R1 Webinar Series

Each webinar in the series addresses a different topic that can help providers financially recover and thrive amid healthcare’s significant challenges during and after the pandemic. Discussing proven strategies, practical advice and lessons learned, presenters include R1 leadership and revenue cycle executives from leading healthcare organizations. Below you’ll find registration information for future webinars and links to recordings and presentation slides for past webinars.

COVID-19: Regulatory and Payment Issues for Finance

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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

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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

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Healthcare Leadership Panel Featuring Ascension, 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, SC)

  • 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

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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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Three Steps to Optimize RCM Results

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Presented by a panel of R1 revenue cycle experts

Most physician practices have revenue cycle management practices in place. But are they truly optimized for best performance? How has the COVID-19 pandemic changed RCM processes and best practices?

 

A physicians’ primary focus is on patient care. But, leaving back-office administrative duties unattended can have negative bottom-line consequences.  In this session, we will review elements that are critical for optimized RCM and will present real world examples to discover three ways to improve your practice’s financial performance.


Presenters

  • Richard Lopez del Rincon, Senior Vice President, R1 RCM

  • Brian Bellamy, Vice President of Payer Contacting, R1 RCM

  • Lynn Guerrant, Director of Quality Compliance. R1 RCM

  • Yvonne Russell, Director of Auditing Services, R1 RCM

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Clinical Denials: Prevention is the Best Medicine

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Presented by Dr. Juliet Ugarte Hopkins – Physician Advisor for Case Management, Utilization and Clinical Documentation, ProHealth Care in Wisconsin | Dr. Ronald Hirsch – Vice President Regulations and Education, R1 RCM inc.

While technical denials can be managed via automation, clinical denials remain a more complex challenge – often requiring time-consuming manual claim reviews or appeals by a multi-disciplinary denial management team. This is even truer post-COVID, as providers must ensure COVID-19 claims are submitted accurately while also maximizing all reimbursement revenue.

 

In this webinar, 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, such as those:

 

  • Originating in the front end of the revenue cycle
  • Due to medical necessity issues
  • Resulting from variation in payer contracts

 

You’ll also gain a new perspective on the knowledge and specific skill set required from your physicians and utilization experts to continually protect your organization’s revenue. 

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