Program Content: This presentation will provide information, from a legal perspective, about industry trends in reimbursement, price transparency, surprise billing, and other recent developments. With an ever-changing landscape of both federal and state laws and rules regarding healthcare reimbursement, staying current is a challenge. The goal of this presentation is to cover recent developments in healthcare reimbursement and provide suggestions for legal analysis and compliance.
Program Content: The business office and revenue cycle of hospitals play an important role in providing data and
documentation for various regulatory and compliance reporting objectives. This program will discuss what some of
these reporting objectives are, and how the business office reporting can impact reimbursement impacts.
Program Content: Instructor- led discussion of various challenges facing revenue cycle managers, directors and other
leaders surrounding insurance denial issues, payer issues, with a general focus on benchmarking and practical solutions.
Program Content: A sample Medicare Advantage contract will be reviewed to identify language utilized by plans to
deny claims. Strategies and tactics to address denial enabling language will be discussed. Part I will be breaking down
a Medicare Advantage agreement with the focus on language leading to denials.
Program Content: Six months of implementation, new structures, altered processes and transparency would have
passed as a result of the related requirements from the No Surprises Act Part I and Part II. BKD’s Trusted Advisors TM
will share how our clients are operationalizing the requirements to effectively achieve compliance and enhance patient
experiences as well as further reveal some of the successes and difficulties during implementation regarding how the good faith estimates for self-pay or uninsured patients, independent dispute resolution (provider to payer) and dispute resolution for patients to providers all came together.
