Agenda | Kisaco Research

Agenda

Revenue Cycle Management Summit
5-7 February, 2025
Millennium Maxwell House Nashville

Day 1: Wednesday, 5 Feb, 2025
7:30am
Registration and Breakfast
8:25am
Chairman's Opening Remarks
8:30am
Executive Panel
  • 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   
Revenue Cycle Management
9:00am
Denial Prevention and Management
  • 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.
Revenue Cycle Management

Author:

Lisa Meredith

AVP, Revenue Cycle Management
LifePoint Health

Lisa Meredith

AVP, Revenue Cycle Management
LifePoint Health

Author:

Howard Kung

Senior Director, Revenue Cycle Revenue Integrity
Mayo Clinic

Howard Kung

Senior Director, Revenue Cycle Revenue Integrity
Mayo Clinic
9:30am
  • 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. 
Revenue Cycle Management

Author:

Paul LePage

Executive Director, Revenue Cycle Operations
Banner Health

Paul LePage

Executive Director, Revenue Cycle Operations
Banner Health

Author:

Betye Ochoa

Director, Revenue Cycle Redesign
NorthShore University HealthSystem

Betye Ochoa

Director, Revenue Cycle Redesign
NorthShore University HealthSystem

Author:

Ebrahim Barkoudah

System Chief & Regional Chief Medical & Quality Officer
Baystate Health

Ebrahim Barkoudah

System Chief & Regional Chief Medical & Quality Officer
Baystate Health

Author:

Brennan John

Director of Revenue Cycle
Intermountain Health

Brennan John

Director of Revenue Cycle
Intermountain Health
10:15am
  • 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.
Revenue Cycle Management
10:45am
Networking Break
12:00pm
Coding
  • 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. 
Revenue Cycle Management

Author:

Howard Kung

Senior Director, Revenue Cycle Revenue Integrity
Mayo Clinic

Howard Kung

Senior Director, Revenue Cycle Revenue Integrity
Mayo Clinic
12:30pm
  • 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. 
Revenue Cycle Management
13:00pm
Lunch
14:30pm
  • 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.
Revenue Cycle Management

Author:

Jill Sell-Kruse

Director, Compliance Risk & Oversight Ethics & Compliance
ScionHealth

Jill Sell-Kruse

Director, Compliance Risk & Oversight Ethics & Compliance
ScionHealth
15:00pm
  • Stay ahead of the latest OIG and CMS Coding Compliance regulations and learn how to proactively implement these updates in your departments or practices.
  • Review key changes to the OIG Compliance guide and understand their potential impact on your operations.
  • Discover proactive strategies to address compliance issues and stay informed on the most recent updates in the compliance landscape.
Revenue Cycle Management

Author:

Sandy Giangreco Brown

VP, Revenue Integrity & Education
Spire Orthopedic Partners

Sandy Giangreco Brown

VP, Revenue Integrity & Education
Spire Orthopedic Partners
15:30pm
Networking Break
16:45pm
Workforce Perfomance
  • 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.
Revenue Cycle Management

Author:

Edward Thomas

Director, Enterprise Revenue Cycle Training and Deployment
Trinity Health (HQ Michigan)

Edward Thomas

Director, Enterprise Revenue Cycle Training and Deployment
Trinity Health (HQ Michigan)
17:15pm
  • 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.
Revenue Cycle Management

Author:

Willie Brown

VP, Revenue Cycle
Sentara Healthcare

Willie Brown

VP, Revenue Cycle
Sentara Healthcare
17:45pm
Fireside Chat
  • 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.
Revenue Cycle Management

Author:

Cynthia Johnson

(fomer) Senior Director, Referral & Claims Administration
Kaiser Permanente

Cynthia Johnson

(fomer) Senior Director, Referral & Claims Administration
Kaiser Permanente
18:15pm
Networking Drinks
19:00pm
Speaker Dinner
Day 2: Thursday, 6 Feb, 2025
7:30am
Registration and Breakfast
8:25am
Chairman's Opening Remarks
8:30am
Patient Access
9:00am
  • 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.

Author:

Ismet Sharich

Patient Access Director
Riverside Healthcare

Ismet Sharich

Patient Access Director
Riverside Healthcare
9:30am
  • 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.

10:00am
  • 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.

10:30am
Networking Break
11:45am
Payer-Provider Relationship
  • 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.

Author:

Richelle Marting, JD, MHSA,RHIA,CPC,CEMC,CPMA

Director of Managed Care
North Kansas City Hospital

Richelle Marting, JD, MHSA,RHIA,CPC,CEMC,CPMA

Director of Managed Care
North Kansas City Hospital
12:15pm
  • 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.

Author:

Cynthia Johnson

(fomer) Senior Director, Referral & Claims Administration
Kaiser Permanente

Cynthia Johnson

(fomer) Senior Director, Referral & Claims Administration
Kaiser Permanente

Author:

Catherine Pesek Bird

Physician Advisor
Lakeland Regional Health-Florida

Catherine Pesek Bird

Physician Advisor
Lakeland Regional Health-Florida
12:45pm
  • 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.

Author:

Garland Goins Jr

VP, Revenue Cycle Management
Avance Care

Garland Goins Jr

VP, Revenue Cycle Management
Avance Care
13:15pm
Lunch
14:30pm

Author:

Frank Shipp

Executive Director
Johns Hopkins CIN

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.

Frank Shipp

Executive Director
Johns Hopkins CIN

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.

15:00pm
Patient Engagement
  • 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.

Author:

Andrew Zurick

Medical Director Cardiac CT & MRI, Staff Cardiologist
Ascension, St Thomas Heart

Andrew Zurick

Medical Director Cardiac CT & MRI, Staff Cardiologist
Ascension, St Thomas Heart
15:30pm
  • 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.

Author:

Becky J. Peters

Executive Director of Patient Access Services
Banner Health

Becky J. Peters

Executive Director of Patient Access Services
Banner Health
16:00pm
16:30pm
Closing Remarks
Day 3: Friday, 7 Feb, 2025
8:30am
Registration and Breakfast
9:25am
Chairman's Opening Remarks
9:30am
Roundtable
  • 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.

10:30am
Networking Break
11:00am
Roundtable
  • 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.

Author:

Brennan John

Director of Revenue Cycle
Intermountain Health

Brennan John

Director of Revenue Cycle
Intermountain Health
12:00pm
Closing Remarks

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