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December 2017

Dec 14

The Last Lean - Webinar

Category: Webinars

Thursday 12:00 PM - 1:00 PM
Subject Title: The Last Lean: How hospitals are failing themselves by not improving their most important RCM asset.

A high performing revenue cycle is not only categorized by well-established processes and systems but most importantly ? It?s People. Over the past 15 years, the health care industry and revenue cycle management have been the subject of countless six- sigma (lean projects) resulting in better processes, metrics and outcomes. Within the last ten years, Health Care Financial Management Association (HFMA) created the MAP Key Awards, which measures the top metric (KPI) performing hospitals in a given yearly period. These initiatives have pushed the ?excellence? needle and provided hospitals with an RCM best practice KPI target to achieve. Meanwhile, c-suite executives and industry leaders are focused on data and metric driven systems while quietly failing themselves by ignoring the critical steps in selecting proper talent, competitive compensation, continuing education of existing personnel and incentive programs. These steps allow organizations to maximize the data and metric driven systems to create the output of a high performing revenue cycle. The Last Lean explores the behaviors of high performing revenue cycle in contrast to underperforming RCMs in the following areas:


? New Employee interview process
? Staff and Management Profiles
? Competitive compensation packages
? Education and Continued Education
? Training
? Incentive programs- (Cash and Service)
? Corporate culture of cost savings v. cost of high performance in RCM

In addition, the study shows how if hospitals increased investment in resources (salary, education, training, incentives) for their most asset ? people ? it will ultimately lower IS costs and system reliance and increase payer behavioral intelligence and NPSR.


Topics Covered and Objectives:
? Compare high performing revenue cycle systems and analyze their people centric elements vs. Non-high performers.
? Review national profile of RCM staff (salary, education, training, incentives)
? Discuss how RCM systems are not producing true Payer behavioral intelligence
? Discuss the true benefits to greater investment in positions such as Registration specialist and AR specialist- (biller, collector, denials specialist and Underpayment specialist)

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Dec 19

Region 8 MN Sponsored Webinar

Category: Webinars

Tuesday 11:00 AM - 12:00 PM
Operationalizing Hierarchical Condition Categories: How to implement and be successful in your organization

Presented by:
Rhonda Quast
Director of Revenue Cycle, Eide Bailly

December 19, 2017
Time 11:00AM - 12:00PM CST

With increased movement to value based reimbursement across the market, the ability to accurately report patients? complex needs to account for their resource and cost utilization is becoming increasingly important. Multiple Medicare programs utilize Hierarchical Condition Category coding (HCC) as a means of communication of a patient?s diagnosis history, current health status, and projected resource utilization. A lack of understanding of HCC and how their resulting Risk Adjusted Factor (RAF) scores are used to provide reimbursement to organizations, leaves you at risk of causing an unintentional negative impact to your organization?s financial health.

In this session, we will address the following objectives:
- Provide general understanding of Hierarchical Condition Categories (HCC), including the impact they can have on your organizations financial health
- Assess common challenges encountered in organizations as they implement workflows to support HCC scoring
- Provide feedback on next steps for your organization to be prepared and successful in HCC scoring