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2021 Agenda

Speaker Presentation
March 09, 2021
All Times in ET
10:00 - 10:05

Opening Remarks and How This Conference Operates

Audrey Wu, Event Director Strategic Solutions Network

MODULE #1
A Consumer-First Engagement to Enroll and Retain Patients
10:05 - 10:45

An Effective Digital Transformation Journey: Creating Patient Delight in the Patient Financial Journey

  • Starting the engagement in the right direction digitally
  • A consumer first approach that is follows the patient’s clinical and financial story
  • Creating a consumer friendly pre-service and on-boarding process
  • Smart documentation forms
  • Integrating smart clinical and financial data and setting expectations

Moderator:

W. Christopher Johnson, FHFMA, Vice President Patient Financial ServicesAtrium Health

Hiram Martinez, Director of Patient Financial Counseling Mount Sinai Health Systems

Panelists:

Jean Moody-Williams, Deputy Director, Center for Clinical Standards and QualityCenter for Medicare & Medicaid Services

Mindy McNamara, Patient FInancial Experience CoordinatorYale New Haven Health

10:45 - 11:05

Patient Engagement That Combines Clinical and Financial Win-wins for All Stakeholders

This case study shares the story of a patient first initiative that endeavors to anticipate patient needs to innovating more digital, patient-friendly touchpoint. Patients are able to travel a more empowered and satisfying clinical journey and the provider is able to have an informed interaction with the patients regarding financing and payment preferences and options.

Becky J. PetersExecutive Director Patient Access Services,Banner Health

11:05 - 11:15

Break

11:15 - 12:00

Optimizing Telehealth: Getting It Right With Patients, Practice, and Payments

  • What is the latest climate on telehealth reimbursements?
  • What are the barriers that exist to optimizing telehealth for all stakeholders?
  • Not all telehealth is the same- how to discern and set standards
  • Patient outlook on using telehealth vs payments and pricing
  • Managing telehealth security issues
  • How to establish quality standards in a one size does not fit all in outcomes and coverage
  • Options in payment models; how tele-health will integrate into the healthcare ecosystem
  • How to implement consistency across states and insurers
  • What is happening with Federal policy in regards to telehealth?

Moderator:

Peggy O’KanePresident,NCQA

Panelists:

Kate GoodrichSVP, Trend and Analytics,Humana

Chris MeyerDirector of Virtual Care/Telehealth,Marshfield Clinic Health System

Mei KwongJD, Executive Director,Center for Connected Health Policy in California

12:00 - 12:25

Establishing Operating Rules for Prior Authorization and Value-based Payments to Improve Care

  • Become familiar with how operating rules make electronic data transactions more efficient and predictable.
  • Learn how implementation of the prior authorization operating rules address major automation barriers, reduce provider administrative burden, enable timelier patient care, and improve revenue cycle metrics.
  • Know how national operating rules can reduce variation in the administration of patient attribution for value-based payments to reduce provider burden.
  • Understand how to contribute to and take advantage of these endeavors, regardless of your organization’s level of maturity on the standards and technology adoption curve.

Erin WeberDirector,CAQH CORE

Robert BowmanDirector,CAQH CORE

12:25 - 1:10

Increase Patient Yield by Successfully Managing Risk Based Contracts in Value Based Care Models

  • Collecting and leveraging patient data to optimize the journey
  • Moving away from the directed administrative model
  • Aligning providers with language of healthcare spend in VBC
  • Bringing all stakeholders on the same page with healthcare spend Kootenai Health Network

12:25-12:40

Michelle IlitchVP of Provider Network /Development,Priority Health

12:40-12:55

Jason Paruthi, MDMedical Director,Lark Health

12:55-1:10

Adele Towers MD MPH FACP CRCDirector, Risk Adjustment, UPMC Enterprises

1:10 - 2:10

Break

MODULE #2
Back Office Functions That Seamlessly Bridge Patient Data with Smart Payment Options
2:10-2:45

Interoperability- The Current Best Practices

This comprehensive panel will cover trends and cutting-edge practices in the goal to connect data and enable smooth exchange of this data between information systems so that clinicians, HIM, accounting can meaningfully utilize an ever-increasing amount of patient and other data. How can providers and payors harness all this effectively to provide an accurate reflection of each step of the patient journey AND help anticipate the next step?

Moderator:

Lee BarrettExecutive Director, CEOEHNAC

Panelists:

Patrick MurtaChief Interoperability Architect & Fellow/ Enterprise ArchitectureHumana

Robert TennantCommissioner EHNAC & Director, Health Information Technology Policy,Medical Group Management Association

Elisabeth MyersDeputy Director of Policy,Office of the National Coordinator

2:45 - 3:10

Advancing System Quality in Claims Administration to Meet Changing Expectations in Consumers and Patients

Consumers increase their involvement in healthcare as shoppers Consumer expectations are different employers; administrative accuracy and service contact are critical differentiators In claims, we can work to improve processing accuracy: How? Define new metrics, Error rates, Adjustment rates, Disputes and appeals, Develop designs and technology to drive shared visibility to new metrics (operational counterparts); help to frame accountability Shift toward consultative analytics model; away from reporting Cross-Functional collaboration is key; “it takes a village”

Raul MatasDirector of Analytics, NationalClaims Auto Adjudication & Outside Medical ExpenseKaiser Permanente

James Shelton IIDirector, Claim OperationsKaiser Permanente

3:10 - 3:20

Break

3:20- 3:55

Win-win: Applying advanced Virtual Patient Registration tech to secure 100% of payment capture… and more than double staff capacity

VestaCare’s Virtual Patient Registration (VPR) offers enormous improvements by enabling staff to exponentially serve more patients with breakthrough technology that secures nearly 100% of patient liability… while also limiting COVID-19 exposure. Learn more about:

  • How new tech helps build patient engagement and enrollment
  • Magnifying staff resources to maximize effectiveness
  • How to facilitate self-registration, form captures and signatures
  • Effecting a comprehensive registration process with greatly improved accuracy
  • Establishing a system that secures nearly 100% of patient liability
Presentation also includes information about tie-in with advanced COVID-19 vaccination management.

Tom BrekkaCEOVestaCare, Inc

3:55 - 4:20

Knowing Where You Stand: Using Key Performance Metrics to Evaluate the Performance of Your Central Billing Office and Reaping Improvements

Kurt GallagherExecutive DirectorHBMA

4:20 - 4:35

AI Applications Automating Areas of the Revenue Cycle to Accelerate Cash, Reduce AR and Reduce Expense.

The following would be highlighted:

  • Pre-Authorization
  • Bill Edit resolution
  • Payer Claim Status
  • Timely Filing Denials, Pre-Authorization Denials, Eligibility Denials

Jeff NiemanCEOMeduit

4:35-5:00

Using Patient Feedback to Improve Payment Practices

  • Collecting feedback related to our patient's financial experiences to identify patient needs and pain points
  • Transforming and trending data so it is meaningful and actionable
  • Encouraging data transparency and engaging leadership to drive positive change
  • Exploring relationships between positive patient experience and payment behaviors

Mindy McNamaraPatient FInancial Experience CoordinatorYale New Haven Health

March 10, 2021
All Times in ET
10:00 - 10:25

Leveraging AI Technologies for Healthcare RCM

  • What AI offers the revenue cycle
  • Tasks ideal for AI
  • SARA Family of Web Bots leverage AI to solve specific problems
  • Specific application of SARA for Atrium’s revenue cycle

Christopher Johnson, Vice President Patient Financial ServicesAtrium Health

Jeff Nieman, CEOMeduit

10:25 - 10:50

PANEL: How the Back Office Manages Differing Levels of “Propensity to Pay"

Hear how this health system organizes the back office to manage varying financial styles and propensity to pay.

Michael Rawdan, PH.D, MBA, System Senior Director of Revenue Cycle & Patient Experience,St. Luke's Health System

10:50- 11:00

Break

Transformative Disruptions and Innovations
11:00 - 11:25

Price Transparency: Driving Selection Through Quality and Cost

  • Another area that COVID has irrevocably altered is consumer demand/- expectation
  • The direction of regulation for transparency
  • Tools and direction in technology driving transparency and clearer info
  • Reality and trajectory of compliance

Charles Stellar, President & CEO,WEDI

Jean Moody-Williams, Deputy Director of the Center for Clinical Standards and Quality,Center for Medicare & Medicaid Services

11:25 - 12:00

5 Case Studies in Improving Payments and Identifying Additional Revenue Opportunities and Decreasing Administrative Costs WHILE Improving Clinical Outcomes and Reducing Re-Admission

AI software with Infrared image of blood flow of Diabetic patient extremities increases reimbursement by 23% while decreasing costs by 38% Using AI tools to reduce SEPSIS costs by 48% while increasing reimbursement by 18% New mobile data collection tools reduces physician documentation time by up to 63% while increase reimbursement by 28% VBR models can help improve revenues, decrease costs, improve quality – but can also decrease revenues if you don’t participate. Remote Patient Monitoring can increase annual physician’s revenues by over $90,000 per year with less than 2% additional effort

,

Mark AndersonCOOEast Texas IPA/ACO

12:00 - 12:20

Serving Patients Where They Are for Financial Tools and Options

  • Identifying and innovative ways to address and overcome key sticking points for patients
  • Points of engagement for improving collections
  • Following the patient on there clinical journey while engaging them financial
  • How to re-engage, monitor, nudge, and retain

Moderator:

W. Christopher JohnsonFHFMA, Vice President Patient Financial Services Atrium Health

Panelists:

Jan Smith ReedDirector, US healthcare T-Base Communications

John InnesPresidentACH Processing Company

12:20

Conference Concludes