Workshops

On Demand: Leveraging the Power of Business Partnerships: Transformative Relations for Impactful Outcomes

Hospitals struggle with payer denials, which hinder frontline staff from accurately documenting and coding patient care. Providers are left underpaid and unable to fix the issue internally due to a lack of resources. A strong partnership can facilitate a better understanding of regulations and payer tactics to identify opportunities and ensure fair payment.

On Demand: Discovering Revenue Integrity Opportunities in Obstetrics, Newborns, & Congenital Disorders

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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.

The UM & CDI Continuum from the ED to the QIO – Part 1

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 a journey through the...

On Demand: Discovering Revenue Integrity Opportunities in Obstetrics, Newborns, & Congenital Disorders

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.

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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.

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HCC’s: What’s the 411 for the Inpatient CDS & Coder

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.

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On-Demand: Medicare Advantage Organizations and the Games They Play

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.

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Savvy Sequencing Using the “Two or More” Guideline

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.

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