Overview:

Join Lorraine Schnelle for a web presentation on Competency Assessment: Components of a Competency Assessment Program and Creating Competencies.

Learning Objectives: Create competencies that support your organization and department goals. Create measureable performance objectives for defined competencies. Identify the six components of a competency assessment program. Describe a competency program implementation.

Overview:

ICD-10 represents a regulatory mandate and a call for transformation. The deadline for compliance is October 1, 2013 and while this may seem a long way off, the transition to ICD-10 is highly complex and can lead to significant changes in people, processes and technology. This program will describe ICD-10, who is impacted, the business and financial impacts and a timeline for implementation.

Overview:

• CRM and CRM warranty/upgrade/implant credits - A definition
• Warranty/upgrade credits - Are you receiving them and are they correct?
• Potential Profit
• When you receive credits - What is the entire process?
• Do you have Medicare and Insurance Compliance?
• Add profit
• Audit and reconcile patient accounts for Medicare and insurance compliance
• Put a "process" in place to obtain profit and comply with Medicare/Insurance guidelines

Overview:
With increasing pressure for hospitals to align with physicians, understanding your options, what Fair Market Value is and how it effects those options is an integral step to compliance and successful integration. This program will provide practical insights into this complicated but critical topic.

Who Should Attend:
Chief Financial Officers, Compliance Officers, Healthcare Attorneys, and other Professional engaged in Physician Contracting

Speaker Bios:
Dan Stech: Mr. Stech is a health care business expert with 20 years of experience in settings ranging from the health policy arena to physician practice management. His professional focus is on assisting hospitals and other health organizations develop high performing relationships with physicians.  Dan is a principal with Pinnacle and in addition to performing consulting around physician compensation and fair market value (FMV), he directs the Group's Physician FMV Program.  Dan joined Pinnacle in 2006 following 11 years with the Medical Group Management Association. At MGMA, he held positions in government affairs, consulting and from 2001 to 2006 was director of Survey Operations.  During his career, Dan has authored numerous articles on subjects ranging from regulatory compliance to the factors that most influence medical group success.  He was coauthor of a book on practice revenue development.  He is regularly sought after as faculty for industry education programs having presented sessions for national, state and local MGMA audiences, along with presentations to groups such as the Health Care Compliance Association, American Urological Association, American Osteopathic Association, Wyoming HFMA and the National Association of Physician Recruiters among others. Dan holds a BA from Benedictine College in Atchison, KS and earned a MBA from Marymount University in Arlington, VA.

Dave White: Mr. White's professional focus has been geared toward building stronger provider relationships and identifying shared business opportunities for healthcare businesses. David has over 18 years experience in health organization management and consulting. His areas of expertise include new business development, health services valuation and financial analysis, healthcare market research (population based analysis), medical staff partnership planning, and physician practice management consulting.

Medical necessity is a hot topic — one that will be reviewed in this webinar along with the challenges of meeting third-party payer communication requirements. The speaker also will:

• Address the operational processes and the potential risk of unnecessary denials;
• Examine the pitfalls attributed to incomplete, ambiguous, and conflicting physician documentation; and
• Review the consequences of not providing adequate training for documentation improvement.

You will learn the best practices for an access management program and the role that access managers play to assure that patients are in the correct setting for their upcoming treatment. Responsibilities to be covered include performing a gate-keeping function, addressing medical necessity and setting appropriateness criteria.

You will find out the details behind recovery audit contractors (RACs) and how they relate to "short stays" and "weak admissions."

Target Audience - Individuals responsible for:

• Compliance
• Case Management
• Utilization Management
• Revenue Cycle (front end operations, verifications)
• RAC Committee
• Internal Auditing
• Emergency Dept Management

Webinar Speaker:
Barbara Vandergrift is a Nursing Case Management leader and educator with over twenty years of clinical nursing experience.

Ms. Vandegrift has extensive experience in guiding the provision of Case Management Services in short term acute hospital settings. She has worked with health care systems and individuals to provide staff management, development, and skill building in the areas of Quality Management, Utilization Management, Regulatory Compliance and Cost Avoidance.

One of Ms. Vandegrift's greatest interests focuses on the achievement of operational efficiencies, implementing proactive approaches to clinical resource management through work process re-engineering and information technology.

Now that Healthcare Reform has passed providers are clamoring for information. John Rivers will give us the latest information his association has derived on how the thousands of pages of the legislation may affect your hospital. Please join us for this opportunity to hear from a healthcare expert and bring your questions!

Presenter:
John R. Rivers FACHE, President & CEO, Az Hospital and Healthcare Association

In his capacity as president of the Arizona Hospital and Healthcare Association, Mr. Rivers serves as a member of the AzHHA Board of Directors, a member of the AzHHA Executive Committee and as president of the AzHHA Education Foundation and Service Corporation.

He served as chairman of the American Hospital Association Committee on Allied Hospital Associations, one of six specialty committees of the AHA Board of Trustees, from 1992 to 1995. He is a Fellow in the American College of Healthcare Executives, served as Arizona's Regent to the College from 1992-1997, and also served as a member of the National Steering Committee for the Robert Wood Johnson Foundation's SmokeLess States Project.

Download brochure

An approach to building structure, strengthening processes and controls, expanding automation, and improving revenue and cash flow.

Physician group practices face unique challenges when it comes to effectively managing their revenue cycle operations and driving performance. These challenges can be compounded by circumstances such as rapid growth, patient accounting system conversions, or a number of external variables.

In this presentation, we will take a look at the issues facing physician practices as they relate to revenue cycle performance, how to effectively identify critical issues and strategic opportunities, and how to implement operational and organizational change to produce sustainable revenue cycle performance improvement.

Key elements of the presentation will include:

• High-level overview of physician practice revenue cycle
• Assessment of physician practice revenue cycle operations
• Implementation of identified opportunities

CPE Credit Available RSM McGladrey is pleased to offer up to 1.5 CPE credits for attending this event. Please note you must be logged in to the webcast for a minimum of 80 minutes and answer 75 percent of the polling questions to receive credit.

Presenters:
Kevin Sharlow, Director, Health Care Consulting RSM McGladrey

Download brochure

The purpose of this webinar is to provide an overview of the various government audit programs and the financial impact on hospital providers and to understand how viewing hospital claims data can be used to mitigate the financial and regulatory risk to hospitals while identifying process improvements and educational opportunities within the facility.

After attending this presentation, the attendees should be able to:

• Recognize the various types of "recovery audits" and the differences between them.
• Understand the types of risks related to recovery audits.
• Identify the most common error types noted in recovery audits.
• List a minimum of three resources needed to validate claim errors.
• Identify methods to determine your specific areas of risk.

Polling questions will be asked at the start of the program to help us recognize those who are really at an entry level to the discussion, versus those who have had some level of experience with recovery audit(s).

Facilitator:
Christine Newgren, Chief Compliance Officer/Director Internal Audit, University of Colorado Hospital, Aurora, CO

Christine has 20 years experience in Accounting, Internal Audit and Compliance functions with the last 11 years filling Chief Compliance Officer roles for healthcare systems. Christine received her CPA license in 1989 with subsequent certifications for Certified Healthcare Financial Professional (CHFP) in 2001, Fellow Healthcare Financial Management Association (FHFMA) in 2006 and Certified in Healthcare Compliance (CHC) in 2008. She is currently President-elect for the Colorado Chapter of HFMA and Chair of the Compliance Committee. She is also a member of Health Care Compliance Association and the American Institute of Certified Public Accountants.

Presenter:
Catherine Hicks, Compliance Manger, University of Colorado Hospital, Aurora, CO

Join us for a discussion regarding the implications of the proposed outpatient regulatory rule slated to take effect November 1, 2009.

During this two-part webcast series, hear how you and your organization can anticipate and plan for changes to the Hospital Outpatient Payment System and CY2010 payment rates; proposed changes to the hospital outpatient quality data report program and new procedures to make that data publicly available; and much more. Register now.

Learn how our health care consulting professionals have helped organizations such as yours with cost reporting; market based, rationale pricing; and revenue cycle improvement strategies.

RSM McGladrey is pleased to offer 1 CPE credit for each session attended. Please note you must be logged in to the webcast for a minimum of 50 minutes and answer 75 percent of the polling questions to receive credit.

Presenters:
Roberta Anderson, Manager, Health Care Consulting
Tony Cawiezell, Managing Director, Health Care Consulting
Karen Damon, Manager, Health Care Consulting
Mike Nichols, Managing Director HealthCare Consulting
Jim Sink, Managing Director HealthCare Consulting

Download brochure

During this two-part webcast series, hear how you and your organization can anticipate and plan for changes in Medicare DRGs, wage index revisions, disproportionate share hospital (DSH) fund allocations, and much more. Register now.

Learn how our healthcareconsulting professionals have helped organizations such as yours with cost reporting; market based, rationale pricing; and revenue cycle improvement strategies.

RSM McGladrey is pleased to offer 1 CPE credit for attending this event. Please note you must be logged in to the webcast for a minimum of 50 minutes and answer 75 percent of the polling questions to receive credit.

Presenters:
Tony Cawiezell, Managing Director HealthCare Consulting
Mike Nichols, Managing Director HealthCare Consulting
Jim Sink, Managing Director HealthCare Consulting

Download brochure