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.
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.
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.
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.
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.
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.
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.
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.
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.
