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    are implemented will fuel the need for detailed cost accounting Don t Be Afraid To Fail The risk of failure is not the risk that matters most Focus on Revenue Cycle Compliance This course explains compliance topics relevant to the revenue cycle It would be appropriate for revenue cycle staff with some experience supervisors managers and executives HFMA Comment Letters HFMA periodically issues comment letters to agencies such as the Centers for Medicare amp Medicaid Services the Internal Revenue Service FASB and GASB and other regulatory legislative and similar entities Our most recently submitted comment letters are listed below and organized by topic If you re loo An Update on the Latest Healthcare Legislative and Regulatory Issues With healthcare reform heading into its third year of insurance exchange coverage and surviving several legal challenges this webinar addresses the current state and upcoming issues related to the continued operation of the ACA Blog Eliminating Falls with Injury Hospitals that helped develop a tool available through The Joint Commission reduced patient fall rates by 35 percent and falls with injury rates by 62 percent Policy Perspectives You can have text here amp optional click 000000 ACO Final Rule Fact Sheet Comment Letter to CMS about Proposed ACO Rule HFMA outlines concerns about the proposed rule from CMS about value based payment Recommended changes include new deadlines for implementation costs to providers and l VitalWare VitalCoder VitalCoder is the next generation referential tool providing coders and billers with current and up to date coding and regulatory information in an easy to navigate web application VitalCoder provides inpatient outpatient ASC and professional coding and billing information and is embedded with ICD Sherpa VitalWare s innovative tool to facilitate accurate ICD code lookup Healthcare Compliance Specific Laws and Regulations This course presents details of specific laws and regulations that are pertinent to the overall management of healthcare provider organizations Overview of Healthcare Compliance This course provides an in depth discussion of important compliance issues for healthcare providers and is intended primarily for managers and executives including compliance officers Life at Its Worst Health Care at Its Best Dan Michelson recalls the tragic event of one year ago with the bombing of the Boston Marathon and asks us all to reflect on the finest qualities of our healthcare system qualities that became so profoundly evident in health care s heroic response to the horrific event HFMA urges support for the Stark Administrative Simplification Act H R 3776 HFMA urges support for the Stark Administrative Simplification Act H R 3776 introduced by Rep Charles Boustany MD and Rep Ron Kind Page 1 of 1 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

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    hospitals for health care An influx of newly homeless adding to large numbers of chronically homeless is forcing healthcare organizations to take steps to ensure that they have legally compliant discharge planning protocols and procedures in place ICD 10 From Assessment to Remediation to Strategic Opportunity This case study about Geisinger Health System s ICD 10 implementation offers lessons to organizations that are just beginning to implement ICD 10 The Financial Implications of ACOs for Providers An analysis of the ACO proposed rule focuses on how the program may affect participants and what hospitals should do to prepare The Forecast for RAC Extrapolation Mostly Cloudy Learn what action steps hospitals should consider in preparing for RAC extrapolation Legal Statutes and Regulations Applicable to Homeless Discharges Numerous laws and regulatory requirements have a bearing on hospitals discharges of homeless patients Technology Safeguards Needed as Security Rule Audits Loom The Department of Health and Human Services HHS through its Office of Civil Rights OCR will conduct up to 150 security rule audits under the Health Insurance Portability and Accountability Act HIPAA by the end of 2012 Spending for PCIP at Federal and State Levels Although the PCIP program has been available since early 2011 enrollment has been low and spending by the states and the federal government has been well under budget Pre existing Condition Insurance Plans Opportunities for Providers The Pre existing Condition Insurance Plan offers opportunities for providers to optimize revenues but not without risks Fact Sheet Version 5010 This fact sheet provides information and a compliance time line for the transition to Version 5010 by Jan 1 2012 Legal and Regulatory Snafus to Avoid During Mergers Acquisitions Five common M A mistakes that can increase legal and regulatory as well as financial risks Sample Job Description HIPAA Compliance Coordinator Any HospitalJob DescriptionTitle HIPAA Compliance CoordinatorMain Function The incumbent is responsible for monitoring the Hospital s compliance with applicable governmental regulations related to the Administrative Simplification elements of the Health Insurance Portability and Accountability Act of 1996 a k a HIPAA The incumbent Training Coders to Transition to ICD 10 Coders should be receiving training now so they will be ready to use the ICD 10 code set by the new proposed Oct 1 2014 compliance date ICD 10 A New Day for Current and New Coders The transition to ICD 10 presents incredible educational opportunities for coders and coding students Stark and Kickback Compliance Questionnaire View the document Download InstructionsTo download from a PC right click on the document link and select Save Target As To download from a Mac hold down the OPTION key and click on the document link Ask the Expert Small Claims Court Proceedings In developing a policy for small claims court proceedings there are a few homework and research items you will need to complete before proceeding Ask the Expert Retaining Old Billing System Records What s the guidance or practice that organizations are following regarding the retention of their old billing systems data and records Page 1 of 6 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

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    childhood asthma program while pushing for Medicaid bundled payment funding HFMA Comment Letter on IRS s Proposed Rule Additional Requirements for Charitable Hospitals HFMA submitted comments to the Office Management and Budget in response to the Department of the Treasury and IRS s proposed regulations under Section 501 r 4 6 HFMA Comment Letter on IRS s Proposed Rule Additional Requirements for Charitable Hospitals Section 501 c 3 HFMA submitted comments to the Office Management and Budget in response to the Department of the Treasury and IRS s proposed regulations under Section 501 r of the code as published in the June 26 2012 Federal Register How Hospitals Should Respond to the Final 501 r Regulations for Maintaining Tax Exempt Status Requirements in the newly released rules will have major effects on community health needs assessments and on policies relating to financial assistance emergency medical care and billing and collections Implications of Final IRS 501 r Rules for Hospitals This session will provide an overview of the IRS 501 r final rule and discuss its implications for not for profit hospitals and health systems HFMA Summary of IRS 501 r Final Rule This summary outlines the provisions of the IRS final rule providing requirements for charitable hospital organizations added by the Affordable Care Act Strategies to Ensure Compliance with IRS 501 r and Its Impact on Patient Responsibility Workflows This webinar explores the specific components of the IRS 501 r regulations the impact on patient responsibility workflows and the strategies for ensuring compliance while maintaining a positive cash flow Response Strategies FAP Regulations Hospitals should consider the following approaches to complying with the requirements regarding financial assistance policies FAPs in the 501 r final regulations Response Strategies CHNA Requirements Hospitals should consider the following approaches to complying with the requirements regarding community health needs assessments CHNAs in the 501 r final regulations The IRS and Your Health Care Washington The IRS faces significant challenges in determining and keeping track of individuals eligibility for health insurance subsidies under the ACA Checklist for Community Benefit Activities Healthcare compliance and finance leaders can use this checklist to ensure their hospitals are complying with the ACA s community benefit requirements under IRC 501 r Hospitals Face Stealth Audits of Community Benefit Activities IRS stealth audits may eventually affect future tax rules and laws at the state and federal level Web Extra New Requirements for Maintaining Tax Exempt Status An IRS Final Rule will specify financial assistance billing and collections requirements that hospitals must meet to maintain or achieve tax exempt status Preparing for Section 501 r An IRS Final Rule will specify financial assistance billing and collections requirements that hospitals must meet to maintain or achieve tax exempt status Keeping Step with IRS Guidance on Requirements for Tax Exempt Hospitals The IRS issued proposed rules in April regarding community health needs assessments and other requirements that section 501 c 3 hospitals must meet to maintain tax exempt status Page 1 of 1 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

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    To reduce avoidable readmissions the Centers for Medicare Medicaid Services and other agencies have undertaken several measures The Clock is Ticking on Readmission Penalties Hospitals should focus on three areas where poor performance is contributing to high numbers of Medicare readmissions execution of the discharge plans patient education and coordination of post discharge care Internal Audits Can Safeguard Hospital Revenue Hospitals can improve their revenue capture by implementing an automated internal audit function that identifies the root causes of denials thereby helping to prevent the denials from occurring in the first place Healthcare Financial Management Essentials Apr 20 22 New to the healthcare finance field or looking for a comprehensive overview of the forces shaping today s healthcare environment Get an extensive and practical overview of the healthcare system from economic and policy forces to payment issues and resource allocation This program highlights current healthcare transformations including the shift from volume to value quality patient satisfaction competition on cost and the evolution of the payment system Web Extra Medicare Appeals Process Worries Providers and CMS Alike View this web extra to Medicare Appeals Process Worries Providers and CMS alike by J Stuart Showalter detailing types of Medicare and Medicaid program integrity contractors 340B Drug Discount Program Key Challenges and Opportunities in an Era of Increased Scrutiny During this webinar learn the latest developments in the 340B program how to communicate 340B s value to your community and in Washington DC and how to meet these emerging compliance and oversight challenges Extending the Stark Law to Medicaid Federal authorities have quietly begun to argue that the Stark self referral law applies to Medicaid Presumptive Eligibility for Medicaid Under the Affordable Care Act hospitals are now able to make presumptive eligibility determinations for Medicaid and thus enroll patients immediately Tool Process for Hospital Presumptive Eligibility Opportunity Individual arrives at hospital in need of acute medical care Individual receives care for medical services Hospital asks for individual s insurance Individual is insured Individual is uninsured Based on information individual appears to be eligible for Medicaid Individual receives temporary Medicaid coverage and has u Page 1 of 1 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

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    the process 7 Strategies for Success in Governing an ACO A successful ACO strategy starts with clearly articulating a patient centered strategic plan that supports organizational goals The Financial Implications of ACOs for Providers An analysis of the ACO proposed rule focuses on how the program may affect participants and what hospitals should do to prepare Why Are ACOs So Important to CMS The successful development of ACOs would permit CMS to contract directly with providers in much the same way the agency contracts with insurers under Medicare Advantage Reasons for Automated Denials by RACs The Recovery Audit Contractors RACs are issuing automated denials for many reasons according to the American Hospital Association RACTrac Survey Understanding Semi Automated RAC Reviews The new semi automated RAC audits give providers an opportunity to justify their billing without the threat of an automatic recoupment Putting Observation Status on Observation Hospital compliance officers should work with patient financial service leaders to develop an agreed upon policy about the hospital s use of observation status Tool Sample RAC Appeal Letter Karen Bowden president ClaimTrust Consulting Needham Mass shares a sample RAC appeal letter with Forum members Ask the Expert Transfer DRG Policy What types of hospitals does the transfer DRG policy apply to Beware of the ZPIC Tips for Revenue Cycle Leaders Prepayment medical reviews and postpayment audits are two key areas of focus where ZPICs can exert their fraud and abuse detection authority How to Write a RAC Appeal Letter A well written RAC appeal letter can help you win your case and ease the administrative burden of audits Reprocessing Claims Affected by ACA and 2010 MPFS Changes Providers may be affected by the retroactive increases in payment rates for claims affected by the Affordable Care Act and 2010 Medicare Physician Fee Schedule changes Coming Soon Medicaid Recovery Audit Contractors Hospital revenue cycle leaders should prepare for the expansion of the RAC program to include review of Medicaid claims Compliance with Critical Access Hospital Conditions of Participation The Conditions of Participation for Critical Access Hospitals have specific requirements that bear careful periodic review to ensure ongoing compliance MAC Prepayment Reviews Prepare Respond and Prevent As the government steps up its anti fraud efforts by reinstating prepayment reviews providers are finding ways to ease their pain Practical Tips for Reducing Future Audit Risk There are four key strategies for reducing a provider s audit risk with corresponding action steps for each strategy Five Criteria to Understanding Meaningful Use Compliance Examining the meaningful use criteria in detail can help compliance officers CFOs and CIOs who are wrestling with the challenges of electronically storing and transferring PHI ACOs and Bundled Payment More Uncertainty or More Opportunity A new bundled payment initiative is announced even though uncertainties remain about the proposed ACO rule Page 1 of 4 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

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    and Law Enforcement Requests Martin Health System developed a form to help hospital staff document and respond appropriately to law enforcement requests for protected health information Protecting Patient Privacy We Make It Harder Than It Needs to Be For typical provider patient encounters privacy regulations are not as complicated as they may seem Saying no and I can t and blaming the refusal on HIPAA is a cop out Ask the Expert Answer HIPAA Changes Is there guidance to ensure that all the recent changes to HIPAA are incorporated in policies procedures notices and contracts Privacy Breaches and State Law Do you know what your state requires when a privacy breach occurs Maximizing Data Breach Security Hospitals are moving away from temporary fixes to data security problems to implementing comprehensive cybersecurity programs Preventing Data Breaches via Business Associate Arrangements Compliance officers can use these five strategies to help ensure that PHI is not breached via hospital business associates Meaningful Use May Increase Risk of Privacy Breaches Meaningful use of EHRs presents new risks for PHI breaches and stresses the need for a thorough risk assessment Securing Employee Smartphones and Tablets Against Data Breaches A chief technology officer shares how his social services organization is securing sensitive data on employee mobile devices Course Mastering HIPAA The course defines and explains the proper use of protected health information uses and disclosures and requirements surrounding authorizations Ask the Expert How HIPAA Impacts Business Associates How does the Affordable Care Act and the HITECH Act affect business associates Tool Data Security Questions to Ask Potential Business Associates Are you about to contract with potential business associates Ask these HIPAA related data security questions first PHI Disclosures for TPO Purposes Burdensome or Not New HHS rule would implement requirements of HITECH Act create right to access report from EHR systems and add additional work for compliance and information security officers Douglas Hastings Identifying Legal and Strategic Challenges of Accountable Care There are a number of legal issues that the move to accountable care raises for hospitals HITECH Security Mandates for Healthcare Organizations New rules governing data security and breaches are more prescriptive than the HIPAA rules and the government is stepping up enforcement Section 3 Navigating the Regulatory Maze Providers are devoting scarce resources to complying with ICD 10 HIPAA Stark and numerous other regulations and enforcement efforts Ask the Expert Masking AMA CPT Descriptions Relating to Sensitive Services Q Can you provide any insight on guarantor billing itemized statement descriptions relating to sensitive or confidential services Are Your Patients Protected from Credit Card Fraud Take the following steps to ensure your merchant processor is Payment Card Industry compliant Page 1 of 3 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

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    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

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    members a healthcare organization s composite measures and targets The Value Proposition 4 Lessons from Failing Quality Programs Four lessons from unsuccessful quality programs illustrate pitfalls hospitals should avoid Sidebar How Nash Reduced MRSA Infections Healthcare Cost Containment Healthcare Cost Containment Drive down costs while improving quality in a reform environment Forums HFMA Forums Converse and network with your peers around vital topics Using RFID to Track Equipment and Patients Since installing RFID technology Bon Secours Richmond a system of four hospitals and 875 beds has saved almost 2 million annually Saving with Smart End of Term Equipment Leasing Practices Unfavorable lease terms and ineffective management at the end of a lease can expose organizations to significant added costs Overcoming Challenges to Become an Efficient Healthcare Payment Processor Kaufman Hall Performance Management Suite Kaufman Hall Performance Management solutions were designed to address the evolving strategic and financial management needs of hospitals and health systems Our software suite is rooted in three decades of experience helping healthcare providers to analyze results model the future and optimize organizational decision making Featured Content Strategies for Physician Engagement and Alignment Access the latest report and toolkit from HFMA s Value Project addressing the critical role of physicians in the transition to value based payment and care delivery structures Access the tool kit for Medical Group Perspectives A Closer Lo Learning to Think Like a Payer Value Based Care Lessons Learned From a Pioneering Healthcare Organization With the shift to value based care healthcare organizations are taking on more risk than ever before This risk often comes in the form of partially or fully capitated risk based contracts As a result healthcare professionals need to transform their organizations to think like a payer Work Life Balance Strategies for Success Katherine Y Brown offers this webinar for women that addresses health entrepreneurship leadership and advocacy The Patient Financial Journey Statements Portal Engagement Payment and More Gundersen transformed its patient financial experience by adopting self service payment as a consumer success metric and now measures patient satisfaction within their billing and payment experience Maximizing your CDI Program A Dignity Health Case Study Dignity Health shares an inside view of the organization s CDI program Dignity Health s efforts to maximize their CDI program increased productivity ensured complete documentation review and improved their revenue integrity Dignity Health also shares best practices lessons learned and results from their organization s CDI program Case Studies in Clinical Transformation Across the country innovations in care delivery models at organizations of varying size and type are enhancing continuity of care changing utilization patterns and reducing costs Standardizing Metrics Improves OR Performance at UPMC By standardizing performance metrics centralizing data and sharing best practices a large health system is helping its operating rooms run more efficiently 3 Overlooked Opportunities for Significant HR Savings Leave policies health coverage for part time employees and premium pay programs represent untapped savings targets even at high performing health systems Page 1 of 2 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

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