Wednesday • June 19 • Early Riser Sessions 7: 0 0 – 7:50 AM How Scott & White Healthcare Reduced Contract Labor Costs by 54 Percent (ER7) 1.0 CPE
AFTER THIS SESSION, YOU WILL BE ABLE TO:
TOOLS AND TAKEAWAYS
• Identify signs that a contingent staffing model requires reengineering
HFMA Peer Review® Session with AMN Healthcare
• D escribe tactics used to improve operational efficiency in managing contingent labor
Surveys showing nurse and physician staffing trends and use of social media/mobile technology by healthcare professionals
L2
Rapid growth at Scott & White Healthcare resulted in significant increase in contingent labor costs and complexity. Learn how Scott & White’s centralized approach streamlined the use of contingent labor, improved invoicing, standardized pricing, and lowered costs by 54.5 percent within two quarters.
How a Specialized ED Billing Process Increased Collections by 41 Percent at Conway Medical Center (ER8) 1.0 CPE L2
This session will examine how one medical center used customized documentation and feedback to improve physician documentation and billing in its emergency department (ED). Learn how physician and patient satisfaction can improve with accurate, faster billing and financial counseling.
Best Practices for Utilization Review and Case Management Under Recovery Audit Prepayment Review (ER9) 1.0 CPE U
This session provides an update on the financial effects of the Recovery Audit Prepayment Review. Learn how to strengthen the utilization review process related to targeted MS-DRGs, how to evaluate review results and denials correspondence, and how to develop effective appeals strategies.
• I dentify expected outcomes of process improvement in managing contingent labor PREREQUISITES
Familiarity with labor costs and staff scheduling issues
AFTER THIS SESSION, YOU WILL BE ABLE TO:
TOOLS AND TAKEAWAYS
• Consider outsourcing underperforming ED billing areas to a specialty vendor
Outline of Conway Medical Center’s new billing protocols designed to ensure received payments are matched to contracted reimbursement rates
• Use financial counseling, financial audit data, and patient acuity information across coding and billing areas to identify gaps, resources, and needed improvements
0
Learn how to prepare for increased scrutiny from recovery audit contractors, including audits and denials. This session will provide practical advice on navigating the multitiered appeals process with efficient strategies that maximize revenue.
LEVEL
L1 Basic
L2 Intermediate
L3 Advanced
SPEAKER
Frank Grella, FHFMA, Director of Patient Financial Services, Conway Medical Center
• Propose a separate tax ID to ease accounting of ED revenues and renegotiate payer rate contracts PREREQUISITES
Familiarity with payer contracts, relationships between payers and providers
AFTER THIS SESSION, YOU WILL BE ABLE TO:
PREREQUISITES
• Discuss utilization review process best practices for concurrent admission review of targeted MS-DRGs
Familiarity with Medicare Recovery Audit Contractor demonstration project
• Describe the recommended process for reviewing results and denials correspondence
Recommended process for reviewing results and denials correspondence; appeals process guidelines
• Outline an effective and appropriate appeals process • Identify trends and implement change to ensure defensibility of future denials
Wednesday • June 19 • Breakout Sessions 10 : 0 0 – 11:15 Practical Strategies for Managing Medicare Audits and Appeals (F01) 1.5 CPEs
SPEAKERS
Keith Minnis, VP, Human Resources, Scott & White Healthcare; Bob Livonius, President, Strategic Workforce Solutions, AMN Healthcare
TOOLS AND TAKEAWAYS
SPEAKERS
Steven Greenspan, JD, LLM, VP of Regulatory Affairs, Executive Health Resources; Ralph Wuebker, MD, Chief Medical Officer and VP of Audit, Compliance, and Education, Executive Health Resources
AM
AFTER THIS SESSION, YOU WILL BE ABLE TO:
TOOLS AND TAKEAWAYS
•A ssess internal appeals processes and areas of improvement
Checklist on appeal strategy, process improvement, and mitigation of appeal risk
•E valuate potential defense and appeal strategies
SPEAKERS
•C onsider proactive measures to help mitigate appeal risk
Scott McBride, JD, Partner, BakerHostetler (Moderator); panel TBD—for updates go to hfma.org/ani.
PREREQUISITES
Basic knowledge of Medicare reimbursement
U Update
0 Overview
HFMA.ORG/ANI 29