When the COVID-19 Public Health Emergency (PHE) ends on May 11, 2023, providers face the most significant healthcare policy changes since the early days of the pandemic. PHE policies gave practitioners new flexibilities to deliver telehealth and other virtual services, funding to replace lost revenue, and reimbursement for COVID-related testing and treatment services provided to uninsured patients. What will change when PHE ends? A lot.
Patients increasingly expect—and are entitled to—information about the costs of healthcare services. The Good Faith Estimate (GFE) requirements of the No Surprises Act are starting to be enforced and provider practices need to be prepared for patients requesting GFEs. Understanding when a GFE is required, what information to include, and the compliance timeline is crucial for providers. Learn more at this webinar.
46% of healthcare executives say their organization is behind on their 2022 revenue goals. Labor shortages, shrinking margins and supply chain issues are dramatically impacting the patient experience and the ability to deliver high quality care both clinically and administratively. Learn from one former Intermountain Healthcare executive’s journey to finding a RCM partner and why you can't afford not to do it too.
The American Medical Association (AMA) recently released changes to the CPT Evaluation and Management (E/M) guidelines which take effect on January 1, 2023. This webinar discusses the impact these changes will have on hospital inpatients, observation care visits, consultations, emergency room visits, and nursing facility services along with home, rest home, and domiciliary E/M codes.
This webinar is specifically for outpatient providers who are already familiar with and utilizing current 2021 Evaluation and Management guidelines. While the majority of CPT E/M changes for 2023 mostly affect observation care visits, consultations, emergency room visits, nursing facilities, home, rest home, and domiciliary E/M codes, a few pertinent changes apply to the outpatient setting.
R1 presents the No Surprises Act Expert Series webinar, where the R1 team will walk you through the IDR final rule. You’ll also learn from real-world examples of how to put your best defense forward in your arbitration cases.
The three pillars of a denial management strategy should focus on your people, processes and technology. Join R1’s denial management expert for a conversation on these pillars and hear client success stories you can replicate.
Documentation and coding for anesthesia administered concurrently with burn treatment differ significantly from coding for other types of anesthesia services. It's vital that you understand and follow the proper coding regulations and sequences.
R1’s coding management service experts discuss the middle revenue cycle framework, through leveraging informatics, structuring your CDM and accelerating standardization and efficiencies. Learn innovative strategies, workflows and success stories you can replicate.
For many health systems, patient payments are a common source of friction. Sentara Healthcare coupled a robust and intuitive patient financial engagement solution, known to patients as Sentara Bill Pay, with proven methods to accelerate patient adoption. Watch this webinar to learn how the first 60 days with R1 Entri VisitPay resulted in high patient engagement and an immediate lift in patient payments.
Financial leaders know that managing revenue cycle metrics and operations is critical to the financial health of their healthcare organizations. Putting the spotlight on one metric and its impact to the bottom line is a good focal point to drive near and long-term success. Join R1 experts as they focus in on Days Not Final Billed (DNFB) and specific Cerner optimization opportunities.
Many healthcare providers are struggling to understand how to apply CMS’s new rules on split/shared services. Get up-to-speed on important rules that impact how clinicians document and report shared or split services and what is still applicable in each respective setting.
Trauma coding and billing are unique and must be handled with care and precision. Join our panel of experts to discuss the top mistakes in trauma coding and documentation, real-life scenarios, and actionable next steps your organization can take to avoid financial risk in your trauma activation program.
Accurate and thorough critical care documentation and coding are essential for receiving complete and prompt reimbursement for provider services. Join our panel of experts who will discuss 2022 Critical Care coding documentation updates and real-life clinical scenarios that help you understand how to apply essential coding concepts.
The Good Faith Estimate for Uninsured Patients entitles consumers to a good faith estimate of expected charges. When an uninsured individual schedules an item or service, they will receive the good faith estimate directly from the applicable providers and facilities.
The independent dispute resolution provisions of the Act apply to payment disputes between a payor and a noncontracting provider of Emergency Services or certain Nonemergency Services provided in a contracting facility. The independent dispute resolution process allows a noncontracting provider or payor to dispute whether the specified rate was appropriate.
In partnership with Becker’s Hospital Review, this panel of Ascension and R1 leaders discusses how Ascension crafted and executed a patient-centric revenue cycle strategy to reduce the inherent friction in healthcare, streamline care journeys, reduce costs and achieve faster reimbursement.
The CMS Provider Compliance Program ensures the Medicare Trust Fund is spent properly. To guide providers, CMS produces National Coverage Determinations (NCDs), and the...
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.