In 2024, financial pressures on providers are intensifying. A surge in claim denials—caused by patient access inaccuracies, coding errors, policy changes, and payer misalignment—has led to longer reimbursement times for 67% of healthcare providers. Coupled with a shortage in the RCM workforce in an already complex administrative environment, it's clear there are significant hurdles to overcome.
The 2025 RCM Summit brings together senior RCM executives from leading U.S. healthcare providers, payers and vendors to address these challenges and explore innovative strategies for maximizing revenue cycle performance. By focusing on accelerating reimbursements, safeguarding patient data, and fostering collaboration between all stakeholders, we'll future-proof revenue cycles for sustained success.
3 Reasons To Join Us
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NETWORKConnect with top RCM professionals and expand your circle of industry leaders.
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SAVEMeet with innovative vendors who deliver $1M+ savings to boost your bottom line.
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Our Community
The RCM Summit is your chance to learn, connect, and collaborate with top minds in the industry. Tailored for healthcare leaders—CFOs, COOs, CEOs, CIOs and Directors of Revenue Cycle, Patient Access, PFS, Coding, Billing and Compliance—this event provides a platform to share insights, gain fresh perspectives, and explore innovative solutions. Join peers, payers, and RCM technology vendors for dynamic discussions and invaluable networking opportunities designed to help you stay ahead in today’s RCM landscape.
DON'T TAKE OUR WORD FOR IT
This was by far the best payor-provider networking event fostering collaboration that I have ever attended!
I’m excited about meeting new people and expanding my network. I’m particularly looking forward to learning what other organizations are focusing on for patient access solutions.
I am excited to learn how revenue cycle management impacts the healthcare provider and patient experience.
I love all things revenue integrity-related and am honored to have been asked to present at the RCM Summit. I'm looking forward to meeting and networking with others who share that same passion in the industry.
26% of health plans identify access to quality data as their biggest challenge
Understand the several critical points for payers in the healthcare sector as they navigate the complexities and opportunities of 2024 considering the evolution of payment integrity, opportunities with AI implementation and impact of financial pressures.
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"The HPRI event's are great. I enjoy the presentations, opportunity to meet with vendors and network with other payers and providers."Monique Pierce, Head of Payment Integrity joined Devoted Health in 2020 with the goal of building the first ever integrated Payment Integrity Program. She shares her experiences, wins and challenges at the HPRI events.
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Navigating the Payment Integrity Vendor landscape with usThe ultimate guide to who’s who in the payment integrity vendor space – to help you choose the best option for your business.
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Looking for tips and tricks on how to develop your payment integrity strategy in 2024?We met with leader Dr. Michael Seavers from Harrisburg University of Science and Technology on where to start when it comes to addressing your current strategy to ensure you are working efficiently.
The Payment Integrity Vendor Landscape
Navigating the Payment Integrity Vendor landscape can be daunting for health plans and providers, given the multitude of vendors and their diverse specialties. With so many options available, it's often difficult to identify the best partners. That's why we've created this document, which showcases the top vendors tailored to your specific needs including:
- Fraud Anayltics
- Provider Networking/Contracting
- PI BPO
- Pharmacy Benefit Management
- Coordination of Benefits
- Subrogration
- Risk Adjustment/Analytics
- Data Analytics and Data Mining
- Claims Management
- Patient Experience
- Specialty Audits
- Prior Authorisation
- Payment Management
OUR COMMUNITY OF PAYERS AND PROVIDERS
How To Get Involved
Partner with us to showcase your tech and leadership
Explore opportunities to grow your brand, build key relationships, and make a lasting impact in the industry. Contact Thomas Carter at [email protected]
Providers, your ticket is on us!
Join dynamic discussions and presentations that address your biggest challenges and unpack the newest opportunities. Connect with top industry experts, innovative RCM vendors and payers.
PREVIOUS SPEAKERS
Cynthia Johnson
Andrew Zurick
Becky Peters
Betye Ochoa
Ebrahim Barkoudah
Edward Thomas
AGENDA HIGHLIGHTS
Recent Challenges and Trends in Revenue Cycle Management
- Gain insights into the current state of the RCM industry and understand the key challenges healthcare organisations face.
- Identify strategic priorities essential for enhancing financial performance and optimising the revenue cycle.
- Explore the impact of adopting cutting-edge technologies and tools to streamline revenue cycle management processes, reduce costs, and improve overall profitability
The Denial Diagnosis: Uncovering Root Causes
- Learn how to identify and overcome clinical and technical denial triggers, potentially saving your organization millions in lost revenue.
- Gain insider knowledge from our expert panellists on the top reasons for claim denials and disocover how to tackle common pitfalls in insurance verification, pre-authorisations, documentation, and coding.
- Walk away with actionable, data-driven techniques to analyze your denial trends, close process gaps and improve first-pass resolution rates.
Lisa Meredith
Howard Kung
The Denial Playbook: Turning Rejections into Revenue
Learn tactics and proven strategies to handle denials effectively and efficiently as they arise.
Listen to our expert panel as they provide practical insights on building a robust denials management program, including strategies for categorising and prioritising denials based on financial impact and resolution probability.
- Discover best practices for streamlining the appeals process and leveraging data analytics to track, analyse, and optimise your denial management workflows, empowering you to reduce losses and accelerate reimbursement times.
Paul LePage
Betye Ochoa
Ebrahim Barkoudah
Brennan John
AI Advantage: Transforming Denials Management
- Explore how AI/ML can streamline denial management processes and drive financial performance.
- Overcome the challenges of deploying AI/ML by learning actionable steps to help your organization achieve seamless integration and maximise the impact of these tools.
- Address the elephant in the room. Confront the critical cost vs. outcome debate with an in-depth analysis of key metrics.
From Code to Cash: The Impact of Accurate Coding on Financial Success
- Explore how accurate coding practices can reduce claim denials, enhance reimbursement rates, and streamline revenue cycle processes.
- Discover actionable ways C-level executives can empower coding professionals to drive better financial outcomes.
Howard Kung
Coding on Autopilot: Enhancing Efficiency Through Automation
- Discover how automation in coding reduces manual workloads, increases accuracy, enables compliance, and speeds up the revenue cycle, leading to faster reimbursement and fewer denials.
- Talk through the challenges of integrating automated systems and how to overcome these.
Looking at Risk from so Many Places
- This session will briefly overview the 5 OIG healthcare risk areas, including the False Claims Act, Anti-kickback Statute, Civil and Monetary Penalties, Exclusions, and the Stark Law.
- Discover the areas commonly denied and at risk of violating the False Claims Act. This includes medical necessity of admissions and services, unbundling and improper coding and modifier assignment, double billing, billing for services not provided, upcoding, and billing non-covered services as provided.
- Walk away with resources available to identify what the OIG is targeting and internal resources that facilities can utilize to identify and mitigate hospital-specific risks.
- Learn about the factors to consider when determining the need to involve legal counsel.
Jill Sell-Kruse
Keeping Pace with Coding Compliance
- Learn practical strategies to navigate the ever-evolving coding regulations landscape.
- Explore the latest coding compliance updates and how to proactively adapt to regulatory changes.
- Uncover common coding pitfalls and best practices to ensure accurate documentation and reduce audit risks.
Sandy Giangreco Brown
Assessing the Effectiveness of Revenue Cycle Training: The Trinity Health Journey
- This presentation will provide a detailed Case Study review of Trinity Health’s Lean Daily Management Training Effectiveness Dashboard and the methodology used to measure Revenue Cycle knowledge transfer and proficiency.
- These tools and strategies are vendor agnostic and, in this example, will be applied to seventeen (17) different Health Information Systems (HIS) using the Kirkpatrick Model of Assessment and our experience with over 8,000 trainees.
- Content will provide a “deep dive” into what is possible in the assessment of Revenue Cycle training and, in addition, give a Journey Map for organizations to start where they are to begin evaluating their Revenue Cycle training effectiveness.
Edward B. Thomas MBA/MSW
Growing Top Performers in RCM
- This presentation will showcase a proven approach to growing top performers, emphasizing its importance as a key component to sustainable success. The methodology highlights how building cohesive teams and identifying leadership talent are anchored in what Mr Brown calls the 3 Cs—compassion, consistency, and coachability—non-negotiable traits for leaders at all levels.
- The content will dive into how setting clear guardrails for leaders while allowing autonomy fosters high-performing teams.
- By adopting a servant-supportive leadership style, Mr Brown and his team achieved measurable results, including increasing their budgeted fill rate from 93.2% to 98.5%, reducing turnover by 117%, and boosting the team member engagement index by 22.3% over 18 months. These outcomes were realized in patient access teams, a sector known for talent retention challenges.
Willie Brown
Normalizing Love in Business
- This session will discuss the concept of Love in business and how it can be a specific business strategy to drive performance, positive business outcomes, and employee retention.
- Real-life stories, as well as quantifiable studies, will be shared to demonstrate the tangible value of love in business.
- Finally, a 4-dimensional tool will be presented to encourage participants to explore HOW they can bring love into business practice.
Cynthia Johnson
Increasing Capacity: How it Impacts Patient Access
Paul Schmitz
The Financial Clearance Process: Verify, Obtain, Collect
Listen to quick tips on expediting front-end revenue cycle processes such as registration, insurance verification and pre-authorisation.
Deep dive into specific metrics on how an integrated financial clearance process can help your revenue cycle.
- Learn the challenges and benefits of technology adoption in early patient access.
Ismet Sharich
The Data Drama
Discuss how to ensure accuracy during patient registration to avoid claim denials and delayed reimbursements.
Explore the role of automation tools (e.g., robotic process automation, AI-driven analytics) in improving data capture, reducing manual errors, and providing actionable insights to optimize patient access workflows.
Guarding Patient Trust by Putting Security First
Discover how a leading Patient Access technology provider implements the latest best practices and strategies to ensure compliance with regulations, protect sensitive health information, streamline workflows, and boost revenue.
Gain valuable insights on addressing common vulnerabilities, managing cybersecurity threats, and fostering a culture of privacy in RCM, all while avoiding costly penalties and maintaining patient trust.
Have the Upper Hand: Negotiate Payer Contracts Like A Pro
Explore insights and strategies needed to navigate contract negotiations with confidence and expertise, ensuring you secure the best terms for your organization.
Recognize resources for the rules governing various types of health plans and contracting entities.
Understand different reimbursement models, discuss techniques for preparing for
and conducting successful contract negotiations, and highlight common
challenges and how to overcome them.
Richelle Marting
Creating Common Ground: Strategies for Payer-Provider Synergy
Explore strategies for fostering stronger partnerships and enhancing cooperation between payers and providers to achieve mutual goals.
Discover how payers and providers can work together more effectively in key areas such as risk adjustment, utilization management, data sharing, and value-based care.
Learn how successful collaboration can lead to better patient outcomes, more accurate reimbursements, and improved financial performance for both payers and providers.
Cynthia Johnson
Catherine Pesek Bird
The Payer Puzzle: Simplifying Multi-Payer Management
Learn practical strategies to help your organization navigate the intricacies of working with numerous payers, each with its own rules, requirements, and reimbursement models.
Our expert speaker will share insights on keeping up with compliance, optimizing workflows, leveraging technology for more efficient payer management, and building stronger relationships with payers.
Garland Goins Jr
Payment & Revenue Integrity Issues in Value-Based Care
Frank Shipp
Frank E. Shipp currently serves as Executive Director of the Johns Hopkins Clinical Alliance, the clinically integrated network of Johns Hopkins Medicine. The network includes over 3,000 providers, consisting of both employed and independent practices.
Frank transitioned to value-based care after 25 years of hospital-based operations experience in both community and academic health systems. During the past nine years, Frank has held executive positions in a Payor-Provider Organization in NYC and has built a highly successful CIN over a five-year period in Northern New Jersey. Frank speaks regular at national healthcare conferences regarding value-based care strategies and tactics.
Frank completed his MBA at Fairleigh Dickinson University, is a certified Fellow of the American College of Healthcare Executives and a trained Black Belt in Lean Six Sigma from Villanova University.
Beyond the Visit: Continuous Communication Strategies
- Explore the latest cutting-edge technology, such as automated messaging, AI-driven communication platforms, and personalised outreach strategies, to keep patients informed, engaged, and satisfied beyond their visit to the hospital.
Andrew Zurick
Collecting with Compassion: Improving Patient Financial Engagement
- Explore Banner Health’s practical approaches to engaging patients proactively and reducing financial avoidance behaviours that lead to delayed or missed payments.
- Our expert speaker will share insights on understanding the root causes of financial avoidance, leveraging technology for financial engagement, building trust and reducing patient anxiety related to financial responsibilities.
Becky J. Peters
No more surprises in the No Surprises Act
- This session addresses key pain points around the No Surprises Act and discusses out-of-network billing, patient cost-sharing protections, and transparency rules.
Data Dilemmas
- This is your opportunity to dive deep into data challenges in your RCM.
- Explore methods to improve data quality at the point of entry.
Address the difficulties in integrating data across disparate systems such as EHRs, billing platforms, and payer systems, and the role of standardization in improving data flow and communication.
Explore the use of robotic process automation (RPA) and AI for automating routine data tasks, reducing errors, and enhancing data processing speed across the revenue cycle.
Review how to ensure compliance with healthcare regulations (HIPAA, GDPR, etc.) when handling patient data and the importance of protecting sensitive information against breaches and unauthorized access.
Adopting and Integrating Diverse Technologies
This is your opportunity to wrap your head around adopting and integrating diverse technologies.
Discuss assessing and selecting the right technologies (e.g., EHRs, automation tools, AI, and analytics platforms) that align with an organization’s RCM needs and overall goals, considering factors like cost, scalability, and ease of integration.
Explore the technical challenges of integrating diverse technologies into existing RCM workflows, including data interoperability and system compatibility.
Address the human element of technology adoption, focusing on how to manage change within the organization, train staff effectively, and foster a culture of innovation to ensure successful implementation.
Discuss how to measure new technologies' return on investment (ROI), including key metrics like reduced Days in AR, increased collection rates, improved patient satisfaction, and cost savings.
Brennan John
MEDIA KIT
For more information on webinars, roundtables, content marketing packages, interviews and marketing solutions opportunities, download the Media Kit.
If you have any questions, please contact Harry Ludbrook, Sales Director, [email protected].
OUR COMMUNITY
Step into interactive discussions and engaging presentations on the key challenges and opportunities presented by payment companies today:
OUR PARTNERS
AUDIENCE BREAKDOWN
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Healthcare Payers/ Insurance Companies40%What our attendees say
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Healthcare Providers30%What our attendees say
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Payment Integrity Vendors30%What our attendees say
OUR SELECTION COMITTEE
Brannon Morisoli
Mr. Morisoli joined SWK Holdings as a Senior Analyst in March 2016. Prior to joining SWK, he was an Investment Analyst and Portfolio Manager for a family office that invested in equities, fixed income, real estate, and alternative investments. Prior to that, he was an Investment Analyst for Presidium Group, a real estate private equity firm, where he played an integral role in closing over $100mm in transactions. Mr. Morisoli began his career at Neurografix, a startup medical technology company in Santa Monica, CA that was doing groundbreaking work in the MRI imaging of peripheral nerves. While with Neurografix, he was published in two leading neurology journals. Brannon graduated from UCLA with a B.S., was awarded a fellowship and graduated from the University of Notre Dame with an M.B.A, and was awarded a Samson Fellowship from the University of Wisconsin Law School, where he graduated with a J.D. Mr. Morisoli is an inactive member of the State Bar of Wisconsin
Thomas Busby
Thomas Busby is a Vice President and has been with Outcome Capital since 2015. He focuses on medical technology, digital health and life science services segments with particular interest in innovative life science companies that deliver patient impact by leveraging novel approaches. Thomas is driven by the desire to identify disruptive technologies and services that require unique strategic thought and assistance to realize their full market potential. Thomas has been published in leading life science journals Life Science Leader and The Pharma Letter, and also serves on the board of HealthTech Build, a Boston-based digital health innovation group.
Prior to his career in life-science investment banking, Thomas pursued his passion for the public service and non-profit sectors working in a variety of leadership and management positions, and at one time held a Massachusetts teaching license.
Thomas completed his MBA at Suffolk University’s Sawyer Business School on full academic scholarship where he was President of the school’s Graduate Business Association and class speaker at graduation. Prior, he completed a BS in Philosophy with Honors from Suffolk’s College of Arts & Sciences. Committed to giving back, Thomas is currently the President of the College of Arts & Sciences Alumni Board of Directors. Thomas is a FINRA Registered Securities Representative holding his Series 79 and 63.
Robert Crousore
Robert has 28 years of experience in the health care products and
services industry. Crousore is a serial entrepreneur with multiple
successful product and services company exits. His experience spans
the entire business enterprise including Sales, Marketing, Operations,
Product Innovation and, most recently M & A.
Highlights Include:
- Has successfully managed a global commercial organization in the wound care business.
- Has a number of patent credits for products in the wound care industry.
- Sits on multiple boards of healthcare technology companies.
- His passion is creating meaningful changes in patient care by combining great products with great teams that are focused on empowering improved clinical and financial outcomes.
Brannon Morisoli
Mr. Morisoli joined SWK Holdings as a Senior Analyst in March 2016. Prior to joining SWK, he was an Investment Analyst and Portfolio Manager for a family office that invested in equities, fixed income, real estate, and alternative investments. Prior to that, he was an Investment Analyst for Presidium Group, a real estate private equity firm, where he played an integral role in closing over $100mm in transactions. Mr. Morisoli began his career at Neurografix, a startup medical technology company in Santa Monica, CA that was doing groundbreaking work in the MRI imaging of peripheral nerves. While with Neurografix, he was published in two leading neurology journals. Brannon graduated from UCLA with a B.S., was awarded a fellowship and graduated from the University of Notre Dame with an M.B.A, and was awarded a Samson Fellowship from the University of Wisconsin Law School, where he graduated with a J.D. Mr. Morisoli is an inactive member of the State Bar of Wisconsin
Thomas Busby
Thomas Busby is a Vice President and has been with Outcome Capital since 2015. He focuses on medical technology, digital health and life science services segments with particular interest in innovative life science companies that deliver patient impact by leveraging novel approaches. Thomas is driven by the desire to identify disruptive technologies and services that require unique strategic thought and assistance to realize their full market potential. Thomas has been published in leading life science journals Life Science Leader and The Pharma Letter, and also serves on the board of HealthTech Build, a Boston-based digital health innovation group.
Prior to his career in life-science investment banking, Thomas pursued his passion for the public service and non-profit sectors working in a variety of leadership and management positions, and at one time held a Massachusetts teaching license.
Thomas completed his MBA at Suffolk University’s Sawyer Business School on full academic scholarship where he was President of the school’s Graduate Business Association and class speaker at graduation. Prior, he completed a BS in Philosophy with Honors from Suffolk’s College of Arts & Sciences. Committed to giving back, Thomas is currently the President of the College of Arts & Sciences Alumni Board of Directors. Thomas is a FINRA Registered Securities Representative holding his Series 79 and 63.
Robert Crousore
Robert has 28 years of experience in the health care products and
services industry. Crousore is a serial entrepreneur with multiple
successful product and services company exits. His experience spans
the entire business enterprise including Sales, Marketing, Operations,
Product Innovation and, most recently M & A.
Highlights Include:
- Has successfully managed a global commercial organization in the wound care business.
- Has a number of patent credits for products in the wound care industry.
- Sits on multiple boards of healthcare technology companies.
- His passion is creating meaningful changes in patient care by combining great products with great teams that are focused on empowering improved clinical and financial outcomes.
PREVIOUS INDUSTRY LEADING SPEAKERS
Cynthia Johnson
Andrew Zurick
Becky Peters
Betye Ochoa
Ebrahim Barkoudah
Edward Thomas
Frank Shipp
Frank E. Shipp currently serves as Executive Director of the Johns Hopkins Clinical Alliance, the clinically integrated network of Johns Hopkins Medicine. The network includes over 3,000 providers, consisting of both employed and independent practices.
Frank transitioned to value-based care after 25 years of hospital-based operations experience in both community and academic health systems. During the past nine years, Frank has held executive positions in a Payor-Provider Organization in NYC and has built a highly successful CIN over a five-year period in Northern New Jersey. Frank speaks regular at national healthcare conferences regarding value-based care strategies and tactics.
Frank completed his MBA at Fairleigh Dickinson University, is a certified Fellow of the American College of Healthcare Executives and a trained Black Belt in Lean Six Sigma from Villanova University.
Garland Goins Jr
Jill Sell-Kruse
Lisa Meredith
Paul LePage
Paul Schmitz
Richelle Marting
Sandy Giangreco Brown
Willie Brown
Catherine Pesek Bird
Howard Kung
Ismet Sharich
Brennan John
Sarah L. Goodman
CONFERENCE PACKAGES
- Thursday, October 10, 2024 to Friday, February 7, 2025Health Providers/ HospitalsFree
- Thursday, October 10, 2024 to Friday, February 7, 2025Vendors/ Service Providers$5,499
Silver Partners
ASP-RCM Solutions
Website: https://asprcmsolutions.com/
Please visit our website for more information.Exhibitor
Intellivo
Website: https://intellivo.com/
Intellivo provides technology-enabled pre-bill and post-pay TPL identification and full recovery solutions for complex claims that improve payment accuracy, maximize savings, increase recovery speed, and provide a positive experience for providers and patients and for health plans and plan members. Intellivo illuminates the full story behind healthcare costs sparking opportunities for measurable savings and returns and empowers providers, health plans and consumers to take control of healthcare costs. For more information, please visit intellivo.com.
PARTNER WITH US
Based on your objectives, we can create bespoke packages designed specifically for you – from presenting your expertise on the main stage, to hosting a private dinner. You can partner with us showcase your brand and make valuable new connections. Opportunities predominantly lie in 3 main categories: Thought Leadership, Branding & Networking.
To discuss your objectives and partnership opportunities please contact Harry Ludbrook, Sales Director [email protected]
Interested in a media partnership?
We'd love to hear from you and how we can support one another to connect with the industry. Contact Jodie Purser, Marketing Manager, [email protected]
PARTNER WITH US
Based on your objectives, we can create bespoke packages designed specifically for you. Opportunities predominantly lie in 3 main categories: Thought Leadership, Branding, and Networking.
Interested in a media partnership?
We'd love to hear from you and how we can support one another to connect with the industry. Contact [email protected]
Delivering scalable and flexible solutions which ensure accuracy and integrity of claims
Revenue Cycle Management Summit is a premier B2B conference, part of the Medical Cost Containment Series, showcasing emerging strategies and technologies to ensure the financial health of health systems, hospitals and clinics.
Our plenary sessions provide guidance on best practices for A/R strategies, denial management and revenue cycle operations across the U.S. healthcare sector.
Venue
Millennium Maxwell House Nashville 2025 Rosa L Parks Blvd, Nashville, TN 37228
We're excited to welcome you face-to-face in Nashville at the Millennium Maxwell House Nashville for the Healthcare Payment & Revenue Integrity Summit!
You can book your discounted accomodation using the link below.
About Kisaco Research
Kisaco Research produces, designs and hosts B2B industry conferences, exhibitions and communities – focused on a specialized selection of topic areas.
Meet industry peers that will help build a career-changing network for life.
Learn from the mistakes of your peers as much as their successes—ambitious industry stalwarts who are happy to share not just what has made them successful so far but also their plans for future proofing their companies.
Note down the inspired insight that will form the foundation for future strategies and roadmaps, both at our events and through our online communities.
Invest both in your company growth and your own personal development by signing up to one of our events and get started.
We'd love to hear from you.
Contact us at +44 (0)20 3696 2920 and email [email protected], or let us know what subject area you're interested in below.