Revenue Cycle Management: What You Need to Know
Overview:Revenue Cycle Management (RCM) continues to affect hospitals and healthcare facilities. To help hospital advisors navigate through the myriad of challenges they face, The Knowledge Group is producing a live webcast: “Revenue Cycle Management: What You Need to Know.” This interactive course will provide crucial information on key revenue cycle management issues and other hot topics.
Key topics addressed:
- Revenue Cycle Management Process Review
- Section 501(r); Overview and Importance To RCM
- Identify and Understand Risk Appetite
- Section 501(r) Compliance
- Remodeling an Effective RCM Process
- Setting up Risk Policy Guidelines and Internal Controls
- Regulatory Issues and Best Practices
- Latest regulatory issues
Peter Kinhan, MBA, General Manager, IT Division,
- Introductory material
- Evolving eco-system how revenue cycle management systems interact with population health and health care system
Linda S. Bailey-Woods , Director ,
- Revenue Cycle (RC) Focused Electronic Health Record (EHR)
- Best practices in health information management (HIM) workflow
- Key considerations for bill generation
- Supporting technologies
- RC – EHR typical hurdles
- Expected ICD-10 impact
Nader Samii, Chief Executive Officer,
National Medical Billing Services
Lisa Rock, President ,
National Medical Billing Services
- ICD 10 – and how it will affect revenue
Bryan Bruton, Technology Business Executive,
Joe J. Gregory, Vice President, Marketing ,
- Streamlining the processing of healthcare payments, focusing on checks and explanation of benefits forms. We have access to a good amount of industry information to reference
- Value added services of financial institutions for medical lockboxes
- EFT/ACH Reassociation (white paper available) (https://www.orbograph.com/how-to-reassociate-eft-ach-payments-to-eras-in-2014.htm)
Who Should Attend:- Senior Management (Hospitals, Health Care Systems, Health Centers, Medical Facilities, Non-profits - Health Care Service) − Attorneys (Hospitals, Health Care Systems, Health Centers, Medical Facilities, Non-profits - Health Care Service) − CFOs and the Finance Team − Pharmacy Directors and Coordinators − Chief Pharmacy Officers − Officers in charge of Revenue Cycle Operations − Compliance Officers − Tax Directors − CPAs − And other interested professionals
Peter Kinhan is a General Manager in GE's Healthcare IT division. In this role he leads our Ambulatory Practice Solutions business and is responsible for developing and growing GE capabilities in the Coordinated Care Management.
Peter has 18 years of experience in healthcare IT and consulting experience working with leading healthcare institutions on an international scale including USA, New Zealand, France, UK and Saudi Arabia. He has been with GE in leadership roles for 10 years with a specific focus on new product and solution development in the areas of hospital operations, electronic health records and new integrated care offerings focused on financial risk management, care management and patient engagement.
Before joining GE Peter worked for a major international consulting company (Ernst & Young, Cap Gemini) and a leading HIT vendor (Eclipsys now owned by Allscripts).
Peter lives in Seattle, WA with his wife and two daughters. Peter has an MBA from HEC, Paris France.
Peter Kinhan is a General Manager in GE's Healthcare IT division. In this role he leads our Ambulatory Practice Solutions …
Linda is a registered health information administrator (RHIA) with thirty years of experience in health information management (HIM), systems and technology. She is a subject matter expert in revenue cycle operations and optimizing electronic health record (EHR) systems and processes to support billing. Linda assists clients in capturing clinical text for quality reporting and satisfying meaningful use requirements and is a thought leader on many current industry best practices including, Clinical Documentation Improvement (CDI) program structure and acceleration, ICD-10 emerging technologies, and Health Information Exchange (HIE) strategies for identity management and safeguarding protected health information and clinical content. She has been dedicated to automating processes that generate, analyze, store, retrieve and exchange clinical health information for the improvement of clinical and administrative processes and outcomes.
Linda was a corporate Vice President/CIO for thirteen years. She is currently responsible for client relationships and project delivery.
Linda is a registered health information administrator (RHIA) with thirty years of experience in health information management (HIM), systems and …
Prior to National Medical Billing Services, Nader was the co-founder and President of Ajuba International, a leading healthcare revenue cycle outsourcing company that was created in 2001 and grew to approximately 2,000 employees by 2009. A pioneer in the revenue cycle industry, Ajuba has received extensive honors as one of the premier business process outsourcing (BPO) companies in the healthcare provider market, including being ranked as the #1 Healthcare Revenue Cycle Outsourcing Company by The Black Book of Outsourcing (John Wiley & Sons). Prior to Ajuba, Nader was an investment banker at both Merrill Lynch and Dillon Read & Co. (now UBS Securities) and also served as a corporate finance attorney at the 400-member law firm of Dykema Gossett.
Nader is currently on the Advisory Board of ResourcePro, which is one of the fastest growing BPO companies and the recognized leader in insurance process outsourcing services. He was also on the Board of Directors of MedPlans Partners, which was the leading provider of BPO services to the healthcare payor market until it was acquired by FirstSource Solutions. Nader is also actively involved in the Healthcare Billing Management Association, Healthcare Financial Management Association, The American Association of Healthcare Administrative Management and the International Association of Outsourcing Professionals. He was named by Crain's Business Magazine to its "Forty Under Forty" list and was a finalist for the Ernst and Young Entrepreneur of the Year Award.
Nader has a BBA/BA in Finance and Economics from The University of Notre Dame and a JD/MBA from the University of Wisconsin-Madison.
Prior to National Medical Billing Services, Nader was the co-founder and President of Ajuba International, a leading healthcare revenue cycle …
For the last 10 years, Lisa serves as President of National Medical Billing Services, one of the largest ASC billing companies in the country. Lisa is a seasoned healthcare management veteran with over 25 years experience in the industry. Her wide ranging background consists of Director of Training and Education for the largest regional payor in the Mid-Atlantic area for seven years, and Vice President of Business Office Operations for an ASC development and management company (2 years). She has also managed private practices in the specialties of orthopaedics, retina surgery, cardiology and anesthesia. Early in her career, Lisa worked in the OR and PACU in Northern Virginia. Lisa's unique knowledge of healthcare management has provided NMBS's clients with the tools and information they need to most effectively run their facilities in the highly fluctuating business of medical billing and compliance.
For the last 10 years, Lisa serves as President of National Medical Billing Services, one of the largest ASC billing …
Bryan Bruton is a Technology Business Executive with Orbograph. Mr. Bruton was instrumental in the design and implementation of the Orbograph Healthcare Payments Automation Center (HPAC) and is now responsible for insuring that the company's solutions proactively address the needs of the healthcare industry, including EFT/ACH Reassociation to ERAs. His expertise is in imaging, file formats, server/storage solutions as well as electronic payments.
As Chief Technology Officer and Co-Founder of Correct Claims Now, Mr. Bruton developed solutions for the healthcare remittance and payments markets including EOB conversion to ERA, ERAEFT matching and denial and contract management. As Chief Technology Officer and founder of eGistics, Mr. Bruton was intimately involved in the creation of the Company's operational and archive platforms. He was responsible for directing, planning, and managing the Company's information and security systems and software development. His archive products served the top billers, banks and remittance processors in the United States.
Bruton graduated Texas A&M with a Bachelor of Science degree.
Bryan Bruton is a Technology Business Executive with Orbograph. Mr. Bruton was instrumental in the design and implementation of the …
Joe J. Gregory, Vice President of Marketing, oversees the strategic and tactical market initiatives for Orbograph including healthcare payments automation and revenue cycle management, check recognition, data mining services and check fraud detection. Mr. Gregory has worked with Orbograph since 1998 and has over 25 years of experience in the payments processing industry. At his previous employer, Wausau Financial Systems, Inc., Mr. Gregory held a variety of positions including Regional Sales Manager, Director of Consumer Products, and Manager of Product Management. In June of 2009, he graduated from the University of Phoenix with an MBA in Marketing
Joe J. Gregory, Vice President of Marketing, oversees the strategic and tactical market initiatives for Orbograph including healthcare payments automation …
Print and review course materials
Method of Presentation:
On-demand Webcast (CLE)
NASBA Field of Study:
Specialized Knowledge and Applications
2.0 CPE (Not eligible for QAS (On-demand) CPE credits)
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About GE Healthcare
GE Healthcare provides transformational medical technologies and services that are shaping a new age of patient care. Our "healthymagination" vision for the future invites the world to join us on our journey as we continuously develop innovations focused on reducing costs, increasing access and improving quality around the world.
About National Medical Billing Services
National Medical Billing Services is a national revenue cycle management company with a sophisticated, boutique-like approach to operational delivery and client service. The company focuses solely on servicing ASCs and their affiliated surgeons. National Medical's team of professionals provides industry insights, education and data analytics to help clients overcome industry challenges to improve financial performance.
Orbograph (www.orbograph.com), a subsidiary of Orbotech, is a premier provider of recognition services and software for check processing in the financial industry and electronic/paper automation solutions in healthcare revenue cycle management (RCM). Orbograph technologies are in use in over 1,500 financial institutions, service bureaus and billers processing billions of checks and claims annually. Orbograph solutions are utilized by 20 of the top 30 U.S. financial institutions with in-house check processing. In healthcare payments, Orbograph P2Post and Orbograph E2Post utilize innovative EOB conversion technologies to facilitate and streamline the processing of payments and to automate the posting of receivables into practice management systems. Orbograph enables clients to envision more for their organization by reducing costs and managing risk while ensuring that achieving more is a reality.