2022 Revenue Integrity Symposium

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2022 Revenue Integrity Symposium

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2022 Revenue Integrity Symposium

Monday, September 19 – Tuesday, September 20, 2022

The Revenue Integrity Symposium is the can’t-miss event for revenue integrity, revenue cycle, and Medicare compliance education and high-level networking. Learn from trusted experts with cutting-edge insight that will arm you with the tools to ensure compliance with regulatory changes, maximize revenue, and enhance workflow and program design.

We can’t wait to connect with you in person again at the gorgeous Hilton Phoenix Resort at the Peak in beautiful Phoenix, Arizona, September 19–20, 2022.

As we reconnect after the COVID-19 pandemic, the Revenue Integrity Symposium provides countless opportunities to engage personally and professionally with like-minded individuals across the healthcare spectrum. The educational offerings are unparalleled. The networking opportunities are extensive. Our exhibitors are waiting to share their national knowledge. The only necessary ingredient remaining is you. So, bring your best practices, your curiosity, your drive to learn, and your enthusiasm for improving revenue integrity and help us make 2022 the best year yet!

Highlights for 2022

  • The 2022 conference brings you top-notch speakers across two tracks, providing opportunities for all in revenue integrity and compliance.
  • You’ll gain expert insight and tips for:
    • Avoiding and managing payer denials
    • Maintaining your chargemaster
    • Addressing charging and charge capture issues
    • Resolving claims edits
    • Creating effective workflow and program structures
    • Ensuring compliance with the latest rules
  • You also get access to an app that includes all session materials, a session planner, and unparalleled networking with your peers.
  • As always, RIS provides continental breakfast, lunch, snacks, and beverages during breaks, and an opening night reception, all included with registration.
  • Plus, our keynote speaker will help you identify your passion and purpose in both work and life!


After RIS, extend your stay and join us for any of the three post-conference boot camps to dive deeper into the hottest topics in Medicare. RIS attendees receive a special 15% discount on post-conference boot camp education.

  • Medicare Boot Camp®—Denials and Appeals Version
  • Medicare Boot Camp®—Utilization Review Version
  • Medicare Boot Camp®—Provider-Based Departments Version

2022 Revenue Integrity Symposium

Learning Objectives

After attending this conference, the learner will be able to:

  • Describe strategies for designing a revenue integrity program, defining leadership, and setting revenue integrity goals
  • Explore the financial and operational impact of the OPPS and MPFS proposed rules and IPPS final rule for FY 2023
  • Discover best practices for maintaining an up-to-date and compliant charge description master (CDM) and learn to identify charge capture strategies
  • Define new strategies for avoiding and managing payer denials
  • Identify tools to enhance revenue integrity and develop strategies for accurately documenting, coding, and billing patient encounters

2022 Revenue Integrity Symposium

Agenda

Day 1 — Monday, September 19, 2022

7:00 a.m. – 8:00 a.m.
Registration and Continental Breakfast in the Exhibit Hall

8:00 a.m. – 9:00 a.m.
Keynote Session
Living and Working With Passion and Purpose
Joan Peterson, MS

9:10 a.m. – 10:10 a.m.
Breakout Sessions 1

Breakout Session 1.1
CDM Guru: What Would You Do?
Valerie A. Rinkle, MPA, CHRI; John D. Settlemyer, MBA, MHA, CPC, CHRI; Angela Lynne Simmons, CPA; and Denise Williams, COC, CHRI
CDM operations are often fraught with difficult dilemmas that are not easily resolved. Join the CDM Gurus (John Settlemyer, Valerie Rinkle, John Settlemyer, Angela Simmons, and Denise Williams) for this roundtable session, where they’ll discuss your challenging, complex, or troublesome CDM charging and billing issues along with options for actionable resolution. The team has more than a century of combined hands-on, practical experience with chargemaster operations. Opportunities will be available for attendees to pre-submit or ask live questions.

Breakout Session 1.2
The Yin and Yang of Denials and Appeals
Joe Rivet, Esq., CCS-P, CPC, CEMC, CHC, CCEP, CHRC, CHPC, CICA, CPMA, CAC, CACO
Navigating denials and appeals effectively is not easy. Learn useful and practical information of what you need to know to better position an appeal for victory covering contract provision, regulations, laws and more. This session will also cover denial strategy and tactics that can help prevent reoccurring denials.

10:10 a.m. – 10:40 a.m.
Networking and Refreshment Break in the Exhibit Hall

10:40 a.m. – 11:40 a.m.
Breakout Sessions 2

Breakout Session 2.1
OIG Audits: What Are the Key Areas OIG Is Targeting?
Leigh Poland, RHIA, CCS
Understanding the Office of Inspector General's (OIG) focus areas for its enforcement efforts will help you tailor education and internal auditing to ensure your organization does not become a post-payment statistic. Additionally, it will assist with structuring internal audit programs so you can find, correct, and (where necessary) disclose errors in advance of any OIG or Integrity Contractor inquiry. You will learn the new, updated, and ongoing target areas applicable to Medicare Part A and B that have been selected for elevated enforcement in 2022. New target areas will be specifically discussed, along with recommendations for assessing and reducing post-payment risk associated with these target areas.

Breakout Session 2.2
Rules Round Robin: IPPS, OPPS, and MPFS
Marc Hartstein, MA; Valerie A. Rinkle, MPA, CHRI; and Jugna Shah, MPH, CHRI
Learn all you need to know about the latest finalized IPPS changes for FY 2023 and the major proposed changes for OPPS and MPFS for CY 2023. Ensure your hospital is prepared from a reimbursement and compliance perspective!

11:40 a.m. – 12:40 p.m.
Networking Lunch in the Exhibit Hall

12:40 p.m. – 1:10 p.m.
Sponsored Session

1:20 p.m. – 2:20 p.m.
Breakout Sessions 3

Breakout Session 3.1
NCCI Edits and Strategies for the Chargemaster
Kimberly A. Hoy, JD, CPC; and Joe Rivet, Esq., CCS-P, CPC, CEMC, CHC, CCEP, CHRC, CHPC, CICA, CPMA, CAC, CACO
National Correct Coding Initiative (NCCI) edits matters to both inpatient and outpatient claims. Payers are increasingly adopting bundling policies that reflect NCCI edits, and the NCCI rules do not always line-up with Current Procedural Terminology (CPT®) coding guidance. This session will cover NCCI nuances that impact reimbursement but are often overlooked, as well as the interplay between NCCI edits and the chargemaster. The session will also discuss differences between NCCI rules and CPT coding guidance and how to navigate them for reimbursement.

Breakout Session 3.2
The “Art” of Chargemaster Management
Sarah L. Goodman, MBA, CHCAF, COC, CHRI, CCP, FCS; Kay Larsen, BS, CRCR, CHRI; and Elizabeth Schinina
Gain a better understanding of the structure of a charge description master (CDM) and common reimbursement methodologies. This session will offer tips on the "art" of maintaining an up‐to‐date and compliant CDM, provide guidance on identifying charge capture strategies for typical ancillary services, and describe best-practice methods for managing the chargemaster. This session is basic to intermediate and will include real-life examples and audience participation.

2:20 p.m. – 2:50 p.m.
Networking and Refreshment Break in the Exhibit Hall

2:50 p.m. – 3:50 p.m.
Breakout Sessions 4

Breakout Session 4.1
Prior Authorization for Hospital Services: Utilization Control or Compliance Initiative
Kimberly A. Hoy, JD, CPC
This session will cover the ins and outs of the prior authorization program for hospital outpatient services. Understand changes over time to the Operations Guide for prior authorizations and how CMS is using the program more like a compliance initiative than a prior authorization process. Details of the exemption process allowing hospitals to “test out” of the requirements will be discussed. The presentation will also cover use of ABNs related to services requiring prior authorization, identify when they are needed, when they may not be needed, and how to bill based on CMS guidance from the operations guide. 

Breakout Session 4.2
Observation—Medical or Surgical—Ordering It Right, Billing It Right
Ronald L. Hirsch, MD, FACP, CHCQM, CHRI
Observation remains commonly used but seldom understood. Different payers have different interpretations of the usage while doctors just want to take care of their patients. But as a health system recently learned when they paid a $4.3 million settlement with the Office of the Inspector General, getting it right is critically important. While inpatient care is billed by the day, observation care is billed by the hour, which exponentially increases the billing complexities. This presentation will be an A to Z review of observation, including its use for Medicare, Medicare Advantage, and commercial payers. Dr. Hirsch will address its use in medical and surgical patients and how rebilled claims should be prepared. Examples of compliantly prepared claims to accurately report observation services will be presented.

4:00 p.m. – 5:00 p.m.
Breakout Sessions 5

Breakout Session 5.1
New Technologies, New Payment Opportunities, and New Models: Spotlight on Cell and Gene Therapies
Jugna Shah, MPH, CHRI
The rapid pace of new technologies is upon us. The product pipeline of costly cell and gene therapies will explode over the next three to five years, with price tags unlike what the provider community is used to seeing, especially under buy-and-bill models. This session will provide an overview of where we are today, what is coming down the pike, and how patients, providers, payers, and manufacturers are thinking about all of this, including topics such as care delivery, coverage, coding and billing, reimbursement, and patient outcomes. We’ll explore tough questions related to how Medicare Part A will afford these therapies given the trust fund is on pace to run out even faster than expected due to COVID-19, how state Medicaid programs won’t have enough funds to treat all patients in need, what private payers are doing, what government payers can learn, and much more. This important session is for any hospital that is already providing a cellular therapy such as CAR-T or gene therapies for Beta-Thal and sickle cell disease or plans on doing so.

Breakout Session 5.2
Optimizing Your Revenue Integrity Program: Objectives, Leadership, and Skill Sets
Christian S. Gabriel and Caroline Znaniec, MBA, MS-HCA
This session will provide guidance on how to develop a revenue integrity program within a healthcare provider organization, with considerations for prioritizing efforts, size of facility, and staffing. Presenters will provide their experience and perspective from small and large hospitals and health systems. Presenters include those who authored NAHRI’s recommended job descriptions and staffing algorithm. Participants will receive a copy of the NAHRI-recommended job descriptions along with a quick-start guide to developing a revenue integrity program. This session is part one of two. The second session applies the guidance on structuring your program to operationalizing your program based on analytics.

5:00 p.m. – 6:30 p.m.
Networking & Exhibits Reception

6:30 p.m.
Day 1 Concludes



Day 2 — Tuesday, September 20, 2022

7:00 a.m. – 8:00 a.m.
Continental Breakfast in the Exhibit Hall

8:00 a.m. – 9:00 a.m.
Breakout Sessions 6

Breakout Session 6.1
Is a Frictionless, Denial-Free Relationship With Your Payers the Right Approach for Your Hospital?
Jay Ahlmer, CFA; and Jerilyn Morrissey, MD
One of the central tenets of utilization management is that “denials are bad.” Hospitals have developed a myriad of key performance indicators that reflect this—denial rate, total number of denials, etc.—so anything that avoids denials seems like a panacea. Yet, in the quest for no denials, hospitals agree to relationships that work well for payers but not for providers. During this session, we will review the payer business model, the tactics deployed by payers to reduce healthcare spending beyond denials, and what providers should do to combat these tactics.

Breakout Session 6.2
The No Surprises Act: Key Components and Operational Considerations
Amy Tepp, CPA
This session will review the No Surprises Act, part of the Consolidated Appropriations Act issued December 2020. It will discuss regulatory requirements related to surprise billing and highlight operational considerations for compliance.

9:10 a.m. – 10:10 a.m.
Breakout Sessions 7

Breakout Session 7.1
Crucial Leadership: Managing Staff Burnout, Retention, and Recruitment
Stacey McCreery, MBA; Patti Medvescek, MPA, BSMT (ASCP); and Angela Walker, MBA, BRMP
Crucial leadership is necessary for preventing and managing burnout, improving staff retention, and recruiting and attracting top talent. In this session, you will gain a better understanding of burnout and learn how to approach and act against it. In addition, the presenters will examine the recruitment process, best practices, and turnover. You will gain a better knowledge of how to attract top talent and drive employee retention.

Breakout Session 7.2
Adding Value to the CDM: Advice From a CFO, Coordinator, Consultant, and Vendor
Sarah L. Goodman, MBA, CHCAF, COC, CHRI, CCP, FCS; Rosemary Holliday, BA, MHA; and Kay Larsen, BS, CRCR, CHRI
Get an inside look at best-practice strategies for maintaining an up-to-date and accurate CDM and promoting collaboration among CDM professionals, financial leadership, and consulting experts. This intermediate-level panel session will use case studies and real-life examples to explain the roles of the CDM coordinator, CFO, and outside consultants and vendors. Attendees will take away key tips for addressing CDM challenges and promoting revenue integrity in the facility setting.

10:10 a.m. – 10:40 a.m.
Networking and Refreshment Break in the Exhibit Hall

10:40 a.m. – 11:40 a.m.
Breakout Sessions 8

Breakout Session 8.1
Master the Provider Chargemaster
Laurie Bouzarelos, MHA, CPC
The physician practice's fee schedule, the prices, the chargemaster... regardless of what the physicians and staff call it, this tool is the basis for the revenue of a business, and it needs attention! In this presentation, participants will learn critical success factors for managing a physician practice chargemaster, including how to analyze an existing fee schedule, how to make improvements, how to avoid regulatory errors, and why updating the chargemaster must be an annual priority.

Breakout Session 8.2
Optimizing Your Revenue Integrity Program: Analytics, KPIs, and Performance Metrics
Christian S. Gabriel and Caroline Znaniec, MBA, MS-HCA
This session will provide guidance on how to operationalize your revenue integrity program using data analytics to highlight and measure performance. Presenters will provide their experience and perspective on key performance indicators, benchmarking methodologies, interdependencies, and troubleshooting. This session will also cover various types of revenue integrity initiatives that will help your organization produce a strong value capture program. This session is part two of two. The first session provides guidance on the structure of the revenue integrity program to support the use of analytics to measure performance.

11:40 a.m. – 12:50 p.m.
Networking Lunch—Exhibit Hall Finale

12:50 p.m. – 1:50 p.m.
Breakout Sessions 9

Breakout Session 9.1
Denials Prevention and the Value of 835 Data
Marie A. Stinebuck, MBA, MSN, RN, ACM; and Vik Torpunuri, MS, MBA
Understanding the story behind a denial is the first step in developing prevention strategies. The story begins with identifying what the organization did, or didn’t do, that caused the denial and what strategies must be addressed to prevent the denial from occurring going forward. Many organizations lack insight on the cause of their denials. Often, neither the revenue cycle team nor the utilization review committee have access to the objective information needed to impact change, or they fail to act on the data they have. This presentation will discuss the data contained in 835 remittances and how to access this information, thereby helping to unravel the codes associated with each transaction.

Breakout Session 9.2
Split/Shared Service Changes for 2022
Sandy Giangreco Brown, MHA, BS, RHIT, CCS, CCS-P, CHC, COC, CPC, CPC-I, COBGC, PCS
CMS changed the documentation and coding requirements for split/shared services in 2022. Along with the changes, there is a new modifier to use. This session will review the documentation requirements and present scenarios for the appropriate coding of split/shared services.

2:00 p.m. – 3:00 p.m.
Breakout Sessions 10

Breakout Session 10.1
Navigating Today’s World of Audits
Sandy Giangreco Brown, MHA, BS, RHIT, CCS, CCS-P, CHC, COC, CPC, CPC-I, COBGC, PCS; and Diane Weiss, CPC, CPB, CCP, CHRI
In this session, we will present an update on all of the current audit activity, from government as well as commercial payers. We’ll discuss what to do when notified of an audit, who should be involved in the entire audit management process, how to best prepare the most complete and appropriate response, and how to best utilize the offered or included education. This session will also include best practices for appealing audit results when there might be unfavorable findings and developing educational opportunities and possible process improvements.

Breakout Session 10.2
On- and Off-campus Provider-based Departments
Judith L. Kares, Esq.
In this session we will define and identify the Medicare requirements for both on- and off-campus provider-based departments. Provider-based status permits hospitals to receive separate payment under Part B for the facility component of most hospital outpatient services. We will also discuss the payment differences for on- and off-campus departments, depending upon whether they are “excepted” or “nonexcepted” departments. Finally, we will review the process for Medicare designation of provider-based status, including the role of attestation by hospital administrators.

3:00 p.m.
Symposium Adjourns


Agenda subject to change

2022 Revenue Integrity Symposium

Speakers

Jay Ahlmer Jay Ahlmer, CFA, is the president of Versalus Health. As president, he drives the company’s vision and strategic growth by ensuring impactful and strategic partnerships with health systems and hospital clients. Previously, Ahlmer was senior vice president of strategic accounts at Versalus Health. Before joining Versalus Health, he held numerous leadership positions with TripleTree and Executive Health Resources. Ahlmer has more than 15 years of experience in healthcare consulting, revenue cycle management, analytics, strategic planning, and M&A. He has assisted health system executives in strategic planning, market sizing and analysis, and financial projections. He also serves as board treasurer of Charlestown Playschool.
Laurie Bouzarelos Laurie Bouzarelos, MHA, CPC, is the founder and owner of Provider Solutions Consulting. She has more than 25 years of diverse experience in healthcare and education as a healthcare administrator, consultant, and Certified Professional Coder. She started Provider Solutions Consulting after seeing firsthand the challenges private practices face related to payer contract negotiation, planning and business development, coding, compliance, and operations management. Bouzarelos’ expertise allows her to identify and implement solutions that enable her clients to understand and improve their revenue while reducing compliance risk and exposure.
Sandy Giangreco Brown Sandy Giangreco Brown, MHA, BS, RHIT, CCS, CCS-P, CHC, COC, CPC, CPC-I, COBGC, PCS, is the director of coding and revenue integrity at the healthcare consulting group CliftonLarsonAllen LLP. She is an AHIMA-approved ICD-10-CM trainer specializing in physician practices and outpatient hospitals and has experience in HIM, chargemaster, and coding, especially working with CAHs and RHCs. She has more than 33 years of experience in healthcare and medical records management, coding, auditing, and compliance in the hospital, outpatient, and physician settings. She continues to do regional and national presentations for groups such as AHIMA, HCCA, and AAPC.
Christian S. Gabriel Christian S. Gabriel is the national director of revenue integrity at CommonSpirit Health, newly formed by the alignment between Catholic Health Initiatives and Dignity Health in Dublin, California. He has more than 25 years of healthcare experience, 15 years of management, 16 years of revenue cycle/coding, six years of chargemaster experience, five years of experience in Epic implementation, including attainment of various Epic certifications, and more than three years of experience in the health plan setting. Gabriel has identified and implemented broad-scale revenue integrity initiatives that increased profitability and drove operational efficiency for several of his health system roles. He is a NAHRI Advisory Board member.
Sarah L. Goodman Sarah L. Goodman, MBA, CHCAF, COC, CHRI, CCP, FCS, 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 several professional organizations on the local, state, and national levels—including NAHRI, where she serves as an advisory board member.
Marc Hartstein 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.
Ronald L. Hirsch Ronald L. Hirsch, MD, FACP, CHCQM, CHRI, is vice president of R1 RCM in Chicago. Hirsch was the medical director of case management at Sherman Hospital in Elgin, Illinois. He is a member of the American Case Management Association, a member of the American College of Physician Advisors, and a fellow of the American College of Physicians. Hirsch serves as an advisory board member for NAHRI.
Rosemary Holliday Rosemary Holliday, BA, MHA, is a managing partner of Holliday & Associates and one of the industry’s thought leaders in chargemaster management. Holliday’s company has dedicated 30 years to providing consulting, educational, and software solutions to the hospital industry. Her 44-year healthcare background lends expertise to her operational knowledge of the many technical, clinical, and support areas of today’s healthcare environment.
Kimberly A. Hoy Kimberly A. Hoy, JD, CPC, is the director of Medicare and compliance for HCPro, a division of Simplify Compliance. 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. Hoy 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.
Judith L. Kares Judith L. Kares, Esq., has considerable experience interpreting and applying Medicare rules and regulations and is an instructor for HCPro’s Medicare Boot Camp®—Hospital Version. She spent a number of years in private law practice, representing hospitals and other healthcare clients, and then served as in-house legal counsel for two large third-party payers. For the past 25 years she has continued to provide legal and related compliance services on a consulting basis. These services include development of strategic compliance programs; creation of appropriate compliance documents (e.g., codes of conduct, corporate policies and procedures); creation of reporting mechanisms; development of training and communication plans, including related materials; research and advice regarding specific risk areas; and development of corrective action plans.
Kay Larsen Kay Larsen, BS, CRCR, CHRI, is a revenue integrity specialist at Adventist Health Glendale in California. She has enjoyed 20+ 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.
Stacey McCreery Stacey McCreery, MBA, is a writer, a speaker, the founder and CEO of ROI Search Group, and an adjunct instructor for Indiana University. She established ROI Search Group following her extensive tenure as executive director of Indiana University Health. She understands the need to find exceptional talent, and as a former hiring manager, she knows what it takes to find good people. The scope of her work was broad and included the mergers and acquisitions of several hospitals, systemwide training, as well as oversight of integrations of several hospitals and physician groups throughout her tenure. Her previous engagements include financial responsibility for three Indianapolis hospitals (Methodist Hospital, University Hospital, and Riley’s Hospital for Children) and systemwide responsibility for M&A and integration of numerous hospitals and physician practices with the largest healthcare system in the state of Indiana.
Patti Medvescek Patti Medvescek, MPA, BSMT (ASCP), founded PmedvescekLLC after retiring from IU Health. During her career with IU Health, she was involved with labor analytics and external benchmarking after a long career in pathology and laboratory medicine. Her clinical as well as financial operations experience provided the backdrop for her venture as a consultant to healthcare organizations. She developed a finance training curriculum for clinical leaders while at IU Health as well as speaking at national conferences for Children's Hospital Association and IBM Action OI.
Jerilyn Morrissey, MD, is senior vice president of clinical and regulatory affairs at Versalus Health. She is responsible for regulatory, private payer, and utilization management education for case management staff and physicians. Morrissey is passionate about using data and technology to help hospitals navigate complex Medicare regulations and understand payer practices and their impact on the hospital revenue cycle. Morrissey’s experience as a practicing physician, a physician advisor for a nationally recognized health system, and a director of clinical information for a national payer affords her a unique perspective to solve utilization management’s evolving challenges.
Joan Peterson Joan Peterson, MS, is vice president, master facilitator, and leadership coach at Bluepoint Leadership Development, a division of Simplify Compliance. With more than 20 years’ experience working with leaders at all levels and in many industries, she is noted for her energetic and interactive facilitation style. Her feedback typically includes these words: engaging, excellent, enthusiastic, informative, and professional. She is equally adept at working with frontline emerging leaders as she is with executive teams.
Leigh Poland Leigh Poland, RHIA, CCS, is the vice president of coding services at AGS Health based in Washington, DC. She has more than 24 years of coding, auditing, and CDI experience and has worked extensively in coding and education for the last 15 years. Poland has presented at national conferences and conventions for AHIMA, ACDIS, and AAPC on multiple occasions. She has been a guest speaker on AHIMA webinars, written articles for the Journal of AHIMA, and has published articles in the AHIMA CodeWrite publication. Poland has traveled the U.S. and internationally providing coding education.
Valerie A. Rinkle Valerie A. Rinkle, MPA, CHRI, is president of Valorize Consulting and has more than 35 years’ experience in healthcare policy, finance, strategy, and revenue management operations. Her expertise spans all CMS reimbursement methodologies and the operational capabilities necessary to achieve accurate and defensible payment. She has extensive hospital chargemaster, OPPS and physician fee schedule, and provider-based department experience. Rinkle also has significant experience in leading compliance due diligence in support of M&A as well as defense strategies surrounding OIG, DOJ, RAC, and other audit agencies, including state Medicaid programs. She has served as an expert witness in litigation. She works with device manufacturers and pharmaceutical manufacturers for their coding and reimbursement support.
Joe Rivet Joe Rivet, Esq., CCS-P, CPC, CEMC, CHC, CCEP, CHRC, CHPC, CICA, CPMA, CAC, CACO, is a regulatory specialist for HCPro. He is the lead instructor for the Revenue Integrity and Chargemaster Boot Camp. Rivet also instructs the Medicare Boot Camp—Hospital Version, Critical Access Hospital Version, and Rural Health Clinic Version. He is an expert speaker on HCPro’s webinars and at national conferences on reimbursement topics. In addition, he is a practicing attorney with a focus on healthcare reimbursement and more than 20 years of experience in healthcare operations. Previously, Rivet worked in community hospitals, large medical groups, and one of the nation’s largest integrated delivery systems. Additionally, he was a compliance and privacy officer for a factuality practice and large emergency medical services billing and coding company.
Elizabeth Schinina is the corporate CDM manager at Adventist Health in Glendale, California.
John D. Settlemyer 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. 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 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.
Angela Lynne Simmons Angela Lynne Simmons, CPA, is the vice president of revenue and reimbursement at Vanderbilt University Medical Center. A Texas CPA, she brings more than 30 years of experience in operations, finance, and public accounting for healthcare entities. Simmons has expertise in healthcare policy, reimbursement principles from government programs (Medicare and Medicaid), as well as healthcare financial analysis and cost accounting. Much of her focus throughout her career has been on pursing revenue opportunities through improving hospital operations and through Medicare filings and appeals. Prior to relocating to Vanderbilt, she was the director of clinical revenue and reimbursement for U.T. M.D. Anderson Cancer Center, where she was responsible for Medicare and Medicaid reimbursement, cost accounting, revenue and rate-setting, financial analysis, and clinical decision support reporting.
Marie A. Stinebuck Marie A. Stinebuck, MBA, MSN, RN, ACM, has been a nurse for 25 years with 13 years in case management and more than a decade in hospital case management leadership. Her roles have included leadership of teams in case management, utilization review, denials management, clinical documentation integrity, and medical record integrity. She holds an MBA from the University of Phoenix and an MSN in nursing leadership from Grand Canyon University, and currently holds an active role on the AMCA Arizona Board.
Amy Tepp Amy Tepp, CPA, is partner-in-charge of revenue cycle at Eide Bailly, LLP. Working out of Eide Bailly’s office in Minneapolis, Minnesota, Tepp oversees its revenue cycle services within its healthcare consulting group. She has more than 35 years of experience in healthcare finance, leadership, reimbursement, revenue cycle, pricing, and compliance. She has worked in the capacity of Medicare auditor, director of reimbursement-revenue integrity and regulatory review and analysis, compliance officer, and consultant. She performs chargemaster evaluations, provides revenue cycle optimization reviews, and facilitates compliance program assessments and audits. She conducts regulatory reviews and analyses on proposed and final legislation impacting healthcare organizations.
Vik Torpunuri Vik Torpunuri, MS, MBA, is a healthcare entrepreneur with a passion to build innovative and disruptive solutions leveraging data.  He leads a national healthcare analytics company that improves outcomes by lowering cost of care, improving quality, and recovering earned revenue. Over the past 20 years, Torpunuri built several pioneering analytical solutions in healthcare, life sciences, media, supply chain, and manufacturing industries that have won national awards. A serial entrepreneur, he leverages his wealth of experience—startup, capital raise, M&A, and successful exits—to mentor startups in digital health and life sciences. He co-founded a health tech incubator and is currently ramping up companies in mental health, medical credentialing with blockchain, IOT-based health device security, and cancer care.
Angela Walker Angela Walker, MBA, BRMP, is the director of M&A integration at Sevita. She is an energetic and passionate healthcare operations executive with a track record as an effective change agent, key influencer, and outstanding operations leader.
Diane Weiss Diane Weiss, CPC, CPB, CCP, CHRI, is the vice president of reimbursement for RestorixHealth in Metairie, Louisiana. Previously, she managed a general surgery practice for 10 years in the Greater New Orleans area, where she served as practice manager and was the surgeon’s in-office medical assistant. In 1995, her career moved to the payer side. She became the provider education representative for Pinnacle Medicare Services, providing CMS Medicare Part B provider education and denials management for providers throughout Louisiana and other states within the MAC’s jurisdiction. For those 12 years with Medicare, Weiss conducted provider education workshops and seminars, and spoke to a variety of specialty societies, coding groups, and medical manager associations. She also served as Ochsner Health System’s internal Medicare consultant for five years before joining RestorixHealth full time. Weiss serves as an advisory board member for NAHRI.
Denise Williams Denise Williams, COC, CHRI, is senior vice president of the revenue integrity division and compliance auditor at Revant Solutions, Inc. She has more than 30 years of healthcare experience, including a background in multiple areas of nursing. For the past 25 years, Williams has been in the field of coding and reimbursement and has performed numerous E/M, OP surgical, ED, and observation coding chart reviews from the documentation, compliance, and reimbursement perspectives. She serves as a contributing author to articles published in HCPro’s Briefings on APCs and is a nationally recognized speaker on various coding and reimbursement topics. Williams serves as an advisory board member for NAHRI.
Caroline Znaniec Caroline Znaniec, MBA, MS-HCA, is Protiviti’s healthcare revenue cycle practice leader. She has extensive professional consulting and industry experience in healthcare. Znaniec works with various healthcare provider organizations, including hospitals, health systems, home care, physician specialty groups and clinics, freestanding ambulatory care providers, payers, private equity groups, and investors. Prior to joining Protiviti, she led the development and client delivery of revenue integrity consulting services for CohnReznick LLP, Grant Thornton LLP, and Navigant Consulting, Inc. She has experience serving in industry roles such as corporate compliance officer and director of revenue integrity for integrated health systems. She is a recognized industry speaker and author in the areas of revenue integrity; revenue cycle transformation; regulatory compliance; electronic health record design, implementation, and optimization; and data analytics.

2022 Revenue Integrity Symposium

Location

Hilton Phoenix Resort at the Peak
7677 N. 16th Street
Phoenix, AZ 85020

  • Room rate: $179.00 single/double occupancy (inclusive of the Daily Resort Charge). These rates are subject to applicable taxes (currently at 12.57%). Daily Resort Charge includes guest high speed internet access; River Ranch, miniature golf and health club access for 4; tennis court access and daily fitness classes for 2; local and toll-free calls.
  • Hotel cut-off date: Sunday, August 28, 2022
  • Hotel website: www.hiltonphoenixresortatthepeak.com
  • Booking Link: https://group.hilton.com/msw7dc
  • Simplify Compliance/HCPro has no affiliation with any third-party companies or travel assistance providers. Rooms should be booked directly with the event hotel using the official information provided on the website and in the brochure.

All reservation will need to be guaranteed with a deposit of one night’s room & tax at the time of booking; deposits are refundable for cancellations 3 days/72 hours prior to the arrival date when a cancellation number is obtained.

All reservations must be received via reservation link or individual call-in no later than Sunday, August 28, 2022 (hotel cut-off date). After the hotel cut-off date, additional reservations will be accepted on a space-available basis.

Pricing

Retail Price: $1,249.00

NAHRI Member
Retail Price: $1,149.00

Call Customer Service at 800-650-6787 ext. 4111 and email HCEvents@hcpro.com to receive your Exclusive Member Discount.

Have a group? Contact customer service to receive your group discount today.

2022 Revenue Integrity Symposium

Continuing Education

Accreditation Council for Continuing Medical Education (ACCME)
HCPro is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

HCPro designates this educational activity for a maximum of 11 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Association of Clinical Documentation Improvement Specialists (ACDIS)
This program has been approved for 11 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS and CCDS-O) certification, offered as a service of the Association of Clinical Documentation Improvement Specialists (ACDIS).

National Association of Healthcare Revenue Integrity (NAHRI)
This program has been approved for 11 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).

Check back for more CE updates!

2022 Revenue Integrity Symposium

Post-Conference

Medicare Boot Camp®—Denials and Appeals Version
Wednesday, September 21, 2022 – Thursday, September 22, 2022

Now that you've scratched the surface on how to prevent denials, join our experts for more in-depth guidance on preventing denials and what to do when you receive a denial. You'll leave the class armed with a thorough understanding of the audit and appeals process to successfully identify appropriate denials to appeal.


Medicare Boot Camp®—Utilization Review Version
Wednesday, September 21, 2022 – Thursday, September 22, 2022

Is your organization taking a closer look at your utilization management program? During this 2-day comprehensive boot camp, Join our expert as they walk you through Medicare regulatory requirements for patient status and best practices so you aren't leaving money on the table.


Medicare Boot Camp®—Provider-Based Departments Version
Wednesday, September 21, 2022 – Thursday, September 22, 2022

Join our experts for a RIS post-conference exclusive! This boot camp will provide brand new insight for understanding hospital outpatient department billing and reimbursement in an ever-changing regulatory landscape. Don't miss out - this is the only chance to attend this boot camp in 2022!

2022 Revenue Integrity Symposium

Health & Safety

Simplify Compliance and HCPro place the highest priority on the safety of our guests. In preparation for attendance at our events, we want to share the following measures to promote health and well-being:

  • Per current CDC guidelines, if the county where our event is located is deemed to be within the high level of COVID-19, it will be recommended that all attendees, regardless of vaccination status, wear masks when indoors except while actively eating or drinking.
  • Food service will follow the safety guidelines implemented by the hotel.

To view all the safety measures that the Hilton Phoenix Resort at the Peak has implemented, please see the information listed on their website: https://www.hilton.com/en/corporate/cleanstay/.

Simplify Compliance and HCPro will continue to monitor the COVID-19 environment and the recommended guidelines, and will communicate adjustments to the onsite policies and procedures as we approach the live event date.

2022 Revenue Integrity Symposium

Sponsors

Platinum Sponsor:

3M

Silver Sponsor:

MDaudit

Exhibitors:

Besler

Claro Healthcare, LLC

Eide Bailly

Vitalware

Iodine Software

MRO

Streamline Health

Veracity