From pricing to payment: Revenue cycle strategies in the new health care
Three-part webcast series
RECORDED WEBCAST |
With the rise of incorrect or unpaid insurance claims, increasing patient debt, mounting operational costs and the burden of ever-changing compliance demands, health care organizations are feeling the squeeze to successfully manage a complex revenue cycle landscape. From pricing to payment challenges, there's much to be concerned about.
This webcast series addresses these challenges and provides concrete ideas to implement now to improve your revenue cycle strategy going forward. See separate webcasts and topics below.
Part 1 – Pricing transparency
Friday, Sept. 26, 2014
Presenter: Jim Sink
The discussion focuses on rational pricing concepts, balancing a mutually exclusive market, cost and formulary, as well as managed care and net revenue-focused strategies. In addition, the presentation covers the continued movement of statutory, regulatory and consumer forces driving health care organizations toward greater pricing transparency and rational methodologies, enabling greater clarity and predictability of patient liabilities.
Part 2 – Ambulatory payment update
Thursday, Oct. 16, 2014
Presenters: Jim Sink and Dan Clark
Relevant insights will be shared from the outpatient prospective payment system, ambulatory surgical center and physician annual Federal Register updates. Taken together, these outpatient payment strategies and updates bring increasing significance, with the reduction of inpatient admissions, increased financial incentives, encouraged preventive care services and site-of-service payment incentives, all while the payment system, overall, migrates toward pay-for-performance, accountable care and increased procedure and payment bundling strategies.
Part 3 – Revenue cycle leakage
Wednesday, Nov. 19, 2014
1 to 2:30 p.m. EDT
Presenter: Dan Clark
As health care providers struggle to maintain appropriate margins in an environment of declining reimbursement, it has become increasingly important to ensure that providers are receiving what they deserve. Revenue and payment strategies represent a material opportunity to radically drive increased organizational margin. Discussion includes proven tactics, including revenue cycle process, denial management, charge capture, clinical documentation, pricing, managed care, Medicare and Medicaid reimbursement strategies and certain targeted analytics enabling sustainable revenue performance management.