Week 1: CMS Price Transparency – How to Comply with Consumer Display & Machine-Readable File Requirements

Designed for hospitals just starting on their consumer display and machine-readable file, this session will include an overview of the requirements, 10 things you need to know, data requirements, how to lay out the machine readable file and 3 options to consider for meeting the consumer display requirement.

Session: Nov. 9, 2:00 – 3:15 p.m., CT
Workshop: Nov. 13, 10:00 – 11:00 a.m., CT

Click Here to learn more.

Click Here to Register.

Beyond the News: Live! Election 2020’s impact on healthcare finance

webinar will take place on November 11th at 2 PM CT.

Register in advance to attend.

Join our Voices in Healthcare Finance podcast “Beyond the News” segment team, hfm Senior Editor Rich Daly and HFMA policy expert Chad Mulvany, for their breakdown of what the results of the 2020 election mean for your organization. Rich and Chad will explore:

• How presidential priorities will affect hospital finances
• Potential changes to Medicare, including possibly a large increase in beneficiaries
• Acceleration of price transparency and site neutral payments
• Potential major changes to insurance markets and payer mix
• Outlook for legislation to end surprise medical bills

After this program, you’ll be able to:

• Describe how legislative or regulatory changes could impact your organization
• Examine the timing of these potential changes
• Develop strategies to position your organization to success in the post-election period

The last decade has seen a seismic shift in the healthcare industry. Healthcare consumer expectations have changed, as has their relationship with the industry. Healthcare consumers want to manage their healthcare business online, and they expect a one-stop “Amazon-like” experience.

At the same time, there was a shift in payment responsibility from insurance to patient, which made it more challenging for provider to recover net revenue. Plus, many providers have fallen behind the technology curve and are unprepared to provide the seamless, online convenience consumers want.

Fortunately, there is a solution. Providers can onboard a digital engagement solution that both provides patients with an all-in-one financial experience and significantly enhances recovery rates and increases cash flow. One provider that integrated sch a solution saw improved contact and payment rates that exceeded their average recovery by 20% within the first few months.

Click Here to Register.

Week 1: CMS Price Transparency – How to Comply with Consumer Display & Machine-Readable File Requirements

Designed for hospitals just starting on their consumer display and machine-readable file, this session will include an overview of the requirements, 10 things you need to know, data requirements, how to lay out the machine readable file and 3 options to consider for meeting the consumer display requirement.

Session: Nov. 9, 2:00 – 3:15 p.m., CT
Workshop: Nov. 13, 10:00 – 11:00 a.m., CT

Click Here to learn more.

Revenue cycle leaders have needed to quickly adapt to significant upheaval from the COVID-19 pandemic, not the least of which are the changes to the workforce. As we’ve adapted and managing a remote workforce has become the new standard, leaders need to effectively engage and manage their team – whether remote, in the office or a hybrid. At the same time, we must ensure office safety for those who are unable to work remote while creating a strategy to return to the office when appropriate.

Learning Objectives:

1. Effectively engage and manage their workforce, which is likely physically dispersed.
2. Maintain a safe office environment for those who cannot work remotely.
3. Create a strategy to return to the office when appropriate.

Click Here to learn more.

Proactive Price Transparency: A Consumerism-Based Approach that Increases Revenue and Wins Patients

Forward-thinking hospitals are taking proactive measures to embrace price transparency by responding to patient demand for a digital experience and safety as accelerated by COVID-19. These market leaders are positioned to improve revenue capture, and increase patient volume, loyalty and satisfaction, by going beyond price transparency regulations to offer an enhanced digital patient experience.

Yet an analysis by Guidehouse Center for Health Insights reveals just 12% of 151 organizations surveyed are prepared for the January 2021 deadline. Many are hesitant to disclose their negotiated payer rates, while others lack the infrastructure.

Learn why providing patients with out-of-pocket cost estimates before the point of service not only helps to meet price transparency rules, it helps ease patient financial anxiety. We’ll uncover how delivering meaningful price transparency is a strategy for long-term revenue cycle performance success that is mutually beneficial for hospitals and patients.

Session: Nov. 16, 2:00 – 3:15 p.m., CT
Workshop: Nov. 20, 10:00 – 11:00 a.m., CT

Click Here to learn more.

Availity RCM Presents

Break the Cycle: How to put an end to recurring denials

Appealing denied claims help you collect what you’re owed by the payer, but it doesn’t address the root cause. To truly manage denials, you also need to analyze denial patterns and prevent recurring data errors in future claims. In this webinar, you’ll learn how to build and maintain a proactive process in your practice and help you fine-tune your claim-management system to break the cycle of recurring denials. Webinar topics will include:

• Consultative and do-it-yourself models for denial prevention
• Provider experiences with denial prevention through Availity RCM
• How denial prevention can impact your revenue

Click Here to Register.

Proactive Price Transparency: A Consumerism-Based Approach that Increases Revenue and Wins Patients

Forward-thinking hospitals are taking proactive measures to embrace price transparency by responding to patient demand for a digital experience and safety as accelerated by COVID-19. These market leaders are positioned to improve revenue capture, and increase patient volume, loyalty and satisfaction, by going beyond price transparency regulations to offer an enhanced digital patient experience.

Yet an analysis by Guidehouse Center for Health Insights reveals just 12% of 151 organizations surveyed are prepared for the January 2021 deadline. Many are hesitant to disclose their negotiated payer rates, while others lack the infrastructure.

Learn why providing patients with out-of-pocket cost estimates before the point of service not only helps to meet price transparency rules, it helps ease patient financial anxiety. We’ll uncover how delivering meaningful price transparency is a strategy for long-term revenue cycle performance success that is mutually beneficial for hospitals and patients.

Session: Nov. 16, 2:00 – 3:15 p.m., CT
Workshop: Nov. 20, 10:00 – 11:00 a.m., CT

Click Here to learn more.

Click Here for Event Slide Deck.

Get to know your HFMA chapter presidents through this unique, “Inside the Actors Studio”- styled, virtual networking happy hour.

Our presidents will be interviewed by our own version of James Lipton, and you, to get a deep dive into who they are, why they got involved with HFMA, vision for their local chapters and how you can grow your network, friendships and advance your career through HFMA.

This is a HFMA San Diego & Imperial Counties, Southern California joint event.

Click Here to learn more.

The difficulty of collecting patient balances is an ongoing reality for revenue cycle leaders. With COVID-19 forcing millions of people out of work, self-pay balances are at even greater risk as consumers tighten their purse strings and reprioritize expenses. This presents a dilemma for providers in their local communities: how to ethically pursue patient balances while demonstrating empathy and understanding of the situation? This webinar will examine self-pay collection strategies that provide a transparent and patient-friendly billing experience during the pandemic and beyond. (Note: as a reference, please refer to the following blog on this topic.)

Click Here to Register.

Annual National Institute education is now virtual and free for all HFMA members

Date: August 12 & August 14, 2020    8am – 12pm PST

Industry education and education credits are now virtual and free to all HFMA members. Topics include Legal & Regulatory Compliance; Operations Management; Payment, Reimbursement and Managed Care; Revenue Cycle; Technology; Leadership; Accounting and Financial Reporting. HFMA members simply sign in and select the “Register for Free” button.

The session will explore current trends in claim denials with a particular emphasis on health plan audits and clinically related denials. The session will identify audit tactics commonly used by health plans to reduce reimbursement and provide hospitals with guidance on audit defenses that may be deployed to prevent recoupment. This session will provide a toolbox of resources that hospitals can utilize to improve existing appeals and identify new opportunities to secure revenue from underutilized appeals and external appeal processes.

Speaker: Tracy Lutz, Esq.

Tracy Knowles Lutz is a healthcare and insurance law attorney with Specialized Healthcare Partners, LLC (“SHP”). Ms. Lutz has over twenty years of experience in the healthcare finance and law industries with areas of expertise that include Federal and State reimbursement law, revenue cycle performance metrics and assessments.

Click Here for presentation.

As healthcare profit margins continue to shrink best in class organizations have a clear strategy to address costs. How to get the most from cost accounting. This presentation will shine a light on strategies every healthcare leader should know. You will learn the importance of timely and credible cost accounting data and the best cost accounting apporach for speed and acuracy. It has never been more critical to know and trust your costs. Join us for an important discussion.

We are offering a Virtual Game night where attendees will play games via Zoom professionally hosted by Switchboard Games.

Click Here to Register.

The Department of Veterans Affairs is a partner meant to work hand in hand when Veterans seek care outside the Veteran Administration. However, as commercial insurance carriers moved into the 21 st Century, the VA did not keep up. Now, in 2020, the VA is attempting to catch up 40 years in single leap, which has led to significant changes and struggles. In this session, we’ll talk about the history of the VA, how claims were processed before the MISSION Act, how that law changed the VA and the impact hospitals will face.

CPE Credit: 1

Learning Objectives: To understand Optum’s role in the VA authorization process, create workflows to ensure submission of VA claims to the appropriate payer, successfully capture reimbursement for services rendered to veterans, and learn the impact of COVID-19 and how to respond

Click Here to Register