Innovation in Physician/ Hospital Operations (BP8)

Date & Time

Tuesday, November 4 — 10:15 a.m. – 12:00 p.m.

Speakers

Brian Smit, FHFMA
Vice President of Revenue Operations
John C. Lincoln Health Network

Guy O’Connor, MD
John C. Lincoln Health Network

Summary

Providers have frequently used physician advisers—both on a volunteer and outsourced basis—to assist revenue cycle and clinical staff in case management operations. By bringing a physician (a full-time network physician adviser) into revenue cycle operations, this revenue cycle management team has produced multiple operational improvements, increased physician satisfaction, and improved bottom line performance.

After This Session, You'll Be Able To:

  • Describe how the clinical perspective enables the provider to eliminate a majority of medical necessity issues
  • Review a process with attending physicians to improve documentation and compliance to reduce utilization review and recovery audit contractor issues, and well as other payer denials
  • Identify how to reduce waste in revenue cycle processing by reducing denials and appeals