Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event

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Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event

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Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event

Tuesday, October 6 – Thursday, October 8, 2020 | Virtual Conference

Ensuring revenue is accurate and compliant has never been more critical, but with CMS and other payers releasing new guidance and rules at lightning speed simply keeping up has become a significant challenge. Healthcare organizations have never been under more stress. The COVID-19 pandemic has led to unprecedented revenue shortfalls. Strong revenue integrity practices to support accurate coding, billing, and reimbursement will continue to be vital as organizations face the ongoing financial toll of COVID-19 and CMS and other payers pick up audit activity.

Join us for Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event to get the expert advice and analysis you need to maintain revenue integrity now and prepare for the coming year. Learn about the latest CMS changes, earn valuable CEUs, and connect with your revenue integrity peers during this one-of-a-kind virtual event.

Attendees will receive ongoing access to all 12 educational session as well as daily moderated Q&A sessions and peer networking. Our expert speakers will provide detailed analysis of the latest CMS regulations, their impact on reimbursement, and practical steps organizations can take to comply and succeed.

Here are some details on this unique event:

  • Educational sessions include video and audio streamed through an interactive event platform
  • Your questions on educational sessions are answered during live daily panel Q&A sessions
  • Participants can follow our daily agenda or view educational session recordings at their convenience through December 2020
  • Dedicated networking times allow participants to share ideas and connect through the event platform 

Benefits of Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event:

  • Analyze the financial and operational impact of the 2021 IPPS final rule and the 2021 OPPS and MPFS proposed rules as well as CMS’ COVID-19 interim final rule
  • Gain the tools to enhance revenue integrity and develop strategies for accurately documenting, coding, and billing patient encounters and stays
  • Gain insights into chargemaster management and practical strategies for updates
  • Get the latest information on external auditors and learn new strategies for dealing with claim denials and appeals
  • Learn how to strengthen processes across the revenue cycle to support revenue integrity
  • Discuss billing and coding hot topics that may impact your facility’s financial performance
  • Understand methods to address price transparency requirements and the impact they will have on revenue integrity processes and goals


Full event information coming soon!

Who Should Attend

  • Revenue integrity specialists and analysts
  • Revenue integrity managers, directors, and VPs
  • Revenue cycle managers, directors, and VPs
  • CFOs
  • Finance directors
  • Reimbursement managers and directors
  • Chargemaster coordinators
  • HIM managers and directors
  • Coding managers and directors
  • Compliance officers
  • Compliance managers
  • Patient financial services managers
  • Patient financial services staff
  • Payer relations staff
  • Managed care contracting staff

About Your Presenters

Kimberly Anderwood Hoy Baker, JD, CPC, is the director of Medicare and compliance for HCPro. She is a lead regulatory specialist and lead instructor for HCPro’s Medicare Boot Camp®—Hospital Version and Medicare Boot Camp—Utilization Review Version. She is also an instructor for HCPro’s Medicare Boot Camp—Critical Access Hospital Version. Baker is a former hospital compliance officer and in-house legal counsel, and has 10 years of experience teaching, speaking, and writing about Medicare coverage, payment and coding regulations and requirements.

Sarah L. Goodman, MBA, CHCAF, COC, CCP, FCS, CHRI, is president/CEO and principal consultant for SLG, Inc., in Raleigh, North Carolina. She is a nationally known speaker and author on the chargemaster, outpatient facility coding, and billing compliance, and has more than 30 years’ experience in the healthcare industry. Goodman has been actively involved and held leadership roles in a number of professional organizations on the local, state, and national levels—including NAHRI, where she serves as an advisory board member.

Marc Hartstein, MA, came to Health Policy Alternatives in Washington, D.C. after 26 years with CMS. Hartstein held several management and staff positions during his time at CMS, most recently as the director of the Hospital and Ambulatory Policy Group. At CMS, Hartstein was central to the development of MS-DRGs, the 2-midnight rule, Medicare’s policy for off-campus hospital outpatient departments, the misvalued code initiative, and regulations to implement Medicare’s new clinical laboratory fee schedule, among other policies. Hartstein’s experience spans both the executive and legislative branches of the government. He has assisted in the drafting of legislation, working with the congressional committees that have subject matter jurisdiction over Medicare.

Kay Larsen, CRCR, CHRI, is a revenue integrity specialist at Glendale Adventist Medical Center (soon to be Adventist Health Glendale) in California. She has enjoyed 17 years working in healthcare, including many years as a chargemaster coordinator. Larsen’s favorite part of her job is working with departments to maximize revenue through education and charge review. In her years of work, she has experienced standardization projects, extensive price reviews, and conversion of financial systems and is still passionate about revenue integrity. Larsen serves as an advisory board member for NAHRI.

William L. Malm, ND, RN, CRCR, CMAS, CHIAP, is a managing consultant at Berkley Research Group, Health Performance Improvement Group. He is a nationally recognized author and speaker on topics such as value-based care, healthcare compliance, chargemasters, and CMS recovery audits. He also brings a decade of experience with payer acute care audits. Malm has over 25 years of experience with a combination of clinical and financial healthcare knowledge that encompasses all aspects of revenue integrity. Previously, Malm played a key role in providing revenue integrity and data expertise for Craneware, PLC. He also serves as the president for the Certification Council of Medical Auditors. He has extensive experience with all prepayment and post payment audits, having worked as a systems compliance officer at a large for-profit healthcare system. Malm also co-hosts Appeal Academy’s “Finally Friday” discussions.

Valerie A. Rinkle, MPA, CHRI, is a lead regulatory specialist and instructor for HCPro’s Revenue Integrity and Chargemaster Boot Camp as well as instructor for the Medicare Boot Camp—Hospital Version, Medicare Boot Camp—Utilization Review Version, and Medicare Boot Camp—Critical Access Hospital Version. Rinkle is a former hospital revenue cycle director and has over 30 years of experience in the healthcare industry, including over 12 years of consulting experience in which she has spoken and advised on effective operational solutions for compliance with Medicare coverage, payment, and coding regulations.

John D. Settlemyer, MBA, MHA, CPC, CHRI, is an assistant vice president, revenue cycle, with Atrium Health (formerly Carolinas HealthCare System) based in Charlotte, North Carolina. Atrium Health is one of the most comprehensive public, not-for-profit systems in the nation. Settlemyer has 25 years’ experience in healthcare finance/reimbursement and has been with Atrium Health for more than 15 years, with focus in chargemaster compliance, charge capture, and revenue integrity. He has direct or consulting oversight of the chargemaster for 40 hospitals and their associated outpatient care locations, such as provider-based clinics, healthcare pavilions, and freestanding emergency departments. He is a charter member and inaugural chair (serving two terms) of The Provider Roundtable, a national group of volunteer providers whose focus is providing comment to CMS on the operational and financial impact of OPPS proposed rules. In addition, he is an adjunct instructor for HCPro’s Revenue Integrity and Chargemaster Boot Camp and is an Advisory Board member for NAHRI.

Jugna Shah, MPH, CHRI, is the president and founder of Nimitt Consulting, Inc., a firm specializing in case-mix payment system design, development, and implementation. She has 15 years of experience working with providers on the ongoing clinical, operational, financial, and compliance implications of Medicare’s OPPS based on APCs. Shah has educated and audited numerous hospitals on their drug administration coding and billing practices. She has contributed to several books and numerous OPPS/APC articles and is a contributing editor of HCPro’s Briefings on APCs. Shah serves as an advisory board member for NAHRI.

Tracey A. Tomak, RHIA, PMP, is the director of project management and client engagement at Intersect Healthcare in Towson, Maryland. She has more than 20 years of experience in revenue cycle with a focus on hospital coding, charge capture, and denials management. In her current role, Tomak is responsible for coordinating project implementation of Intersect Healthcare’s Veracity software. She works directly with clients to ensure that they are fully utilizing the Veracity software to effectively manage commercial and government audits and denials. Tomak is an active member of IHIMA, serving as the nominating committee chair for the 2018–2019 year.

Joseph Zebrowitz, MD, is founder/president of Versalus Health, a company providing hospitals with next-generation analytic and operational solutions focused on the intersection of utilization management, revenue cycle, and compliance. Previously, Zebrowitz served as executive vice president for Executive Health Resources, where he was a trusted advisor to thousands of hospitals and established the standard for medical necessity reviews. He has focused his career on helping hospitals gain an accurate picture of their compliance and revenue integrity.

Denise Wilson, MS, RN, RRT, is the senior vice president of Denial Research Group – AppealMasters. She has more than 30 years of experience in healthcare, including clinical management, education, compliance, and appeal writing. Wilson has extensive experience as a medical appeals expert, having personally managed hundreds of Medicare, Managed Medicare, and commercial appeal cases and presented hundreds of cases at the Administrative Law Judge level.

Continuing Education

Full event information coming soon!