R1 Webinar Series

COVID-19: Regulatory and Payment Issues for Finance

May 13th, 12pm-1pm CST

Presenter: Ronald Hirsch MD, FACP, CHCQM, CHRI, Vice President of Physician Advisory Solutions, R1 RCM

The COVID-19 pandemic has brought new challenges for every aspect of medical care and new requirements for getting paid for that care.

 

In this webinar, Dr Hirsch, a nationally recognized Medicare regulatory expert, will review the key compliance and billing issues for hospitals and physicians including the CS modifier, telehealth use and coding, discharge planning, utilization review, and getting back to normal.

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Strategies to Maximize Success with Telehealth

May 20th, 12pm-1pm CST

Presenters: Vijay Kotte, EVP of Physician Services, R1 RCM | Amber Thomas, Regulatory Strategy, Compliance & Audit, R1 RCM | Priya Patel, Director of Revenue Cycle Services, R1 RCM

Most physician practices – 97 percent – have expanded telehealth access due to COVID-19*, but not all these practices will successfully maximize patient volume and revenue. Without processes developed for telehealth’s unique workflow, bottlenecks emerge creating workarounds that hinder clinician and staff effectiveness – and the patient experience.

 

On top of that, providers must stay on top of complex new billing requirements and constantly changing policies or risk an increase in denials and appeals. 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.

 

*MGMA Stat poll, March 31, 2020

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Key Considerations While Ramping up Elective Services – Patient Volume Bounce Back is Not Guaranteed

June 9th, 12pm-1pm Central

Healthcare Leadership Panel Featuring Maimonides Medical Center, McLeod Health and R1 RCM

COVID-19 has shut off major revenue streams for healthcare providers – some estimate that U.S. hospitals are losing $50 billion each month* – and the rebound of patient volume is not guaranteed. As the urgent COVID-19 crisis subsides region by region, some health systems may be experiencing a huge influx of elective appointments across the board or in specific service lines, while others may continue to lose appointments due to patient fear and anxiety.

 

To survive, health systems must rigorously and proactively engage their constituents to bring back volumes. Doing this well requires having the analytical sophistication in place to systematically attack the problem while delivering experiences that foster patient and provider loyalty. Health system leaders can employ best practices for this “new normal” to: engage patients and referring providers, reassuring them of the safety and necessity of seeking healthcare; optimize capacity utilization in the face of unpredictable demand; and offer compassionate assistance to a higher volume of uninsured patients. 

 

Register for this webinar to hear insights from our panel of healthcare industry experts:

  • Nancy Duario, CNIO and VP of MIS, Maimonides Medical Center (Brooklyn, NY)

  • Stacey Hagen, Project Manager, Maimonides Medical Center

  • Kelvin L. Young, Assoc. VP of Patient Access, McLeod Health (Florence, NC)

  • Mandie Brzon, MBA, Senior Director, Revenue Cycle, Ascension

  • Joe Polaris, SVP of Product and Technology, R1 RCM

*Kaiser Health News

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Maximizing Reimbursement Revenue in a Post-COVID World

June 16th, 12pm-1pm CST

Presenters: Andrew Stieve, VP of Revenue Integrity Solutions, R1 RCM | Johnny Pezzuto, Senior Director Revenue Integrity Services, R1 RCM

With hospitals losing an estimated $50 billion monthly due to COVID-19*, identifying and stopping revenue leakage has never been more important.

 

In this webinar, you’ll learn strategies to optimize your revenue integrity program for COVID-19 – addressing how you can better navigate CMS/commercial payers’ COVID-19 reimbursement nuances, understand patient responsibility for COVID-19 cases, and develop pricing strategies to keep your organization competitive.

 

In particular, learn how to:

 

  • Identify higher volume and reimbursement procedures and ensure charge/code capture traps are set
  • Track guidelines for payer reimbursement and build rules to accurately capture COVID-19 codes and charges
  • Foster teamwide understanding of patient vs. payer responsibility for COVID-19 cases – enabling a better patient experience, greater payment yield and protection of your brand and reputation.
  • Develop COVID-19-based algorithms to ensure billing and reimbursement accuracy

 

*Kaiser Health News

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