Innovation in Payer-Provider Relationships (BP9)

Date & Time

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

Speaker

Margaret Schuler
Executive Director, Revenue Cycle
OhioHealth

Summary

Using a framework that involves a commonsense approach based on data sharing and communication between the provider and the payer, this provider has achieved measurable benefits for its organization and for the payer. This session will highlight how to work directly with a payer to develop an innovative approach to claims and denials, resulting in measurable reductions in denials, rework, and payment delays.

After This Session, You'll Be Able To:

  • Create the framework for negotiating with payers to eliminate denials which are ultimately overturned on a regular basis
  • Create safeguards into such an approach that protects both the payer and the provider
  • Identify options for expanding this type of program to other payers in the future