Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event - On-Demand

Bookmark and Share

Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event - On-Demand

Product Code: RISV10062020--


* Required Fields

Availability: In stock

From: $199.00

To: $334.00

Your Price:

Add Items to Cart

NAHRI members save an additional $20 off!
Call Customer Service at (800) 650-6787 to receive your Exclusive Member Discount.

Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event - On-Demand

Available On-Demand!

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 on-demand event.

Attendees will receive ongoing access to all 12 educational session as well as recorded daily moderated Q&A sessions.
On-demand participants can view educational session recordings at their convenience for 60 days after the date of purchase!

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


Main Conference Day 1

30 Minutes
The Revenue Integrity Show Presents: A Panel Discussion on COVID–19
In this special edition of The Revenue Integrity Show: A NAHRI Podcast, industry experts weigh in on how the COVID–19 pandemic has impacted revenue integrity operations.

45 Minutes
Round Robin on Medicare Rules: Get the Latest Updates on IPPS, OPPS, and the MPFS (Part 1)
Marc Hartstein, MA; Valerie Rinkle, MPA, CHRI; Jugna Shah, MPH, CHRI
Learn all you need to know about the latest finalized IPPS changes for FY 2021 and the major proposed changes for OPPS and MPFS. Ensure your hospital is prepared from a reimbursement and compliance perspective.

50 Minutes
Round Robin on Medicare Rules: Get the Latest Updates on IPPS, OPPS, and the MPFS (Part 2)
Marc Hartstein, MA; Valerie Rinkle, MPA, CHRI; Jugna Shah, MPH, CHRI
Learn all you need to know about the latest finalized IPPS changes for FY 2021 and the major proposed changes for OPPS and MPFS. Ensure your hospital is prepared from a reimbursement and compliance perspective!

45 Minutes
Appealability: Assessing and Rating a Denial for the Possibility of Overturn
Tracey A. Tomak, RHIA, PMP; Denise R. Wilson, MS, RN, RRT
Sometimes it doesn’t make sense to go after all denied claims—many hospitals just don’t have the resources to do so. Instead, the better approach may be to appeal denials with the best chance for overturn. Join us as we teach you how to develop your own payer–specific scoring system! Attendees will learn how to analyze types of denials to increase chances of revenue recovery.

30 Minutes
Recorded Live Q&A Session
Marc Hartstein, MA; Valerie Rinkle, MPA, CHRI; Jugna Shah, MPH, CHRI, Tracey A. Tomak, RHIA, PMP; Denise R. Wilson, MS, RN, RRT

30 Minutes
Recorded Virtual Gala
Join members of the NAHRI Conference Committee for a conversation on virtual hiring and engagement practices.

Main Conference Day 2

55 Minutes
Creating a Rational Pricing Model: Where Transparency and Strategy Collide
Caroline Znaniec, MBA, MS–HCA
Healthcare organizations’ pricing methodologies have varied over the years, and many are no longer easily understood. The lack of pricing defensibility hinders the industry’s move toward pricing transparency. Rational pricing provides for a combination of key strategies, all while supporting the objectives of transparent pricing. This session will provide attendees with an understanding of rational pricing strategies and how to operationalize a rational pricing model.

55 Minutes
CDM Governance: Best Practices and Processes
Sarah Goodman, MBA, CHCAF, COC, CCP, FCS, CHRI; Kay Larsen, CRCR, CHRI; John Settlemyer, MBA, MHA, CPC, CHRI
This session will address charge description master (CDM) governance, including implementing a team approach to CDM management, utilizing proven strategies for maintaining the CDM, navigating CMS resources, and ensuring successful charge capture across a sampling of ancillary departments. It will highlight tips on addressing the latest changes brought about by the COVID–19 public health emergency. The panelists will discuss their real–life experiences with internal policies, procedures, and timelines that govern operational processes regarding CDM additions, changes, and deactivations.

45 Minutes
How Hitting Your Key Performance Indicators May Actually Reduce Your Hospital Performance
Joseph Zebrowitz, MD
Using key performance indicators (KPI), hospital leadership can determine whether the organization is on the right track. But have you ever wondered why your KPIs look great, yet your hospital is still losing revenue? In many cases, payers may be leveraging your KPIs against you. This session will demonstrate how hospital KPIs used in isolation by UM, CDI/coding, and managed care can adversely undermine hospital revenue. Learn a new approach to measuring performance across the clinical revenue cycle and how to keep up with the payers’ evolving tactics.

50 Minutes
Inpatient-Only Procedures: Recent Guidance and Possible Elimination
Kimberly Baker, JD, CPC
This session discusses the recent controversial changes to the Medicare inpatient-only list as well as CMS’ proposal in the 2021 OPPS Proposed Rule to eliminate the list over the next three years.  Recent guidance on inpatient-only procedures has provided helpful direction on two-midnight and case-by-case admissions.  Although not finalized, the proposed elimination of the list and the approach CMS will take moving forward will be discussed. The exceptions to the inpatient-only list will also be reviewed to ensure you don’t miss revenue for inpatient-only procedures provided on an outpatient basis when available.

35 Minutes
Recorded Live Q&A Session
Caroline Znaniec, MBA, MS–HCA; Sarah Goodman, MBA, CHCAF, COC, CCP, FCS, CHRI; Kay Larsen, CRCR, CHRI; John Settlemyer, MBA, MHA, CPC, CHRI; Joseph Zebrowitz, MD; Kimberly Baker, JD, CPC

Main Conference Day 3

35 Minutes
Analyzing the Impact of Requirements for Hospitals to Make Standard Charges Public
Marc Hartstein, MA
Hear former CMS Senior Executive Marc Hartstein speak on hospital price transparency requirements that were announced in the 2020 outpatient prospective payment system final rule. In this session, you’ll gain a deeper understanding of CMS' manual provisions that require charges to be reasonably related to cost, as well as the statutory and regulatory history leading up to the current requirements.

55 Minutes
Charge Capture: Hot Spots in Your Facility
William L. Malm, ND, RN, CRCR, CMAS, CHIAP
Charge capture remains the mainstay process to ensure revenue for all documented services. This session will review the diagrammed charge capture process against best practice and isolate charge capture opportunities by department.

55 Minutes
The Wild West: Bringing Structure and Oversight to Commercial Payer Integrity Audits
Dawn Crump, MA, SSBB, CHC
The pressure to reduce the cost of healthcare has caused government and commercial payers to increase audits. CMS implemented the Recovery Audit Contractor (RAC) program, for example, to identify Medicare overpayments. Commercial payers use audits similarly. However, contrary to the RAC program’s recent evolution into a more streamlined process, many commercial payer audits are more challenging, time–consuming, and burdensome due to the lack of structure and oversight. This session will delve into the challenges of commercial payer audits, provide insight to improve audit integrity, and offer best practices to navigate the complicated process.

50 Minutes
Analyze THIS! Healthcare Revenue Cycle Analytics and the Role of Revenue Integrity
Caroline Znaniec, MBA, MS–HCA
This session will provide an understanding of how revenue cycle metrics are used to measure financial performance across the organization. Although revenue integrity may not own them, the metrics can identify breakdowns within the revenue cycle that directly affect the organization’s ability to effectively and efficiently bill and receive payment. Attendees will walk away with a guide to common revenue cycle key performance indicators (KPI) and benchmark resources, a troubleshooting guide to address underperforming metrics, and an example KPI dashboard.

20 Minutes
Recorded Live Q&A Session
Marc Hartstein, MA; William L. Malm, ND, RN, CRCR, CMAS, CHIAP; Dawn Crump, MA, SSBB, CHC;  Caroline Znaniec, MBA, MS–HCA

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.

Dawn Crump, MS, SSBB, CHC, is senior consultant for revenue cycle solutions with MRO Solutions in Norristown, Pennsylvania. Crump has worked in the hospital environment within quality, compliance, or revenue integrity for the last 20 years. In addition, she managed internal coding compliance and the government audit and denial team for a large health system. Drawing on her strong analytical and relationship-building skills and more than 20 years of urban and rural healthcare experience, she has guided providers to successfully analyze their critical financial information, identify potential opportunities for improvement, and develop innovative cost-effective solutions, enhancing revenue retention and customer satisfaction opportunities. She obtained her Six Sigma Black Belt/Lean certification more than 10 years ago.

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.

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.

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.

Caroline Znaniec, is a managing director in CohnReznick’s healthcare practice. She has 24 years of healthcare industry and consulting experience with expertise in healthcare strategy and revenue cycle transformation. Caroline works with various healthcare provider organizations including hospitals, health systems, skilled nursing facilities, home health, physician groups and clinics, free-standing providers, payers, private equity groups, and investors of healthcare providers.

Before joining CohnReznick, Caroline was Principal Owner of Luna Healthcare Advisors LLC. Prior to this, she was a corporate compliance officer for an integrated health system and served as the national lead of revenue integrity for two large consulting groups. Caroline is a recognized industry speaker and author in the areas of healthcare strategy and revenue cycle transformation.

Continuing Education

This program has the prior approval of AAPC for 10.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

This program has been approved for 10.5 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).

American Nurses Credentialing Center (ANCC)
HCPro is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

This educational activity for 10.25 nursing contact hours is provided by HCPro.

Association of Clinical Documentation Improvement Specialists (ACDIS)
This program has been approved for 10.25 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS and CCDS-O, outpatient) certification, offered as a service of the Association of Clinical Documentation Improvement Specialists (ACDIS).

Compliance Certification Board (CCB)
The Compliance Certification Board (CCB)® has approved this event for up to 10.8 live CCB CEUs based on a 50-minute hour. Continuing Education Units are awarded based on individual attendance records. Granting of prior approval in no way constitutes endorsement by CCB of this event content or of the event sponsor.

National Association of Healthcare Revenue Integrity (NAHRI)
This program has been approved for 10.25 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).

Additional CE credits to be included pending approval.


  • Group pricing is available. Please contact customer service for more information - 615-724-7200
    • 4-10 attendees = each attendee receives 10% discount off retail price
    • 11-15 attendees = each attendee receives 15% discount off retail price
    • 16-20 attendees = each attendee receives 20% discount off retail price
    • 21 or more attendees = each attendees receive 25% discount off retail price

Event Sponsors

Platinum Sponsor:




Versalus Health

Interested in sponsorship opportunities? Contact Carrie Dry at for information.

The National Association of Healthcare Revenue Integrity (NAHRI)

NAHRI’s mission is to enhance the revenue integrity profession through standards, advocacy, networking, and the promotion of shared knowledge and resources. This mission statement was developed by our NAHRI Advisory Board, an amazing group of revenue integrity professionals who bring a wide range of expertise and experience to this organization’s leadership.


As a NAHRI member, you’ll get unlimited access to our vast members-only resources, tools, and content such as white papers, best practices, and research reports written by the most respected names in the industry.

Resources include:

  • Member-Only Content, explore the hundreds of the latest articles and research by topic, including white papers and best practices, plus an extensive archive on the NAHRI website
  • A library of sample webinars and other content on the latest revenue cycle topics
  • NAHRI quarterly journal, featuring in-depth, members-only content on the latest developments in revenue cycle


Be on the ground floor in establishing your local chapter! It’s a great way to: 

  • Quickly integrate and network with other revenue cycle professionals 
  • Expand your management, leadership, and public speaking skills by volunteering for the chapter executive board


Members receive significant discounts on all national and local NAHRI events. Learn from the best and brightest, interact and network with industry leaders, or roll your sleeves up and participate in an intensive, in-person, training events.


NAHRI members receive $100 off the Certification in Healthcare Revenue Integrity (CHRI) credential program. This program will provide professionals like you a tangible way to enhance and promote your revenue cycle skills.

I speak for the NAHRI Advisory Board when I say we all have visions of amazing strides we can make together in the industry, now is the time. I look forward to you joining our growing community of revenue integrity professionals.



Jaclyn Fitzgerald, Director, NAHRI