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Best Practices of Collecting the Right Patient Data for Value Based Payment

26468 E Walker Dr, Aurora, Colorado 80016-6104
26468 E Walker Dr, Aurora, Colorado 80016-6104 Aurora, CO 80016  
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Start:   Wednesday, May 16, 2018  1:00 PM
End:   Wednesday, May 16, 2018  2:30 PM

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Event Features: Business-Related, Health / Wellness

Neighborhood: Avenue of the Arts


OVERVIEW The health insurance industry is shifting dramatically in the methods they are using to determine the payment for patient services. The previous “fee-for-service(FFS)” system, which paid providers based on the quantity of specific services furnished, is rapidly transforming. Now, health plans are instituting “value based payments”; methods where the quality and outcome of services to patients are used to determine or adjust provider payments.
Provider business models have not changed significantly over the last several years. Business practices still focus on collecting insurance information, and patient co-insurance and deductibles as the revenue stream. Under FFS, that might be all that was necessary. However, providers are facing new requirements from health plans to get paid the appropriate amount for their services. Medicare now requires quality and cost information for many of their programs to adjust payments, award bonuses, and reduce reimbursements.
We will cover areas which are necessary to revise provider systems to better understand patient characteristics and health plan requirements. These will include: What are value based models and how do they differ from FFS; what patient characteristics are necessary to understand at intake, how are diagnoses and chronic conditions important in value based care, what data needs to be tracked during and after patient care, what reporting requirements are necessary, how to track progress towards value based goals, and how to estimate payments under value based programs.
This webinar will enable you to revise your patient intake, data collection, and follow up processes to maximize your participation in the new value based payment processes.
Revenue cycle managers, financial officers, physician practice managers, administrators, revenue cycle vendors.

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