Developing Staff and Resource Infrastructure to Support Value-Based Reimbursement. NCHICA Annual Conference 2016
|
|
- Rosanna Golden
- 6 years ago
- Views:
Transcription
1 Developing Staff and Resource Infrastructure to Support Value-Based Reimbursement NCHICA Annual Conference
2 University Physicians, Inc. (UPI) Faculty Practice Plan for the University of Colorado School of Medicine Supporting over 2,400 providers with outreach to the entire Rocky Mountain Region Major facility partners in care include: University of Colorado Hospital & Health System Children s Hospital of Colorado Denver Health & Hospital System VA Eastern Colorado Health Care #NCHICA2016 2
3 Learning Objectives Baseline understanding of shift toward value-based reimbursement modeling Identification of key staffing competencies and resource infrastructure to support value-based reimbursement Strategies for advanced data capture Strategies for developing leadership buy-in for infrastructure #NCHICA2016 3
4 MACRA The Medicare Access and CHIP Reauthorization Act of 2015 passed in April 2015 Repeals the Medicare Sustainable Growth Rate (SGR) formula and replaces it with a pay-for-performance model Streamlines existing quality reporting programs into the new Merit-based Incentive Payment System (MIPS) Clinicians or groups can participate in MIPS or an alternate payment model #NCHICA2016 4
5 @CUDOCTORS #NCHICA2016 5
6 MIPS Consolidates Quality Reporting #NCHICA2016 6
7 Alternate Payment Models APMs are new approaches to paying for medical care through Medicare that incentivize quality and value. Examples #NCHICA2016 7
8 The Office of Value Based Performance Formally established by University Physicians, Inc. (UPI) leadership in September 2015 Office designed to keep pace with shifts in reimbursement philosophy and related program evolution Central alignment of talent, resources, and program #NCHICA2016 8
9 Key Competencies Regulatory Interpretation & Management Project Management Compliance EHR Architecture & Workflows Analytics & Decision Support Patient-centered #NCHICA2016
10 Regulatory Management Project Management Compliance EHR Architecture Analytics Patient Outreach Regulatory Interpretation & Management MACRA = overwhelmingly complex Ability to digest and prepare executive summaries to inform decision making Your feedback does impact future rule-making Take advantage of legislative comment periods AAMC and EHR vendor should become partner #NCHICA
11 Regulatory Management Project Management Compliance EHR Architecture Analytics Patient Outreach Project Management Coordination and alignment of activities/resources across the enterprise Develop timelines and accountability Tracking of activity and #NCHICA
12 Regulatory Management Project Management Compliance EHR Architecture Analytics Patient Outreach Compliance Heavy auditing of EHR incentive program participation Audit management experience helpful Appropriate balance of content Rule interpretation and documentation strategies Auditing of quality measure reporting and program participation beginning to take #NCHICA
13 Regulatory Management Project Management Compliance EHR Architecture Analytics Patient Outreach EHR Architecture & Workflows Information technology optimization User needs assessments External data aggregation Population health registry development Provider education & training Must find time to foster adoption Connecting quality goals to the front line care #NCHICA
14 Analytics & Decision Support 14
15 Regulatory Management Project Management Compliance EHR Architecture Analytics Patient Outreach Achieving Excellence Through Deeper Dive Data Analysis John Steffen Sr. Epic Clarity Reporting Analyst
16 CMS Data Submission Timeline NOVEMBER Claims-based data submission via 3 rd party vendor Anticipated release of the MIPS/APM final rule will mandate reporting changes UPI begins GPRO option for data submission 2013 MIPS/APM reporting period begins JANUARY #NCHICA
17 Utilizing Epic s Features BPAs Referrals After-Visit Summaries Flowsheets IMPROVED #NCHICA
18 Integrating Outside Data Colorado Department of Public Health & Environment (CDPHE) flu and pneumonia vaccination records Excellera University of Colorado Hospital (UCH) left ventricular ejection fraction results Colorado Regional Health Information Organization (CORHIO) patient visit/stay data at non- UCH #NCHICA
19 Standard Deviations from the Mean CMS Quality Score Results Quality Composite Scores #NCHICA
20 Additional Reporting Born from UPI VBM #NCHICA
21 Point-in-Time Snapshot 21
22 HCC Opportunities Report 22
23 Custom Data Marts Built registries that Epic had not yet developed Depression Registry CV Risk 23
24 Skill Sets Required to Make it All Happen Advanced T-SQL language proficiency in creating queries, stored procedures, functions, etc. Reporting tools Crystal reports, Tableau Business Objects enterprise server Excel 24
25 Future Initiatives Expanded use of Business Objects server InfoView, automated scheduling, and report dissemination Use of project management software (Eclipse) Advancing the use of Tableau 25
26 Regulatory Management Project Management Compliance EHR Architecture Analytics Patient Outreach Patient-Centered Outreach Clinical re-design Define clinical improvement initiatives that create value for patients as well as your organization Team-based coordinated care Heavy emphasis on Care Manager best #NCHICA
27 Coming Together Coming Together 27
28 Payer Relations and Network Development Vice President Associate Dean & Medical Director Adult Health (MD) Operations Vice President, COO (MD) Office of Value Based Performance Medical Director (MD, MSPH) Administrative Director Compliance and Privacy Officer Performance Reporting Performance Analytics Performance Innovation & Patient-centered Outreach Manager Sr. Epic Clarity Reporting Analyst Program Manager (Epic Healthy Planet) Regulatory Lead Epic Clarity Reporting Analyst Pharmacist Program Analyst Program Specialist Outreach Coordinators 4 #NCHICA
29 EHR Incentive Program Payments Total EHR Incentive Payments Issued Through 2015 Eligible Professionals Eligible Hospitals Medicare: $8.3B Medicaid: $4.3B Medicare/Medicaid Combined: $18.9B Developing a re-investment pitch Benefits to the enterprise v. individual Future revenue #NCHICA
30 Penalty Phases of Meaningful Use Eligible Professionals (EPs) failing to demonstrate Meaningful Use in 2013 and beyond are individually subject to Medicare fee schedule penalties Even 1% adjustments can result in significant losses at the EPlevel EHR Incentive Program Penalties Failed Reporting Year Penalty Year Penalty % % % #NCHICA
31 Value-Based Payment Modifier Alternative to individual PQRS submissions GPRO = Group Practice Reporting Option Centralized submission of Quality Data on behalf of all providers under Tax ID Number Central management of data capture and reporting #NCHICA
32 Value-Based Payment Modifier #NCHICA
33 Performance Impacts Payment Failure to successfully report quality data could result in a 4% decrement to Medicare fee schedule across your entire Tax ID Number 2.5-3MM in estimated revenue preservation over the past #NCHICA
34 UPI vs. Other AAMC Practices 2014 Value-Based Payment Modifier #NCHICA
35 Talent Acquisition Emerging degrees & certifications Health Information Technology Health Informatics Professional societies American Health Information Management Assoc. (AHIMA) Certified electronic health record vendors Your own #NCHICA
36 Questions? #NCHICA
37 Contact Information Aaron Van Artsen Administrative Director of Value Based Performance Organizational Compliance and Privacy Officer (303) John Steffen Sr. Epic Clarity Reporting analyst (303) #NCHICA
The Merit-based Incentive Payment System Quality Performance Category Eligible Measure Applicability (EMA) Fact Sheet
The Merit-based Incentive Payment System Quality Performance Category Eligible Measure Applicability (EMA) Fact Sheet The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) combines many programs
More information2018 Final Rule from CMS for. Alternative Payment Models
2018 Final Rule from CMS for Starting at Noon EST Wed 12/13/2017 Alternative Payment Models Dr. Dan Mingle Register for Webinars or Access Recordings http://mingleanalytics.com/webinars 2017 Mingle Analytics
More informationMEANINGFUL USE CRITERIA PHYSICIANS
MEANINGFUL USE CRITERIA PHYSICIANS The first list is of the 25 Stage 1 Meaningful Use criteria for eligible providers (EP) and comes from the proposed rule: "Medicare and Medicaid Programs; Electronic
More informationCreating a MIPS Success Roadmap
MARCH 16, 2017 Creating a MIPS Success Roadmap About Tom Lee, Ph.D. Founder & CEO of SA Ignite Tom is a serial entrepreneur and leading expert in healthcare valuebased programs such as MIPS, MACRA, Meaningful
More informationConsiderations for Choosing MIPS Quality Measures. July 2017
Considerations for Choosing MIPS Quality Measures July 2017 Overview of Contents First know yourself Finding measures Understanding scoring Special Considerations about registries Special Considerations
More informationEnterprise Data An Untapped Asset for Succeeding as Healthcare Changes
Enterprise Data An Untapped Asset for Succeeding as Healthcare Changes 1 2014 Encore, A Quintiles Company. No unauthorized copying or distribution permitted. What We ll Cover It s all about the data Why
More informationLessons Learned From Medicare EHR Registration and Attestation for Eligible Providers (EPs)
Lessons Learned From Medicare EHR Registration and Attestation for Eligible Providers (EPs) Size 120 providers with over 550 employees Multi-specialty group in various locations with career physicians,
More informationImmunization Information System (IIS) Trainer Sample Role Description
Immunization Information System (IIS) Trainer Sample Role Description March 2016 0 Note: This role description is meant to offer sample language and a comprehensive list of potential desired responsibilities
More informationJANUARY 19, How to Read and Effectively Use Your QRUR to Prepare for 2017 MIPS
JANUARY 19, 2017 How to Read and Effectively Use Your QRUR to Prepare for 2017 MIPS QRUR and MIPS Panel BETH HOUCK, MBA Vice President, Client Services SA Ignite MATTHEW BARRON Director, Advisory Services
More informationMedicare s new payment system
CODING & REIMBURSEMENT PRACTICE PERFECT Guide to MIPS 2017, Part 1: Know the Basics Medicare s new payment system the Quality Payment Program (QPP) launches on Jan. 1, 2017, though you don t necessarily
More informationCreating Pre-Patient Relationships through Employer Outreach
Employer Engagement as a Consumer Acquisition Strategy: Creating Pre-Patient Relationships through Employer Outreach Jan Hess Vice President Professional and Administrative Services, St. Luke s Hospital
More informationOptum Intelligent EDI. Achieve higher first-pass payment rates and help your organization get paid quickly and accurately.
Optum Intelligent EDI Achieve higher first-pass payment rates and help your organization get paid quickly and accurately. The new benchmark for EDI performance Health care has outgrown commoditized EDI,
More informationI. Summary of ACP s Top Priority Recommendations
December 29, 2017 Seema Verma Administrator Centers for Medicare and Medicaid Services U.S. Department of Health and Human Services Attn: CMS- 5522- FC and IFC Room 445 G, Hubert H. Humphrey Building 200
More informationIIS Competency Domain Model
IIS Competency Domain Model Knowledge, Skills and Abilities for IIS Job Roles PHII Academy 18 November 2015 www.informaticsacademy.org Standards and Interoperability Applies informatics standards to ensure
More informationLegacy Decommissioning Planning, Savings & Meaningful Data
Legacy Decommissioning Planning, Savings & Meaningful Data Session #131, February 21, 2017 Jon Russell, SVP/CIO, John Muir Health System Tony Paparella, President, MediQuant, Inc. 1 Speaker Introduction
More informationDeveloping a Policy & Governance Framework for an Operational Learning Health System Discussion with the NCHICA Informatics & Analytics Roundtable
Developing a Policy & Governance Framework for an Operational Learning Health System Discussion with the NCHICA Informatics & Analytics Roundtable April 7, 2015 What is a Learning Health System? IOM Report
More informationCreate interoperability in a MEDITECH environment
Create interoperability in a MEDITECH environment Create real connections with your medical community Corepoint Health solutions are transforming the way hospitals and clinics meet their interoperability
More informationManaging Denials: Covering all the Bases
www.pwc.com Managing Denials: Covering all the Bases HFMA 2017 Texas State Conference March 26 th, 2017 Presenting Today Jon Souder Director, Revenue Performance Management Jon is a Director in s Health
More informationBuilding a Strategic Vision for Your Employed Physician Network
Building a Strategic Vision for Your Employed Physician Network June 22, 2017 1 Dr. McWilliams - BIO Terrence R. McWilliams, MD, MSJ, FAAFP Chief Clinical Consultant tmcwilliams@hsgadvisors.com (502) 614-4292
More informationHow Information Transformation Drives Healthcare Performance
perspective How Information Transformation Drives Healthcare Performance Abstract Healthcare delivery in the US is experiencing tectonic change and has rapidly moved towards a Consumer-centric, market-driven
More informationPreparing For & Managing a RADV Audit
Preparing For & Managing a RADV Audit Session 607 Dennis P.H. Mihale, MD, MBA Scott Weiner, CMA, CFM, MBA Agenda Assessing Your Risk CMS RADV Process Health Plan Process Preparation Execution Mock Audit
More informationWorking with Health IT Systems is available under a Creative Commons Attribution-NonCommercial- ShareAlike 3.0 Unported license.
Working with Health IT Systems is available under a Creative Commons Attribution-NonCommercial- ShareAlike 3.0 Unported license. Johns Hopkins University. Welcome to Health Management Information Systems,
More informationIT S TIME! PRIMARIS OPERATIONAL EFFICIENCY SOLUTION. Using Lean Thinking to Save Time & Money. Benefits of Operational Efficiency. Why Primaris?
IT S TIME! PRIMARIS OPERATIONAL EFFICIENCY SOLUTION Using Lean Thinking to Save Time & Money Healthcare executives are well aware that both government agencies and private insurers are moving away from
More informationPosition Specification. Manager, Risk Adjusted Rates
Position Specification POSITION SPECIFICATION POSITION: COMPANY: REPORTS TO: Director, Healthcare Economics PHILADELPHIA Philadelphia offers a remarkable quality of life with a vibrant center city and
More informationAPIXIO HCC PROFILER Reimagining Risk Adjustment
APIXIO HCC PROFILER Reimagining Risk Adjustment Traditional Risk Adjustment Methods Aren t Enough Traditionally, risk adjustment has used manual, low-tech methods of identifying, obtaining, and individually
More informationTHE ESSENTIAL ELEMENT of a
THE ESSENTIAL ELEMENT of a Successful Laboratory LabDAQ Laboratory Information System (LIS) is a scalable SOLUTION trusted by thousands of physicians and laboratory professionals every day. Experience
More informationRevenue Mitigation Strategies Offsetting The Financial Impact Of ICD-10
Revenue Mitigation Strategies Offsetting The Financial Impact Of ICD-10 January 23, 2014 What the industry is saying about the Transition to ICD-10 Staff alignment between business and IT is critical to
More informationNavigating Meaningful Use Rapids Physician Onboarding
Navigating Meaningful Use Rapids Physician Onboarding April 14, 2015 Karen Wilding / Director of Operations / University Of Maryland Medical System Anantachai (Tony) Panjamapirom / Senior Consultant /
More informationAligning Process Redesign and Change Management with Project Management (System Implementation Projects)
Aligning Redesign and Change Management with Project Management (System Implementation Projects) Kim Brant-Lucich Director of Redesign St. Joseph Health System Information Services HIMSS 2009: Project
More informationReal-Life Strategies for Account Managers to Help Grow Market Share
Real-Life Strategies for Account Managers to Help Grow Market Share Better customer relationships are essential to driving market share, and training plays an important role in sustaining effective collaborations
More informationMust Have Tips and Tools for the ICD-10 Transition
Must Have Tips and Tools for the ICD-10 Transition Agenda 3 2014 Navicure, Inc. ICD-10: On or off? Navicure Status and Testing Status Resources To Help You Prepare Navicure Tools and Products 4 2014 Navicure,
More informationThe Path to Clinical Enterprise Maturity DEVELOPING A CLINICALLY INTEGRATED NETWORK
The Path to Clinical Enterprise Maturity DEVELOPING A CLINICALLY INTEGRATED NETWORK dhgllp.com/healthcare Kevin Locke PRINCIPAL Kevin.Locke@dhgllp.com 330.606.4699 Michael Strilesky SENIOR MANAGER Michael.Strilesky@dhgllp.com
More informationLegacy Health Data Management, an Overview of Data Archiving & System Decommissioning with Rick Adams
Legacy Health Data Management, an Overview of Data Archiving & System Decommissioning with Rick Adams Rick Adams is the co-founder and Managing Partner of Harmony Healthcare IT. He has 22 years of healthcare
More informationEmpower sales professionals to seek out collaborative opportunities.
1 Real-Life Strategies for Trainers to Help Grow Market Share Better customer relationships are essential to driving market share, and training plays an important role in sustaining effective collaborations
More informationPerformance Benchmarking Toolkit for Health Centers: Tracking Data to Improve Financial Performance
Performance Benchmarking Toolkit for Health Centers: Tracking Data to Improve Financial Performance Health Center Financial Performance Analytics The implementation of healthcare reform produces a heightened
More informationGovernment Relations (GR) Strategic Plan February 2017
Government Relations (GR) Strategic Plan 2017 February 2017 Table of Contents Introduction and Background Page 3 2017 Strategic Goals & Objectives Page 4 2017 Action Plans by Objective Pages 5-9 Report
More informationPam Petz, Vice President Optum360 Commercial Coding Division Cyndi Thomas, Vice President Optum360 HIM Solutions
Pam Petz, Vice President Optum360 Commercial Coding Division Cyndi Thomas, Vice President Optum360 HIM Solutions Our approach Coding Auditing Coder Knowledge 30 years of service 2.7M encounters coded thru
More informationWhy ChartLogic Medical Billing Services?
OVERVIEW GUIDE Why ChartLogic Medical Billing Services? The differentiators and benefits of choosing ChartLogic as your billing partner. Beyond Standard eeligibility There is more to the story for eeligibility
More informationvalue-based physician compensation a link to performance improvement
CASE STUDY REPRINT March 2016 Brian Bunkers Mark Koch Jeanie Lubinsky Jeffrey A. Weisz Brian Whited healthcare financial management association hfma.org value-based physician compensation a link to performance
More informationDeveloping your CV service line strategy!
Developing your CV service line strategy! JOEL SAUER Moving from plan to design! Vice President! MedAxiom Consulting! Fort Wayne, IN! Disclosures! None! It all starts with a vision!! You do not really
More information2018 ACR Health Policy Statements
2018 ACR Health Policy Statements Through its advocacy efforts, the ACR will advise and encourage government decision makers to consider policies that will improve healthcare policy outcomes. The ACR s
More informationThe Center for Primary Care Informatics: CPCI for the C-Suite. CHCANYS Annual Conference October 25, 2017
The Center for Primary Care Informatics: CPCI for the C-Suite Warria Esmond, Settlement Health Barbara Hood, William F. Ryan CHC Lisa Perry, CHCANYS LuAnn Kimker, Azara Healthcare CHCANYS Annual Conference
More informationEHR implementation missed the mark? How to hit the bullseye with optimization projects
EHR implementation missed the mark? How to hit the bullseye with optimization projects What s at stake? Regulatory pressure In recent years, shifting dynamics in the health care industry have caused organizations
More informationSimplify processess Increase revenue Reach your MU goals
NextGen Professional Consulting Services Simplify processess Increase revenue Reach your MU goals Running a medical practice isn t easy. With daily responsibilities of patient care, managing staff, and
More informationehealth Exchange Network in U.S. Bottom Up Complements Top Down?
ehealth Exchange Network in U.S. Bottom Up Complements Top Down? Mariann Yeager, MBA CEO of The Sequoia Project June 7, 2016 2016 The Sequoia Project. All Rights Reserved. 1 The Sequoia Project s Role
More informationMaking the Case for a New Approach to Managing Quality and Risk: Intelligence Automation in the Ambulatory Care Setting
Making the Case for a New Approach to Managing Quality and Risk: Intelligence Automation in the Ambulatory Care Setting Tuesday, January 30, 2018 12:00-1:00 PM CT Jeremiah M. Rothschild, PMP Sr. Director
More informationDALLAS 8 + PMI REGIONAL CONFERENCE for Medical Office Professionals. June 22-23, 2017 Texas Health Presbyterian Dallas. Up to 12.
PMI REGIONAL CONFERENCE for Medical Office Professionals DALLAS June 22-23, 2017 Texas Health Presbyterian Dallas Up to 12.5 CEUs 8 + Presenters 16 Sessions pmimd.com/dlcon17 2017 This professional development
More informationTHE BODY OF KNOWLEDGE FOR MEDICAL PRACTICE MANAGEMENT
THE BODY OF KNOWLEDGE FOR MEDICAL PRACTICE MANAGEMENT OVERVIEW & PERFORMANCE OBJECTIVES THE BODY OF KNOWLEDGE FOR MEDICAL PRACTICE MANAGEMENT 3RD EDITION TABLE OF CONTENTS About the Body of Knowledge..................................................3
More informationIssue Brief ICD-10 Vendor Readiness
WEDI Strategic National Implementation Process (SNIP) ICD-10 Testing Sub Workgroup Issue Brief ICD-10 Vendor Readiness July 16, 2015 Workgroup for Electronic Data Interchange 1984 Isaac Newton Square,
More informationTHE BODY OF KNOWLEDGE FOR MEDICAL PRACTICE MANAGEMENT A FRAMEWORK FOR SUCCESS
THE BODY OF KNOWLEDGE FOR MEDICAL PRACTICE MANAGEMENT A FRAMEWORK FOR SUCCESS It s a direct reference to what we do on a daily basis, of what you need to know... Professionals demonstrate that knowledge
More informationEmdeon ICD-10 Program Playbook. Version 1.0 October 1, 2012 Version 1.3 Revised Q3 2014
Emdeon ICD-10 Program Playbook Version 1.0 October 1, 2012 Version 1.3 Revised Q3 2014 This information is provided by Emdeon for education and awareness use only. Even though Emdeon believes that all
More informationPractice Transformation Academy Kick-off Meeting
Practice Transformation Academy Kick-off Meeting The Care Transitions Network National Council for Behavioral Health Montefiore Medical Center Northwell Health New York State Office of Mental Health Netsmart
More informationecqm Implementation and Submission Insights Cerner Corporation Nebraska Methodist Health System
ecqm Implementation and Submission Insights Cerner Corporation Nebraska Methodist Health System Agenda: 2015 Pilot Program Overview Client Perspective Questions 1 2015 ecqm Pilot Program Overview of 2015
More informationPhysician Practice ICD-10 Readiness Survey: Seven Key Survey Findings and Action Items June XX, 2013
Physician Practice ICD-10 Readiness Survey: Seven Key Survey Findings and Action Items June XX, 2013 Survey Background In the fourth quarter of 2013, Navicure commissioned Porter Research to conduct a
More informationAnalytics. HealthView. Cardiovascular Data Intelligence.
HealthView Analytics Cardiovascular Data Intelligence www.lumedx.com info@lumedx.com Meaningful Data for Clinical and Operational Success Cardiovascular service lines are under tremendous pressure to perform
More informationE-Guide PACS INTEGRATION SCHEDULING OTHER ELEMENTS STREAMLINE RADIOLOGY IT
E-Guide PACS INTEGRATION SCHEDULING OTHER ELEMENTS STREAMLINE RADIOLOGY IT G etting your house in order begins with. Do it right, and you ll positively affect the bottom line. Read on to learn more PAGE
More informationProvider Directory Data Quality Compliance Program
Provider Directory Data Quality Compliance Program Frequently Asked Questions February 2017 General Information 1. What is the Provider Directory Data Quality Compliance Program? In 2016, CMS mandated
More informationHealth Information. for Government. Maximize the Value of Your Health Information Exchange
Health Information Exchange Solutions for Government Maximize the Value of Your Health Information Exchange A Trusted Partner for Health Information Exchange Initiatives For more than 30 years, Truven
More informationThe 14 Questions You Must Include In An Emergency Medicine Billing RFP
The 14 Questions You Must Include In An Emergency Medicine Billing RFP THE 14 QUESTIONS YOU MUST INCLUDE IN AN EMERGENCY MEDICINE BILLING RFP The standard process for evaluating organizations you re considering
More informationMORGAN HUNTER HEALTHCARE INC HEALTHCARE IT STAFFING & CONSULTING. mhhealthcare.com
MORGAN HUNTER HEALTHCARE INC HEALTHCARE IT STAFFING & CONSULTING mhhealthcare.com 866.491.3434 Healthcare IT Staffing & Consulting Missed deadlines. Over budget. Short staffed. Scope creep. Lack of technical
More informationThe Value of Agile Self-Service Analytics. Mike Zuschin Director, Decision Support & Business Intelligence March 3 rd 2016
The Value of Agile Self-Service Analytics Mike Zuschin Director, Decision Support & Business Intelligence March 3 rd 2016 Agenda Cleveland Clinic & Early Analytics Success: The Phantom Menace Meeting Increased
More informationPHYSICIAN PRACTICE SOLUTIONS
PHYSICIAN PRACTICE SOLUTIONS www.healthdirections.com PROGRAM OBJECTIVE The objective of the Physician Practice Solutions offering is to provide programs and services to improve the operational and financial
More informationemeasure Learning Collaborative: Advancing the Adoption, Implementation, and Use of emeasures
emeasure Learning Collaborative: Advancing the Adoption, Implementation, and Use of emeasures FINAL REPORT December 14, 2012 Contents Executive Summary... 4 Introduction... 4 emeasure Learning Collaborative
More informationRevenue Cycle Management (RCM) Outsourcing Annual Report 2016: Growth on the Back of Declining Provider Margins
Revenue Cycle Management (RCM) Outsourcing Annual Report 2016: Growth on the Back of Declining Provider Margins Healthcare and Life Sciences (HLS) BPS Annual Report December 2016 Preview Deck Our research
More information2016 Experian Information Solutions, Inc. All rights reserved. Experian and the marks used herein are service marks or registered trademarks of
2016 Experian Information Solutions, Inc. All rights reserved. Experian and the marks used herein are service marks or registered trademarks of Experian Information Solutions, Inc. Other product and company
More informationFinancial Consultant - Managed Care Contracting
HFMA-EMC PLACEMENT COMMITTEE NEWS Best of luck on your job search! Also, remember to check the Professional Recruiting section on our website. Financial Consultant - Managed Care Contracting Reporting
More informationThe AAO-HNSF Clinical Data Registry
The AAO-HNSF Clinical Data Registry Reg-ent MIPS Quality Performance Category Reporting Webinar September 21, 2017 1:00 2:00 PM ET Opening Remarks Welcome Introduction of Speakers Cathlin Bowman, MBA Director,
More informationStreamlining Business Operations Belknap Campus. Town Hall Presentation Belknap Business Operations April 2016
Streamlining Business Operations Belknap Campus Town Hall Presentation Belknap Business Operations April 2016 Overview Existing State Future State Vision Shared Services Description & Workflow Development
More informationSpend visibility and shared services Strategies to address growing pains for long-term care organizations
Spend visibility and shared services Strategies to address growing pains for long-term care organizations Prepared by: Gerry Hodson, Director, Financial Advisory Practice, McGladrey LLP 816.751.4031, gerry.hodson@mcgladrey.com
More informationGet Exactly What You Want from Your Next Contract
Payment Integrity Compass Get Exactly What You Want from Your Next Contract Your Payer Negotiations Toolkit In this toolkit, you will learn: Best practice internal communication strategies How to organize
More informationNetwork Development. Creating a strategic advantage through integration and alignment across the healthcare ecosystem
Network Development Creating a strategic advantage through integration and alignment across the healthcare ecosystem Michael Strilesky, Principal // Michael Lutkus, Sr. Manager 2 PINNACLE SPEAKER PROFILE
More informationRegional Extension Center Request for Information Meaningful Use EHR Vendors July 26, 2010
Regional Extension Center Request for Information Meaningful Use EHR Vendors July 26, 2010 To Whom It May Concern: ehealthconnecticut is readying an on-line database of qualified EHR vendors for posting
More informationSurviving a CMS EHR Audit
Why Me? Surviving a CMS EHR Audit Gerald E Meltzer, MD MSHA Medical Director imedicware ASOA 2014 Providers who receive an EHR incentive payment for either the Medicare or Medicaid EHR Incentive Program
More informationSTRATEGIES FOR SUSTAINING THE CHANGE EDWARD CURRY MD FAAP
STRATEGIES FOR SUSTAINING THE CHANGE EDWARD CURRY MD FAAP Aggregate Data Cycle 3 (Results discussed and documented) (Results discussed and documented) Learning Objectives Identify key strategies for
More informationCommunity Tool to Align Measurement. March 7, 2012
Community Tool to Align Measurement March 7, 2012 Webinar Tips Turn on your computer speakers For technical assistance, click the Live Help button or email: NQF@commpartners.com Submit questions using
More informationTaking the Lead in Revenue Cycle Transformation
Taking the Lead in Revenue Cycle Transformation Kamron Lachney Vice President of RCM Operations, McKesson Change Healthcare August 29, 2017 Today s Speaker Kamron Lachney, MBA Vice President, Hospital
More informationIntroduction to Provider Networks & Provider Applicant Process
Introduction to Provider Networks & Provider Applicant Process The University of Utah Health Plans (UUHP) contracts with physicians and other health care professionals and facilities to offer provider
More informationICD-10 Preparation: Focus on the Hospital Where are we? What do we have to do?
ICD-10 Preparation: Focus on the Hospital Where are we? What do we have to do? ICD-10 Preparedness Workshop Series Tuesday, April 2, 2013 John Behn, MPA It s not a secret. Wake up! International Classification
More informationNote: This is an authorized excerpt from the Guide to Health Risk Assessment and Stratification. To download the entire guide, go to
Note: This is an authorized excerpt from the Guide to Health Risk Assessment and Stratification. To download the entire guide, go to http://store.hin.com/product.asp?itemid=4110 or call 888-446-3530. Guide
More informationMedicare Advantage risk adjustment: How deep is the well?
Medicare Advantage risk adjustment: How deep is the well? With increasing regulation and focus on quality, comprehensive risk and quality programs are more important than ever. Whether you re engaging
More informationPerformance Benchmarking Toolkit for California Health Centers: Tracking Data to Improve Financial Performance
Performance Benchmarking Toolkit for California Health Centers: Tracking Data to Improve Financial Performance Prepared by Sponsored by Blue Shield of California Foundation Health Center Financial Performance
More informationsix years post six years post-- attestation
Surviving a CMS EHR Audit Gerald E Meltzer, MD MSHA Medical Director imedicware ASOA 2014 Why Me? Providers who receive an EHR incentive payment for either the Medicare or Medicaid EHR Incentive Program
More informationConnect. Collaborate. Transform. All-in-One. Electronic Health Records, Practice Management, Patient Engagement & RCM Services
Connect. Collaborate. Transform. All-in-One Electronic Health Records, Practice Management, Patient Engagement & RCM Services B E S T I N 2015/2016 #1 Electronic Medical Records 2017 Software and services
More informationHow to Make IT the Underpinning of the Enterprise Strategy
How to Make IT the Underpinning of the Enterprise Strategy Session #146 February 22, 2017 1 John Ward, CIO TriHealth Bob Schwyn, Director The Chartis Group Speaker Introductions John Ward, CIO Chief Information
More informationHIPAA: Overview and Impact On Revenue Cycle
HIPAA: Overview and Impact On Revenue Cycle Transaction Standards and Code Sets and Their Effect on the Revenue Cycle Lee Barrett, Director, Health Care Practice PricewaterhouseCoopers, LLP Lee.Barrett@us.pwcglobal.com
More informationPowering the Connected Healthcare Ecosystem
Powering the Connected Healthcare Ecosystem Mark Leenay MS, MD Chief Medical Officer and Senior Vice President -Performance Assessment - Managing Populations and Processes Optum: The Industry Leader in
More informationJOB DESCRIPTION. 2. Serves as the practice expert and go to person for all coding and billing processes.
JOB DESCRIPTION POSITION TITLE : Medical Biller/Coder REPORTS TO: Chief Financial Officer HOURS: Full Time FLSA: Non-Exempt Summary Position responsible for coordinating the overall functions of the medical
More informationCALL FOR PRESENTATIONS AMGA 2017 ANNUAL CONFERENCE March 22-25, 2017, Gaylord Texan, Grapevine, TX
CALL FOR PRESENTATIONS AMGA 2017 ANNUAL CONFERENCE March 22-25, 2017, Gaylord Texan, Grapevine, TX Medical group leaders at AMGA member organizations all share a common goal to provide the best care to
More informationThank you for the opportunity to comment on the Sequoia Project s Framework for Cross- Organizational Patient Identity Management.
January 22, 2016 Ms. Mariann Yeager Chief Executive Officer The Sequoia Project 1600 Tysons Blvd., 8 th Floor McLean, VA 22102 Dear Ms. Yeager: Thank you for the opportunity to comment on the Sequoia Project
More informationQUALITY FINANCIAL OPERATIONAL PERFORMANCE IMPROVEMENT DRIVEN BY DATA SCIENCE
QUALITY FINANCIAL OPERATIONAL PERFORMANCE IMPROVEMENT DRIVEN BY DATA SCIENCE ENGAGING WITH PROSKRIPTIVE IS THE FIRST STEP TOWARD #HEALTHCAREINCONTROL QUALITY IMPROVEMENT REIMBURSEMENT MAXIMIZATION POPULATION
More informationThe Promise of Data-Driven Healthcare
The Promise of Data-Driven Healthcare MegaTrends for 2018 and Beyond February 27, 2018 Presenters 1 Valerie Barton, Managing Director Valerie oversees Manatt s data and analytics capability. She works
More informationA Seven-Step Approach to a Clinically Integrated Network. April 28, 2016 Track B ACOs, Population Health, Affiliation and Other Issues
A Seven-Step Approach to a Clinically Integrated Network April 28, 2016 Track B ACOs, Population Health, Affiliation and Other Issues Presenters Gayle L. Capozzalo, FACHE Executive Vice President/Chief
More informationRequest for Resume (RFR) MHBE IT IDIQ Master Contract All Master Contract Provisions Apply. Section 1 General Information
Section 1 General Information RFR Number: (Reference BPO Number) Functional Area (Enter One Only) ADPICS Reference BPO number to be entered upon issuance Functional Area Eight IT Quality Assurance Consulting
More informationUnderstanding Attestation for the Medicare EHR Incentive Programs Eligible Professionals. Chicago Regional Office Webinar June 1, 2011
Understanding Attestation for the Medicare EHR Incentive Programs Eligible Professionals Chicago Regional Office Webinar June 1, 2011 1 Agenda Path to payment Register Attest Payments Walkthrough of the
More informationTransitioning to Risk-Based Physician Auditing. What Metrics to Look at? Understanding Peer Group Data
How to Develop Benchmarking scorecards Transitioning to Risk-Based Physician Auditing What We Are Going To Cover 1 2 The Current Audit Activity Reactive vs. Proactive Auditing 3 4 What Metrics to Look
More information2018 SURVEY SUITE. Strengthening Total Compensation Solutions through Data-Driven Intelligence and Insights. Cover TBD
Cover TBD 2018 SURVEY SUITE Strengthening Total Compensation Solutions through Data-Driven Intelligence and Insights Competitive compensation arrangements to attract, engage and retain your executives,
More informationEHR AND ERP INTEGRATION. January 25, 2018
EHR AND ERP INTEGRATION January 25, 2018 Your Instructor Agenda Introduction to EHR and ERP EHR and ERP integration opportunities Evaluating the potential impact of EHR and ERP integration to your organization
More informationLIAISON ALLOY HEALTH PLATFORM
PRODUCT OVERVIEW LIAISON ALLOY HEALTH PLATFORM WELCOME TO YOUR DATA-INSPIRED FUTURE THE LIAISON ALLOY HEALTH PLATFORM Healthcare and life sciences organizations are struggling to deal with unprecedented
More informationSynapse RIS SOLUTIONS
Synapse RIS Product Guide Synapse RIS SOLUTIONS Patient Workflow Comprehensively manages all phases of radiology: scheduling, registration, referring physician, patient tracking, billing. Analytics Advance
More informationOffice of Vice President, Business and Finance Financial Services
Calliiforniia Sttatte Uniiversiitty,, Sttaniisllaus Office of Vice President, Business and Finance EXECUTIVE SUMMARY JULY 2008 Kenton Whitfield, Interim Vice President Business and Finance Nancy Havens,
More information