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Speakers

Lorri Sides, RN            
Senior Director of Product Management 
Optum360

Dr. Ralph Wuebker            
Chief Medical Officer
Optum360

Summary

An optimized middle revenue cycle improves provider financial performance by supporting medical necessity, decreasing the time it takes to get claims paid and reducing claim denials. Strong clinical documentation is a key performance driver that makes it easier to create financial stability and helps streamline revenue cycle management. This webinar will cover how leveraging people, process and technology as accuracy checkpoints within the “at service” and “post service” stages of the revenue cycle can help support a denial prevention strategy.

Learn first-hand about best-practice approaches and what technology levers providers can pull, including artificial intelligence and workflow integration, to ensure complete provider documentation and proper coding based on clinical documentation — and how to comply with payer-specific rules and guidelines. This session will also cover the valuable role that physician advisors can play in ensuring defensible medical necessity recommendations.

After This Webinar You'll Be Able To:

  • Apply a strategic focus for identifying documentation errors up front, which will prevent higher costs down stream
  • Review denial root causes and key strategies to avoid them 
  • Describe how artificial intelligence can improve accuracy and efficiency
  • Relay the value on-site physician advisors can bring to help optimize utilization review and clinical documentation improvement efforts
  • Best document against reimbursement rules that payers change frequently        

Tools and Takeaways:

  • Optum360 Revenue Cycle e-book (when available)

Recommended for:

VP of Revenue Cycle, Directors of Revenue Cycle, HIM Director, Physicians     

Field of Study: Specialized Knowledge 
Delivery Method: Group Internet
Level: Intermediate                             
Pre-work: None                            
Prerequisites: Understanding of revenue cycle stages and common challenges, knowledge of changing payment models, exposure to technology/automation within the revenue cycle                                                                                                          
Contact hours: 1.0

Pricing

HFMA members: Free
Non-members: $99

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Note: This on-demand webinar is available until June 21, 2019.