MACRA and the Value-Based Transition: Understanding the Impact - On-Demand

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MACRA and the Value-Based Transition: Understanding the Impact - On-Demand

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MACRA and the Value-Based Transition: Understanding the Impact - On-Demand

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Available ON-DEMAND

Presented on:
Tuesday, September 12, 2017

Presented by:
William L. Malm, ND, RN, CRCR, CMAS
Holly Taylor, CVT, CRC

Level of Program:

Value-based reimbursement models are radically changing the way providers are paid, even as the models themselves continue to evolve. Many physician practices and hospitals are still struggling to get a handle on the basics of MACRA and MIPS. Organizations are confused about the requirements of these programs and the ramifications of noncompliance—as well as the long-term implications of these payment reforms.

In this complex and quickly changing environment, calculating financial impact can be difficult. What’s more, organizations must simultaneously manage revenue and compliance for traditional fee-for-service patients. Learn what changes your organization needs to make to avoid revenue losses and compliance shortfalls related to MACRA and MIPS.

During this 90-minute program, expert speakers William L. Malm, ND, RN, CRCR, CMAS, and Holly Taylor, CVT, CRC, will explain MACRA and the new Quality Payment Program, including MIPS. Attendees will learn about the impact that value-based reimbursement models have on the revenue cycle as well as best practices for ensuring success. Participants will also learn how to analyze the operational changes necessary to support the transition to value-based reimbursement.

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

  • Explain MACRA and the new Quality Payment Program, including MIPS
  • Describe the impact of value-based reimbursement models on the revenue cycle
  • Identify operational changes necessary to support the transition to value-based reimbursement
  • Determine best practices for protecting revenue integrity

Who Should Listen?

  • Physician practice managers and administrators
  • Physician patient financial services
  • Physician contractors
  • Case managers
  • Compliance officers
  • Revenue integrity managers/staff
  • Revenue cycle managers/staff
  • Physician chief financial officers
  • Physician coders
  • HIM directors/managers
  • Nursing informatics specialists


  • Overview of MACRA, MIPS, and related regulations
    • The new Quality Payment Program, including MIPS
    • Impact of regulations, including MACRA and MIPS
    • Simultaneously managing fee-for-service and value-based reimbursement models
  • The future of value-based reimbursement
    • Upcoming changes
    • Impact on revenue cycle management and the shift to focus on quality and cost
    • Continuing the transition from fee-for-service to value-based reimbursement
  • Identifying operational challenges
    • Realigning operations to value-based reimbursement
    • Managing documentation for value-based reimbursement
    • Practical measures to support value-based reimbursement
    • Core data skills for value-based and fee-for-service reimbursement
  • Pitfalls and challenges
    • Documentation, reporting, and coding challenges
    • Compliance risks
    • Remaining aware of the latest CMS regulations
  • Projections of MIPS outcomes
    • Calculating the impact of poor reporting
    • Measuring success under MIPS
    • Analyzing revenue under MIPS
  • Live Q&A


  • CMS tools for providers


Continuing Education

(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. (Ability to claim CEH’s for this webinar expires on: 9/11/18)

American Health Information Management Association (AHIMA)
(Live + On Demand) - This program has been approved for 1.5 continuing education unit for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
(Ability to claim CEU’s for this webinar expires on: 9/11/18).

Meet the Speakers

William MalmWilliam L. Malm, ND, RN, CRCR, CMAS, is a managing director at Health Revenue Integrity Services. He is a nationally recognized author and speaker on topics such as healthcare compliance, chargemasters, and CMS recovery audits. Malm brings over 25 years of experience with a combination of clinical and financial healthcare knowledge that encompasses all aspects of revenue integrity. He also serves as the president of the Certification Council of Medical Auditors. He has extensive experience with all postpayment audits, having previously worked as a systems compliance officer at a large for-profit healthcare system. Malm also co-hosts Appeal Academy’s “Finally Friday” discussions.

Holly TaylorHolly Taylor, CVT, CRC, has over 30 years’ experience in both clinical and administrative positions in healthcare. As the director of clinical research at the Heart Center of Sarasota, Taylor expanded the program, culminating in national recognition as a center of research excellence. Taylor subsequently launched Clinyx LLC, a cardiovascular clinical research network that successfully coordinated hundreds of clinical trials across dozens of health systems. Following her tenure in clinical research, Taylor returned to the administrative side of medicine and revenue cycle management at Origin Healthcare as vice president of payer performance, where she was responsible for optimizing denial management and accounts receivable performance. Following her departure from Origin, Taylor leveraged her cumulative experiences in her role as vice president of population health with Health Point Partners, who were early adopters of value-based payment contracts through their Medicare Advantage plan, ACO, and IPA. Most recently, Taylor was vice president of value-based care strategy at Zirmed, developing new technology solutions to support value-based payment models. She is currently the principal founder of Healthcare Ecosystem, LLC, a consulting firm providing expertise to both technology companies and healthcare systems on the transition to value-based care.

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. 

No problem. The On-Demand version is now 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! 

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 if you have questions.