Participants will learn why they must abandon incremental process change strategies and embrace a total revenue cycle transformation. Interactive discussions will focus on the industry’s shift to the consumer-driven model, patient demands for price and process transparency, and customer service excellence.

Attendees will examine a case study and patient focus group information that exposes the flaws of traditional revenue cycle benchmarks and indicators. Discussion will include industry data, the imperative for incorporating the principles of customer relationship management, identifying outpartnering solutions and other process model options.

Attendees also will complete a fast-paced redesign exercise using the patient focused, technology-enabled, fully integrated and compliant clinical and financial processing model. Participants will take home a project plan that defines the strategy and steps for implementing the transformed revenue cycle process model. This session also includes keys for identifying and mitigating common obstacles organizations face during change initiatives.

At the conclusion of the program, participants will be able to:

• describe how the consumer-driven model is demanding a total revenue cycle model redesign and core organizational philosophy shift
• describe the assessment method which looks beyond traditional benchmarks and indicators to objectively confirm an organization’s comprehensive revenue cycle performance outcomes
• identify common process, technology and cultural obstacles to achieving revenue cycle success and the keys to overcoming them
• describe the steps to designing, implementing and leveraging a contemporary revenue cycle model to achieve a strategic customer advantage and ensure the strongest bottom line impact
• identify alternate approaches, including incorporating patient preference profiles, centralized and decentralized approaches and outpartnering

Each revenue cycle team member should understand revenue cycle compliance issues and the government’s ongoing plan to combat billing errors, fraud and abuse. This interactive discussion will focus on the critical compliance requirements and risks throughout each revenue cycle process point and the methods organizations should use to conduct self-audits.

Employee education and competency assessment will be discussed. Special focus also will be given to the Centers for Medicare & Medicaid Services’ recovery audit contract demonstration project, the federal recommendations for internal compliance plan criteria and the Office of Inspector General’s work plan and its revenue cycle implications.

Attendees also will learn to make a personal commitment to excellence in their day-to-day work and to understand how their business process responsibilities are an essential component of delivering the highest quality patient care.

At the conclusion of the program, participants will be able to:

• describe the cornerstone principles of revenue cycle compliance
• describe the current state of revenue cycle compliance and the government’s efforts to eliminate waste caused by abusive provider activity and ineffective contractor claim payment practices
• complete a self-assessment of their internal compliance plan effectiveness using the federal guidelines provided
• identify gold-standard audit methods for critical compliance functions, including Medicare secondary payer screening, and ways to implement an effective, ongoing assessment process
• develop successful employee compliance education methods
• develop a prototype employee competency assessment instrument

Despite significant labor challenges, today’s health care providers must ensure financial viability and achieve compliance and customer loyalty. Participants will learn to identify the strategic path to revenue cycle success. Using provider case studies, this course provides tools and strategies to build your revenue cycle team.

At the conclusion of the program, participants will be able to:

• describe a case study and how to calculate the cost of revenue cycle staff turnover
• identify current revenue cycle processing and labor challenges
• define the technical skills and emotional competencies required for today’s upside-down revenue cycle team members
• define objective methods for assessing employee technical skills and emotional competencies
• identify the advantages of implementing a pay-for-knowledge compensation model
• explore the secrets to recruiting and retaining your most valuable human resources

May 8, July 10 and Oct. 23
Capitol Plaza Hotel
415 W. McCarty
Jefferson City
573/635-1234

The registration fee is is $245 per person per program or $600 per person for all three programs if registration is received for all three programs at the same time. The registration fee includes lunch and program materials. A confirmation will be e-mailed guaranteeing registration two weeks before the programs.

Please make checks payable to the MHA Center for Education and return them with the registration form to P.O. Box 60, Jefferson City, MO 65102-0060. Payment by MasterCard or VISA is available and required for online registration.

All checks must be made payable to MHA Center for Education.
Checks payable to other entities will be returned.

The Missouri Hospital Association/MCE is authorized to award 4.25 hours of pre-approved Category II (non-ACHE) continuing education credit for each program toward advancement or recertification in the American College of Healthcare Executives. Participants in this program wishing to have the continuing education hours applied toward Category II credit should indicate their attendance when submitting application to the ACHE for advancement or recertification.

All Other Participants — A certificate for 4.25 clock hours of attendance will be provided to each person who attends each program in its entirety.

Dress for the meeting is casual. Layered clothing is recommended for your comfort.