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The importance of effective financial management is the key to success for any healthcare organization. This presentation is designed to provide a comprehensive overview of revenue maximization strategies with a specific emphasis on compliance. Knowledge gained aims to equip participant with practical knowledge and tools to navigate the complexities of revenue cycle management while ensuring adherence to regulatory requirements.

We will highlight common challenges faced during post payment reconciliation, such as coding errors, denials, claim rejections and ensuring correct contracted fees were received. Challenges can lead to financial losses, delayed payments and increased administrative burdens.

Learning Objectives/Agenda

• Understand the importance of revenue maximization in healthcare and its impact on the financial viability of healthcare providers.
• Gain insights into compliance essentials in revenue cycle management, including key regulatory frameworks and their implications for healthcare organizations.
• Learn strategies for optimizing revenue cycle processes while ensuring compliance with healthcare regulations.
• Identify common compliance challenges in revenue cycle management and explore practical approaches for mitigating risks.
• Acquire practical knowledge and best practices to enhance revenue maximization efforts within healthcare organizations while maintaining a strong focus on compliance.

Why is this topic important?

With decreases in medical reimbursement rates, it is even more important to ensure you know the strategies to keep revenue coming in with ever-increasing payment challenges to keep your practice financially viable.

Who would benefit from this topic?

• Medical Office Managers
• Billing Managers
• Medical Billers and Coders
• Coding Auditors
• Revenue Cycle Specialists
• Compliance Professionals

What is the presenter's background/expertise on this topic?

Industry Subject Matter Expert with over 35 years’ experience and 11 certifications in all aspects of the healthcare revenue cycle including medical auditing, billing, coding, CDI, claims adjudication, denials management, practice management, physician/staff/student education and implementing corporate compliance programs.

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