Payers have a relentless pursuit of profit margin; meanwhile, most hospitals continue to operate in the red. Medicare Advantage and so-called “frictionless healthcare” are adding to the confusing ways payers behave, muddying the waters and masking denials. So, what can providers do about it? This workshop will present strategies that will help you get your house in order, hold accountabilities, enforce your rights, and escalate payer issues – all with the goal of changing payer behavior. Learn more about payer behaviors today evolving payer behaviors that are on the horizon.
On-Demand: The PHE ends May 11. What do hospitals and providers need to do right now?
We now have an official date: The coronavirus public health emergency (PHE) ends May 11. So what does that mean for the healthcare industry? Hospital staff from the front line to the executive level are encouraged to join this informative workshop with Corro Clinical VP of Regulatory Affairs, Angela Sorbelli to gain a better understanding of what comes next for healthcare when the PHE sunsets.
On-Demand: The UM & CDI Continuum from the ED to the QIO – Part 2
Utilization Management and CDI are often discussed in silos, but they shouldn’t be. Impactful transformation happens when data is leveraged from both of these vectors in the clinical revenue cycle to establish a real baseline. Join us for another journey through the Clinical Revenue Cycle from the emergency department to the QIO and beyond.
On-Demand: The UM & CDI Continuum from the ED to the QIO- Part 1
On-Demand: HCC’s What’s the 411 for the Inpatient: CDS & Coder
Join us for an overview of CMS HCC risk adjustment fundamentals for the inpatient clinical documentation specialist and coder. We will review the top ten commonly under-reported diagnoses that map to a CMS HCC, review how risk scores are calculated, impact payment, and benefit from improved clinical documentation and comprehensive coding.
On-Demand: How to Get Off the Denial and Appeal Merry-Go-Round
It’s a familiar pattern with payers, the provider wins a front-line denial, then a myriad of payer reviews occur and result in more denials. More provider resources are deployed to fight each subsequent denial, only to be unfairly under-reimbursed at the end of the cycle.
On-Demand: The Coronavirus Public Health Emergency (PHE) is coming to an end. What happens now?
What happens to the...
On-Demand: Nuances Around the 2-Midnight Rule
Part 1Part 2Have you...
On-Demand: Medicare Advantage Organizations and the Games They Play
Physician Advisors sit at the intersection of clinical decisions, regulatory requirements, managed care contracts and reimbursement. Impacting operational and financial performance requires analytics and tools beyond managing the observation and denial rates. This workshop will help you understand the right analytics to measure to comprehensively assess and impact operational and Medicare Advantage Organization performance.
On-Demand: Savvy Sequencing Using the “Two or More” Guideline
You’re confident your team is doing it all it can to ensure appropriate reimbursement. You perform CDI reviews, diligently review mismatches, perform coding quality assurance reviews, and utilize prebill DRG optimization applications, but are you certain that your team uncovered all the revenue optimization opportunities? Join this session to learn more, ask questions, and engage with Angela Carmichael.
On-Demand: CMI Benchmarking + CMI Acuity Adjusted Variance, Now What? How to attack the gap
Case Mix Index (CMI) is...
On-Demand: There is More to CMI than You Think
Date: Wednesday, May 25, 2022
Time: 10:00 am PST | 12:00 pm CST
Duration: 70 minutes