The CMS Provider Compliance Program ensures the Medicare Trust Fund is spent properly. To guide providers, CMS produces National Coverage Determinations (NCDs), and the Medicare Administrative Contractors produce Local Coverage Determinations (LCDs) to...
For today’s hospital, the importance of a strong CDI program is an economic imperative. Accurate clinical documentation doesn’t just bolster compliance and improve financial...
In partnership with Becker’s Hospital Review, this panel featuring Barnabas Health, Baptist Health Care and R1 discusses how automated orders and prior authorizations drive consumer engagement, build provider loyalty and improve financial performance.
As of 2021, CMS has removed almost 300 surgeries from the inpatient only list – and has proposed to eliminate the list in entirety over the next three years. As a result, hospitals with large orthopedic and spine programs will especially feel the financial impact, experiencing...
The COO of CarePoint Health explains how his organization identified key financial improvement areas, leveraged technology and expertise to achieve revenue cycle standardization and delivered essential virtual care during COVID-19.
Learn best practices used by leading health systems for digitizing key processes to drive a convenient, mobile approach that collects more accurate information from patients prior to arrival, while reducing costs and saving staff time.
Understand both physician and operational perspectives for using a digital marketplace to 1) Engage consumers with mobile self-service tools; and 2) Increase efficiency across the underlying patient access and revenue cycle processes.
Panelists discuss key revenue cycle considerations that can help physicians develop a strategy for long-term financial success and why organizations should evolve from a traditional central business office structure.
Medicare regulatory expert Dr. Ronald Hirsch reviews key compliance and billing issues that impact reimbursement, such as the CS modifier, telehealth use, discharge planning and utilization review.
Learn how to offer the telehealth services patients want without leaving revenue on the table with best practices for optimizing revenue cycle processes, technology infrastructure and the patient experience.
Panelists from leading health systems share strategies for proactively engaging their communities and referring providers to rebuild volume, optimizing capacity utilization across locations, and providing compassionate financial assistance.
Strategies to optimize your post-pandemic revenue integrity program, including how to navigate payer nuances for COVID-19 and telehealth, identify higher volume and reimbursement procedures, and develop pricing strategies to stay competitive.
A panel of R1 experts cover how to improve a practice’s financial performance by presenting three client case studies that illustrate the importance of optimizing payer contracting, value-based care and coding operations.
Drs. Hirsch and Ugarte Hopkins will address how to prevent clinical denials by reviewing the core elements of a robust clinical denial prevention program. You’ll learn how to prevent the most common types of clinical denials.