Optimizing Your Revenue Integrity Program: Objectives, Strategies, Staffing, and Performance

Presented on: Wednesday, October 18, 2023 | 1:00–2:00 p.m. Eastern

Presented by:  Joe O’Malley and Caroline Znaniec, MBA, MS-HCA

An efficient revenue integrity program is key to protecting your hospital’s bottom line and ensuring compliance with Medicare’s billing and reimbursement rules. But knowing how to structure and staff your program, what to focus on, and how to optimize functions for maximum impact and return on investment can be a tall order.

During this 60-minute webinar with live Q&A, experts Joe O’Malley and Caroline Znaniec will provide guidance on how to optimize a revenue integrity program within a healthcare provider organization based on leading industry practices. Learn how others are improving revenue cycle performance through revenue integrity efforts in the areas of performance improvement, billing compliance, revenue cycle workflow and processes, and monitoring to demonstrate success. The presenters will review the National Association of Healthcare Revenue Integrity (NAHRI) recommended job descriptions and staffing algorithm (co-developed by the presenter), and an example of a revenue cycle interdependencies matrix.

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

• Define the core functions and concepts of revenue integrity
• Explain best practices for optimizing a revenue integrity program
• Identify key focus areas for a revenue integrity program
  
  

Agenda

This program will cover:

• Definition of revenue integrity
• Key components of revenue integrity
• Key strategies to achieve revenue integrity success
  • Defining scope
  • Aligning staffing
  • Understanding interdependencies
  • Tools/guidance
  • Auditing/monitoring
  • Top initiatives in revenue integrity today

Who Should Listen?

• Revenue integrity directors
• Revenue integrity managers
• Revenue integrity analysts
• Revenue integrity specialists
• Revenue cycle directors
• Revenue cycle managers
• Finance directors
• Associate finance directors
• Compliance officers
• Compliance staff
• HIM directors
• HIM managers
• Billing directors
• Billing managers
• Internal auditors
• Nurse auditors

Meet the Speakers

Joe O’Malley is an associate director in the Protiviti Chicago office and Protiviti’s EMR optimization solution leader. He has 12 years of healthcare finance and revenue cycle management experience, leading projects to maximize net revenue and decrease revenue leakage through implementing industry-leading practices in clinical documentation, charge capture, denials management, and accounts receivable reduction. He has also presented at healthcare organization conferences/roundtables and published healthcare thought leadership pieces.

Caroline Znaniec, MBA, MS-HCA, CRIP, is a managing director in Protiviti’s healthcare practice. She has 27 years of healthcare industry and consulting experience with expertise in healthcare strategy and revenue cycle transformation. Znaniec works with healthcare providers, payers, private equity groups, and investors of healthcare providers. She is an advisory board member of the National Association of Healthcare Revenue Integrity..

Continuing Education

Coming soon…

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 is also 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 $229 value! 

PLEASE NOTE 
Participation in the webinar is just $229 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 855-225-5341 or email customer@decisionhealth.com  if you have questions.