Hospital Revenue Cycle Management in the Era of "Affordable Care"

• The California office of Statewide Health Planning and development gives an overview of how to use public data to track financial performance measures in your hospital or health system

Ron Spingarn, Deputy Director, Healthcare Information Division, California Office of Statewide Health Planning and Development
Kenny kwong, Manager, California Office of Statewide Health Planning and Development

• Learn the approaches Montefiore Medical Center, a tertiary teaching facility in the Bronx, NY, has taken to help bridge the front and back end gaps in their chargemaster.
• Discover the challenges in striving to protect and enhance revenue opportunities through chargemaster transparency.
• Determine how to best report the quality data required for annual payment rate updates
• Identify best methods for creating strategic pricing.

Ed Kerner, Director of Revenue Cycle Operations, Montefiore Medical Center

• Determine how IT vendors and providers are engaging the new technology implications associated with healthcare reform
• Prepare for implementing new technology solutions during a period of financial and environmental change
• Make a Plan to successfully anticipate and manage systems in unknown circumstances

Speaker:
Samuel King, President, HIMSS SoCal, Faculty, The Paul Merage School of Business, UC Irvine

Healthcare challenges including increased regulations, new technology, confusing coverage and healthcare reform make surviving the current realities of the industry an overwhelming proposition. Learn techniques to effectively manage change in order to successfully navigate the business of healthcare in the 21st century.

• Recognize the human capital impact of healthcare transformation
• Identify the key components of a transformative organization
• Learn techniques for effectively managing individual change and organizational transformation

• TPL Healthcare Solutions, LLC outlines the benefits to capitalizing your current and future third party liability accounts
• Increase revenue and decrease FTEs
• Think Bigger: Increasing TPL Services
• Industry Trends
• Learn how to transmit your PHI securely
• Preparing your TPL accounts for sale
• It's easier than you might think

Michal Bumann, CEO, TPL Healthcare Solutions

• Map Award Winning Speaker presents her case study on Upfront collections for Christus Health.
• Deploy technology to improve accuracy of patient responsibility estimates
• Use metrics and tools to increase upfront collections
• Develop a patient friendly staff training program for upfront cash collections
• Strategies for improving upfront patient collections and providing outstanding customer service

• Strategies to effectively collect POS charges from patients
• Strategic methods to improve post date of service/discharge collection and streamline followup
• Moving towards a best practice model to improve revenue, decrease cost and improve patient satisfaction

• How to address the challenges with EHR application performance in order to build toward ARRA goals including physician adoption and meaningful use
• How to select a complementary end user experience management technology to reduce business disruptions in order to understand application usage, usability, quality of service, user behavior and productivity
• Create a realistic budget for a hospital sponsored EHR program, including capital, operational costs, and total cost of ownership

Lisa Goren, Senior Organizational Development Consultant, Legacy Health
Nova Stewart, CIO, IHHI

• Learn perspectives on how Montefiore Medical Center transformed the Revenue Cycle utilizing HIPPAtransactions across all aspects of their revenue cycle

Jim McNiff, Associate Vice President of Revenue Cycle, Montefiore Medical Center

• CFOs, Revenue Cycle Managers and Political Analysts discuss the coming changes in Healthcare and how they predict it will effect the hospital revenue cycle

William De Marco, President and CEO, Pendulum
Maria K Todd, MHA, PhD, CEO, Mercury Healthcare International
Tim Powers, CFO, North Canyon Medical Center
Michael Sullivan, Managing Director of Reimbursement and the Revenue Cycle, Altegra Health

• Preparing for ICD-10 and Version 5010 - including potential updated software installation, staff training, changes to business operations and workflows, internal and external testing, reprinting of manuals and other materials, and more - will take time
• Hear from the CMS Experts on what to do in order to be ready for the ICD-10 changeover
• How these changes will improve your business
• Processes that will counteract errors in transition

Jon Langmead, Health Insurance Specialist, CMS

• Quality assurance, case management, customer expectations and continuity of care coordination to help attendees understand needed infrastructure when designing networks and building innovative
• Contracting and reimbursement strategies that include bundled payments and/or capitation

• Utilizing a Clinical Documentation Improvement program to provide accurate quality reporting data to improve financial performance
• Impact of documentation on ICD10 implementation
• Managing results through performance analysis

Winnie Hamilton, RHIA, System HIM Director, St. Thomas Health
Nola Wyatt, Vice President Revenue Cycle, St. Thomas Health

• Identify areas at risk for audits within your organization
• Implement a centralized audit management approach
• Develop your internal billing/coding compliance program

Yvonne Focke, Director of Revenue Cycle, St. Elizabeth Hospital

• Practical strategies for value-based purchasing
• Using accountable care principals for long-term clinical re-engineering
• Refocus on performance and incentive-based reimbursement

William De Marco, President and CEO, Pendulum

• Describe Lean and Six Sigma concepts and their specific application to your healthcare system
• Identify the direct link between healthcare reform and Lean and Six Sigma principles
• Outline a plan for enhancing corporate culture organizational performance using Lean concepts
• Assess your organizations readiness for applying Lean principles

Jennifer Wortham, Executive Director, Institute for Performance Excellence, HASC

• Learn a fool-proof four phase plan to ICD-10 Readiness

Lesley D, King, Director of Revenue Systems, Mayo Clinic
Jon Melling, President, Arizona HIMSS
Kathy Giannangelo, HIM Consultant, College of St. Scholastica