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

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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

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This session examines how to implement a specific successful strategy to identify patients covered by Medicare Advantage plans and the outcomes Mary Rutan Hospital has seen with this process in place, as well as:

• How Real Time eligibility is used to identify patients covered by Medicare Advantage plans.
• How the Patient Dashboard at registration assures accurate and correct identification.
• Showing the financial opportunities to increase upfront collections that are now identified in the form of co-pays, deductibles, etc at the time of registration.
• Illustrating the benefits of this process that include reduced denials and increased patient satisfaction.
• How the identification of Inpatient Medicare Advantage patients will maximize the DSH (Disproportionate Share Hospitals) for hospitals.

Who Should Attend:
Patient Access Leaders, Pre-registration, Registration, and Financial Counseling
Revenue Cycle Leaders and Leaders responsible for Point of Service Collections.

Presenter:
John Kivimaki, Director, Patient Accounts, MARY RUTAN HOSPITAL, Bellefontaine, OH

About the Presenter:
 

In this seminar the instructor will guide you through a line-by-line analysis of problematic contract language focusing on issues of enforceability, practicability and suggested options for revision. After class, review these suggestions with your attorney to improve contracts and increase the chance of actually getting paid.

BONUS MATERIAL: In addition to the presenter's slide presentation, you will receive a contract review checklist and step by step procedure to help you prepare for your upcoming negotiations.

Learning Objectives:

• Identify many contract provisions that are likely to create enforceability problems and review suggested alternative counter-offers you can refine with your attorney.

Who Should Attend:
Anyone responsible for analyzing managed care contracts and enforcing the terms and conditions of payment and revenue management.

Presenter:
Maria K Todd, MHA PhD

About the Presenter:
With more than 30 years in health care and combined health plan, clinical, health administration and health law paralegal and mediation professional work experience, Maria Todd is a veritable tour de force when it comes to managed care and contracted reimbursement training.

Dr. Todd is an Advanced Member of the Healthcare Financial Management Association (HFMA).  She has been named an HFMA Distinguished Speaker for every year that she has presented, and is a 2006 recipient of HFMA's Muncie Gold Award. She serves on the Editorial Board of HCPro's Managed Care & Contracted Reimbursement Advisor and has hundreds of journal articles, interviews and white papers to her credit.

She is the author of The Managed Care Contracting Handbook (1996), IPA, PHO, MSO Development Strategies (1997), the Physician Employment Contract Handbook (1999), and is about to release 2nd Editions of each of these titles with Taylor and Francis in 2009, as well as new titles on Global Health Care Program Development and The Medical Tourism Facilitator's Handbook, slated for release in 2009.

Dr. Todd has trained more than 50,000 students and seminar participants in over 2600 seminars, lectures and audiowebinars totaling more than 14,000 hours of CPE since 1989.  She has taught the 2-day Managed Care Contracting classes for the past 14 years for the HFMA and currently teaches contracting, integration and accreditation-related subject matter around the world for domestic and international healthcare providers seeking to establish contracted relationships with US and other Health Plans, Government Ministries and Employers.

The RAC initiative was initially begun as a three-year demonstration project. Outside contractors were engaged by CMS to identify and recover potentially errant Medicare billings by hospitals and other providers. In the first full year of the demonstration project, contractors identified $300 million in over-payments in just three states. Based on this outcome, the RAC initiative has been expanded to three additional states and is slated for national roll-out in 2010.

The national roll-out of the RAC initiative may have a significant impact on your organization. In addition to the possibility of sizeable paybacks, providers will need to accommodate the increased workload associated with meeting RAC requests and requirements.

Learning Objectives:

• Understand the RAC Audit to better prepare your organization.
• Provide insights into the RAC Audit process.
• Provide a set of actions your organization can take to better prepare for the RAC audit.

Who Should Attend:
Compliance/Legal executives, finance staff.

Presenter:
Francine Machisko, Sr. Principal, Noblis Center for Health Innovation
Jane Snecinski, Principal, Noblis Center for Health Innovation

About the Presenter:
Francine Machisko is a Senior Principal at the Noblis Center for Health Innovation, a leading advisory group to health providers. She has held a variety of senior-level financial and strategic planning roles for over 23 years, with the last 18 in the health care arena. Machisko is a recognized leader in a wide-range of settings including acute care, post-acute care, and management consulting. Her expertise encompasses financial analysis and planning, operations, market analysis and strategy development. She has presented at conferences for the Healthcare Financial Management Association and the Florida Institute of CPAs.

Jane Snecinski has over twenty years of experience in health care, and has been a member of the consulting team at Noblis' Healthcare Division since 1996. Prior to joining the firm, Ms Snecinscki had administrative and management operational responsibilities for a variety of hospital departments within acute care hospitals including the post acute service line. She has been instrumental in the training of management and clinical/medical staff through periods of transition, directing turn-key program and service implementation, and facilitating collaborative process improvement teams to improve performance and development of new systems of delivery of care. She has developed and oversees compliance services within the Post Acute practice of Noblis.

This presentation provides the foundation to identify the financial impact of a Patient Safety IT solution to an organization. The presentation will provide an overview of the different financial benefits, investment costs, adoption rates, and financial value for patient safety applications currently in use, or considering a purchase in the future. An overview discussion of Patient Safety IT in the marketplace, with a focus on CPOE and bedside medication administration applications will also be presented. A demonstration of a working example of a Patient Safety IT decision, identifying how to calculate the financial benefits, what to look out for in IT adoption rates, how to ensure total costs are identified in the purchasing decision, and determining the overall financial value of the Patient Safety application.

Learning Objectives:

• How to value Patient Safety applications, either currently installed or evaluating.
• Financial benefits of CPOE and bedside medication administration applications.
• How to financially model Patient Safety adoption rates.
• Determining the financial value of a Patient Safety application and impact to the organization.
• How to use a financial model to get the best price for a new Patient Safety application.

Who Should Attend:
Finance, IT staff, quality management, case managers, utilization review, and nursing.

Presenter:
Curt Magnason, Principal, Fiscal Health Group

About the Presenter:
As a Principal with The FiscalHealth Group, Curt Magnuson helps healthcare organizations determine the overall financial and operational impact when evaluating Healthcare Information Technology (HIT) applications. Whether in the IT purchasing decision process or reviewing installed applications, assessments are created to confirm these IT decisions meet an organization's business, strategic, and financial objectives. When working for a major IT vendor, Curt gained the expertise to identify IT value propositions for all types of applications, assist in the sales process, and provide financial insight to hospital finance and IT departments throughout the country. He is a member of the Colorado HFMA Chapter, and holds a BS in Industrial Engineering and an MBA.

Despite the advantages of using paperless forms/electronic forms/eForms as well as the implementations of powerful information systems, mounds of analog paper forms still exist in healthcare organizations.  This presentation will examine eForms in healthcare and analyze the challenges in transitioning from paper to eForms.  A plethora of handy tips will be provided to assist attendees in avoiding eForm pitfalls and in using eForm results.

Learning Objectives:

• Distinguish between the many types of paperless forms / electronic forms / eForms.
• Understand why most existing information systems do not provide the functionality needed to convert and electronically manage the massive amounts of paper forms.
• Capture data embedded in existing information systems to populate these forms.

Presenter:
Deborah Kohn

About the Presenter:
Deborah Kohn has over thirty years of healthcare provider organization management and information technology experience. Since founding Dak Systems Consulting in 1985, a national healthcare information technology advisory consultancy, Ms. Kohn has earned a national reputation for her expertise in strategically architecting component technologies of Electronic Health Record systems.

Ms. Kohn is a Registered Health Information Administrator (RHIA) with undergraduate degrees from The Ohio State University and a graduate degree from UCLA in Health Services and Hospital Administration.  She is board certified in healthcare management and a Fellow of the American College of Healthcare Executives (ACHE). She is certified in healthcare information systems (a Certified Professional in Healthcare Information and Management Systems - CPHIMS) and a Fellow of the Healthcare Information and Management Systems Society (HIMSS). She is an active member of the American Health Information Management Association (AHIMA) and the Association for Information and Image Management International (AIIM).

Managed care contract negotiation coming soon? Are you familiar with the Payer's market share, its current financial condition and outlook? Do you know your business' top 10-25 services and procedures, your staffing ratios, patient safety level, costs, and profitability threshold? If you're unsure of anything on this (far-from-exhaustive) list, remember that the Payer is always prepared. Demand respect. Know your Payer, your patients and yourself. In this simple 45-minute Short Takes, you will learn the seven steps to better contracting by identifying the fundamental points that allow you to see yourself and your Payers in a more informed light.

What should you know about the Payer before sitting down at the table? How do you gain leverage in a negotiation setting? How can you use patients and companies to leverage more favorable terms?

Learning Objectives:

• Identify Which Managed Care Payers To Target.
• Demonstrate Your Value Proposition.
• Identify your profit threshold.
• Analyze the contract for unfavorable terms.

Who Should Attend:
Managed Care contract analysts and negotiators, Revenue Cycle Leaders and Leaders responsible for Hospital and Physician Contracting Strategy.

Presenter:
Maria K Todd, MHA PhD
AskMariaTodd™

About the Presenter:
With more than 30 years in health care and combined health plan, clinical, health administration and health law paralegal and mediation professional work experience, Maria Todd is a veritable tour de force when it comes to managed care and contracted reimbursement training.

Dr. Todd is an Advanced Member of the Healthcare Financial Management Association (HFMA).  She has been named an HFMA Distinguished Speaker for every year that she has presented, and is a 2006 recipient of HFMA's Muncie Gold Award. She serves on the Editorial Board of HCPro's Managed Care & Contracted Reimbursement Advisor and has hundreds of journal articles, interviews and white papers to her credit.

She is the author of The Managed Care Contracting Handbook (1996), IPA, PHO, MSO Development Strategies (1997), the Physician Employment Contract Handbook (1999), and is about to release 2nd Editions of each of these titles with Taylor and Francis in 2009, as well as new titles on Global Health Care Program Development and The Medical Tourism Facilitator's Handbook, slated for release in 2009.

Dr. Todd has trained more than 50,000 students and seminar participants in over 2600 seminars, lectures and audiowebinars totaling more than 14,000 hours of CPE since 1989.  She has taught the 2-day Managed Care Contracting classes for the past 14 years for the HFMA and currently teaches contracting, integration and accreditation-related subject matter around the world for domestic and international healthcare providers seeking to establish contracted relationships with US and other Health Plans, Government Ministries and Employers.

Responding to price transparency and patient consumerism is a significant paradigm shift and a cornerstone of healthcare reform. This session will explore what it means to patients and how hospitals, surgical centers, and physicians must be prepared to respond. The session will define meaningful transparency information and how to create credible patient estimates.

Learning Objectives:

• Define price transparency and understand what it means to healthcare provider, physicians, and patients.
• Understand effective elements of transparency programs and avoid meaningless information.
• Create and present credible estimates. Patient education leads to increased collections.

Who Should Attend:
Patient Access Leaders, Pre-registration, Registration, and Financial Counseling Revenue Cycle Leaders and Leaders responsible for Point of Service Collections.

Presenter:
Travis Gentry, President
Financial Health Systems, LLC
Centennial, Colorado

About the Presenter:
Travis Gentry is President and co-founder of Financial Healthcare System, LLC (FHS Corp) located in Denver, CO. FHS Corp was founded over three and a half years ago as one of the industry's first national online price transparency and patient consumerism solutions. Today, FHS Corp's solutions are used by hospitals, surgical centers, and clinics creating combined estimates for both facilities and physicians. Travis is a nationally recognized leader in price transparency and patient consumerism. He has addressed audiences for HFMA, NAHAM, World Research Group, and Marcus Evans.