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[Newsletters]
[Audio Conferences] [Reports]
Information Resources for Health and Hospital Provider Reimbursement 90-Minute Education and Training Program on CD-ROM Reimbursement Briefing: New FY2011 Medicare Inpatient Prospective Payment Systems (IPPS) Final Rule - What Your Hospital Needs to Know
RAC Resource Bundle: Tips, Strategies and Need-To-Know Information for 2010 National Implementation The RAC Resource Bundle will help guide your organization through the multiple defenses and strategies that can be employed to ensure safety of past Medicare claims. The bundle includes two programs on CD-Rom: “Preparing for a Medicare RAC Audit: How to Proactively Develop a Defense and Appeal Strategy to Minimize Losses;” “Identifying Top Reimbursement Compliance Issues in 2008: Preparing for OIG, Medicare Contractor and RAC Audits;” and a special 30-page report “RAC: A Strategy Guide to Protecting Medicare Claims Payments." Available on CD-ROM Management Briefing: New Medicare 2009 Outpatient PPS Final Rule Changes The Centers for Medicare and Medicaid Services (CMS) has announced a final rule establishing Medicare payment and policy changes for services in hospital outpatient departments for calendar year 2009. Join Healthcare Reimbursement Monitor and the reimbursement and coding experts of Deloitte & Touche to get a better understanding of the new Medicare changes for OPPS and how it will impact your organization in this live 90-minute audio conference. Available on CD-ROM How to Develop a Hospital Cost-Based Pricing Strategy That Maintains Competitiveness and Net Revenue With increased focus on healthcare reform, many stakeholders, including employers and health plans, believe that if consumers have access to what healthcare services cost, they will be more discriminating in their health care purchases, which, in turn, can help to lower overall health care costs. As more patients make healthcare decisions based on what it will cost them out-of-pocket, the importance of making prices rational and defensible is irrefutable. Join Health Reimbursement Monitor to come away with the tools necessary to develop a cost-based pricing strategy that maintains pricing competitiveness and net revenue in this live 90-minute audio webcast. Available on CD-ROM The Centers for Medicare and Medicaid Services (CMS) reported that Medicare has recovered more than $1 billion through the Recovery Audit Contractor (RAC) program since 2005, with 85 percent of the recovered improper overpayments collected from inpatient hospitals. CMS is required by law to make RAC a permanent, national program by Jan. 1, 2010. Join Health Reimbursement Monitor and three diverse RAC experts in the live 90-minute audio webcast. Available on CD-ROM Management Briefing: Medicare Inpatient Prospective Payment System Final Rule for FY2009 The Centers for Medicare and Medicaid Services (CMS) has released its fiscal year 2009 Medicare inpatient prospective payment system final rule that will become effective October 1, 2008. FY 2009 marks the end of the transition to the new Medicare-Severity DRG (MS-DRG) system. The changes will result in redistributions of Medicare reimbursement. Join Healthcare Reimbursement Monitor and the reimbursement experts from CBIZ KA Consulting Services in this new 90-minute audio webcast. Available on CD-ROM Never Events: Reducing Preventable Errors and Their Impact CMS launched its Hospital-Acquired Conditions (HAC) initiative in October 2007. This coming October, Medicare will expand the current list of eight HAC to 17 preventable errors that they will no longer pay for. Join the Managed Care Information Center and three industry leaders in this 90 minute audio conference and webinar. Available on CD-ROM Value-based purchasing (VBP), which links payment to performance, is a key policy mechanism that the Centers for Medicare and Medicaid Services (CMS) is proposing to transform Medicare from a passive payer of claims to an active purchaser of care. Join Healthcare Reimbursement Monitor to hear the overview of Medicare Hospital VBP program plans for FY2009 in this 90 minute audio conference and webinar. Available on CD-ROM What’s Ahead for Healthcare Reimbursement: Are You Ready for the New Payment Models and Initiatives? There is widespread agreement that the current healthcare fee-for-service payment system needs to be to be revamped. Today, more than ever, a significant amount of attention is being spent on finding ways to improve health care quality and health outcomes while controlling health care cost growth. Learn which new strategies for payment restructuring most effectively address the current fee-for-service problems in this 90-minute session. Available on CD-ROM The 2008 Office of the Inspector General's (OIG) work plan provides a list of areas considered subject to abuse, and therefore, increased scrutiny. The recovery audit contractor (RAC) demonstration program was slated to end this month, but the Tax Relief and Health Care Act of 2006 has made the RAC program permanent. Join Healthcare Reimbursement Monitor to identify the coding, billing and reimbursement compliance issues identified by RAC audits and the OIG FY2008 Work Plan in this 120-minute audio conference and webinar. Available on CD-ROM Payor-Provider Managed Care Contract Negotiations: Current Strategies and Best Practices to Maximize Reimbursement Managed care contracts are one of the most important drivers of a healthcare organization’s financial reimbursement, cash flow and profitability. Developing strategic contracting language can dramatically improve your revenue stream. But failing to clarify certain payment terms could also lead to long-term financial problems. Join The Managed Care Information Center and three experts in managed care negotiations in this 90-minute audio conference and webinar. Available on CD-ROM Management Briefing: New Medicare 2008 Outpatient Prospective Payment System Final Rule Changes The Centers for Medicare & Medicaid Services (CMS) has announced its final rule for Medicare policies and payments effective on January 1, 2008 for hospital outpatient departments and ambulatory surgical centers. This new rule represents perhaps the most drastic change since the Outpatient Prospective Payment System was first implemented. Join Healthcare Reimbursement Monitor and the reimbursement experts of CBIZ KA Consulting, a leading advisory firm in healthcare financial management and operations, to get a better understanding of the new Medicare changes for OPPS and how it will impact your organization in this 90-minute audio conference and webinar. Available on CD-ROM Management Briefing: 2008 Final Medicare Inpatient Prospective Payment System Rule The Centers for Medicare and Medicaid Services (CMS) has released its final rule on the 2008 Medicare hospital inpatient prospective payment system. The changes will significantly affect how hospitals are reimbursed in order to improve the accuracy of Medicare’s inpatient hospital payments by using hospital costs rather than charges, to set rates. The reforms include significant changes to the inpatient diagnosis-related groups (DRGs) in order to account more fully for the severity of each patient’s condition. Attend this 90-minute audio conference to get a comprehensive summary of the changes. Available on CD-ROM Claim denials by managed care organizations continue to plague healthcare providers, according to a new survey by the Managed Care Information Center. It’s one of the leading problems confronting both hospitals and physicians. Learn how to prevent claim denials before they happen to obtain the revenue your organization is entitled to! Join Healthcare Reimbursement Monitor and three reimbursement experts to find out how to submit approvable claims in this 90-minute audio conference. Available on CD-ROM Pay-for- Performance: Lessons Learned and Future Predictions Are physician incentives the panacea to a struggling healthcare system leading to strengthening quality measures, improved outcomes, and increased patient and health plan member satisfaction? Join Pay-for-Performance Reporter and the Managed Care Information Center along with the pioneers of pay-for-performance for a discussion of past successes and the challenges ahead in this 90-minute audio conference on CD-ROM. The Pay for Performance Reporter will provide you with answers to questions you may have, with facts, news, insight and emerging P4P developments. Discover how early adopters achieved physician "buy in," the importance of leverage, how to choose your measures wisely and choose measures that are defensible, and why provider feedback is so important. Pay-for-Performance:
Incentives, Models, Measures and Perspectives As quality concerns escalate and healthcare costs skyrocket, P4P incentive programs are being implemented by health plans around the country as a way to reward healthcare efficiency and effectiveness. This report gives you a comprehensive understanding of this developing reimbursement trend that may change how providers are measured and paid and improve the quality of care and patient satisfaction. Healthcare
Reimbursement Monitor Management Briefing: New Medicare 2007 Outpatient and Reimbursement Final Rule Changes The Centers for Medicare & Medicaid Services (CMS) has announced its final rule for billing and coding outpatient and ASC services for Medicare payments effective on January 1, 2007. Attend this 90-minute audio conference to get a better understanding of the new Medicare coding and reimbursement changes for OPPS and how it will impact your organization. Management Briefing: Hospital Inpatient Prospective Payment System 2007 Final Rule Changes The Centers for Medicare and Medicaid Services (CMS) has changed the method for reimbursing hospitals for inpatient stays for fiscal year (FY) 2007. It is the first significant change in the reimbursement system since it was first implemented in 1983. The revised payments will be effective for discharges on or after October 1st. Join the reimbursement experts of BESLER Consulting to get a better understanding of the new Medicare methodology and how it will affect your organization. How to Develop Defensible Yet Optimum Hospital Pricing Increased scrutiny of hospital prices by Federal agencies, patients and the public in general, at a time when hospital operating margins are weak, has provided great impetus for hospital financial managers to become more sophisticated in their approach to establishing prices. New methods must integrate payor contract information with market analysis and the actual cost of the CDM line item to ensure that prices are established at “Defensible yet Optimum” levels. How can optimal financial results be achieved in an era of ever diminishing financial resources and expanding regulatory complexities? Find out at this special audio conference. Hospice Medicare Reimbursement Rates and the New 2006 Wage Index As expected, the final rule setting the Hospice Wage Index for Fiscal Year 2006 has recently been announced by the Centers for Medicare and Medicaid Services. The new hospice wage index will be used to reflect local differences in area wage level by adjusting payment rates for hospices under the Medicare programs. The CMS identifies the revised labor market and metropolitan core based statistical areas. Join Tom Boyd from Boyd and Nicholas to get a better understanding of the new Medicare reimbursement methodology and how it will affect your agency in this special 60-minute teleconference. Can We Get To Yes? Key Issues in Managed Care Payor-Provider Contracting Increasingly hospitals are walking away from payor contracts. Physicians are not only dropping out of health plan networks, but also some are not accepting health insurance. And the headlines carry more and more news about physicians-payor lawsuits. How do you get to "yes" in this environment? Can payors and providers find room to reach agreement? Are providers willing to leave money on the table? The goal of this conference call is to provide a 360-degree assessment of health plan - provider contracting issues for the coming round of negotiations. MCO consolidation in many key markets may tip the scales. Can hospitals negotiate adequate reimbursement when up against the proverbial "900 pound gorilla?" How to Optimize Your Organization’s Cash Flow by Effective Denials Management CD ROM
Hard Copy
Report What's Working in P4P 'Box Set' Looking for an easy way to acquaint your team with “pay-for-performance” (P4P)? Introducing the P4P Audio Conference CD Box Set. These highly rated, executive-level telebriefings on CD are ideal for low cost, affordable team training. The programs feature four early adopter insiders providing details, metrics, payment structure, characteristics of successful programs, design principles and what's working are key points covered in three hours of high-level management discussion on details on pay for performance.
Getting It Right: Designing Outcomes-Based Physician Incentive Compensation Over the past 3 years, millions of dollars have been awarded to physicians as quality improvement incentives. Health plans are "rushing" to develop performance-related physician incentive programs. |
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