Finance Education for Clinicians: Insurance and Denials from a Clinical Perspective

June 14, 2018
8:30 AM - 3:45 PM
 Add to Calendar

New Jersey Hospital Association
760 Alexander Road
Princeton, NJ 08540
http://www.njha.com/
 Directions

Clinical leaders are promoted to management based on strong clinical and interpersonal skills and then find themselves responsible for financial performance with little or no formal financial training. Finance Education for Clinicians introduces financial concepts for emerging or experienced leaders to strengthen their understanding of hospital finance. This session’s focus is Insurance and Denials from a Clinical Perspective.

Registration and Breakfast 8:30 am – 9:00 am
Morning Session 9:00 am – 11:45 am
Networking Lunch 11:45 am – 12:45 pm
Afternoon Session 12:45 pm – 3:45 pm

  • Hospital Charges and Reimbursement 9:00 am – 10:15 am
    Understand how hospital charges are created, the difference between charges and revenue, and how insurance plans impact your hospital’s reimbursement for the services you perform.

Objective:
Participants will be introduced to the fundamentals of how hospital charges are created and the impact of insurances on hospital reimbursement.
Speaker:
o Jane C. Kaye, MBA, President, Healthcare Finance Advisors

  • Break 10:15 am – 10:30 am
  • Coding and Insurance in the Hospital Revenue Cycle 10:30 am – 11:45 am
    Learn about how patient and payer insurance contracts affect patient care and how to navigate through key elements of patient and payer contracts.

Objective:
Participants understand the hospital revenue cycle with a focus on insurance contracting.
Speaker:
o Sandra Gubbine, Assistant Vice President of Revenue Cycle, AtlantiCare

  • Networking Lunch 11:45 am – 12:45 pm
  • Preventing and Managing Denials 12:45 pm – 2:00 pm
    Clinical departments work hard providing outstanding care to patients. Learn how to prevent and manage denials so the hospital is paid for all the great work you do.

Objective:
Participants will understand how to prevent and manage clinical denials.
Speaker:
o Dr. Ed Niewiadomski, President, Physician Advisor On-Call

  • Break 2:00 pm – 2:15 pm

  • Complex Clinical Patients from the Insurance Company Perspective 2:15 pm – 3:30 pm
    Understand the financial impact of a medical necessity denial from the insurer’s perspective.

Objective:
Participants will understand how the insurance industry approaches complex clinical cases and how that may impact revenue.
Speaker:
o Sheila Van Daly, RN, BSN, MBA, Manager, Clinical Services, AmeriHealth New Jersey

  • Wrap Up, Q&A, Evaluations 3:30 pm – 3:45 pm

Learner Outcome:
The learner will be able to list two key strategies to improve hospital reimbursement from insurance companies for patient services performed.

Successful completion of the course is defined as in-person attendance for 95% of the didactic learning session and a completed course evaluation.

 


 

REGISTRATION INFORMATION:

  • Make checks payable to HFMA - NJ CHAPTER, and please mail at least 10 days prior to the event.
  • Registration must be received three working days prior to the event.
  • REFUNDS WILL BE GRANTED ONLY IF CANCELLATION IS RECEIVED 48 HOURS PRIOR TO THE MEETING.
  • Dress is Business Casual
  • Mail payment to:
    HFMA – NJ Chapter
    Laura Hess
    PO Box 6422
    Bridgewater, NJ 08807

NEW JERSEY BOARD OF ACCOUNTANCY CONTINUING PROFESSIONAL EDUCATION CREDITS
Based on our understanding of the New Jersey State Board of Accountancy’s continuing professional education (CPE) requirements, Sponsor No. 185, this course will qualify for 6 CPE credits.

NEW JERSEY STATE NURSES ASSOCIATION CONTINUING EDUCATION CREDITS
This activity has been planned and implemented in accordance with the Essential Areas and policies of the American Nurses Credentialing Center’s Commission on Accreditation and New Jersey State Nurses Association through Health Research and Educational Trust of NJ. Health Research and Educational Trust is an approved provider of continuing nursing education by the New Jersey State Accreditation an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Provider Number P131-1/15-18.
This activity provides – 5.25 contact hours.
There are no conflicts of interest, sponsorship or financial/commercial support being supplied for this activity. Accredited status does not imply endorsement by the provider or American Nurses Credentialing Center’s Commission on Accreditation of any commercial products displayed in conjunction with an activity.
DISCLOSURE INFORMATION: Full disclosure will be provided at the educational activity.

AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES CONTINUING EDUCATION CREDIT
As an independent chartered Chapter of the American College of Healthcare Executives, ACHE – NJ is authorized to award 5.0 hours each of ACHE Qualified Education credit toward advancement or recertification in the American College of Healthcare Executives.
Participants in this program who wish to have it considered for ACHE Qualified Education credit should list their attendance when they apply to the American College of Healthcare Executives for advancement or recertification.

 

Tickets

$50.00 STUDENT REGISTRATION
$75.00 after 5:00 am June 14

$125.00 ADVANCE REGISTRATION - MEMBERS
$150.00 after 05:00 am June 14

$125.00 ADVANCED REGISTRATION - NJHA MEMBERS AND MEMBERS OF OTHER CHAPTERS
$150.00 after 5:00 am June 14