Absolute Receivables Risk Reduction:
|
|
- Alvin Skinner
- 7 years ago
- Views:
Transcription
1 Absolute Receivables Risk Reduction: Securing Guaranteed Performance in the Face of Growing Patient Financial Responsibility Contact James A. Zadoorian, Ph.D. President ARxChange
2 OVERVIEW - This session describes how U.S. health systems can dramatically reduce risk associated with the resolution of the patient portion of medical bills. - It illustrates that by aligning medical debt collection best practices and emerging federal requirements with market-based, investment-grade financial techniques, healthcare executives can altogether reduce performance risk by achieving guaranteed resolution of their patient receivables. LEARNING OBJECTIVES Financial Forward Performance Upon completion of this seminar, healthcare executives will have learned established analytical techniques, metrics, and the valuation approaches currently used throughout the financial markets to reduce risk and strengthen medical receivables performance. Participants will be able to apply these techniques to: 1 - Accurately determine the value of their patient receivables. 2 - Forecast performance scenarios. 3 - Design net return objectives. 4 - Achieve these objectives on a real-time, guaranteed, non-recourse, basis.
3 Market Dynamics FINANCIAL ECOSYSTEM :HIGH-DEDUCTIBLE ENROLLMENT GROWTH High-Deductible Enrollment Growth (in Millions) % Source: Modern Healthcare, August % 800% 1,200% 1,600%
4 Market Dynamics FINANCIAL ECOSYSTEM: INSURANCE EXCHANGES The average individual deductible for what is called a bronze plan on the exchange the lowest-priced coverage is $5,081 a year, according to a new report on insurance and bronze plans pay only about 60% of costs. the insurance plans sold on the exchange eliminate almost all out-of-network coverage and patients don t understand their financial exposure is far greater!! as a result, hospitals have grave concerns that they will experience major headaches trying to collect these amounts from patients Sources: Wall Street Journal, December 9, 2013 & Crain s Health Pulse, January 21, 2014
5 Market Dynamics NEW REQUIREMENTS FOR CHARITABLE 501(R) 501(r) requires that providers make reasonable efforts to determine whether an individual is eligible for assistance under the hospital s financial assistance policy before engaging in extraordinary collection actions (ECAs) against the individual. In particular: - Establish written financial assistance and emergency medical care policies. - Limit amounts charged for emergency or other medically necessary care to individuals eligible for assistance under the hospital's financial assistance policy. - Make reasonable efforts to determine whether an individual is eligible for assistance under the hospital s financial assistance policy before engaging in extraordinary collection actions against the individual. - Conduct a community health needs assessment and adopt an an implementation strategy at least once every three years. - Establish a formal policy regarding use of (ECAs) e.g. liens, credit reporting, lawsuits, wage garnishments, or sale of debt.
6 Market Performance Data Integrity & Accuracy - 58% Error Rate* *Market Sample Based on analysis of approximately $150 million in 200- day old patient receivables data sampled from 63-health systems across 12 states. Identity & Contact Error 11% Identity Error 10% Contact Information Error 37% Correct 42% Correct Contact Information Error Identity Error Identity & Contact Error Source: Georgia Hospital Association/Georgia Hospital Health Services. Innovative Technologies to Strengthen Receivables Performance & Secure Guaranteed Outcomes, Summer 2013
7 Market Performance Avg. Account Misidentification* *Market Sample Based on analysis of approximately $150 million in 200- day old patient receivables data sampled from 63-health systems across 12 states. 24% 18% 23% 22% 12% 6% 6% 0% % Charity Care Misidentification % Premium Account Misidentification % Insurance Eligibility Misidentification Source: Georgia Hospital Association/Georgia Hospital Health Services. Innovative Technologies to Strengthen Receivables Performance & Secure Guaranteed Outcomes, Summer 2013
8 Performance Confidence How confident are you with your current and future patient receivables performance? Performance Interval Confidence Level None Low Moderate High Current Performance 0% 43% 57% 0% Future Performance 0% 40% 60% 0% Source: HFMA Illinois First Chapter, Securing Guaranteed Returns in the Face of Growing Patient Financial Responsibility. Web Seminar Polling Question Responses. February 18, 2014
9 External Data Use Using the following scale, rate your reliance on external analytic sources to successfully perform on your patient receivables. External Data Set Reported Use Rates None Low Moderate High Credit & Wealth Data 14% 29% 43% 14% Identity Verification 0% 44% 31% 25% Healthcare Propensity to Pay Behavioral Payment Triggers 19% 38% 25% 19% 6% 50% 38% 6% Performance Forecasters 25% 38% 31% 6% Servicing Agency Data 0% 20% 27% 53% Source: HFMA Illinois First Chapter, Securing Guaranteed Returns in the Face of Growing Patient Financial Responsibility. Web Seminar Polling Question Responses. February 18, 2014
10 Suggested Top 10 Best Practices MEDICAL ACCOUNT RESOLUTION 1. Lay the groundwork for successful account resolution by educating patients and following best practices for communication prior to the time of service. 2. Make bills and all communications clear, concise, correct, and patient-friendly. 3. Establish policies for account resolution and ensure that they are followed internally and by business affiliates. 4. Be consistent in key aspects of account resolution from billing disputes to payment application. 5. Coordinate account resolution activities with business affiliates to avoid duplicative patient contacts. 6. Exercise good judgment about the best ways to communicate with patients about bills. 7. Start the account resolution clock when the first statement is sent to the patient. 8. Report back to credit bureaus when an account is resolved (in the event that an account is reported to a credit bureau). 9. Track all consumer complaints. 10.Use best practices, principles, and guidelines to inform organizational approach to medical account resolution. As recommended by the HFMA Medical Debt Collections Task Force
11 Medical Debt Resolution Process As recommended by the HFMA Medical Debt Collections Task Force
12 Process vs. Investment-Based Performance PROCESSED-BASED MEDICAL ACCOUNT RESOLUTION A transactional journey involving the financial progression of accounts receivables throughout the process of revenue capture. Actions center around structured techniques to optimize and minimize process variability. INVESTMENT-BASED MEDICAL ACCOUNT RESOLUTION Achieve investment-grade management of collective receivables assets. Actions center around structured financial management techniques designed to optimize and minimize net-performance variability. PERFORMANCE PHILOSOPHY - Manage to process efficiency and effectiveness. - METRICS (E.G.) 1. Net AR Days (i.e., the combined statistics of the 2013 HFMA MAP Award applicants produced a median 40 days in A/R). 2. Aged AR as a % of Billed AR 3. Cash Collections 4. Cost to Collect PERFORMANCE PHILOSOPHY - Manage to net-performance efficiency and effectiveness. Metrics (E.G.) 1. The market value of patient receivables. 2. Performance forecasting scenarios. 3. Net return objectives in relation to forecasted returns. 4. Achieving these objectives on expedited, guaranteed, non-recourse, basis - Goal is 0 days in AR.
13 Learning Objective #1: Receivables Valuation FINANCIAL MARKET ANALYTICAL TECHNIQUES Use extensive consumer and business information assets to deliver analytic precision and investment-grade performance visibility. - Identity Verification - Financial Aid/Charity Care Eligibility Investment-Grade Revenue Cycle financial forward performance. - Coverage Discovery - Investment-Grade Performance Segmentation & Scoring - On-line Performance Portal - Performance Advisement - Guaranteed Performance
14 Data Integrity IDENTITY AUTHENTICATION Street Identity Verification with External Analytic Use* 31% Investment-Grade Revenue Cycle financial forward performance. City State Zip 16% 16% 20% *External Data Set Use Credit & Wealth Data Identity Verification Healthcare Propensity to Pay Phone 24% Behavioral Payment Triggers Name 9% Performance Forecasters DOB 16% SSN 3% 5% 10% 15% 20% 25% 30% 35%
15 Financial Assistance Eligibility Charity Care Screening Accuracy Incorrectly Qualified 1% Investment-Grade Revenue Cycle financial forward performance. Some Additional Manual Review Required 12% Accurately Screened Some Additional Manual Review Required Incorrectly Qualified Accurately Screened 87%
16 Learning Objective #2: Forecasting Performance Scenarios 3D - PROFIT SEGMENTATION (E.G.) Investment-Grade Revenue Cycle financial forward performance.
17 Account Quality Assignment PERFORMANCE SEGMENTATION BY ACCOUNT QUALITY Investment-Grade Revenue Cycle FPL < 200% Potential charity care or Medicaid Identity issues Potential fraud Strong ability to pay Collect payment at time of service Borderline ability to pay Consider for financing solutions financial forward performance. Account Quality Variables (E.G) Days Since Last Payment Performance Advisor Score Available Credit Identity Verification Income Strength Inpatient/Outpatient Payment Behavioral Trigers
18 Learning Objective #3: Design Net Return Objectives LIQUIDITY BANDING FORECASTING & UNIT YIELD Performance Tracks by Recievables Class Investment-Grade Revenue Cycle financial forward performance. 70% 22% 8% 0% 17.5% 35% 52.5% 70% % Payment in High-Scoring Segments % Payment in Mid-Scoring Segments % Payment in Low-Scoring Segments
19 Learning Objective #3: Design Net Return Objectives PERFORMANCE LOT DESIGN Optimal External and Internal Performance Path Determinations Investment-Grade Revenue Cycle financial forward performance.
20 Internal Performance Vintage (E.G.) 400% 12 Month ROI Investment-Grade Revenue Cycle 346% 300% 261% 234% 228% 248% 242% 269% 229% 297% financial forward performance. 200% 148% 168% 100% 0% 0% Jan Feb March April May June July Aug Sept Oct Nov Dec Results from 5 State Hospital System
21 Learning Objective #4: Securing Guaranteed Performance GUARANTEED RECEIVABLES CLEARING Access an integrated electronic marketplace that connects hospitals and health systems to qualified institutional capital entities that acquire structured receivables pools based on predefined performance and pricing schedules. Investment-Grade Revenue Cycle financial forward performance. EXTERNAL GUARANTEED PERFORMANCE LOT DESIGN
22 Managing Performance to Unit Yields SERVICING SAFEGUARDS/ASSURANCES Organizational Policies and Standards Asset Management Communications and Operations Management Access Control Account Placement Human Resources Physical Security Performance Compliance financial forward performance. Unit Yields/Units of Performance Energy Most Expensive Moderately Expensive Least Expensive Brand Awareness Business Continuity Work Standards Reporting Audit Compliance
23 Investment-Grade Revenue Cycle financial forward performance. Patient Financial Account Warehouse Analytics Engine Internal Optimization Through Asset Management Receivables Clearinghouse: The Power of Capital Markets - The central data repository where hospitals can upload, store and access refined and verified patient identity, contact information, and financial and payment performance information. - Apply investmentgrade analysis and advanced informational assets to value, classify, and identify optimal performance pathways. - Use investment-grade analytics for actionable performance insights to guide internal riskmanagement, revenue streams, and produce higher net returns. - Use the power of capital markets to design net return objectives across all or selected receivables and then safely redeem or clear these receivables for their current cash value (on non-recourse, guaranteed forward flowing basis).
24
25 CONTACT James A. Zadoorian, Ph.D. President ARxChange Speaker Bio/Credentials Jim Zadoorian, Ph.D. is President of the (shorthand for "Accounts Receivable Exchange).! He has approximately 25 years of experience successfully developing and delivering business solutions and advanced technologies into the healthcare market in the U.S. and abroad.! Jim s approaches to advanced AR performance have been featured in Forbes, WSJ, HFM, Inside patient Finance and other leading journals.! Jim authored (and his firm holds) the patents on the foundational properties that are used to value receivable throughout the US consumer debt markets, including medical accounts.! Jim received his Ph.D. and M.A degrees from the Rockefeller School at the State University of New York at Albany and his undergraduate degree from Siena College.
REVENUE CYCLE MANAGEMENT : A DEEPER DIVE
REVENUE CYCLE MANAGEMENT : A DEEPER DIVE 2016 TABLE OF CONTENTS Introduction The Participants Revenue Cycle Steering Committee Personnel Accounting Platform Service Outsourcing Performance Metrics Accounts
More informationEmpowering healthcare organizations with data, analytics and insight
Empowering healthcare organizations with data, analytics and insight Integrated patient access, claims and contract management and collections products and consultative services for redefining your healthcare
More informationTelling Your Story: How to Use Technology to Maximize Community Benefit and. SC HFMA September 9, 2014
Telling Your Story: How to Use Technology to Maximize Community Benefit and Reduce Compliance Exposure SC HFMA September 9, 2014 1 Neil Smithson nsmithson@paroscore.com (954) 530-2442 www.paroscore.com
More informationManaging Consumer Credit Risk *
Managing Consumer Credit Risk * Peter Burns Anne Stanley September 2001 Summary: On July 31, 2001, the Payment Cards Center of the Federal Reserve Bank of Philadelphia hosted a workshop that examined current
More informationMASTER OF ARTS DEGREE PROGRAMS
COLLEGE OF VISUAL ARTS AND DESIGN Department of Art Education and Art History MASTER OF ARTS DEGREE PROGRAMS Master of Arts in Art Education Master of Arts in Art History REQUIRED ACADEMIC BACKGROUND The
More information6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series
6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the
More informationLegislative Brief: PAY OR PLAY PENALTIES LOOK BACK MEASUREMENT METHOD EXAMPLES. EmPowerHR
EmPowerHR Legislative Brief: PAY OR PLAY PENALTIES LOOK BACK MEASUREMENT METHOD EXAMPLES The Affordable Care Act (ACA) imposes a penalty on applicable large employers (ALEs) that do not offer health insurance
More informationOHA MAGI Medicaid System Transfer Project Oregon Eligibility (ONE) Overview Fall 2015
OHA MAGI Medicaid System Transfer Project Oregon Eligibility (ONE) Overview Fall 2015 Table of Contents Project Overview 3 Eligibility and Enrollment 4 Project Mission and Key Benefits 5 Median Household
More informationUtilizing Credit Scoring to Predict Patient Outcomes. An Equifax Predictive Sciences Research Paper September 2005
Utilizing Credit Scoring to Predict Patient Outcomes An Equifax Predictive Sciences Research Paper September 2005 Introduction Improving Your Revenue Cycle Performance Through Financial Management Solutions
More informationFCR The Driver of All Other Metrics
1 At SQM, we measure all major voice of the customer (VoC) metrics, such as customer satisfaction (Csat), ease of effort, net promoter score (NPS) and word of mouth index (WoMI). SQM also measures moments
More informationHEALTH INSURANCE EXCHANGES: FEDERAL DEADLINES AND STATE DECISIONS
HEALTH INSURANCE EXCHANGES: FEDERAL DEADLINES AND STATE DECISIONS Annual Meeting: Council of State Governments West July 21, 2012 BOB CAREY RLCAREY CONSULTING AGENDA 1 The Basics: Health Insurance Exchanges
More informationLeveraging Predictive Analytic and Artificial Intelligence Technology for Financial and Clinical Performance
Leveraging Predictive Analytic and Artificial Intelligence Technology for Financial and Clinical Performance Matt Seefeld CEO & Co-Founder mseefeld@interpointpartners.com www.interpointpartners.com (404)446-0051
More informationIRS Form 1095-C: Indicator Codes for Lines 14, 15, and 16
IRS Form 1095-C: Indicator Codes for Lines 14, 15, and 16 Form 1095-C, Part II, Line 14: Indicator Code Series 1 for Offer of Coverage 1A. Qualifying Offer: Minimum essential coverage providing minimum
More informationMarket Assessment & Campaign SLA Calculator LOGO WE OPEN THE DOOR, SO YOU CAN CLOSE IT.
Market Assessment & Campaign SLA Calculator LOGO WE OPEN THE DOOR, SO YOU CAN CLOSE IT. Your Market Assessment Overview Your Inbound Market Assessment and Campaign SLA Calculator is broken down into several
More information1) What kind of risk on settlements is covered by 'Herstatt Risk' for which BCBS was formed?
1) What kind of risk on settlements is covered by 'Herstatt Risk' for which BCBS was formed? a) Exchange rate risk b) Time difference risk c) Interest rate risk d) None 2) Which of the following is not
More informationFLEX-PAY CLIENTS AND AFFORDABLE CARE ACT SOLUTIONS KEY POINTS OF THE ACT
FLEX-PAY CLIENTS AND AFFORDABLE CARE ACT SOLUTIONS KEY POINTS OF THE ACT Flex-Pay Payroll Services 723 Coliseum Drive, Suite 200 Winston-Salem NC 27106 336-773-0128 KEY POINTS FOR CLIENTS AND THE ACA Classifying
More informationReport to the Legislature. Medicaid Fraud, Waste, and Abuse Program
Report to the Legislature Medicaid Fraud, Waste, and Abuse Program As Required by Engrossed Substitute Senate Bill 6052 Section 213(1)(cc), Chapter 4, Laws of 2015, Third Extraordinary Session, Partial
More informationKPMG Digital Marketing case study WEC USA September 2012
KPMG Digital Marketing case study WEC USA September 2012 2012 KPMG International Cooperative ( KPMG International ), a Swiss entity. Member firms of the KPMG network of independent firms are affiliated
More informationStructured Products. Designing a modern portfolio
ab Structured Products Designing a modern portfolio Achieving your personal goals is the driving motivation for how and why you invest. Whether your goal is to grow and preserve wealth, save for your children
More informationSuccessfully Implementing a Revenue Cycle Self-Pay Solution by Marty Callahan
This article appeared in the September 2008, issue of hfm, published by the Healthcare Financial Management Association. Successfully Implementing a Revenue Cycle Self-Pay Solution by Marty Callahan At
More informationREPOSSESSION TIME LINE
This communication is made available by Colorado Legal Services, Inc., (CLS), as a public service and is issued to inform not to advise. No person should attempt to interpret or apply any law without the
More information6 Critical Impact Factors of Health Reform on Revenue Cycle Management
6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the
More informationmysap ERP FINANCIALS SOLUTION OVERVIEW
mysap ERP FINANCIALS SOLUTION OVERVIEW EFFECTIVE FINANCIAL MANAGEMENT ... IS KEY TO BUSINESS SUCCESS mysap ERP FINANCIALS YOUR BUSINESS, YOUR FUTURE, YOUR SUCCESS mysap ERP is the world s most complete
More informationWE RE AMPED TO MEET YOU!
2016 WE RE AMPED TO MEET YOU! Katie Milligan OPERATIONS MANAGER, AVIDPAY SERVICES TEAM Becky Hughes SENIOR DIRECTOR OF AVIDPAY SERVICES 2016 PROPRIETARY AND CONFIDENTIAL 2 2016 PROPRIETARY AND CONFIDENTIAL
More informationPersonal Wealth Management
Personal Wealth Management Integrated Wealth Management Multi Generational Wealth Planning Retirement Plan Solutions Personalized Wealth Management AspenCross Financial Group (AFG) personal wealth management
More informationTax Exemption Challenge
Tax Exemption Challenge Improving Governance Practices Audit & Compliance Committee Academy September 20-22, 2006 Orlando World Marriott Resort Orlando, FL Presented By: David B. Orbuch Daniel R. Roach
More informationTo provide collection guidelines which are consistent with the St. Luke s mission and values.
DEPARTMENT: ADMINISTRATION NUMBER: C-32 Management Policy And Procedure EFFECTIVE DATE: 1/16 SUBJECT: Business Services Billing and Collections Policy SUPERSEDES: 6/14 PURPOSE: To provide collection guidelines
More informationAdvanced Analytics for Audit Case Selection
Advanced Analytics for Audit Case Selection New York State Capitol Building Albany, New York Presented by: Tim Gardinier, Manager, Data Processing Services Audit Case Selection Putting a scientific approach
More information6 Critical Impact Factors of Health Reform on Revenue Cycle Management
6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the
More informationDoctor of Philosophy (Ph.D.) in Art Education
COLLEGE OF VISUAL ARTS AND DESIGN Department of Art Education and Art History Doctor of Philosophy (Ph.D.) in Art Education A Ph.D. in art education gives one the opportunity to achieve a high level of
More informationTHE RETURN-ON-INVESTMENT (ROI) OF CRM SOLUTIONS
THE RETURN-ON-INVESTMENT (ROI) OF CRM SOLUTIONS Russ Lombardo PEAK Sales Consulting, LLC russ@peaksalesconsulting.com www.peaksalesconsulting.com THE RETURN-ON-INVESTMENT (ROI) OF CRM SOLUTIONS Measurements
More informationThe Affordable Care Act and Its Impact on Multiemployer Plans Selected Coverage Issues
The Affordable Care Act and Its Impact on Multiemployer Plans Selected Coverage Issues 2014 NCCMP Annual Conference September 23, 2014 Hollywood, Florida Carolyn E. Smith Alston & Bird LLP carolyn.smith@alston.com
More informationPatient Relationship Management
Solution in Detail Healthcare Executive Summary Contact Us Patient Relationship Management 2013 2014 SAP AG or an SAP affiliate company. Attract and Delight the Empowered Patient Engaged Consumers Information
More informationMBA Mortgage Finance Forecast
MBA Mortgage Finance Forecast 42 Start of the process Originated through retail (loan officer in branch) or wholesale (broker) channel Client and Loan Officer negotiate New purchases or refinances Client
More informationCapital Markets Day Athens, 16 January 2006 ALPHA. Retail Banking. G. Aronis Senior Manager, Retail Banking
Capital Markets Day Athens, 16 January 2006 ALPHA BANΚ Retail Banking G. Aronis Senior Manager, Retail Banking Contents: page Retail Banking at a Glance 3 Strategic Emphasis on Retail Banking 4 Household
More informationU.K. Broadcaster ITV Upgraded To 'BBB-/A-3' On Expected Solid Credit Metrics, Moderate Financial Policy; Outlook Stable
Research Update: U.K. Broadcaster ITV Upgraded To 'BBB-/A-3' On Expected Solid Credit Metrics, Moderate Financial Policy; Outlook Stable Primary Credit Analyst: Patrizia D'Amico, Milan (39) 02-72111-206;
More informationStudent Facing Customer Service Contact
Student Loans Company Student Facing Customer Service Contact Presenter: Rebecca Dowding, Jamie Law & Sharon Parkin Department: Customer Services Date: 25 27 March 2015 www.slc.co.uk Customer Services
More informationMapping Your Future. All About Money: Financial and Accounting Services. What Is This Field? Who Should Work In This Field?
Mapping Your Future : Financial and Accounting Services What Is This Field? Finance companies meet the banking, insurance and accounting needs of people and organizations from all over the world. New York
More informationGlobal Payroll is not a Myth. It s a Journey. Are you ready to take that first step?
Global Payroll is not a Myth. It s a Journey. Are you ready to take that first step? Presenter Strategic, global HR leader with extensive, high impact service delivery experience covering payroll, benefits,
More informationEnergy Savings from Business Energy Feedback
Energy Savings from Business Energy Feedback Behavior, Energy, and Climate Change Conference 2015 October 21, 2015 Jim Stewart, Ph.D. INTRODUCTION 2 Study Background Xcel Energy runs the Business Energy
More informationClaims Management Services Get help to analyze the problem and execute an effective remediation plan
Claims Management Services Get help to analyze the problem and execute an effective remediation plan Your Challenge From time to time, a business may face a significant claim (or group of related claims)
More informationCertified Healthcare Financial Professional
Certified Healthcare Financial Professional Certification Basics Friday, February 25, 2016 Courtney Stevenson, MSA WA/AK HFMA Certification Committee Co-Chair Agenda Module I The Business of Healthcare
More informationDeveloping Performance Metrics for Marketplace and Medicaid Systems under Healthcare Reform
Developing Performance Metrics for Marketplace and Medicaid Systems under Healthcare Reform Jay Himmelstein, MD, MPH Professor and Chief Health Policy Strategist Co-Authors Scott Keays, MPH, and Natasha
More informationPreparing for the Workers Compensation Premium Audit
W o r k e r s C o m p e n s a t i o n I n s u r a n c e R a t i n g B u r e a u o f C a l i f o r n i a Preparing for the Workers Compensation Premium Audit Brian Gray Quality Assurance Director WCIRB
More informationNortheastern Pennsylvania Chapter, HFMA February 21, 2014. hfmamap.org
KEYS to Revenue Cycle Improvements: HFMA's Approach Sandra Wolfskill, FHFMA Director, Healthcare Finance Policy Revenue Cycle MAP Healthcare Financial Management Association Northeastern Pennsylvania Chapter,
More informationREVENUE CYCLE IMPROVEMENT
EVIDENCE-BASED REVENUE CYCLE IMPROVEMENT Suzanne Lestina Director, Revenue Cycle MAP Healthcare Financial Management Association REVENUE CYCLE IMPROVEMENT. It is a violation of federal copyright law to
More information2012 HIPAA Privacy and Security Audits
Office of the Secretary Office for Civil Rights (OCR) 2012 HIPAA Privacy and Security Audits Linda Sanches OCR Senior Advisor, Health Information Privacy Lead, HIPAA Compliance Audits OCR 1 Agenda Background
More informationBest Practice POS Cash Collections. Ryan Wheeler, President and GM Early Out and Patient Finance Division
Best Practice POS Cash Collections Ryan Wheeler, President and GM Early Out and Patient Finance Division Agenda Current Landscape Post-ACA Building a Point of Service Cash Collection Program Integrated
More informationCross- sell: The growing need to diversify
Cross- sell: The growing need to diversify Prepared by James Hickey, Penny Butler Presented to the Actuaries Institute Financial Services Forum 30 April 1 May 2012 Melbourne This paper has been prepared
More informationPatient Financial Services Billing & Collection Policy
System Fairview Health Services Policy Patient Financial Services Billing & Collection Policy Purpose: This policy describes Fairview's patient billing process and collection actions which may be taken
More informationseic.com/institutions
Nonprofit Management Research Panel Liquidity Pool Management for U.S. Colleges and Universities Gain a better understanding of your school s financial risks and the benefits of integrating the investment
More informationOriginal Date. Policy #: OP9100-435 Implemented: 2/1/10 Policy & Procedure Manual Effective Date: 10/1/14 Supersedes Policy Dated: 2/1/10.
Policy: Charity Care-Financial Assistance Policy Original Date Policy #: Implemented: 2/1/10 Policy & Procedure Manual Effective Date: 10/1/14 Supersedes Policy Dated: 2/1/10 Written/Reviewed By: Date:
More informationAltru Health System Collection Policy
Altru Health System Collection Policy PHILOSOPHY Altru Health System (AHS) is committed to improving the health of our patients and the health of the region it serves. In support of our social mission,
More informationHow To Maximize Cash Flow
Working Capital Metrics: What Gets Measured Gets Managed Janine Durbin Director; Working Capital Advisor Phone: 312.992.5185 E-Mail: janine.m.durbin@baml.com Understanding Working Capital Working Capital
More informationCOMMUNICATION STRATEGY of the Interreg IPA Cross-border Cooperation programme Croatia Serbia 2014-2020
COMMUNICATION STRATEGY of the Interreg IPA Cross-border Cooperation programme Croatia Serbia 2014-2020 Contents 1. Introduction... 3 2. objectives and communication objectives... 4 3. communication activities
More informationCOMPARISON OF FIXED & VARIABLE RATES (25 YEARS) CHARTERED BANK ADMINISTERED INTEREST RATES - PRIME BUSINESS*
COMPARISON OF FIXED & VARIABLE RATES (25 YEARS) 2 Fixed Rates Variable Rates FIXED RATES OF THE PAST 25 YEARS AVERAGE RESIDENTIAL MORTGAGE LENDING RATE - 5 YEAR* (Per cent) Year Jan Feb Mar Apr May Jun
More informationCOMPARISON OF FIXED & VARIABLE RATES (25 YEARS) CHARTERED BANK ADMINISTERED INTEREST RATES - PRIME BUSINESS*
COMPARISON OF FIXED & VARIABLE RATES (25 YEARS) 2 Fixed Rates Variable Rates FIXED RATES OF THE PAST 25 YEARS AVERAGE RESIDENTIAL MORTGAGE LENDING RATE - 5 YEAR* (Per cent) Year Jan Feb Mar Apr May Jun
More informationMinimum Solvency Criteria Discussion May 9, 2013. Dennis Balmer Deputy Director, Office of Financial Review. www.healthhelp.ca.gov
Minimum Solvency Criteria Discussion May 9, 203 Dennis Balmer Deputy Director, Office of Financial Review 0 0 Financial Reserves Reserve Requirements Tangible Net Equity (TNE) Working Capital Cash-to-Claims
More informationLa Salle College. Career Guidance and Life Planning Education
La Salle College Career Guidance and Life Planning Career Guidance and Life Planning 2014-15 Goal 1. Enrich the content and expand the scope of the existing career guidance service 2. Integrate effective
More informationAffordable Insurance Exchanges: Choices, Competition and Clout for States
Page 1 of 5 Newsroom Affordable Insurance Exchanges: Choices, Competition and Clout for States On March 12, 2012, the U.S. Department of Health and Human Services (HHS) published a final rule on Affordable
More informationSelf-Pay Collection Strategies in a New Era of Healthcare. How data analytics improves collections under Obamacare
Self-Pay Collection Strategies in a New Era of Healthcare How data analytics improves collections under Obamacare The Self-Pay Population Has Changed There s no doubt that the rise in uncompensated care
More informationIncreasing Your Workers Compensation Confidence
Products & Services l Property & Casualty Increasing Your Workers Compensation Confidence From improved cash flow to smoother audits, here s how to lessen the inconvenience and minimize the financial implications
More informationORANGEPAPER A HOLISTIC APPROACH TO IDENTIFYING FRAUD IN THE LONG-TERM CARE MARKETPLACE
ORANGEPAPER A HOLISTIC APPROACH TO IDENTIFYING FRAUD IN THE LONG-TERM CARE MARKETPLACE A HOLISTIC APPROACH TO IDENTIFYING FRAUD IN THE LONG-TERM CARE MARKETPLACE INFORM LONG-TERM CARE MARKET ANALYSIS HAS
More informationThird Party Relationships
3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 A B D INTRODUCTION AND PURPOSE Background Yes/No Comments 1. Does the credit union maintain a list of the third party
More informationMNsure Metrics Dashboard. Prepared for Board of Directors Meeting September 17, 2014
MNsure Metrics Dashboard Prepared for Board of Directors Meeting September 17, 2014 Dashboard September 2014 Enrollment Sept. 8, 2014 Total Enrollments 321,430 MA 196,027 MinnesotaCare 70,893 QHP 54,510
More informationPolicy: Financial Assistance Policy
Policy: Financial Assistance Policy Division: Corporate Finance Original Date: August 2003 Department: Corporate Finance Review/Revision Effective Date: Category: Compliance Adopted September 2015 By:
More informationLife Settlements: Discover Your Client's Unknown Asset
Life Settlements: Discover Your Client's Unknown Asset MODERATOR Darwin Bayston, CFA President and CEO Life Insurance Settlement Association PANELISTS Michael Freedman President GWG Life Dan Young Vice
More informationCity of Houston Citywide ARC Project. Finance Department. Budget & Fiscal Affairs Committee
City of Houston Citywide ARC Project Budget & Fiscal Affairs Committee July 2, 2012 Finance Department Kelly Dowe, Finance Director Bruce Haupt, Deputy Assistant Director Project Timeline We are in the
More informationGoldman Sachs European Financials Conference 3 June 2009
Goldman Sachs European Financials Conference 3 June 2009 The outlook for returns in Nordic (Danish) P&C Opportunities vs. Threats by Christian Sagild CEO, Topdanmark 1 Markedspladsen Trend in gross profit
More informationUniversity of New Haven College of Business Hospitality and Tourism Management COURSE SYLLABUS FIELDWORK I HTM 293
GENERAL INFORMATION Professor: Juline Mills Office: M124 Office Hours: By Appointment Phone: Ext 7413 E-mail: jmills@newhaven.edu University of New Haven COURSE SYLLABUS FIELDWORK I HTM 293 COURSE DESCRIPTION
More informationPhysician Revenue Cycle and Compliance Preparing for the OIG
Physician Revenue Cycle and Compliance Preparing for the OIG 2014 Summer Institute Indiana Chapter, HFMA Katie Gilfillan Director HFP, Physician and Clinical Practice Sandra Wolfskill, FHFMA Director,
More informationJ.P. Morgan Equity Risk Premium Multi-Factor (Long Only) Index Series
J.P. Morgan Equity Risk Premium Multi-Factor (Long Only) Index Series QUESTIONS AND ANSWERS These Questions and Answers highlight selected information to help you better understand: 1. JPERPLMF: J.P. Morgan
More informationThe new revenue cycle imperative: A data-driven approach to minimizing risk and optimizing performance
The new revenue cycle imperative: A data-driven approach to minimizing risk and optimizing performance An Experian Healthcare white paper Shifting reimbursement, evolving payment models and growing regulatory
More informationadministration All references to Policies must go to the BHSF Master Copy on the BHSF Intranet; do not rely on other versions / copies of the Policy.
Administrative Departmental POLICY TITLE: Charity Care SUMMARY & PURPOSE: To set forth guidance for providing charity care to patients, including guidance on communicating the availability of the program
More informationAdministrative Policy and Procedure Manual. Collections Effective Date: 08/22/2013 Scope: Hospitalwide Page 1 of 9.
Collections Effective Date: 08/22/2013 Scope: Hospitalwide Page 1 of 9 Table of Contents I. Purpose II. Policy Statements III. Definitions A. Application Period B. Extraordinary Collection Actions (ECAs)
More informationUBC Executive MBA in Healthcare 15-month Part-time Program
UBC Executive MBA in Healthcare 15-month Part-time Program www.sauder.ubc.ca/emba Open the door to new perspectives in healthcare. Created in collaboration with the UBC Centre for Health Care Management
More informationTreasury Advisory Services Stability through effective financial risk and liquidity management. Audit. Tax. Consulting. Financial Advisory.
Treasury Advisory Services Stability through effective financial risk and liquidity management Audit. Tax. Consulting. Financial Advisory. Treasury Health Check Identify gaps and benchmark to make informed
More informationUsing Credit Strategies Wisely in Retirement Planning.
Using Credit Strategies Wisely in Retirement Planning. Prepared by. Lawrence Katz, Regional Private Banking Manager. Todd Barfield, Regional Private Banking Manager. In this white paper. 1 Meeting capital
More informationHealth Insurance Exchange Finance Work Group Meeting August 22, 2012 Wakely Consulting Model Table Summaries - Updated
Table 3 Model Take up rate estimates 2014 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Revised 25.0% 25.0% 18.0% 3.6% 3.6% 3.6% 3.6% 3.6% 3.6% 3.6% 3.6% 3.6% Fast 12.0% 18.0% 20.0% 18.0% 6.0% 4.0% 4.0%
More informationReducing Resident Readmissions: The Pierce County Medicaid Nursing Home Collaborative
Reducing Resident Readmissions: The Pierce County Medicaid Nursing Home Collaborative April 2015 Overview The Washington State Department of Social & Health Services (DSHS) and Qualis Health engaged 14
More informationFive Ways Student Loans Impact Credit. Federal Student Loans are Unique. Federal Student Loans are Unique
Five Ways Student Loans Impact Credit Federal Student Loans are Unique Established credit is not needed No payment due immediately Variety of repayment options Ability to postpone payments Can combine
More informationDecember 2011 PRACTICE CHECK-UP. XYZ Anesthesia Group. AdvantEDGE Healthcare Solutions www.ahsrcm.com info@ahsrcm.
December 2011 PRACTICE CHECK-UP XYZ Anesthesia Group AdvantEDGE Healthcare Solutions www.ahsrcm.com info@ahsrcm.com (908)-279-8120 AdvantEdge Healthcare Solutions Anesthesia Practice Check-Up I. Introduction:
More informationWorking Capital Analytics Overview. SAP Business Suite Application Innovation March 2015
Working Capital Analytics Overview SAP Business Suite Application Innovation March 2015 Abstract As of Smart Financials 1.0 SP02 SAP delivers Working Capital Analytics DSO Analysis Working Capital Analytics
More informationMortgage Strategies in the Current Economic Environment. Katie Hopkins SVP, Investment Strategies khopkins@viningsparks.com
Mortgage Strategies in the Current Economic Environment Katie Hopkins SVP, Investment Strategies khopkins@viningsparks.com Mortgage Market Trends page 2 Limited Mortgage Opportunities Fed products, 15yr
More informationAon Health Exchanges for Active Employees The New Paradigm for Employer-Based Health Coverage
Aon Health Exchanges for Active Employees The New Paradigm for Employer-Based Health Coverage March 27, 2014 Contacts: Shelly.Blackstone@aon.com Brenda.Farrar@aonhewitt.com Aon Hewitt 7325 Beaufont Springs
More information1. Section 1 Emergency Department
Patient Financial Communications Best Practices These common-sense best practices bring consistency, clarity, and transparency to patient financial communications, and outline steps to help patients understand
More informationNJ CUPA HR The Affordable Care Act & Its Implication for Employers April 4, 2014
NJ CUPA HR The Affordable Care Act & Its Implication for Employers April 4, 2014 About NJBIA Represents 21,000 companies of all sizes and types, which employ over 1 million workers in the State. Advocate
More informationB408 Human Resource Management MTCU code - 70223 Program Learning Outcomes
B408 Human Resource Management MTCU code - 70223 Program Learning Outcomes Synopsis of the Vocational Learning Outcomes* The graduate has reliably demonstrated the ability to 1. contribute to the development,
More informationHEALTH INSURANCE EXCHANGES
HEALTH INSURANCE EXCHANGES Jeff Gold Vice President, Managed Care and Special Counsel Healthcare Association of New York State September 21, 2013 HEALTH INSURANCE EXCHANGES An organized marketplace where
More informationCaring by Nature. Distinguished by Experience. Qualified by Degree. Bellevue University RN to BSN Guide
Caring by Nature. Distinguished by Experience. Qualified by Degree. Bellevue University RN to BSN Guide Complete Your Credentials With a Professional Degree Your attention to detail is precise. Your actions
More informationDiscussion of Discounting in Oil and Gas Property Appraisal
Discussion of Discounting in Oil and Gas Property Appraisal Because investors prefer immediate cash returns over future cash returns, investors pay less for future cashflows; i.e., they "discount" them.
More informationNASDAQ OMX MAXIMUM ACCESS AND VISIBILITY TOWARDS GLOBAL AND LOCAL INVESTORS
MAXIMUM ACCESS AND VISIBILITY TOWARDS GLOBAL AND LOCAL INVESTORS JOIN THE WORLD S MOST RECOGNIZED BRANDS Listed Companies 2 OUR GLOBAL LISTINGS BUSINESS 8 LISTING OPPORTUNITIES U.S. NORDICS BALTICS LISTINGS
More informationLong Term Care Partnership Frequently Asked Questions
About the Partnership and Partnership Policies 1. What is the Georgia Long-term Care Partnership Program? The Georgia Long-Term Care (LTC) Partnership Program, administered by the Department of Community
More informationDetermining Data Equity: Capture and Calculate Valuation at Risk
Matthew Mikell- IBM Market Manager mgmikell@us.ibm.com IOT North America April 15, 2015 Determining Data Equity: Capture and Calculate Valuation at Risk Agenda Foundations of Capturing Equity Closing Gaps
More informationDuke Energy International Geracao Paranapanema 'BBB-' Global And 'braaa' National Scale Ratings Affirmed
Research Update: Duke Energy International Geracao Paranapanema 'BBB-' Global And 'braaa' National Scale Ratings Affirmed Primary Credit Analyst: Sergio Fuentes, Buenos Aires (54) 114-891-2131; sergio.fuentes@standardandpoors.com
More informationKansas Insurance Department
Kansas Insurance Department A Kansas Guide to Health Insurance Changes Public Policy Session Panel Discussion KAMU Annual Conference Sept. 26, 2013 Sandy Praeger, Commissioner of Insurance 2014 Affordable
More informationA Strategic Perspective of Accounts Receivable Management. Date: May 23, 2010 1
A Strategic Perspective of Accounts Receivable Management Date: May 23, 2010 1 Discussion Agenda Introduction Bottom Line Objectives Strategy Quote to Cash Process Field Tested Tactics Case Studies: Successes
More informationAffordable Care Act (ACA) Shifts Wealth From Millennials to Baby Boomers
Affordable Care Act (ACA) Shifts Wealth From Millennials to Baby Boomers April 6, 2015 Brittany Clifton, Gail Werner-Robertson Scholar Creighton Institute for Economic Inquiry Affordable Care Act (ACA)
More informationBasic Reimbursement - Medicare Part D Specifics
Basic Reimbursement - Medicare Part D Specifics 60889-R8-V1 (c) 2012 Amgen Inc. All rights reserved 2 This information is provided for your background education and is not intended to serve as guidance
More information