Physician Revenue Cycle and Compliance Preparing for the OIG

Size: px
Start display at page:

Download "Physician Revenue Cycle and Compliance Preparing for the OIG"

Transcription

1 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, HFP, Revenue Cycle MAP

2 Agenda A View of the Physician s World 2014 OIG Reports Metrics for the Physician Revenue Cycle Q & A 2

3 Physician World Small groups vs. large groups challenges: Administration and financial HIT infrastructure Ability to respond to health reform Options for the small groups Align/join larger groups Join a health system/ IDN Purchase by a hospital COMPLIANCE 3

4 Group Size Group Size Number of Providers Percent of Total 1 203, % , % , % , % , % , % , % , % , % 9 Total 889,274 Source: Physician Compare database of providers registered with Medicare; includes physicians and physician extenders Leavitt Partners, LLC, Physician Groups in the United States: A Look Forward, February, 2014 Rank 4

5 Integrated Delivery Networks Large Groups: > 25 physicians Affiliation with Integrated Delivery Network 59% Implications for: ACOs Bundled payments Medical homes VBP Demonstrations Small Groups: 25 or < physicians Affiliation with Integrated Delivery Network 23% 5

6 Conceptual View of the Patient-Centered Revenue Cycle Physician or patient identifies need for service; contacts office to schedule m Visit scheduled and preservice processing completed EHR Post service completion of activities required to successfully resolve the financial components for patient and provider Time of service activities- Patient arrival ; $$; Clinical services and documentation; Revenue capture, Coding & Patient discharge 6

7 Pre-Service Revenue Cycle Need for service identified; patient contacts provider to schedule visit Potential compliance issue(s): Visit scheduled Potential compliance issue(s): 7

8 Pre-Service Revenue Cycle Identification of current and prior balances Potential compliance issue(s): Discussion and resolution of financial issue(s) Potential compliance issue(s): 8

9 Pre-Service Revenue Cycle Collection of payment Potential compliance issue(s): Automated reminder call(s) Potential compliance issue(s): 9

10 Time of Service Revenue Cycle Patient arrival, check-in; collection of co-payment or other balance(s) Potential compliance issue(s): Clinical documentation Potential compliance issue(s): 10

11 Coding Time of Service Revenue Cycle Potential compliance issue(s): Charging Potential compliance issue(s): 11

12 Time of Service Revenue Cycle Additional services/testing ordered Potential compliance issue(s): Cash posted and bank deposit sent to bank Potential compliance issue(s): 12

13 Post Service Revenue Cycle Patient balance billed Potential compliance issue(s): Unpaid accounts sent to collection agency for processing Potential compliance issue(s): 13

14 OIG - (OMG) 14

15 The OIG alleged that SRMC submitted claims containing CPT codes 99204, 99205, 99214, and 99215, that it submitted for services provided by the physician that were upcoded and that the physician engaged in a pattern or practice of coding at a higher level that he knew or should have known would result in a greater payment than the code applicable to the services he was actually providing. CHICAGO Mobile Doctors arrested today on federal health care fraud charges warrants to seize up to $2.568 million in alleged fraud proceeds from various bank accounts. The charges allege a scheme of fraudulent upcoding. Physician pays $17, for allegedly violating the Civil Monetary Penalties Law. The OIG alleged improper billing of Medicare for: (1) new patient E&M office visits for pre-existing patients; (2) upcoded E&M office visits; and (3) services provided by nurse practitioners that were billed under physicians provider number when he was not in the office. 15

16 Office of the Inspector General Report Review of Medicare Part B claims for E/M services Found $6.7 billion on improper payments in 2010 Represents 21.4 % of all E/M payments 16

17 Previous Report: 2006: OIG reports 75% of E/M consultations did not meet Medicare coverage requirements leading to $1.1 B in improper Medicare payments

18 Previous report: OIG reports increased billing of higher level E/M codes 18

19 Previous Reports 2012 Survey: 57% of physicians who provide E/M Services used an EHR system 75% use EHR system to document E/M services 88% of Medicare physicians assign codes manually 12% have codes assigned by staff or professional coders 19

20 Current Report: Methodology High Coding Physicians Top 1 % Two highest codes Other Physicians Not high coding Requested medical records from a sample of physicians from each strata. Reviewers determined whether the E/M service documented in the medical record for each sampled claim was correctly coded/sufficiently documented. 20

21 Findings 42 % of claims were incorrectly coded Upcoded Downcoded Other % of claims lacked documentation Insufficient Documenation Undocumented 21

22 High coding physicians more likely to incorrectly code High Coding Physicians Other Physicians

23 Recommendations from Report and CMS response Educate physicians on coding and documentation requirements for E/M services. Continue to encourage contractors to review E/M services billed for by highcoding physicians. Follow up on claims for E/M services that were paid for in error. 23

24 Other Areas of Focus Upcoming Report: Documentation vulnerabilities of E/M services using EHR systems. Outpatient E/M services billed at the new patient rate Place of Service Coding Errors Ophthalmologists and Anesthesiologists Diagnostic Radiology and Electrodiagnostic Testing Schedule II controlled substance prescribing Meaningful Use Audits by CMS 24

25 Strategies for Physician Offices Develop and Implement a Compliance Program Now required under PPACA Include 7 Steps recommended by OIG 25

26 7 Steps to OIG Compliance Plan 1. Conducting internal monitoring and auditing through periodic audits. 2. Implementing compliance and practice standards through the development of written standards and procedures. 3. Designating a Compliance Officer or contact(s) 4. Conducting appropriate training and education on practice standards and procedures. 26

27 7 Steps to OIG Compliance Plan 5. Responding to detected violations through investigations of allegations 6. Developing open lines of communication among staff regarding fraudulent conduct 7. Enforcing disciplinary standards through publicized guidelines 27

28 Strategies for Physician Offices E/M audits should be part of your overall compliance program Consult Evaluation and Management Services Guide Consult OIG and CMS Resources for Physicians 28

29 Metrics Physician Revenue Cycle 29

30 Physician Practice KPIs Common metrics that provide strategic-level month over month data Ability to select and report on a variety of peer comparisons Developed by HFMA and industry experts Monitored and updated to meet emerging needs 30

31 Benefits of Benchmarking Provides performance context Aids discovery of improvement opportunity Helps identify the right performance targets Supports the identification of practices with proven positive outcomes 31

32 Just How Above Good Do You Need to Be? To optimize improvement efforts, you need to first understand what a change in performance will mean Industry accepted You need targets that are: Measurable and quantifiable; timely Defined by true peer groups 32

33 Example: Days in A/R Consider a practice where Days in A/R improved to 38.7, and performance has been sustained most months for the past year: JAN FEB MAR APR MAY JUN JUL AUG SEPT OCT Days in A/R 38.7 IMPROVED & SUSTAINED 33

34 Example: Days in A/R Meanwhile, Days in A/R for the organizations peers have dropped even more DAYS IN A/R AMONG PEER GROUPS OF SIMILAR REVENUE, PAYER MIX Peer Case Example Practice 38.7 Peer Peer Source: Analysis of HFMA's MAP App SM, 34

35 Custom Peer Group Options State Two letter abbreviation of state in which practice is located (MAP App utilizes A/B Mac Jurisdiction to group states) Number of Sites Total number of sites/locations physicians are practicing by physical address (#) Number of Practices Total number of MAP App Practices being reporting Academic Affiliation Practice s affiliation with major teaching hospital (yes/no) Net Patient Revenue (monthly average) Net Revenue of practice (= annual net patient revenue / 12 months). Use last fiscal. Options Buckets 35

36 Custom Peer Group Options * Primary Count: number of FTE physicians that are Family Practice, Internal Medicine and Pediatrics, OB/GYN, and hospitalists * Specialty Count: number of FTE physicians that are all other Total Number of FTE Physicians * Specialty Percent - will be calculated for you * Physician Extender Count: number of FTE physician extenders; includes CRNA, PA, NP, and Midwife. * Physician Extender Percent - will be calculated for you * Total Physicians - will be calculated for you Note: FTE is defined as greater than 32 patient care hours Options Buckets 36

37 HFMA MAP Keys Clearly defined Measurable Discerning Comparable 37

38 Sample of an HFMA MAP Key Indicator Purpose Value Calculation Net days in A/R Trending indicator of overall A/R performance Indicates revenue cycle efficiency Net A/R Net patient service revenue See the list at 38

39 Physician Practice Management Keys 14 Individual Keys 4 Categories Patient Access 2 keys Revenue Integrity 1 keys Claims Adjudication 2 keys Management 9 keys Similar concept to hospital side with other keys unique to physician practice management 39

40 14 Physician Practice Management MAP Keys 1a. Primary Physician Practice Operating Margin Ratio 1b. Specialty Physician Practice Operating Margin Ratio 1c.Net Income/Loss per Primary FTE Physician 1d.Net Income/Loss per Specialty FTE Physician 2. Practice Net Days in Accounts Receivable (A/R) 3. Practice Cash Collection Percentage 4a.Total Primary Physician Compensation as a Percentage of Net Revenue 40

41 14 Physician Practice Management MAP Keys 4b. Total Specialty Physician Compensation as a Percentage of Net Revenue 5. Percent of Patient Schedule Occupied 6. Professional Services Denial Percentage 7. Point-of Service (POS) Collection Rate 8. Total Charge Lag Days 9.Aged Accounts Receivable (A/R) by Payer Group as a Percentage of Outstanding Total A/R 10.Aged Accounts Receivable (A/R) as a Percentage of Outstanding Accounts Receivable 41

42 % Patient Schedule Occupied Peer Group: Nationwide Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Specific Region A/B MAC 5 & 6 Median Performance 90th Decile 75th Percentile 42

43 POS Collection Rate Peer Group: Nationwide 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 A/B MAC 5 & 6 Median Performance 90th Decile 75th Percentile Specific Region 43

44 Charge Lag Days Peer Group: Nationwide Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 A/B MAC 5 & 6 Median Performance 90th Decile 75th Percentile Specific Region 44

45 Practice Cash Collection Percentage Peer Group: Nationwide 160.0% 140.0% 120.0% 100.0% 80.0% 60.0% 40.0% 20.0% 0.0% Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 A/B MAC 5 Specific & 6 Median Region Performance 90th Decile 75th Percentile 45

46 Practice Net Days in A/R Peer Group: Nationwide Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 A/B MAC 5 & 6 Median Performance 90th Decile 75th Percentile Specific Region 46

47 Aged A/R 90+ Peer Group: Nationwide 20.0% 18.0% 16.0% 14.0% 12.0% 10.0% 8.0% 6.0% 4.0% 2.0% 0.0% Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 A/B MAC 5 & 6 Median Performance 90th Decile 75th Percentile Specific Region 47

48 A/R: Medicare Traditional 90+ Peer Group: Nationwide 4.5% 4.0% 3.5% 3.0% 2.5% 2.0% 1.5% 1.0% 0.5% 0.0% Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 A/B MAC 5 & 6 Median Performance 90th Decile 75th Percentile Specific Region 48

49 Payment Denial Rate Peer Group: Nationwide 16.0% 14.0% 12.0% 10.0% 8.0% 6.0% 4.0% 2.0% 0.0% Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 A/B MAC 5 & 6 Median Performance 90th Decile 75th Percentile Specific Region 49

50 Key Indicator of a Revenue Cycle in Need of Help! Welcome to a meeting of the practice managers CFO CMO 50

51 Thank You! 51

52 Contact Information Katie Gilfillan Director, HFP Physician and Clinical Practice Sandra J Wolfskill, FHFMA Director, HFP Revenue Cycle MAP

Northeastern Pennsylvania Chapter, HFMA February 21, 2014. hfmamap.org

Northeastern 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 information

AT&T Global Network Client for Windows Product Support Matrix January 29, 2015

AT&T Global Network Client for Windows Product Support Matrix January 29, 2015 AT&T Global Network Client for Windows Product Support Matrix January 29, 2015 Product Support Matrix Following is the Product Support Matrix for the AT&T Global Network Client. See the AT&T Global Network

More information

Analysis One Code Desc. Transaction Amount. Fiscal Period

Analysis One Code Desc. Transaction Amount. Fiscal Period Analysis One Code Desc Transaction Amount Fiscal Period 57.63 Oct-12 12.13 Oct-12-38.90 Oct-12-773.00 Oct-12-800.00 Oct-12-187.00 Oct-12-82.00 Oct-12-82.00 Oct-12-110.00 Oct-12-1115.25 Oct-12-71.00 Oct-12-41.00

More information

COMPARISON OF FIXED & VARIABLE RATES (25 YEARS) CHARTERED BANK ADMINISTERED INTEREST RATES - PRIME BUSINESS*

COMPARISON 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 information

COMPARISON OF FIXED & VARIABLE RATES (25 YEARS) CHARTERED BANK ADMINISTERED INTEREST RATES - PRIME BUSINESS*

COMPARISON 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 information

Accident & Emergency Department Clinical Quality Indicators

Accident & Emergency Department Clinical Quality Indicators Overview This dashboard presents our performance in the new A&E clinical quality indicators. These 8 indicators will allow you to see the quality of care being delivered by our A&E department, and reflect

More information

Case 2:08-cv-02463-ABC-E Document 1-4 Filed 04/15/2008 Page 1 of 138. Exhibit 8

Case 2:08-cv-02463-ABC-E Document 1-4 Filed 04/15/2008 Page 1 of 138. Exhibit 8 Case 2:08-cv-02463-ABC-E Document 1-4 Filed 04/15/2008 Page 1 of 138 Exhibit 8 Case 2:08-cv-02463-ABC-E Document 1-4 Filed 04/15/2008 Page 2 of 138 Domain Name: CELLULARVERISON.COM Updated Date: 12-dec-2007

More information

Effective Revenue Cycles Are No Accident

Effective Revenue Cycles Are No Accident Effective Revenue Cycles Are No Accident ICAHN Boot Camp October 10, 2014 Jerrie K. Weith, FHFMA, CMPE, CMOM Learning Objectives Characteristics of Best Performers Efficient Encounters = Revenue Cycle

More information

Accelerating your Revenue Cycle: From Patient Encounter Through Account

Accelerating your Revenue Cycle: From Patient Encounter Through Account Accelerating your Revenue Cycle: From Patient Encounter Through Account Resolution Anders Health Care Webinar Series July 17th, 2013 Jerrie K. Weith, FHFMA, CMPE Chastity D. Werner, RHIT, CMPE, NCP Learning

More information

IMPROPER PAYMENTS FOR EVALUATION AND MANAGEMENT SERVICES COST MEDICARE BILLIONS

IMPROPER PAYMENTS FOR EVALUATION AND MANAGEMENT SERVICES COST MEDICARE BILLIONS Department of Health and Human Services OFFICE OF INSPECTOR GENERAL IMPROPER PAYMENTS FOR EVALUATION AND MANAGEMENT SERVICES COST MEDICARE BILLIONS IN 2010 Daniel R. Levinson Inspector General May 2014

More information

REWRITING PAYER/PROVIDER COLLABORATION July 24, 2015. MIKE FAY Vice President, Health Networks

REWRITING PAYER/PROVIDER COLLABORATION July 24, 2015. MIKE FAY Vice President, Health Networks REWRITING PAYER/PROVIDER COLLABORATION July 24, 2015 MIKE FAY Vice President, Health Networks AGENDA ACO Overview ACO Financial Performance ACO Quality Performance Observations 2 AGENDA ACO OVERVIEW ACO

More information

Enhanced Vessel Traffic Management System Booking Slots Available and Vessels Booked per Day From 12-JAN-2016 To 30-JUN-2017

Enhanced Vessel Traffic Management System Booking Slots Available and Vessels Booked per Day From 12-JAN-2016 To 30-JUN-2017 From -JAN- To -JUN- -JAN- VIRP Page Period Period Period -JAN- 8 -JAN- 8 9 -JAN- 8 8 -JAN- -JAN- -JAN- 8-JAN- 9-JAN- -JAN- -JAN- -JAN- -JAN- -JAN- -JAN- -JAN- -JAN- 8-JAN- 9-JAN- -JAN- -JAN- -FEB- : days

More information

Implementing KPIs in your Ambulance Billing Department. By Donna Magnuson. Whitepaper

Implementing KPIs in your Ambulance Billing Department. By Donna Magnuson. Whitepaper $ $ $ Implementing KPIs in your Ambulance Billing Department By Donna Magnuson Whitepaper Implementing KPIs in your Ambulance Billing Department Key Performance Indicators (KPIs) are quantifiable measurements

More information

Consumer ID Theft Total Costs

Consumer ID Theft Total Costs Billions Consumer and Business Identity Theft Statistics Business identity (ID) theft is a growing crime and is a growing concern for state filing offices. Similar to consumer ID theft, after initially

More information

Tennessee Primary Care Association: 2014 Annual Leadership Conference

Tennessee Primary Care Association: 2014 Annual Leadership Conference CPAs & ADVISORS experience momentum // SETTING YOUR ORGANIZATION UP FOR SUCCESS: UNDERSTANDING THE COMPLEXITIES OF THE FQHC REVENUE CYCLE Tennessee Primary Care Association: 2014 Annual Leadership Conference

More information

Give Your Revenue Cycle a Boost Techniques to Improve Collections for Your Physician Practices

Give Your Revenue Cycle a Boost Techniques to Improve Collections for Your Physician Practices Give Your Revenue Cycle a Boost Techniques to Improve for Your Physician Practices Presented by: Alta Partners, LLC Stan Kasmarcak Susannah Selnick Lacy Sharratt June 8, 2015 2015 Ohio Hospital Association

More information

Introduction 1/12/2015. Healthcare Reform Compliance and Audit Updates. Jon Weeding President CS EYE

Introduction 1/12/2015. Healthcare Reform Compliance and Audit Updates. Jon Weeding President CS EYE Healthcare Reform Compliance and Audit Updates Jon Weeding President CS EYE This material is designed to offer basic information for creating a compliant atmosphere in the small private practice. The information

More information

Overview of Health IT in Utah: Data to Inform and Improve Performance

Overview of Health IT in Utah: Data to Inform and Improve Performance Overview of Health IT in Utah: Data to Inform and Improve Performance Office of Economic Analysis, Evaluation and Modeling & State HIE Program December 2011 Chartpack Team Office of Economic Analysis,

More information

9/28/2015. HFMA s Patient Friendly Billing Focus. Initiatives: Best Practices. Agenda. Iowa Hospital Association Annual Meeting October 6, 2015

9/28/2015. HFMA s Patient Friendly Billing Focus. Initiatives: Best Practices. Agenda. Iowa Hospital Association Annual Meeting October 6, 2015 HFMA s Patient Friendly Billing Initiatives: Best Practices Iowa Hospital Association Annual Meeting October 6, 2015 Sandra Wolfskill, FHFMA Director Healthcare Finance Policy HFMA Agenda Meet Jack! HFMA

More information

Population Health Management: Banner Health Network s Perspective. Neta Faynboym, Medical Director Banner Health Network

Population Health Management: Banner Health Network s Perspective. Neta Faynboym, Medical Director Banner Health Network Population Health Management: Banner Health Network s Perspective Neta Faynboym, Medical Director Banner Health Network 29 Acute Care Hospitals BANNER AT A GLANCE Banner Health Network with 400K lives

More information

Welcome. ICD-10 Road to Ten : ICD-10 Implementation Guidance

Welcome. ICD-10 Road to Ten : ICD-10 Implementation Guidance Welcome ICD-10 Road to Ten : ICD-10 Implementation Guidance Jean Stevens, RHIT, CCS-P AHIMA ICD-10 Ambassador and OSMA education consultant Melissa Little, Medicaid Health Systems Administrator, Ohio Medicaid

More information

Update on Medicare electronic health records incentive payment program. Zach Gaumer, Matlin Gilman, and John Richardson April 5, 2012

Update on Medicare electronic health records incentive payment program. Zach Gaumer, Matlin Gilman, and John Richardson April 5, 2012 Update on Medicare electronic health records incentive payment program Zach Gaumer, Matlin Gilman, and John Richardson April 5, 2012 Commission has supported use of EHRs to improve quality and efficiency

More information

The Power of Revenue Management

The Power of Revenue Management The Power of Revenue Management Presented By Judy Capko Capko & Company www.capko.com The Power of Revenue Management 6/13/07 1 About the Speaker The Power of Revenue Management 6/13/07 2 The Speaker:

More information

CODING TRENDS OF MEDICARE E VALUATION AND MANAGEMENT SERVICES

CODING TRENDS OF MEDICARE E VALUATION AND MANAGEMENT SERVICES Department of Health and Human Services OFFICE OF INSPECTOR GENERAL CODING TRENDS OF MEDICARE E VALUATION AND MANAGEMENT SERVICES Daniel R. Levinson Inspector General May 2012 OEI-04-10-00180 EXECUTIVE

More information

P/T 2B: 2 nd Half of Term (8 weeks) Start: 25-AUG-2014 End: 19-OCT-2014 Start: 20-OCT-2014 End: 14-DEC-2014

P/T 2B: 2 nd Half of Term (8 weeks) Start: 25-AUG-2014 End: 19-OCT-2014 Start: 20-OCT-2014 End: 14-DEC-2014 2014-2015 SPECIAL TERM ACADEMIC CALENDAR FOR SCRANTON EDUCATION ONLINE (SEOL), MBA ONLINE, HUMAN RESOURCES ONLINE, NURSE ANESTHESIA and ERP PROGRAMS SPECIAL FALL 2014 TERM Key: P/T = Part of Term P/T Description

More information

P/T 2B: 2 nd Half of Term (8 weeks) Start: 26-AUG-2013 End: 20-OCT-2013 Start: 21-OCT-2013 End: 15-DEC-2013

P/T 2B: 2 nd Half of Term (8 weeks) Start: 26-AUG-2013 End: 20-OCT-2013 Start: 21-OCT-2013 End: 15-DEC-2013 2013-2014 SPECIAL TERM ACADEMIC CALENDAR FOR SCRANTON EDUCATION ONLINE (SEOL), MBA ONLINE, HUMAN RESOURCES ONLINE, NURSE ANESTHESIA and ERP PROGRAMS SPECIAL FALL 2013 TERM Key: P/T = Part of Term P/T Description

More information

P/T 2B: 2 nd Half of Term (8 weeks) Start: 24-AUG-2015 End: 18-OCT-2015 Start: 19-OCT-2015 End: 13-DEC-2015

P/T 2B: 2 nd Half of Term (8 weeks) Start: 24-AUG-2015 End: 18-OCT-2015 Start: 19-OCT-2015 End: 13-DEC-2015 2015-2016 SPECIAL TERM ACADEMIC CALENDAR For Scranton Education Online (SEOL), Masters of Business Administration Online, Masters of Accountancy Online, Health Administration Online, Health Informatics

More information

GAO HEALTH CARE. Consultants Billing Advice May Lead to Improperly Paid Insurance Claims

GAO HEALTH CARE. Consultants Billing Advice May Lead to Improperly Paid Insurance Claims GAO United States General Accounting Office The Honorable Charles E. Grassley, Ranking Minority Member, Committee on Finance, U.S. Senate June 2001 HEALTH CARE Consultants Billing Advice May Lead to Improperly

More information

HFMA MAP Keys Patient Access Measure:

HFMA MAP Keys Patient Access Measure: HFMA MAP Keys Patient Access Pre-Registration Rate Trending indicator that patient access processes are timely, accurate, and efficient Indicates revenue cycle efficiency and effectiveness N: number of

More information

Medicare Annual Enrollment Period Choice & Impact Study

Medicare Annual Enrollment Period Choice & Impact Study 2011/2012 Medicare Annual Enrollment Period Choice & Impact Study Table of Contents Report Overview...................................... 3 2011/2012 Choice & Impact Study Results................. 5 Stand-Alone

More information

5/16/2014. Revenue Cycle Impact Documentation risks in an EMR AGENDA. EMR Challenges Related to Billing and Revenue Cycle

5/16/2014. Revenue Cycle Impact Documentation risks in an EMR AGENDA. EMR Challenges Related to Billing and Revenue Cycle EMR Challenges Related to Billing and Revenue Cycle Lori Laubach, Principal Health Care Consulting California Primary Care Association Billing Managers Peer Conference May 20 21, 2014 1 The material appearing

More information

Ashley Institute of Training Schedule of VET Tuition Fees 2015

Ashley Institute of Training Schedule of VET Tuition Fees 2015 Ashley Institute of Training Schedule of VET Fees Year of Study Group ID:DECE15G1 Total Course Fees $ 12,000 29-Aug- 17-Oct- 50 14-Sep- 0.167 blended various $2,000 CHC02 Best practice 24-Oct- 12-Dec-

More information

Meaningful Use: Driving Physicians to eprescribing/emr and Pharma Marketing Opportunities

Meaningful Use: Driving Physicians to eprescribing/emr and Pharma Marketing Opportunities Meaningful Use: Driving Physicians to eprescribing/emr and Pharma Marketing Opportunities Devin Paullin EVP, New Business Development Physicians Interactive Dan Pucci Director, Informatics Solutions Allscripts

More information

US Health and Life Insurance Company Overview

US Health and Life Insurance Company Overview US Health and Life Insurance Company Overview Who is US Health and Life Insurance Company? Part of a family of companies committed to the goal of improving the employee benefit experience. We have the

More information

EDI Services helps healthcare network streamline workflow, increase productivity, and improve revenue cycle management.

EDI Services helps healthcare network streamline workflow, increase productivity, and improve revenue cycle management. GE Healthcare Results summary 2008 2010 Reduced eligibility rejection rate from 2% to 0.8% Reduced overall rejection rate from 6.4% to 4% Reduced cost to collect from 8.3% to 6.3% Increased the number

More information

#Aim2Innovate. Share session insights and questions socially. UCLA Primary Care Innovation Model 6/13/2015. Mark S. Grossman, MD, MBA, FAAP, FACP

#Aim2Innovate. Share session insights and questions socially. UCLA Primary Care Innovation Model 6/13/2015. Mark S. Grossman, MD, MBA, FAAP, FACP UCLA Primary Care Innovation Model Mark S. Grossman, MD, MBA, FAAP, FACP Chief Medical Office, UCLA Community Physicians & Specialty Care Networks June 16, 2015 DISCLAIMER: The views and opinions expressed

More information

Rejection Prevention. How Actionable Data Can Drive Results in Your Revenue Cycle

Rejection Prevention. How Actionable Data Can Drive Results in Your Revenue Cycle Rejection Prevention How Actionable Data Can Drive Results in Your Revenue Cycle Objectives Build a data collection strategy in denials and rejections that drives action and ultimately improved results

More information

Revenue Cycle Objectives Challenges Management Goals and Expected Benefits Sample Metrics Opportunities Summary Solution Steps

Revenue Cycle Objectives Challenges Management Goals and Expected Benefits Sample Metrics Opportunities Summary Solution Steps Common Findings Revealed: Revenue Cycle Review John Bartell, RN, BSN, Partner Tina Nazier, MBA, Director Wipfli LLP Topics for Discussion Revenue Cycle Objectives Challenges Management Goals and Expected

More information

Unifying Compensation:

Unifying Compensation: Unifying Compensation: The Lehigh Valley Physicians Group Experience American Medical Group Association Orlando, FL March 15, 2013 Edward Norris, M.D. Chair, Compensation Committee Michael A. Rossi, M.D.,

More information

Performance Monitoring and Dashboards for Hospitalists

Performance Monitoring and Dashboards for Hospitalists Performance Monitoring and Dashboards for Hospitalists Leslie Flores MHA, SFHM April 29 and 30, 2014 2 Housekeeping Questions? Type them into the Questions box in the GoToWebinar panel on the right side

More information

TREASURY INSPECTOR GENERAL FOR TAX ADMINISTRATION

TREASURY INSPECTOR GENERAL FOR TAX ADMINISTRATION TREASURY INSPECTOR GENERAL FOR TAX ADMINISTRATION Fiscal Year 2015 Statutory Review of Restrictions on Directly Contacting Taxpayers July 7, 2015 Reference Number: 2015-30-061 This report has cleared the

More information

Discussion Outline. A. KPIs Defined. B. Why KPIs Matter. C. KPI Menu. D. Implementation. E. Example KPIs. F. Pitfalls

Discussion Outline. A. KPIs Defined. B. Why KPIs Matter. C. KPI Menu. D. Implementation. E. Example KPIs. F. Pitfalls Discussion Outline A. KPIs Defined B. Why KPIs Matter C. KPI Menu D. Implementation E. Example KPIs F. Pitfalls 1 Key Performance Indicators (KPI s) Defined Periodic assessment of an organization, business

More information

Department of Public Welfare (DPW)

Department of Public Welfare (DPW) Department of Public Welfare (DPW) Office of Income Maintenance Electronic Benefits Transfer Card Risk Management Report Out-of-State Residency Review FISCAL YEAR 2012-2013 June 2013 (March, April and

More information

E/M coding workshop. The risk of not getting it right. PAMELA PULLY CPC, CPMA BILLING/CLAIMS SUPERVISOR GENESEE HEALTH SYSTEM

E/M coding workshop. The risk of not getting it right. PAMELA PULLY CPC, CPMA BILLING/CLAIMS SUPERVISOR GENESEE HEALTH SYSTEM E/M coding workshop. The risk of not getting it right. PAMELA PULLY CPC, CPMA BILLING/CLAIMS SUPERVISOR GENESEE HEALTH SYSTEM Disclaimer This information is accurate as of December 1, 2014 and is designed

More information

Compliance Lessons from Recent OIG Enforcement Activities. The Players. The Players Continued

Compliance Lessons from Recent OIG Enforcement Activities. The Players. The Players Continued Compliance Lessons from Recent OIG Enforcement Activities Sarah Duniway, Gray Plant Mooty Sara DeSanto, University of Minnesota Physicians July 14, 2015 The Players Office of Inspector General (OIG) Part

More information

CAFIS REPORT 2015.10

CAFIS REPORT 2015.10 CAFIS REPORT 2015.10 INDEX Message CAFIS Inbound 03-06 07-08 CAFIS Arch 09-10 CAFIS Brain 11-12 CAFIS Global 13-14 What We Do 15-16 About CAFIS 17-18 Services for Member Stores 19-34 Services for Card

More information

2013-2014. oct 03 / 2013 nov 12 / 2013. oct 05 / 2013. oct 07 / 2013. oct 21 / 2013. oct 24 / 2013. nov 07 / 2013 nov 14 / 2013.

2013-2014. oct 03 / 2013 nov 12 / 2013. oct 05 / 2013. oct 07 / 2013. oct 21 / 2013. oct 24 / 2013. nov 07 / 2013 nov 14 / 2013. 2013- ACADEMIC CALENDARS SOUTH UNIVERSITY 2013- ACADEMIC CALENDAR Fall 2013 Winter Spring Summer New Student Orientation Session II (Mid ) oct 03 / 2013 nov 12 / 2013 jan 09 / feb 18 / apr 03 / may 13

More information

Addiction and Prevention Services State Quality Committee

Addiction and Prevention Services State Quality Committee This report shows the detail of how many claims were processed by ValueOptions each month, the timeframe for processing and the percentage of claims processed that denied. AGGREGATE ANALYSIS REPORT Final

More information

Prescription Drug Abuse and Pain Management Clinics 2015 Report to the 109 th Tennessee General Assembly

Prescription Drug Abuse and Pain Management Clinics 2015 Report to the 109 th Tennessee General Assembly Prescription Drug Abuse and Pain Management Clinics 2015 Report to the 109 th Tennessee General Assembly Andrea Huddleston, Chief Deputy General Counsel Tennessee Department of Health Office of General

More information

CENTERPOINT ENERGY TEXARKANA SERVICE AREA GAS SUPPLY RATE (GSR) JULY 2015. Small Commercial Service (SCS-1) GSR

CENTERPOINT ENERGY TEXARKANA SERVICE AREA GAS SUPPLY RATE (GSR) JULY 2015. Small Commercial Service (SCS-1) GSR JULY 2015 Area (RS-1) GSR GSR (LCS-1) Texarkana Incorporated July-15 $0.50690/Ccf $0.45450/Ccf $0.00000/Ccf $2.85090/MMBtu $17.52070/MMBtu Texarkana Unincorporated July-15 $0.56370/Ccf $0.26110/Ccf $1.66900/Ccf

More information

Importance of Auditing

Importance of Auditing Medicare 201: Practitioner Importance of Auditing EY Fraud Investigation and Dispute Services Jennifer Shimek, Senior Manager Gretchen Segado, Manager Agenda Importance of Auditing National and Local Coding

More information

Compliance Strategies. For Physician Practices Part I

Compliance Strategies. For Physician Practices Part I Compliance Strategies For Physician Practices Part I Government Enforcement Efforts Healthcare fraud is the #2 priority of the Department of Justice, second only to terrorism and violent crime. Government

More information

QUESTIONABLE BILLING FOR MEDICARE ELECTRODIAGNOSTIC TESTS

QUESTIONABLE BILLING FOR MEDICARE ELECTRODIAGNOSTIC TESTS Department of Health and Human Services OFFICE OF INSPECTOR GENERAL QUESTIONABLE BILLING FOR MEDICARE ELECTRODIAGNOSTIC TESTS Daniel R. Levinson Inspector General April 2014 OEI-04-12-00420 EXECUTIVE SUMMARY:

More information

11/17/2015. Learning Objectives. What Is Data Mining? Presentation. At the conclusion of this presentation, the learner will be able to:

11/17/2015. Learning Objectives. What Is Data Mining? Presentation. At the conclusion of this presentation, the learner will be able to: Basic Data Mining and Analysis for Program Integrity: A Primer for Physicians and Other Health Care Professionals Presentation Learning Objectives At the conclusion of this presentation, the learner will

More information

CHOOSE MY BEST PLAN OPTION (PLAN FINDER) INSTRUCTIONS

CHOOSE MY BEST PLAN OPTION (PLAN FINDER) INSTRUCTIONS CHOOSE MY BEST PLAN OPTION (PLAN FINDER) INSTRUCTIONS Anthem Medical Plan For Employees Working In the US February 10, 2012 Page 1 IMPORTANT NOTES YOU SHOULD CONSIDER BEFORE USING THE TOOL The Choose My

More information

Health Insurance Exchange Finance Work Group Meeting August 22, 2012 Wakely Consulting Model Table Summaries - Updated

Health 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 information

December 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. 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 information

MEDICARE RECOVERY AUDIT CONTRACTORS AND CMS S ACTIONS TO ADDRESS IMPROPER PAYMENTS, REFERRALS OF POTENTIAL FRAUD, AND PERFORMANCE

MEDICARE RECOVERY AUDIT CONTRACTORS AND CMS S ACTIONS TO ADDRESS IMPROPER PAYMENTS, REFERRALS OF POTENTIAL FRAUD, AND PERFORMANCE Department of Health and Human Services OFFICE OF INSPECTOR GENERAL MEDICARE RECOVERY AUDIT CONTRACTORS AND CMS S ACTIONS TO ADDRESS IMPROPER PAYMENTS, REFERRALS OF POTENTIAL FRAUD, AND PERFORMANCE Daniel

More information

Cycle Dashboard. G2N, Inc. Honest & Healthy Bottom Lines

Cycle Dashboard. G2N, Inc. Honest & Healthy Bottom Lines Managing Operations By A Revenue Cycle Dashboard Mission of G2N We work to ensure America s healthcare providers have honest & healthy bottom lines in order to continue to fulfill their mission of improving

More information

Proposal to Reduce Opening Hours at the Revenues & Benefits Coventry Call Centre

Proposal to Reduce Opening Hours at the Revenues & Benefits Coventry Call Centre Proposal to Reduce Opening Hours at the Revenues & Benefits Coventry Call Centre Proposal To change the opening hours of the Revenues & Benefits Call Centre to 9am until 5pm Monday to Friday with effect

More information

DHS BUDGET REQU~ST FOR FY 2015-2016

DHS BUDGET REQU~ST FOR FY 2015-2016 DHS BUDGET REQU~ST FOR FY 2015-2016 ($ Amounts in Thousands) Page # of Governor's Executive Budget: APPROPRIATION: Pp. C1.8, E30.5, E30.16, E30.17 Payment to Federal Govt. - Medicare Drug Progr~m l. SUMMARY

More information

Medicare Advantage and Part D Fraud, Waste, and Abuse Training. October 2010

Medicare Advantage and Part D Fraud, Waste, and Abuse Training. October 2010 Medicare Advantage and Part D Fraud, Waste, and Abuse Training October 2010 Introduction 2008: United States spent $2.3 trillion on health care. Federal fiscal year 2010: Medicare expected to cover an

More information

Everything you ever wanted to know about Value-Based Purchasing* *But were afraid to ask

Everything you ever wanted to know about Value-Based Purchasing* *But were afraid to ask Everything you ever wanted to know about Value-Based Purchasing* *But were afraid to ask TAHFM - April 10, 2013 John Murray, MBA Director, Patient Experience Deric Hebert Director, Engineering Services

More information

HIGH DIVIDEND STOCKS IN RISING INTEREST RATE ENVIRONMENTS. September 2015

HIGH DIVIDEND STOCKS IN RISING INTEREST RATE ENVIRONMENTS. September 2015 HIGH DIVIDEND STOCKS IN RISING INTEREST RATE ENVIRONMENTS September 2015 Disclosure: This research is provided for educational purposes only and is not intended to provide investment or tax advice. All

More information

SEO Presentation. Asenyo Inc.

SEO Presentation. Asenyo Inc. SEO Presentation What is Search Engine Optimization? Search Engine Optimization (SEO) : PPC and Organic Results Pay Per Click Ads The means of achieving top search engine results without having to incur

More information

Audits: Know your risks and Get prepared

Audits: Know your risks and Get prepared Objectives Audits: Know your risks and Get prepared 1. Establish familiarity with various audit contractors and identify variances in their audit processes 2. Understand documentation guidelines and requirements

More information

Stark, False Claims and Anti- Kickback Laws: Easy Ways to Stay Compliant with the Big Three in Healthcare

Stark, False Claims and Anti- Kickback Laws: Easy Ways to Stay Compliant with the Big Three in Healthcare Stark, False Claims and Anti- Kickback Laws: Easy Ways to Stay Compliant with the Big Three in Healthcare In health care, we are blessed with an abundance of rules, policies, standards and laws. In Health

More information

Continuous Quality Improvement using Centricity EMR

Continuous Quality Improvement using Centricity EMR Continuous Quality Improvement using Centricity EMR Jamie Howard, MD David A. Nelsen, Jr, MD, MS Associate Professors, UAMS Family & Preventive Medicine Sept 22-25, 2004 CLINICAL INFORMATION SYSTEMS 1

More information

SECTION 18 1 FRAUD, WASTE AND ABUSE

SECTION 18 1 FRAUD, WASTE AND ABUSE SECTION 18 1 FRAUD, WASTE AND ABUSE Annual FW&A Training Required for Providers and Office Staff 1 Examples of Fraud, Waste and Abuse 2 Fraud, Waste and Abuse Program Policy 3 Suspected Non-Compliance

More information

Medicare Compliance and Fraud, Waste, and Abuse Training

Medicare Compliance and Fraud, Waste, and Abuse Training Medicare Compliance and Fraud, Waste, and Abuse Training Objectives Recognize laws and concepts affecting compliance and fraud, waste, and abuse (FWA) Increase awareness of FWA Use identification techniques

More information

6 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 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 information

PEBP and OneExchange

PEBP and OneExchange PEBP and OneExchange Complete your OneExchange Enrollment Important! Soon, you will be eligible for Medicare and will have new health insurance options from which to choose. Towers Watson s OneExchange

More information

QUESTIONABLE BILLING FOR MEDICARE PART B CLINICAL LABORATORY SERVICES

QUESTIONABLE BILLING FOR MEDICARE PART B CLINICAL LABORATORY SERVICES Department of Health and Human Services OFFICE OF INSPECTOR GENERAL QUESTIONABLE BILLING FOR MEDICARE PART B CLINICAL LABORATORY SERVICES Brian P. Ritchie Acting Deputy Inspector General for Evaluation

More information

Implementing Carbon Reduction Without Impacting Working Capital. Presented by Dylan Crompton

Implementing Carbon Reduction Without Impacting Working Capital. Presented by Dylan Crompton Implementing Carbon Reduction Without Impacting Working Capital Presented by Dylan Crompton Evolution of a Carbon Strategy Proactive organisations are on a journey to reduce carbon emissions. Marginal

More information

Employed Physicians: Leadership Strategies for a Winning Organization

Employed Physicians: Leadership Strategies for a Winning Organization Employed Physicians: Leadership Strategies for a Winning Organization Ray Chorey Southeastern Ohio Regional Medical Center President and CEO Thomas Ferkovic SS&G Healthcare Managing Director Practice Comparison

More information

The Impact of Medicare Part D on the Percent Gross Margin Earned by Texas Independent Pharmacies for Dual Eligible Beneficiary Claims

The Impact of Medicare Part D on the Percent Gross Margin Earned by Texas Independent Pharmacies for Dual Eligible Beneficiary Claims The Impact of Medicare Part D on the Percent Gross Margin Earned by Texas Independent Pharmacies for Dual Eligible Beneficiary Claims Angela Winegar, M.S., Marvin Shepherd, Ph.D., Ken Lawson, Ph.D., and

More information

Donut Hole Analysis November 2014

Donut Hole Analysis November 2014 Medicare Part D Donut Hole Analysis November 2014 Symphony Health Solutions offers an array of Managed Markets Studies CONSULTING/ANALYTICAL STUDIES Managed Markets Landscape Dynamic Claims Lifecycle Data

More information

What Every Medical Practice Must Do to Optimize Workflow and Maximize Revenue While Decreasing Costs

What Every Medical Practice Must Do to Optimize Workflow and Maximize Revenue While Decreasing Costs What Every Medical Practice Must Do to Optimize Workflow and Maximize Revenue While Decreasing Costs Don t just trust that your staff is maximizing time and revenue. It is up to you to monitor, analyze

More information

2012 HIPAA Privacy and Security Audits

2012 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 information

The Trinity Pioneer Story ACO SETTLERS THE PIONEER JOURNEY TO THE TRIPLE AIM. Sue Thompson Chief Executive Officer

The Trinity Pioneer Story ACO SETTLERS THE PIONEER JOURNEY TO THE TRIPLE AIM. Sue Thompson Chief Executive Officer The Trinity Pioneer Story ACO SETTLERS THE PIONEER JOURNEY TO THE TRIPLE AIM Sue Thompson Chief Executive Officer 2 UnityPoint Health: Organizational Profile 3 4 UnityPoint Health Fort Dodge: Organizational

More information

Title goes here. Performance Management in the Rural Health Clinic. Idaho Bureau of Rural Health & Primary Care November 5, 2014 12:45 p.m. 1:45 p.m.

Title goes here. Performance Management in the Rural Health Clinic. Idaho Bureau of Rural Health & Primary Care November 5, 2014 12:45 p.m. 1:45 p.m. Performance Management in the Rural Health Clinic Idaho Bureau of Rural Health & Primary Care November 5, 2014 12:45 p.m. 1:45 p.m. Title goes here Jeff Johnson - CPA, Date Partner or subtitle Wipfli Health

More information

Analytic-Driven Quality Keys Success in Risk-Based Contracts. Ross Gustafson, Vice President Allina Performance Resources, Health Catalyst

Analytic-Driven Quality Keys Success in Risk-Based Contracts. Ross Gustafson, Vice President Allina Performance Resources, Health Catalyst Analytic-Driven Quality Keys Success in Risk-Based Contracts March 2 nd, 2016 Ross Gustafson, Vice President Allina Performance Resources, Health Catalyst Brian Rice, Vice President Network/ACO Integration,

More information

UNRAVELING THE MYSTERY OF INSURANCE AUDITS. Deborah J. Winegard Of Counsel Whatley Kallas, LLP

UNRAVELING THE MYSTERY OF INSURANCE AUDITS. Deborah J. Winegard Of Counsel Whatley Kallas, LLP UNRAVELING THE MYSTERY OF INSURANCE AUDITS Deborah J. Winegard Of Counsel Whatley Kallas, LLP 1 PHYSICIANS ADVOCACY INSTITUTE PAI Founded in 2006 as Result of MDL Managed Care Litigation, in which MSNJ

More information

Recovery Audit Contractors (RACs) and Medicare The Who, What, When, Where, Why and How?

Recovery Audit Contractors (RACs) and Medicare The Who, What, When, Where, Why and How? Recovery Audit Contractors (RACs) and Medicare The Who, What, When, Where, Why and How? Eileen Turner Acting Associate Regional Administrator Centers for Medicare & Medicaid Services San Francisco Regional

More information

A Roadmap for New Physicians. Avoiding Medicare and Medicaid Fraud and Abuse

A Roadmap for New Physicians. Avoiding Medicare and Medicaid Fraud and Abuse A Roadmap for New Physicians Avoiding Medicare and Medicaid Fraud and Abuse Introduction This tutorial is intended to assist new physicians in understanding how to comply with Federal laws that combat

More information

Shorten the Revenue Cycle with Electronic Charge Capture

Shorten the Revenue Cycle with Electronic Charge Capture Shorten the Revenue Cycle with Electronic Charge Capture Presenters Ryan Secan, MD MPH Anthony Wehbe, DO, MBA, FACOI Ryan Secan, MD MPH About the Presenters Practicing Hospitalist, Emerson Hospital, Concord

More information

Computing & Telecommunications Services Monthly Report March 2015

Computing & Telecommunications Services Monthly Report March 2015 March 215 Monthly Report Computing & Telecommunications Services Monthly Report March 215 CaTS Help Desk (937) 775-4827 1-888-775-4827 25 Library Annex helpdesk@wright.edu www.wright.edu/cats/ Last Modified

More information

MEDICARE S NATIONAL CORRECT CODING INITIATIVE

MEDICARE S NATIONAL CORRECT CODING INITIATIVE Department of Health and Human Services OFFICE OF INSPECTOR GENERAL MEDICARE S NATIONAL CORRECT CODING INITIATIVE INSPECTOR GENERAL SEPTEMBER 2003 OEI-03-02-00770 Office of Inspector General http://oig.hhs.gov

More information

ACCURACY THROUGH PROBE AUDITS

ACCURACY THROUGH PROBE AUDITS MEASURING BILLING ACCURACY THROUGH PROBE AUDITS ROY MASATANI, DIRECTOR, COMPLIANCE AUDIT, NATIONAL COMPLIANCE, ETHICS & INTEGRITY OFFICE (NCO), KAISER PERMANENTE MARTINA HEASLEY, BA, RHIT, CPC, CCS, AHIMA

More information

Split/Shared Services Documentation & Billing

Split/Shared Services Documentation & Billing Split/Shared Services Documentation & Billing Jointly Presented by the Clinical Enterprise Compliance Department and the Department of Revenue Management June 6, 2012 DISCLAIMER Disclaimer This module

More information

The Partnership for Patients Rebalancing Health Care 5 Tom Evans, MD November 13, 2012

The Partnership for Patients Rebalancing Health Care 5 Tom Evans, MD November 13, 2012 The Partnership for Patients Rebalancing Health Care 5 Tom Evans, MD November 13, 2012 100 E. Grand Ave., Ste. 360 Des Moines, IA 50309-1835 Office: 515.283.9330 Fax: 515.698.5130 www.ihconline.org Sustainability

More information

Protect and Improve Profitability in Your Practice. Positioning Your Organization for a RAC Audit

Protect and Improve Profitability in Your Practice. Positioning Your Organization for a RAC Audit Protect and Improve Profitability in Your Practice Positioning Your Organization for a RAC Audit 2011 Annual Educational Seminar March 9, 2011 Presented By: Cindy Tipton-Cain, Exec. Director Physician

More information

Meaningful Use Updates. HIT Summit September 19, 2015

Meaningful Use Updates. HIT Summit September 19, 2015 Meaningful Use Updates HIT Summit September 19, 2015 Meaningful Use Updates Nadine Owen, BS,CHTS-IS, CHTS-IM Health IT Analyst Hawaii Health Information Exchange No other relevant financial disclosures.

More information

Unpaid Claims Management

Unpaid Claims Management Unpaid Claims Management National Association of Community Health Centers (NACHC) 7200 Wisconsin Avenue, Suite 210 Bethesda, MD 20814 301-347-0400 301-347-0459 FAX www.nachc.com AGENDA Introduction Clean

More information

US Army Corps of Engineers. Vision Statement. Be the premier stewards of entrusted hydropower resources

US Army Corps of Engineers. Vision Statement. Be the premier stewards of entrusted hydropower resources Vision Statement Be the premier stewards of entrusted hydropower resources Mission Statement Provide reliable hydroelectric power services at the lowest possible cost, consistent with sound business principles,

More information

May 2014 Texas School Bond Elections

May 2014 Texas School Bond Elections May 2014 Texas School Bond Elections What are the individual districts needs? New facilities Renovations Technology Central facilities How much tax revenue can the district generate? Depends on district

More information

Important Dates Calendar 2014-2015 FALL

Important Dates Calendar 2014-2015 FALL Important Dates Calendar 204-205 FALL Rev. 6-8-4 st 8 H st 0 2nd 0 st 5 2nd 5 3rd 5 LSC Advanced Registration Begins May 27 May 27 May 27 May 27 May 27 May 27 May 27 May 27 May 27 Returning Students Advanced

More information

INVESTMENT MANAGEMENT, LLC. Evaluating Financials In a State of Panic

INVESTMENT MANAGEMENT, LLC. Evaluating Financials In a State of Panic P Z E N A INVESTMENT MANAGEMENT, LLC Evaluating Financials In a State of Panic Financial Stocks in Free Fall Lehman Brothers Holdings Inc. (LEH) 29-Dec-2006 to 27-Nov-2007 (Daily) High: 86.180 U.S. Dollar

More information

Payor Perspectives on Provider Realignment and ACOs

Payor Perspectives on Provider Realignment and ACOs Payor Perspectives on Provider Realignment and ACOs Joel L. Michaels March 15, 2011 Overview Issues to be addressed Medicare Shared Savings Program overview ACO organization options Health care reform

More information

Informatics Strategies & Tools to Link Nursing Care with Patient Outcomes in the Learning Health Care System

Informatics Strategies & Tools to Link Nursing Care with Patient Outcomes in the Learning Health Care System Nursing Informatics Working Group Informatics Strategies & Tools to Link Nursing Care with Patient Outcomes in the Learning Health Care System Patricia C. Dykes PhD, RN, FAAN, FACMI Judy Murphy RN, FHIMSS,

More information