Revenue Integrity Series
3 Part Series - Presented by
June 8 * June 21 * September 7
EVENT UPDATE: These sessions will be broadcast Via Webinar. Please select either "in-person" or "via webinar" when registering so we know whether to expect you.
This three-part series will examine the topic of Revenue Integrity. The session topics are: Beginning with Beyond Basic Eligbility Verification, which will discuss how healthcare providers get paid for delivering care. Next we discuss Optimizing Revenue Using Data, and how analytics can be used to improve claims processing efficency and remittance. The final session is Comprehensive Payment Solutions, where we discuss payment solutions that can be leveraged to improve consumer collection efforts.
Session 1: June 8:
Beyond Basic Eligibility Verification
Comprehensive Patient Access Solutions to Drive Financial Clearance
Revenue Integrity starts with answering a simple question – how will healthcare providers get paid for the care they deliver. Patient Access solutions are the frontline in identifying coverage opportunities and driving patient satisfaction through the entire revenue cycle. This session will outline the general context and challenges with respect to financial clearance across a diverse population. The session will include details on leveraging analytics to identify patient coverage, eligibility and benefits verification, patient responsibility estimation and communication, and best practice governance and workflow processes to manage financial clearance and improve patient satisfaction.
- David Figueredo, Business Development Manager
- Eric Krepfle, Director of Product Management
Session 2: June 21:
Optimizing Revenue Using Data
to Drive Insights that Lead to Smart Solutions
HCC, ICD-10, capitated and bundled payments are just a few of complexities that healthcare providers face in coding and capturing payments for care delivered. Comprehensive claiming solutions are at the center of the revenue cycle and core to cash flow and receivables management. This session will outline the general context and challenges with respect to claims coding and processing through denials and underpayment management. The session will include details on incorporating analytics into the provider workflow, leveraging insights to focus on key denials challenges, and managing underpayments to dramatically improve claims processing efficiency and remittance.
- Brian Andrews, Senior Vice President, ROS Operations
- Bryan Hufnagle, Vice President, ROS Operations
Session 3: September 7:
Comprehensive Payment Solutions
to Engage Patients and Collect Payments
The growth of exchange membership and high deductible health plans has put significant pressure on healthcare providers and payers to engage patients in new and differentiated ways. Payments solutions are refocusing around consumer engagement and improving the clarity and transparency of the payment process. This session will outline the general context and challenges with respect to consumer collections from member premiums to patient payment. The session will include details on how consolidated billing, data analysis, peer-group benchmarking, intelligent messaging, and machine based learning can be leveraged to dramatically improve consumer collections efforts.
- Stuart Hanson, SVP Consumer Payments
- Nick Giannasi PhD, SVP Data Sciences & Product Management Consumer Payment Solutions