NIATx-SI: Business Practices for the Future

NIATx-SI: Business Practices for the Future Learning Collaborative
Webinar Library

Cohort Two

DateActivity/Topic
September 28, 2012 Parity Compliance with Patrick Gauthier, AHP
September 26, 2012 How to use iPods and Smartphones to help people in recovery.
Bret Shaw Assistant Professor, Department of Life Sciences Communication, UW-Madison and Andrew Isham Associate Researcher at CHESS present on this topic.
November 30, 2011 How to use your coach effectively
Bill Labine, Executive Director and Clinical Supervisor of the Jackie Nitschke Center in Green Bay, WI shares his experiences using a NIATx coach.

Level One - Billing system design and implementation

DateActivity/Topic
September, 2012 Celebrate your accomplishments
August 14, 2012 Open Call
Get new ideas, ask questions, share best practices, and talk about your change project with participants, NIATx staff and coaches.
July 10, 2012 How practice management systems fit into the technology continuum
Mark Zehner NIATx project manager explains: What is a Practice Management System, how does it fit with other health management systems and the link to population health.
May 8, 2012 Health Care Reform - Updates from Washington
While no one can predict what will happen to an organization that does not undertake transformative processes, the expert consensus is that organizations that fail to adjust will struggle to survive. Becky Vaughn, Executive Director, SAAS will share her insights and the latest updates on Health Care Reform. SAAS is the leading national organization that advocates on behalf of state associations of addiction prevention, treatment, and recovery providers
April 10, 2012 Environmental Scans and Program Deliverables
Eric Haram, a long standing NIATx coach consultant will share what he has used for environmental scans and program deliverables
March 13, 2012 Shifting the Payment Culture and Processes: Viewing People as Valuable Customers
Lynn Madden, a long standing NIATx coach consultant will share her agency change project on growth strategies and the discovery that eliminating wait time and finding the best time to do a financial screen were two key factors in increasing revenue.
February 14, 2012 Are you leaving money on the table? Asking for insurance information
When do you ask? What do you need to know? How often do you ask? Providers Tim Smith, Executive Director, Daybreak Youth Services and Chuck Ross, Clinical Director at STEPS at Liberty Center share their best practices and answer questions you may have.
December 13, 2011 Provider Welcome Webinar
This webinar consisted of a welcome to the project and objectives of the project. Participants were introduced and a timeline of events was shared. Information for the kickoff session were also reviewed.

Level Two - Improve billing process to increase collections

DateActivity/Topic
September, 2012 Celebrate your accomplishments
August 8, 2012 Get New Ideas, Ask Questions and Share Best Practices
Participants, coaches and NIATx staff will share about projects, ask questions and share best practices.
July 11, 2012 How practice management systems fit into the technology continuum
Mark Zehner NIATx project manager explains: What is a Practice Management System, how does it fit with other health management systems and the link to population health.
June 12, 2012 Third-party Billing: Tips from Experts
Guest experts from behavioral health organizations share their best practices for third-party billing. Bring your questions! Each session will include time for you to ask questions about billing or how to overcome third-party billing "barriers."
May 9, 2012 Health Care Reform - Updates from Washington
While no one can predict what will happen to an organization that does not undertake transformative processes, the expert consensus is that organizations that fail to adjust will struggle to survive. Becky Vaughn, Executive Director, SAAS will share her insights and the latest updates on Health Care Reform. SAAS is the leading national organization that advocates on behalf of state associations of addiction prevention, treatment, and recovery providers
April 11, 2012 Environmental Scans and Program Deliverables
Eric Haram, a long standing NIATx coach consultant will share what he has used for environmental scans and program deliverables
March 14, 2012 What you don’t know could account for denials
Amy will share her best practices for the following important processes. Amy found that if these steps are done well denials will be minimal & collections will increase!
  1. Obtaining insurance info from patient
  2. Verifying insurance benefits
  3. Informing customer of benefits and payments
  4. Intake and fee agreements
  5. Payment collection policy
Feb 8, 2012 Are you leaving money on the table? Asking for insurance information
When do you ask? What do you need to know? How often do you ask? Providers Tim Smith, Executive Director, Daybreak Youth Services and Chuck Ross, Clinical Director at STEPS at Liberty Center share their best practices and answer questions you may have.
December 14, 2011 Provider Welcome Webinar
This webinar consisted of a welcome to the project and objectives of the project. Participants were introduced and a timeline of events was shared. Information for the kickoff session was also reviewed.

Cohort One

Level One - Designing a Billing System

AIM for this project:
Each provider enrolled will send at least one bill through their new billing system

DateActivity/Topic
January 4, 2011 Intake, Benefits Available and Service Authorization
In this presentation, the presenters discuss the nature and importance of effective patient and front desk procedure at the time of patient check-in. Regalado and Hagen also review the benefit authorization processes and their relevance to billing along with patient check-out and co-insurance collections.
February 1, 2011 Capturing the service and clinical documentation
This presentation can be broken down into three parts: context tools, and process. Under the first segment, Regalado and Hagen discuss the quality of care, revenue optimization, and compliance. The next segment of the presentation focuses on records, systems, templates, and billing forms. To conclude, Regalado and Hagen present information on the processes of clinical documentation and coding.
March 1, 2011 Creating a bill and the billing manual and forms
The first part of this presentation begins with a review of the credentialing process. The second part provides information on how to set up a practice management system, while the last part discusses the creation of a billing manual and its associated issues.
April 5, 2011 Finance 101 (AR and Aging Reports)
This presentation provides an overview of financial statements and is supplemented with report examples. In addition, it discusses key performance indicators and the main responsibilities of a finance department.
May 3, 2011 Revenue Management and Revenue Collections
This presentation covers a range of topics. In particular, it focuses on the patient flow process, revenue cycle management and the best practices in revenue management. It also provides several “fast facts” about collections at the end.
June 7, 2011 Contracting – Fee Schedule- Audits- Compliance- Risk Management
This presentation provides several polling questions. Alongside this, it contains information regarding the next two courses and their associated subject matter.

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Level Two

DateActivity/Topic
January 4, 2011 Service Authorization, Service Denial-appeal
This presentation covers a range of topics. It begins with a discussion on the rationale for utilization management in health insurance contracts. This is followed by an analysis on the nature of prior authorization processes and concurrent/retrospective reviews. The last segment of the presentation details the nature of denials/appeals and reviews the good practices associated with all of the operations.
February 1, 2011 Denial Management Disputes
In this presentation, Gauthier focuses on denials, appeals, and the law. The first section of the presentation provides information on the different types of denials, while the latter section details the multiple facets of the appeals process.
March 1, 2011 Compliance Corrective Action
Regalado and Hagen review the concept of operational alignment with billing procedures in this presentation. In particular, they focus on the issues of compliance and corrective action.
April 5, 2011 Optimizing your Billing System to Improve Collections
This presentation discusses the budget process in detail. It provides information on budgeting methods as well as advice on how to prepare a budget. In addition, the presentation examines the concepts of operational reporting, appointment scheduling, patient flow, and internal benchmarking.
  • Due to technical difficulties this webinar was not recorded
  • Goal Setting Add to portal
May 3, 2011 Optimizing your Billing System to Improve Collections
In this presentation, Gauthier and Hagen focus exclusively on health information technology and its associated issues. Some of their learning objectives include: health IT definitions, health IT vision and reality, the importance of IT planning, and the essentials of implementation.
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June 7, 2011 IT
This presentation provides a brief summary of the IT adoption Life-Cycle. It presents the information in the form of ten steps on the critical path. The presentation also contains a review of ARRA HITECH incentives and a guide for future planning.

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Level Three

DateActivity/Topic
January 14, 2011 Strategic Cost and Financial Mgmt
This presentation provides information on strategic cost and financial management. More specifically, it looks at the control of fixed and variable costs, the importance of financial statements, and the significance of financial ratios.
February 11, 2011 Compliance
In this presentation, Regalado and Hagen discuss compliance, revenue management, and their place within the legal system. They discuss several of the federal state laws related to reimbursement as well as provide tips and common business practices regarding compliance issues.
March 11, 2011 IT
In this presentation, Gauthier focuses exclusively on health information technology and its associated issues. Some of their learning objectives include: health IT definitions, health IT vision and reality, the importance of IT planning, and the essentials of implementation (refer back to May 3, 2011 presentation)
April 8, 2011 Market Innovations in an Era of Unprecedented Reform
The learning objectives for this presentation include: "understanding what is meant by 'innovations' and 'market'; "appreciating the scope and magnitude of the opportunities before us"; "becoming conversant with accountable care organizations"; "recognizing the prerequisites of readiness and capabilities in order to ride the wave of change".
May 13, 2011 Strategic Contracting
This presentation discusses the concept of strategic contracting. Gauthier begins the presentation with a brief review of the contracting environment. Following this, Gauthier presents information on "accountable care organizations" (ACO) and market segmentation.
June 10, 2011 Strategic Growth
This presentation begins with a review of “causes and conditions” and is followed by a discussion of strategic implications for business development. The last segment of the presentation is dedicated to several review options which include affiliation/association, joint venture/strategic partners, merger, and acquisition.

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