Value-Based Care News

Top HIMSS15 Revenue Cycle Educational Sessions

By Jacqueline DiChiara

- Get ready for the largest and most important healthcare IT conference of the year -- the 2015 HIMSS Annual Conference & Exhibition.

These highlighted sessions offer valuable insight into the realm of revenue cycle management.

For those attendees gearing up for an early Sunday start, the following sessions provide a strong overview regarding various discussion points for revenue cycle management within the healthcare industry at large. Sessions held at the beginning of the week are also included below.

Revenue Cycle Solutions Summit (4/12):

  • Hospital Margins Improved in November But Remained Negative
  • Unreliable Health Plan Provider Directories Burden Providers
  • Provider Groups Band Together to End Cigna’s Modifier 25 Policy
  • Provides an overview of best practices, case studies, innovation approaches, and skill sets to increase awareness of key market trends and challenges to optimize payment process and improve general financial outcomes.

    Covers how ensuring a collaborative and efficient revenue cycle management process requires focus on patient engagement, clinician collaboration, IT partnerships, and using analytics to optimize billing. Examines how an efficient revenue cycle management process advances an organization’s ability to better navigate into the realm of value-based care.

    Program topics include audits and denials, patient engagement, the impact of healthcare insurance exchanges and Medicaid expansion on revenue cycle management, and managing the transition to value-based pay models. Additionally, there will be a roundtable discussion of general RCM challenges and solutions.

    Changes in Care Delivery Models (4/12):

    Understanding the “pay for value” evolution and its widespread impact on care delivery requires developed knowledge of the role of Accountable Care Organizations (ACOs), bundle payments, and pay for quality initiatives throughout the care continuum.

    There will be a discussion about opportunities for a collaboration of payers and providers by actively identifying the primary challenges associated with care delivery's evolution.

    Collaborative Care – Beyond Acronyms and New Care Models (4/12):

    Patient-centric care models are the new normalized standard within the healthcare industry. Acquire new knowledge of how ACOs relate to telemedicine as the consumer electronics industry emerges within the healthcare industry. There will be an explanation of how shifting care from hospital to home through patient engagement technology transforms the future quality of care. The key features of new care models will be defined. Additionally, the focus on how to best optimize patient outcomes will be further explored.

    Revenue Cycle of the Future (4/13):

    Task force members, including payers, providers, various revenue cycle vendors, and representatives from financial institutions, will demonstrate a new vision for Healthcare Revenue Cycle Management with a focus on consumerism in healthcare.

    Genesis: Pushing the Boundaries of Accountable Care (4/13):

    An explanation of the challenges physicians and patients within an accountable care realm will be provided. Additional topics include how ACOs help deliver efficient and economical care.

    Optimizing Revenue and Quality: The “New” Mid-Revenue Cycle (4/14):

    The role of revenue cycle in terms of driving financial and quality performance improvement is a critical aspect of the healthcare industry. Tactics will be explained about how to actively manage physician impact on revenue. Additionally, the critical functions of the “mid-revenue cycle” will be discussed in terms of revenue cycle success.

    Supply Chain Management SIG Meeting (4/14):

    The concept of reimbursement will be discussed in relation to Meaningful Use proposals and how to support improved data quality and capture for improved quality.

    The Power of Hyperspecialization in Denial Management (4/14):

    Physician practices average one to five percent denial rates. Denial code mapping will be evaluated and categorized to ensure there is no workflow interruption. Denial codes will be more clearly defined via the analysis of thousands of denial codes.