 2012 NICU Maximizes Revenue by Navigating Complex Medicaid Payment Requirements November 2011 A Primer on Medicare Managed Care October 2011 Another Form of Medicaid Fraud October 2011 Lee Memorial s Approach to Partnering with Medicaid ACOs October 2011 Medicare Compliance OIG Can Medicare Advantage Plans Pass Along Sequester Cuts Look to the Contract May 2015 Highlights from Dec 19 Open Door Forum on 2 Midnight Rule January 2014 Medicare Reimbursement Using MSPB as a Starting Point for Strategic Financial Discussions April 2015 A Database Swap Could Impede Medicare Claim Disputes April 2015 Navigating the OPPS Final Rule February 2015 Details on the CMS Settlement for Patient Status Denials September 2014 Modeling the Impact of Potential Cuts in Hospital Surgery Payments June 2014 Three Things to Consider About MedPAC Recommendations May 2014 Which Are Tougher Proposed or Final CMS Rules April 2014 Adjusting a Hospital s Medicare Wage Index February 2014 Highlights from Jan 14 National Provider Call on 2 Midnight Rule February 2014 DSHing About DSH Cuts Preparing for Dramatic Change January 2013 Cost Report Forms 2552 10 Identifying Opportunities and Threats for CAHs July 2012 How Much Could Medicare Be Cut Under the Debt Deal September 2011 Bracing for a Wage Index Cat Fight July 2011 Key Dates on the Wage Index Timeline July 2011 Critical Strategies to Ensure Readmission Appropriateness April 2011 The New CMS Report Form Highlights of the Changes by Worksheet March 2011 Medicare Medicaid Cost Reports Double Checking Your Medicare Cost Report Narrow Networks Narrow Network Pioneers Share Tips on Payer Provider Relationships January 2014 Payment Models Bundled Payment Shared Savings P4P etc How St Joseph Health s ACO Evolved from Shared Savings to Capitation September 2014 5 Key Questions to Ask When Considering Bundled Payment November 2013 Advice on Negotiating Value Based Payment Arrangements from a Twin City Insider September 2013 Moving from Retrospective to Prospective Attribution in ACO Contracts September 2013 The Pioneer ACO A Template for Shared Savings February 2013 How the Allina vs HHS Case Could Increase Your DSH Payments January 2013 IME Payments and Terminated Residency Programs November 2012 Changing Payment Structures Require IT Changes October 2012 Post Acute Partnerships to Support Bundled Payments Risk or Opportunity July 2012 Laying the Groundwork for Bundled Payment June 2012 VBID Offers Unique Opportunities for Provider Payer Partnerships April 2012 Breaking Even Under Medicare Bundled Payments February 2012 Top 10 Cited Risks Under Bundled Payment February 2012 Hawaii Launches First Ever Statewide VBP Program with Private Payers July 2011 A Positive ROI for Most Physician Group Practice Demonstration Participants May 2011 Health Plans Pay MDPractices Incentive Bonuses for Converting to Medical Homes May 2011 HFMA Presentation Medicare Shared Savings Program Summary of Proposed ACO Regulations April 2011 Cleveland Clinic and Loew s Arrange Bundled Price for Heart Surgery February 2011 P4P Contract Tips from a Seasoned Negotiator April 2011 Six Target Markets for ACO Type Partnerships April 2011 How Exempla St Joseph Got Physicians Involved in Bundled Payment January 2011 Maryland s Rate Setting Agency Pilots P4P Bundled Payment January 2011 Physician Provider Credentialing Key Strategies for Improving Physician Provider Credentialing July 2014 Pricing Discerning the Impact of Lesser Than and Greater Than Provisions in Payer Contracts July 2015 Quality and Cost Reporting How Accurate Mortality Risk Measurement Improves Quality and Value August 2015 Nichols on Advanced Medicare Cost Reporting February 2010 Shared

    Original URL path: http://www.hfma.org/Content.aspx?id=878 (2016-02-10)
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