for current and past attendees of Healthcare Web Summit events
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BULLETIN for current and past attendees of Healthcare Web Summit events |
| August 29, 2007 | Healthcare Web Summit | Phone 209.577.4888 | e-mail infohws@healthwebsummit.com |
Contact:
Patty Jamison
Healthcare Web Summit
(209) 577-4888
pattyj@mcol.com
Many providers assume their out-of-network claims (their "black space") are being paid at billed charges-but they often aren't. By tracking their black space, providers can increase their revenue by 8 percent to 10 percent. As the healthcare insurance market migrated from fee-for-service to managed care in the 1980s and 1990s, a troubling development related to preferred provider organizations emerged-the "silent PPO." In the past 10 years, however, the silent PPO issue receded in importance, replaced by the provider industry's focus on under- and over- payments. And, as hospitals and physicians became more adept at countering payers' denial and underpayment strategies, the payer community adopted new tactics. Now, healthcare financial managers should heed a warning on the insurance industry's newest tactic-"white space" management- and its negative impact on revenue cycle results.
OVERVIEW
This fast-paced session will ensure that the attendees fully understand the critical importance of coping with payors' white space tactics; and provide them with the tools and strategies needed to protect their revenue and cash collections.
AGENDA
White Space Defined
How Do White Space Managers Work?
White Space Strategies
Case Study - Payer Tactics
Case Study - Provider Counter-Tactics
An Ounce of Prevention
a) Copy or digitally-image both sides of the health-plan card
b) Identify and track all out-of-network claims
c) Require all networks to be identified in the contract
d) Reject allegations of excessive UCR rates
e) Limit authorization to negotiate discounts
f) Establish out-of-network metrics
g) Limit administrative-services-only discounts
h) Consider outsourcing
Holding Your Ground
LEARNING OBJECTIVES
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Participants will:
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WHO SHOULD ATTEND
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Delivery Models:
Topic Areas:
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FACULTY
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Mr. Hammer is a Vice
President in McKesson's Revenue Cycle Solutions group. In his more than
22 years of industry experience, Mr. Hammer has held a variety of
positions with leading health systems, Big-4 consulting firms, I. T.
vendors, and revenue cycle outsourcing companies.
Mr. Hammer received an MBA in Management and an MHS in Health Care Administration from the University of Florida in 1987. He also received a BBA in Accounting with a minor in Information Systems (Magna cum Laude) from the University of North Florida in 1985. Mr. Hammer is certified by HFMA as a Fellow (FHFMA) and as a Certified Healthcare Finance Professional (CHFP). He has been named an HFMA Distinguished Speaker for six consecutive years, and is a 2007 recipient of HFMA's Medal of Honor service award. Mr. Hammer authored the July 2007 cover story in HFMA's healthcare financial management journal, entitled "The Next Generation of Revenue Cycle Management," as well as the July 2005 hfm cover story, entitled "Performance is Reality: Is Your Revenue Cycle Holding Up?" His article, "Customer Service Adapts to CDHC" appeared in the September 2006 issue of hfm, and "Black Space Versus White Space - The New Revenue Cycle Battleground" appeared in the January 2007 issue. His article "Data and Dollars: How CDHC is Driving the Convergence of Banking and Health Care" was published in hfm's February 2007 issue. He also publishes regularly in McKesson Provider Technologies' Answers magazine. |
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Bill Phillips is Vice
President and Chief Revenue Officer at Revenue Strategies, Inc., in Fort
Lauderdale, FL where he assists hospitals to improve revenue
performance. He is also Adjunct Professor in Health Care Finance at The
George Washington University's Graduate Program in Health Services
Management. With 25 years of hospital management and consulting, Bill has directed operations for a small acute care hospital and a large academic medical center. At KPMG, he served as Director in Charge of the "National Managed Care Practice". A revenue cycle speaker, Bill is faculty for "CFO Boot Camp" and "High Performing Hospitals". Recent publications include "Villains in the Revenue cycle" (hfm) and "Curing Revenue Cycle Myopia" (AAHAM). |
LIVE QUESTION AND ANSWER SESSION
Get your questions answered! Session participants will have an opportunity to email questions in advance of the session or ask the speaker their questions during the "live" session.
PRICE
DIAL-IN INSTRUCTIONS AND SESSION MATERIALS
Two business days prior to the event, registrants will receive a copy of the dial-in instructions and a link to the speaker presentation. The dial-in instructions will include a unique dial-in ID Participant code that can only be used for a single phone line and not shared. Session participants will also have an opportunity to email speaker questions in advance of the live session.
REGISTRATION
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