The 2023 OPPS Final Rule

Ask the Experts - Credentialing

The Revenue Cycle Minute proudly presents this special Ask the Experts—Credentialing conversation. This special edition focuses on all aspects of the credentialing process. Our credentialing Experts, Bernadette Hicks-Kelly and Michael Kelly, have decades of experience working with hospitals and physician practices of every size and specialty. One of the benefits of working with hospitals across the country is meeting passionate people committed to providing the best advice and action-oriented tips to improve your processes and your organization's financial viability. Bernadette and Michael are two such people. During this session, our Experts answer questions from CEOs, CFOs, Revenue Cycle Directors, and Credentialing Managers. Questions focus on areas such as: - best practice credentialing and re-credentialing processes - the importance of incorporating credentialing into your revenue cycle - tips on how to stay informed and up-to-date on industry updates and regulations - the importance of compliance - KPIs, checklists, and auditing your process - Bernadette’s critical three Cs in the credentialing process - and much more…. Our credentialing Experts provide tips, strategies, and insights you can implement today. If you have any questions, please contact our moderator, John Behn, at jbehn@warbirdcp.com, our Experts, Bernadette, at bhicks-kelly@warbirdcp.com, or Michael, at mkelly@warbirdcp.com.

Rural Emergency Hospital Designation

The Revenue Cycle Minute is pleased to provide a conversation on the Rural Emergency Hospital Designation. In this fast-paced discussion, the Warbird Revenue Cycle Optimization team provides details to allow you and your team to understand the designation better and if transition makes sense for your facility. The details will allow the CEO, CFO, finance staff, and revenue cycle team members to ask more informed and focused questions. Concepts covered include: - Review of REH certification and eligibility requirements - Discussion of eligible services - Discussion of reimbursement considerations - Provision of examples to better understand the OPPS reimbursement structure. If you have any questions or want a copy of the slide deck, please contact us at jbehn@warbirdcp.com.

The 2023 OPPS Final Rule

The Revenue Cycle Minute is pleased to provide a conversation focused on the 2023 OPPS Final Rule. In this fast-paced discussion, the Warbird Revenue Cycle Optimization team provides updates designed for you and your team to take informed, focused action. Detailed concepts are presented to allow the CEO, CFO, and Revenue Cycle Director to ask better questions of your teams to meet regulatory requirements and exceed patient expectations. OPPS Final Rule topics covered include: · Supervision by Non-Physician Practitioners · Telehealth Updates · Mental Health Treatment Codes · Facet Joint Intervention Updates · New Pharmacy Modifier JZ · Inpatient Only List Changes · Remote Behavioral Health Updates · Prolonged Service Codes · Pharmaceutical HCPCS Additions · Chronic Pain Management If you have any questions or want a copy of the side deck, please contact us at jbehn@warbirdcp.com.

The 2022 No Surprises Act

The Revenue Cycle Minute is pleased to provide a conversation focused on the No Surprises Act. Effective January 2022, hospitals, providers, and payers must comply with the Federal No Surprises Act, ensuring that patients receive protection from surprise medical bills when they receive emergency services and some non-emergency services from out-of-network providers at in-network facilities. Providers, facilities, and health plans that bill patients in violation of the No Surprises Act are subject to civil monetary penalties of up to $10,000 per violation. This webinar summarizes the Act and details the requirements, responsibilities, and steps for achieving compliance. Participants will understand expectations and gain the ability to create checklists to measure progress, assign responsibilities and create action items for successful implementation. Specifically, the webinar details the following: • No Surprises Act definitions • Describes impact on Emergency services • Describes impact on Non-Emergency services • Details the protections for uninsured patients • Identifies the requirements for written and verbal patient notifications • Details and provides examples of the forms necessary for compliant patient provision If you have any questions or want a copy of the slide deck, please contact us at jbehn@warbirdcp.com or ldaigle@warbirdcp.com.

Missouri SORH Ask The Experts - A Focus on Your Revenue Cycle 5.12.2022

Missouri SORH Ask the Experts: A focus on your Revenue Cycle Provided - May 12, 2022 This Ask the Experts session was hosted by certified coders and revenue cycle and billing experts. The session provided answers to your most pressing issues and questions. Topics addressed included: • No Surprises Act • Hydration, Infusion, and Injection • Pricing Transparency • Denial Management • Critical Care and Prolonged Service • Wound Care • New ICD10 Guidelines • Vaccine Administration • In-House and Reference Labs • And much more…