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  • Burgess: Simplify the Business of Healthcare
    these solutions in a SaaS model is essential to this technology shift We aim to keep our solutions as nimble as possible To do this we took a close look at our internal workflow to assess if we could manage technology updates more efficiently We now release changes every two weeks with 100 percent compliance so clients pay claims right the first time This saves substantial rework because they don t have to re adjudicate and reconcile wrongly denied claims Not only does this help with efficiency it also boosts provider satisfaction When organizations merge and consolidate they don t have to change their core systems to work with our solutions All of the organization s mission critical reimbursement network contracts edits payment policies provider dispute resolution happen outside the core claims system safely and securely in a highly scalable environment With our system you can plug 837 connections into any different number of claims systems and have a single source of truth for how to manage payments It s game changing While enabling easy edits and streamlined payments is important to us we spend the most time designing the user experience You can have great processes but if they don t interact well or meet the user s needs ultimately they are useless We focus on examining how people use the solution and ensure our design reflects their workflow In fact we recently reengineered our software to meet a new generation of demand Our solution was successful before but we knew it could be even better We see the value in making time and resource investments that elevate our solutions to the next level What are your recommendations to leaders considering vendors for these types of services First and foremost you should think outside the box Understand how you can be part of and capitalize on the changing landscape rather than fighting it If you work for a health plan for example instead of thinking How can I hold claims longer think How can I move to fast high accuracy payments to negotiate lower rates with providers who d love to get paid more quickly Today it s all about effective collaboration and organizations should look for a company that believes in that approach Also organizations should consider total cost of ownership before committing to a solution I find that executives often zero in on software licensing costs but neglect to consider larger costs such as a lengthy expensive implementation delayed update efficiency slow process improvements or costs associated with suppliers who haven t fully thought through the workflow Sometimes leaders are so focused on ensuring there is an army of vendor staff to fix problems they neglect to perform due diligence on the front end with respect to workflow needs If it s well designed technology it can be built and delivered in a way where it s 80 percent ready without frequent and complex integration and implementation challenges You additionally want to make sure you and your potential partner share the same vision What is their long term road map What are they trying to accomplish and does it fit with your needs and vision It s easy to focus on today s hot problem rather than whether a partner is a fit with the overall strategic plan Organizations should define real business requirements and stick to them don t be an impulse buyer You want to feel confident that product features solve not just your internal needs but also the requirements of the people you serve This is what makes for strong relationships Products should be user friendly because complex features and functionality just result in confusion The most valuable solutions are the ones users employ on a daily basis to actually improve workflow So when choosing a solution you should ask How is your product going to affect my workflow How do I know my staff is going to use your system effectively What kinds of best practices do you see your business partners using First they truly see our company as a long term partner fully engaging with us and leveraging the most out of the technology Often a significant percentage of an IT system s capabilities aren t used We tend to solve the most urgent problems while additional system capabilities are never fully tapped However organizations that ask for solutions and seek methods to optimize them realize the value we bring as we continue to build interfaces and applications Another practice is time spent bringing stakeholders from across the organization together This is important in facilitating engagement because our company works across various departments from medical and claims departments to compliance actuarial and provider relations We touch the work of many people through our holistic solution therefore bringing together all stakeholders to discuss problems solutions and strategies is valuable Where can readers learn more about Burgess payment integrity solutions Visit us on our website for more information on BRS payment integrity solutions and latest news Download our September 9 th webinar featured on Health Payer News The webinar titled How to Improve the Predictability of Healthcare Payments Using CMS Standards proposes the use of Medicare as a baseline to enable accurate cost predictions for healthcare payers and at risk providers For ideas on how to simplify the business of healthcare visit the Insights section on the Burgess website for relevant case studies and white papers on cost containment prediction and modeling Read our latest whitepaper featured in Modern Healthcare titled Claims Wasteland Reducing Incorrect Payments between Providers and Payers For more information contact us at info burgessgroup com or call us at 800 637 2004 HFMA is the nation s leading membership organization for more than 40 000 healthcare financial management professionals Business Profiles are funded through advertising with leading solution providers Learn more Content for this Business Profile is supplied by Burgess This published piece is provided for advertisement purposes HFMA does not endorse the published material or warrant or guarantee its accuracy The statements and opinions of those profiled are those of the individual and not those of HFMA References to commercial manufacturers vendors products or services that appear do not constitute endorsement by HFMA Publication Date Thursday October 01 2015 BACK TO PAGINATION Advertisement In this Business Profile Greg Burgess Founder and Chief Product Officer at Burgess shares insights and opportunities for payment integrity in the rapidly changing healthcare IT landscape Tell me a little about your organization Burgess provides medical claims reimbursement and payment integrity solutions for healthcare payers providers third party administrators suppliers Accountable Care Organizations ACOs and other consumers of healthcare reimbursement data Our original mission one that still holds true today is to facilitate the use and comprehension of government program based data for various stakeholders which can improve the overall performance of the healthcare system Our company s proprietary software applications and consulting services help organizations save millions through improved accuracy efficiency and performance while offering powerful analytics and automation We have a loyal long standing client base due to our broad and deep expertise in Medicare and Medicaid reimbursement Our clients business needs are the focus of our innovation and growth Burgess Reimbursement System BRS solutions are designed with our clients in mind we specifically tailor new functionality to individual client needs In fact many well recognized national and regional organizations have partnered with us for more than a decade In 2009 we made a commitment to transition to a Software as a Service SaaS platform to improve the quality of our offerings This occurred well before we knew that protected health information in claims level transactions would be a viable data source for large health plans or ACOs Even large commercial payers turn to us for data hosting because it eliminates IT overhead Today virtually all of our clients have moved or are moving to the SaaS platform We continue to strive as the market leader in payment integrity solutions offering unparalleled functionality business value and quality Our vision is to bring payment integrity and transparency towards the point of service When you think about the tectonic shifts occurring in healthcare information technology what types of challenges and opportunities do you see in the marketplace today All healthcare organizations are reinventing themselves as the industry consolidates and transforms The constant changes in new contracting models and payment methodologies underscore the need for a consistent reliable anchor on which to model and predict financial outcomes Medicare and Medicaid data serve in this role We re seeing large growth in out of network commercial business that uses Medicare data as a baseline to pay for services and support negotiations There s also a real need for companies to think differently about their payment integrity technology Unfortunately systems at most organizations are outdated in the face of an industry reinventing itself at lightning speed Old school legacy systems are becoming a significant challenge because they ve been around for twenty to thirty years but aren t made to support comprehensive reimbursement that includes clinical editing pricing and network contracting As a result organizations have to install bolt on solutions to manage these tasks This is problematic because a health plan typically will have multiple software solutions without a consistent interface that ensures smooth information sharing Not only are organizations realizing the need for modern solutions they are looking to onboard the technology rapidly Just two years ago some of the largest companies we work with said they could not employ SaaS because they required internal controls to sufficiently protect data Today many of those companies are moving to a SaaS product seeing it as a top competitive priority Another challenge is the time requirement for claims processing and adjudication While other industries have mastered how to receive and pay bills quickly accurately and efficiently healthcare lags behind Roadblocks such as frequent technology updates that take time to operationalize are part of the problem For instance reimbursement based on Medicare or Medicaid requires constant updates to be in compliance By the time IT tests and validates these changes the updates go live weeks or months after the effective dates so thousands of claims are still paid incorrectly How does Burgess address these issues Our solutions combine payment data rates policy expertise and high levels of automation to yield an efficient software application In fact we are building a true one stop shop for claims data and network contracting It will be the first of its kind to bring the disparate parts editing pricing network contracting and analytics together Offering these solutions in a SaaS model is essential to this technology shift We aim to keep our solutions as nimble as possible To do this we took a close look at our internal workflow to assess if we could manage technology updates more efficiently We now release changes every two weeks with 100 percent compliance so clients pay claims right the first time This saves substantial rework because they don t have to re adjudicate and reconcile wrongly denied claims Not only does this help with efficiency it also boosts provider satisfaction When organizations merge and consolidate they don t have to change their core systems to work with our solutions All of the organization s mission critical reimbursement network contracts edits payment policies provider dispute resolution happen outside the core claims system safely and securely in a highly scalable environment With our system you can plug 837 connections into any different number of claims systems and have a single source of truth for how to manage payments It s game changing While enabling easy edits and streamlined payments is important to us we spend the most time designing the user experience You can have great processes but if they don t interact well or meet the user s needs ultimately they are useless We focus on examining how people use the solution and ensure our design reflects their workflow In fact we recently reengineered our software to meet a new generation of demand Our solution was successful before but we knew it could be even better We see the value in making time and resource investments that elevate our solutions to the next level What are your recommendations to leaders considering vendors for these types of services First and foremost you should think outside the box Understand how you can be part of and capitalize on the changing landscape rather than fighting it If you work for a health plan for example instead of thinking How can I hold claims longer think How can I move to fast high accuracy payments to negotiate lower rates with providers who d love to get paid more quickly Today it s all about effective collaboration and organizations should look for a company that believes in that approach Also organizations should consider total cost of ownership before committing to a solution I find that executives often zero in on software licensing costs but neglect to consider larger costs such as a lengthy expensive implementation delayed update efficiency slow process improvements or costs associated with suppliers who haven t fully thought through the workflow Sometimes leaders are so focused on ensuring there is an army of vendor staff to fix problems they neglect to perform due diligence on the front end with respect to workflow needs If it s well designed technology it can be built and delivered in a way where it s 80 percent ready without frequent and complex integration and implementation challenges You additionally want to make sure you and your potential partner share the same vision What is their long term road map What are they trying to accomplish and does it fit with your needs and vision It s easy to focus on today s hot problem rather than whether a partner is a fit with the overall strategic plan Organizations should define real business requirements and stick to them don t be an impulse buyer You want to feel confident that product features solve not just your internal needs but also the requirements of the people you serve This is what makes for strong relationships Products should be user friendly because complex features and functionality just result in confusion The most valuable solutions are the ones users employ on a daily basis to actually improve workflow So when choosing a solution you should ask How is your product going to affect my workflow How do I know my staff is going to use your system effectively What kinds of best practices do you see your business partners using First they truly see our company as a long term partner fully engaging with us and leveraging the most out of the technology Often a significant percentage of an IT system s capabilities aren t used We tend to solve the most urgent problems while additional system capabilities are never fully tapped However organizations that ask for solutions and seek methods to optimize them realize the value we bring as we continue to build interfaces and applications Another practice is time spent bringing stakeholders from across the organization together This is important in facilitating engagement because our company works across various departments from medical and claims departments to compliance actuarial and provider relations We touch the work of many people through our holistic solution therefore bringing together all stakeholders to discuss problems solutions and strategies is valuable Where can readers learn more about Burgess payment integrity solutions Visit us on our website for more information on BRS payment integrity solutions and latest news Download our September 9 th webinar featured on Health Payer News The webinar titled How to Improve the Predictability of Healthcare Payments Using CMS Standards proposes the use of Medicare as a baseline to enable accurate cost predictions for healthcare payers and at risk providers For ideas on how to simplify the business of healthcare visit the Insights section on the Burgess website for relevant case studies and white papers on cost containment prediction and modeling Read our latest whitepaper featured in Modern Healthcare titled Claims Wasteland Reducing Incorrect Payments between Providers and Payers For more information contact us at info burgessgroup com or call us at 800 637 2004 HFMA is the nation s leading membership organization for more than 40 000 healthcare financial management professionals Business Profiles are funded through advertising with leading solution providers Learn more Content for this Business Profile is supplied by Burgess This published piece is provided for advertisement purposes HFMA does not endorse the published material or warrant or guarantee its accuracy The statements and opinions of those profiled are those of the individual and not those of HFMA References to commercial manufacturers vendors products or services that appear do not constitute endorsement by HFMA Publication Date Thursday October 01 2015 Please login to add your comments 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

    Original URL path: https://www.hfma.org/Content.aspx?id=41431 (2016-02-10)
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  • hfma.org
    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

    Original URL path: https://www.hfma.org/Content.aspx?id=24026 (2016-02-10)
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  • Press Releases
    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

    Original URL path: https://www.hfma.org/Content.aspx?id=8788 (2016-02-10)
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  • ANI Home
    Author Learn how innovative generative organizations are able to continuously create more impact on their customers employees and communities Keynote Presentations Eric Topol MD Cadiologist and Author Hear insights on the future of medicine as well as innovations that will be required to drive health solutions aimed at improving outcomes Keynote Presentations Healthcare Innovation Panel A discussion around the possibilities of using hospitals and clinics as learning laboratories to commercialize innovation Moderated by Joe Fifer President and CEO HFMA Session Spotlights What Drives Patient Loyalty Analyses from Inpatient Outpatient and Thomas Lee MD CMO Press Ganey will discuss strategies organizations have used that combine patient survey data and financial incentives to engage physicians in performance improvement efforts More Information Session Spotlights Provider Sponsored Health Plan Analysis of Competitive Landscape Paul Keckley PhD will discuss the current status of provider sponsored risk activities and the success of provider sponsored health plans More Information Session Spotlights Getting to High Reliability Healthcare While Generating Positive ROI Mark Chassin MD will discuss a promising strategy to reach high reliability with the promising goal of efforts causing zero harm delivering health care without ever harming patients or healthcare workers More Information Session Spotlights Enabling Physicians to Deliver Value Based Care Sachin Jain MD will share strategies and examples to leverage health data to improve patient health Dr Jain s work uses the understanding of actual patient experiences and outcomes and applying that knowledge to improve care delivery through appropriate use of medications medication adherence and advancing medical discovery More Information Session Spotlights Competition Consumerism and Choice Building a Better Healthcare Mar David Johnson will discuss how consumerism and related forces are driving new levels of competition in the healthcare market More Information Session Spotlights Industry Trends and Credit Issues Martin Arrick will discuss the strategic

    Original URL path: https://www.hfma.org/ani/ (2016-02-10)
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  • HFM
    their options and proceed cautiously in meeting that challenge Shedding Light on Physician Performance Transparency Health systems of all sizes should focus on physician performance transparency to help improve patient experience boost revenue and reduce risk Using this information can help identify systemic problems and improve care Invest in Your Data How Clinical Mobility Solutions Liberate Data and Drive Cost Savings Smart point of care mobile solutions improve data accessibility and safeguard privacy reducing risk improving care and supporting claims for full payment How Streamlining Telecommunications Can Cut IT Expense New requirements driven largely by healthcare reform bring challenges to IT By streamlining telecom systems equipment and practices health systems can maximize efficiency Best Practice in Unbilled Account Management One Medical Center s Story A large academic medical center greatly reduced its unbilled accounts backlog by realigning automatic routing and improving interdisciplinary collaboration and data reporting transparency View the February 2016 Issue Featured Columns Embracing Healthcare Technology and Going Beyond The fact that technology is an essential element in the delivery and financing of health care today presents healthcare finance leaders techies and late adopters alike with numerous opportunities to step out of their comfort zones Healthcare Consumerism It s Not Just About the Revenue Cycle Healthcare finance leaders should consider the impact of consumerism on health care from a strategic perspective EHRs Long Term Vision Short Term Change When it comes to the adoption and use of electronic health records EHRs the long term vision from the Centers for Medicare Medicaid Services CMS hasn t changed but the approach surely will MACRA The Evolution of the Medicare Physician Payment System Continues The Medicare Access and CHIP Reauthorization Act of 2015 MACRA provides incentives for physician group practices to participate in alternative payment models APMs A Progress Check on 7 Aspects of CINs Much of the variation among today s CINs is tied to differences in the overall strategies of health systems that formed them The Continued Proliferation and Evolution of ACA Healthcare Delivery Reforms Changes are on the horizon for five major healthcare delivery reforms established by the Affordable Care Act ACA 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

    Original URL path: https://www.hfma.org/hfm/ (2016-02-10)
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  • Healthcare Business News
    Senate Offers Latest Interoperability Plan Jan 21 A draft bipartisan electronic health record EHR interoperability bill released in the Senate this week could affect other interoperability initiatives Hospital Funded Medicaid Expansion Approved in Louisiana Jan 20 The recently approved Louisiana Medicaid expansion was enabled by extensive financial backing from the state s hospitals Patient Identifier Competition Launched Jan 19 A 1 million initiative to crowdsource a solution to the national patient identifier NPI challenge aims to break through longstanding political resistance on the issue Industry Has Successfully Transitioned to ICD 10 Leading Claims Firm Jan 15 A full calendar quarter of revenue cycle data indicate that the healthcare industry has successfully completed its transition to the ICD 10 coding sets according to the largest U S transaction processing firm CMS to Overhaul Meaningful Use Jan 13 In a sharp departure the Centers for Medicare Medicaid Services CMS is altering the focus of the federal electronic health record EHR incentive program CMS Aims to Limit Special Enrollments Jan 12 The Centers for Medicare Medicaid Services CMS is moving to limit special enrollment periods SEPs following increasing insurer concerns about widespread abuse of the provision First Next Generation ACOs Announced Jan 11 Twenty one organizations are the first to launch Next Generation accountable care organizations ACOs the Centers for Medicare Medicaid Services CMS announced Hospitals Raise Discharge Rule Cost Concerns Urge Delay Jan 7 Coming discharge planning requirements are nearly 10 times as costly as federal estimates and should be delayed by up to two years according to hospital advocates More Hospital M A in 2016 Ratings Agencies Jan 6 Both for profit and not for profit hospitals are expected to undertake more merger and acquisition M A activity in 2016 following an aggressive 2015 according to ratings agencies New Model to Fund Connections to Community Services Jan 5 Hospitals and health systems are urged to apply for 157 million in funding that the U S Department of Health and Human Services HHS is offering to test the first federal pay model linking patients to community services Congress Eases Meaningful Use Hardship Exemption Dec 23 Providers could soon have expanded access to hardship exemptions from 2015 Stage 2 meaningful use requirements under the federal electronic health record EHR incentive program due to one of the final legislative acts Congress took before adjourning for the year One Quarter of New ACA Sign Ups Auto Enrolled Dec 22 The federally operated health insurance marketplaces are well on their way to meeting their 2016 enrollment goal but many of those enrollees may pay more than necessary GAO Urges Site Neutral Payments Dec 21 Congress s investigative agency is urging expanded use of Medicare site neutral payments to combat what it sees as a trend toward increasing costs after hospitals acquire physician practices Contractors to Provide Two Midnight Guidance CMS Dec 17 Hospitals confused about a new physician exception to the Medicare short stay rule should seek clarification from contractors until regulators issue further details according to the Centers for Medicare Medicaid Services CMS Big Insurer Wins in Omnibus Tax Packages Dec 16 An end of the year federal spending bill known as the omnibus and a huge tax package included 32 billion in tax cuts for insurers among other provisions Page 1 of 9 Sponsored by Sponsored by 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

    Original URL path: https://www.hfma.org/news/ (2016-02-10)
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  • E-bulletins
    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

    Original URL path: https://www.hfma.org/E-Bulletins/ (2016-02-10)
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  • HFMA's Advertising Solutions
    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

    Original URL path: https://www.hfma.org/advertising/ (2016-02-10)
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