Increase Revenue Opportunities and Decrease Denials

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Increase Revenue Opportunities and Decrease Denials

Product Code: YHHA092419A

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Increase Revenue Opportunities and Decrease Denials

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Presented on: Tuesday, September 24, 2019 | 1:00–2:30 p.m. Eastern

Presented by: Jennifer Burchill, MHA, RHIA, CANPC

Managing denials is a time-consuming and resource-intensive task, but solving the root causes of denials is often even more complex. Many organizations struggle to understand the critical role documentation plays—from registration to discharge—in preventing denials in the first place.

Even armed with a sound analysis of denials data, organizations can hit a wall when trying to implement real change at the source. Poor communication, competing priorities, confusion surrounding Medicare or other payer policies, and barriers between departments or facilities (such as hospitals and clinics within a health system) can trap an organization in a loop of easily avoidable denials.

During this 90-minute program with live Q&A, learn how to remove the silos in your revenue cycle and begin building bridges with clinical departments. Expert speaker Jennifer Burchill, MHA, RHIA, CANPC, director of revenue integrity and payment compliance at St. Joseph’s/Chandler Hospitals in Savannah, Georgia, will provide new insights on how to get everyone involved with revenue increase and denial decrease. Using proven strategies and real-life experiences, she’ll explain how organizations can develop collaborative processes, pinpoint departments for improvement, and create efficient workflows for managing denials from Medicare and other payers. This interactive program will arm attendees with strategies for creating effective interdepartmental processes and working with physician office staff to address root causes and downstream issues in that setting.

At the conclusion of this program, participants will be able to:

  • Identify strategies to reduce denials
  • Explain methods to increase interdepartmental communication to reduce denials
  • Analyze data to uncover the root causes of denials

Agenda

  • Identify areas for improvement through strengths, weaknesses, opportunities, and threats (SWOT) analysis
    • Focusing on numbers: highest-volume and highest-dollar issues
    • Goal setting that contains specific, measurable, achievable, realistic, and timely (SMART) initiatives
    • Defining realistic opportunities and how to achieve them even outside of the department
  • Determine department areas for improvement
    • Tracking and trending by account drill-down
    • Rounding with departments and getting the entire story
    • Establishing continual communication with departments
  • Provide constructive denial feedback to clinical areas
    • Creating meetings that encourage feedback and honest, open dialogue
    • Designing workflows for current processes and future opportunities for change
    • Maintaining consistent reporting structures to increase trust with departments
  • Integrate goals and programs with physician offices
    • Rounding with physician office personnel
    • Communicating denials with specific examples to reflect current challenges
    • Inviting physicians and their staff to hospital denial meetings
    • Creating a team of hospital and office staff
      • Setting team monthly meetings
  • Live Q&A

Who Should Listen?

  • Revenue cycle directors and managers
  • Revenue cycle staff
  • Revenue integrity directors and managers
  • Revenue integrity staff
  • Compliance officers and staff
  • Coding directors and managers
  • Coding staff and billing managers
  • Billing staff
  • HIM directors and managers
  • HIM staff
  • Managed care operations staff
  • Business office managers
  • Business office staff
  • Precertification specialists
  • Patient access directors and managers
  • Registration managers

Meet the Speaker

Jennifer Burchill, MHA, RHIA, CANPC, is the director of revenue integrity and payment compliance at St. Joseph’s/Chandler Hospitals in Savannah, Georgia. She has 21 years of experience in healthcare. She worked her way from supervisor and manager to her current role as revenue cycle director. Burchill has worked at five healthcare organizations and has gone through several monumental changes at each, including Epic installs and department overhauls.

Continuing Education

AAPC
(Live + on-Demand) This program has the prior approval of AAPC for 1.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

AHIMA
(Live + on-Demand) This program has been approved for 1.5 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). 

Ability to claim credits for this webinar expires on: 9/23/20

National Association of Healthcare Revenue Integrity (NAHRI)
This program has been approved for 1.5 continuing education units towards fulfilling the requirements of the Certification in Healthcare Revenue Integrity (CHRI), offered as a service of the National Association of Healthcare Revenue Integrity (NAHRI).

Instructions

Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

CAN'T LISTEN LIVE? 
No problem. The On-Demand version will be available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $259 value! 

PLEASE NOTE 
Participation in the webinar is just $259 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email customerservice@hcpro.com if you have questions.