Healthcare Data Analytic Tools Needed to Comply with Reimbursement Laws

Why Should You Attend:

Healthcare providers, both clinics and hospitals, need to be accurate in their billing. Overcharging or undercharging can trigger fines and penalties. Knowing exactly the right amount to bill given a procedure code, and being able to provide evidence as to why that procedure code was used, is key. Accomplishing this task requires sophisticated healthcare data analytic tools. Knowledge of the law, contracts and fee schedules, is required. An online system that encodes this knowledge is necessary to manage this important task.

Learning Objectives:

• The role of data analytic tools in reclaiming monies at healthcare clinics and hospitals
• Undercharging
• Overcharging
• Reimbursement and Verification
• The reclamation process

Areas Covered in the Webinar:

• CMS expectations on accurate billing
• Overcharging examples
• Undercharging examples
• Reimbursement strategies
• Verification strategies
• Reclamation strategies using data analytics tools

Who Will Benefit:

This webinar will provide valuable assistance to the following titles in clinics and hospitals:

• C-level Executives (CEO, CFO, COO, CCO, CIO, CTO, CISO, CRO)
• Revenue Cycle Managers
• Revenue Cycle Directors
• Billing and Coding
• Compliance Officers

Instructor Profile:

Erik Whitrock

Erik Whitrock started RC Metrics as a spinoff of MBR in 2015. RC Metrics is the data analytics company with tools and services that supplies MBR the reports its clients need to manage their business. Eric founded MBR in 1996. Since then, MBR has analyzed over $25 billion in healthcare claims and successfully managing resolution of over $1 billion in distressed claims for more than 250 hospitals and clinics, nationwide. Clients include some of the largest healthcare companies in the world to the smallest rural providers. He designed AudiMed™, the charge auditing software used for 17 years by the City and County of Denver Department of Health and Hospitals. He also designed the innovative AnswerData™ suite of software for healthcare revenue cycle management and strategic claims liquidation. This suite of products includes ARMS™, 3DATB™, and QDAR™. Eric has also served as Committee Chair for HFMA.

Rich Devlin

Rich Devlin has over 30 years of developing, marketing, and managing software and hardware products, from Fortune 15 high-tech companies to software startups. His background ranges from applications software development to large computer systems design. He was the Senior Product Manager for the two most successful server product lines in the history of Digital Equipment Corporation. He developed CAD/CAE software in semiconductor research and circuit simulation. Mr. Devlin additionally has been a successful salesperson / marketer / product line manager for a small nonlinear control dynamical systems Software Company, as well as the founder and developer of an enterprise class IT risk management Software Company focused on banking and healthcare. He graduated from Holy Cross with an AB in Mathematics and Physics, and a MBA from Babson College. He joined RC Metrics in 2016 to build a scalable business.

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