Agenda for Sunday, April 22

Conference Registration

Sunday, April 22 @12:00 pm – 6:30 pm

1:00 pm – 1:50 pm Concurrent Session

Blockchain 101: An Introduction to Blockchain & Healthcare Use Cases

Course 180400 | CPE: 1.0 | Level: Intermediate | Prereq.: None

PwC will present on the fundamentals of blockchain and explain at a high level how the technology works.

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We will use several graphics and real world examples (non-healthcare related) to help demonstrate to the audience the concept so it is easier to understand. We will then describe several potential use cases in the healthcare industry with a focus on providers. A couple of example use cases include sharing of medical record data among various providers and payment contracting between providers and payers. We will close with a Q&A. Attendees should include anyone interested in how blockchain technology can potentially remediate issues that have plagued the industry for decades.

Course Objectives:

  • Explain what blockchain technology is and how it is disrupting multiple industries
  • Explain how blockchain has the potential to solve several issues across the healthcare industry
  • Describe blockchain use cases for healthcare providers including sharing of medical records and managed care payments

Rob Kulis, Managing Director, PwC

A Managing Director in the Health Industries Advisory practice at PwC, Rob is the health services market portfolio leader for the Texas, Louisiana, Arkansas, and Oklahoma markets.

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He is based in Houston, from where he oversees healthcare provider priority accounts and supports multiple PwC initiatives including business, digital, and cultural transformation. Rob holds a Master of Public Administration (MPA) from the University of Oklahoma, a Master of Business Administration (MBA) from The Fuqua School of Business, Duke University, and a B.S. from the United States Military Academy at West Point. He is a Fellow of the American College of Healthcare Executives (FACHE).

1:00pm – 2:40pm Concurrent Session

Reforming the Authorization Process

Course:180401 | CPE: 2.0 | Level: Intermediate  | No Prerequisites

While the current process for prior authorization (PA) has resulted in a reduction of unnecessary services, it has created an administrative burden to all parties with limited effectiveness.

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According to a recent survey conducted by the American Medical Association (AMA) in December of 2016, 80% of PA’s are approved real time and only 20% of PA’s require additional documentation and review. However, the current process is not built to weed out the 80% and has created a manual, labor intensive process that requires substantial resources to support by both providers and payers. Unfortunately, there is a lack of engagement from key stakeholders in truly building consensus to resolve the administrative burden
Issues with the current PA process include: Correct documentation; Various communication options; Ability to monitor delivery of care against authorization; Unexpected changes with patient services; Obtaining approval; Patient frustration with the process.

There is an overall industry agreement that the PA is primarily a clinical requirement but because there is a financial impact it has erroneously become the responsibility of the revenue cycle to obtain, leaving significant gaps in the process. Most healthcare organizations utilize revenue cycle staff to obtain the PA information even though clinical input is required. Any change that occurs needs to encourage a cultural transition where the completion of the PA is the primary responsibility of clinical staff.

Key reform principles that must be discussed as a first step to engaging other stakeholders in deeper conversations include the following: Clinical validity; Continuity of care; Transparency and fairness; Timely access and administrative efficiency; Alternatives and exemptions

Suzanne K. Lestina, FHFMA, CPC, Vice President, Revenue Cycle Innovation, AvadyneHealth

In this role, Suzanne works on executing strategies that will lead the industry in next-generation revenue cycle concepts.

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In addition, leveraging innovative tools and technology Suzanne will help customers implement change that will transform their revenue cycles and help them achieve positive outcomes.

Prior to joining AvadyneHealth, Suzanne was HFMA’s director of revenue cycle MAP where she served as the technical expert and consultant for HFMA’s MAP product line(s) and served in an advisory capacity regarding the technical aspects of revenue cycle performance improvement.  Suzanne has extensive revenue cycle experience, including revenue cycle consulting and hospital revenue cycle leadership roles in the Chicago area.

Sunday, April 22 @1:50 pm – 2:40 pm Concurrent Session

A & A Update

Course 180402 | 1.0 CPE | Level – Basic | No Prerequisites

More Information on this session to come.

Sunday, April 22 @2:40 pm – 3:30 pm Concurrent Sessions

A & A Update

Course 180404 | 1.0 CPE | Level: Basic | Prereq.:None

 

More details on this session to come.

Charge Capture Revived: Driving Results Through Managing Change and Innovation

Course 180405 | 1.0 CPE | Level – Intermediate | No Prerequisites

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This presentation will walk the audience through the journey of our Charge Capture program, tips for driving success and how we re-structured our processes to reduce Late Charge quantities, gross dollars and average days for charge corrections. A large focus on Operational and Clinical communication, robust financial reporting and building outside vendor relationships will also be discussed.

Lena C. Tisten, Director-Revenue Integrity & Compliance – Revenue Cycle Business Services, CHRISTUS Health

Lena Tisten is the Director of Revenue Integrity and Compliance at CHRISTUS Health, providing support with ChargeMaster and Charge Capture programs.

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Her passion for improving charge capture has resulted in a range of success through financial reporting, leadership support and enhanced vendor relationships.

Lena received a Bachelor’s of Science degree from Indiana University with a focus in Healthcare Administration and Economics. Throughout her 15 year career in the Healthcare industry, Lena has worked in various aspects of the Revenue Cycle including Patient Access, Patient Financial Services and HIM. She also serves on the Leadership Development Team to help develop other healthcare leaders.

3:45 pm – 5:00 pm

Sunday

Overcoming Self Handicapping Leadership

Keynote

Course 180406 | 1.5 CPE | Level: Intermediate | No Prerequisites

Self-handicapping is the process where people make excuses, withdraw effort, and create obstacles in order to maintain a public or self-image.

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The need to appear competent drives people to self-handicap. In this session, we will explore how people use self-handicapping in business and leadership as a means of impression management and how it eventually leads down to poor leadership. At the conclusion, our participants will leave with a deeper understanding of self-handicapping and how to overcome it (personally and organizationally).

Dr. Jordan Mitchell, Assistant Professor of Healthcare Administration, University of Houston-Clear Lake.

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Jordan Mitchell is an Assistant Professor of Healthcare Administration at the University of Houston-Clear Lake. He received his Ph.D. in Health Services Policy and Management from the University of South Carolina. His research has been published in the Journal of Rural Health, the International Journal of Health Information Systems and Infomatics, the Journal of Healthcare Quality, and other peer-reviewed journals.

5:00 pm – 6:30 pm 

Welcome Reception