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Healthcare Industry Transformation & the Revenue Cycle Payment reform is a core piece of the healthcare industry transformation. The move to Bundled Payments creates
incentives for health care providers to improve the continuity and coordination of care, leading to better patient outcomes
and lower costs. Through the use of bundled payments payors (including the government), can better align incentives,
increase predictability, reward quality and encourage integration and coordination of care.
The challenges related to this rapidly changing healthcare environment affect the role of the clinical, operational and fi-
nancial staff of hospital. In the midst of large scale transformation comes nearly constant payor changes, and the recent
industry change to ICD-10. The Revenue Cycle team, with its greater inherent challenges for small hospitals and
individuals that often wear multiple hats, faces an even greater challenge to keep up. Each role in the Business Office
must be in a constant learning mode, adapting to transformation and working together with other hospital staff to modify
processes, be compliant, maintain efficiency, and remain financially viable.
Working Together to Improve Revenue Cycle Management & ICD-10 In order to support hospitals in this drive for change, it will take a combined effort of multiple groups: clinicians,
scheduling, registration, financial counseling, case management, utilization review, admission, charge capture, HIM,
coders, billing, claims, denials, appeals, contract management, payers, leadership, and one another as facilities. It is
transformation that must take place as a part of everyone’s job in the hospital on a daily basis from management down
to each patient access representative. This challenging task to adapt to the transformation in the Business Office will be
supported from the use of a wide variety of education, tools and resources in the Iowa Revenue Cycle Transformation
Consortium.
The goal of the Iowa Revenue Cycle Transformation Consortium (IRCTC) is to build a group of
hospitals and other stakeholders that work together to strengthen the rural health infrastructure and
increase access for small or rural Iowa hospitals.
This will be accomplished by supporting and reducing barriers to the improvement of hospital
financial processes in areas such as:
ICD-10 support and training/education
Revenue Cycle Revenue Cycle Management and staff development
Reimbursement and Payer Updates
2016-2017 Iowa SHIP Grant Program
Iowa Revenue Cycle Transformation Consortium (IRCTC)
Grant Program Managed by HomeTown Health, LLC
2016-2017 IRCTC Program Overview The 2016 Iowa Revenue Cycle Transformation Consortium Program includes:
Hospital Pre-Assessment An online Pre-Assessment is provided to complete and help the Consortium team to assess each hospital’s Revenue Cycle management benchmarks & ICD-10 competency. These will be used by IRCTC Expert to determine specific needs for the program participants.
Training Webinars
A Kickoff webinar will launch an additional series of eight interactive training webinars in the program, including topics related to Revenue Cycle Improvement, ICD-10 Training, & Reimbursement. Topical webinars to include:
Revenue Cycle Management Transformation Series - HTHU The primary consortium quarterly check-in series providing training in areas of Revenue Cycle Management and assistance in rolling out the RCM online staff development education in your facility. The intended audience for this series include Business Office Manager, Revenue Cycle Director, and other related department heads. Topics to include:
Introduction to School of Revenue Cycle Management Program: Importance of Education in the Business Office
PFS Certifications and Business Office Staff Retention and Development
Business Office Leadership, Reporting, and Benchmarking for Improvement - “REV UP” Your Revenue Cycle Benchmarking
Quarterly ICD-10/Coding Webinar led by Jenan Custer - HCCS In order to help hospitals stay on top of the latest changes and ongoing challenges in coding requirements, experts in the field come together to share their knowledge in the world of coding and ICD-10. Recommended audience will include: Coders, HIM Managers/Directors, Business Office Staff interested in the topic. Topics to include:
EMS Coding Compliance in ICD-10 and Beyond & ICD-10 Update
Unraveling Diabetes Coding in ICD-10-CM & ICD-10 Update
Physician E/M and CPT Reporting in the ED Setting & ICD-10 Update
Hitting the Mark on Compliant OB coding in ICD-10 & ICD-10 Update
Quarterly CAH Reimbursement Training Webinar led by HTHU Education Team HomeTown Health offers this quarterly CAH Series to help hospitals stay on top of the latest changes in billing re-quirements, specific to the needs of Critical Access Hospitals. The experts in the field, Dale Gibson and Leanne Layne come together to share their knowledge and expertise in the world of CAH reimbursement and billing. Topics to include items such as:
CAH Billing Overview & Inpatient Billing
CAH Swing Bed Billing, Chart & Cost Reporting
CAH Outpatient Billing
Method II Elections, plus other Content TBD as needs arise. Monthly Medicare Reimbursement Update Webinar - Led by HomeTown Health Education Team and Trainer Dale Gibson HomeTown Health offers this monthly Medicare Update to help hospitals stay on top of the latest changes in state and federal policy. The experts in the field come together to share their knowledge and expertise in the world of Medicare. This live webinar includes a reimbursement update on the most current Medicare policies and procedures. Dale Gibson, Medicare Expert, reviews the most current changes in Federal policy and procedures as it relates to filing claims to Medicare. As changes in the healthcare world happen daily, you can depend on HomeTown Health to keep your Medicare Billers, Business Office Mangers and CFO's ahead of the game in this series, held on the 2nd Wednesday of the Month.
Grant Program Managed by HomeTown Health, LLC
2016-2017 Iowa SHIP Grant Program Iowa Revenue Cycle Transformation Consortium (IRCTC)
2016-2017 IRCTC Program Overview The 2016 Iowa Revenue Cycle Transformation Consortium Program includes:
Live IRCTC Workshop A live 2-day workshop with other participating hospitals will provide education in the area of Revenue Cycle Improvement and Coding training.
Online Staff Development Support Courses To support further staff development and education, a series of support courses and Certifications will be accessible throughout the program, including: ICD-10 Clinical Documentation Improvement Series In this series designed for coders, physicians, and other clinicians, Dr. James Dunnick, a physician and certified coding trainer, cover common diagnoses of ICD-10-CM for each chapter. In addition, a series of foundation courses are included. (Learn more about the School of Coding/Documentation)
School of Revenue Cycle Management and PFS Certifications HTHU’s School of Revenue Cycle Management is dedicated to training business office managers/directors and staff in all aspects of the revenue cycle. Students are offered a wide menu of curriculum choices that cover the critical compo-nents of generating revenue for the hospital. The PFS/Business Office Certification courses are available individually and grouped for certifications. HTHU Business Office Certifications have been proven to decrease errors, increase knowledge base, increase clean claims and increase revenue. HTHU proudly offers posters, in-person and web-based assistance from our team, as well as a career advancement guide for incorporating education into job performance, an-nual evaluations or job advancements. (Learn more about the School of Revenue Cycle Management and PFS Certifi-cations).
Program Support from the IRCTC Team of Experts A selected team of trainers and subject matter experts will serve as support during the project period as well as providing live training at the February meeting.
Grant Program Managed by HomeTown Health, LLC
2016-2017 Iowa SHIP Grant Program Iowa Revenue Cycle Transformation Consortium (IRCTC)
The 2016 -2017 IRCTC Team of Experts will include hands-on training, expertise and advice by a team of experts in Revenue Cycle and Coding, and delivered by the program team at HomeTown Health. Program leaders & subject matter experts include:
Annie Lee Sallee, MBA, CPC, CPMA, Revenue Cycle Specialist/Area Lead - HomeTown Health Meghan Williams, Customer Relations Coordinator - HomeTown Health University Sandy Sage, RN, PPS/PB Trainer - HomeTown Health Trainer Dale Gibson, Medicare Expert - Dale Gibson Medicare Consulting Jenan Custer, CCS, CPC, AHIMA Approved ICD-10-CM/PCS, Trainer and Ambassador - HCCS James Dunnick, MD, FACC, CPC, CHCQM'S - Cardiologist and Certified Coding Trainer - The Dunnick Group Other Consortium participants to be invited based on Pre-Assessment results and feedback on the current status and needs of the participating hospitals.
2016-2017 IRCTC Team of Experts
2016-2017 Iowa SHIP Grant Program
Iowa Revenue Cycle Transformation Consortium (IRCTC)
Grant Program Managed by HomeTown Health, LLC
Date Topic & Audience
August 1, 2016
at 10am Eastern
11 am Central
The Iowa Transformation Consortium Kickoff Webinar:
Revenue Cycle Management & ICD-10: Transforming Healthcare
The Importance of Education: Intro to the School of Revenue Cycle Management
Completion of Hospital Pre- Assessment by August 15
August 10, 2016
10am Eastern/
9am Central
Monthly Medicare Reimbursement Update Webinar (HTH)
August 23, 2016
1pm Eastern,
12pm Central
Quarterly CAH Webinar (HTH)
September 14, 2016
10am Eastern/
9am Central
Monthly Medicare Reimbursement Update Webinar (HTH)
September 27, 2016
11am Eastern.
10am Central
Quarterly ICD-10/Coding Webinar (HCCS): EMS Coding Compliance in ICD-10 and Beyond & ICD-10 Update Recommended Online Course ICD-10 Course: Part I: Physician CDI Series (Chapters 1-4) Recommended Online Course ICD-10 Course: Part II: Physician CDI Series (Chapters 5-8)
October 12, 2016
10am Eastern/
9am Central
Monthly Medicare Reimbursement Update Webinar (HTH)
October 18, 2016
11am Eastern.
10am Central
Revenue Cycle Management Transformation #2:
PFS Certifications and Business Office Staff Retention and Development
November 9, 2016
10am Eastern/
9am Central
Monthly Medicare Reimbursement Update Webinar (HTH)
November 22, 2016
1pm Eastern,
12pm Central
Quarterly CAH Webinar (HTH)
December 14, 2016
10am Eastern/
9am Central
Monthly Medicare Reimbursement Update Webinar (HTH)
December 27, 2016
11am Eastern.
10am Central
Quarterly ICD-10/Coding Webinar (HCCS): Unraveling Diabetes Coding in ICD-10-CM Recommended Online Course ICD-10 Course: Part IV: Physician CDI Series (Chapters 9-11) Recommended Online Course ICD-10 Course: Part III: Physician CDI Series (Chapters 12-14, 18)
2016 IRCTC Program Schedule
2016-2017 Iowa SHIP Grant Program Iowa Revenue Cycle Transformation Consortium (IRCTC)
Grant Program Managed by HomeTown Health, LLC
Date Topic & Audience
January 11, 2017
10am Eastern/
9am Central
Monthly Medicare Reimbursement Update Webinar (HTH)
January 24, 2017
11am Eastern,
10am Central
Revenue Cycle Management Transformation Webinar: #3:
Business Office Leadership, Reporting, and Benchmarking for Improvement - Intro to REV
UP Benchmarking Program
February 8, 2017
10am Eastern/
9am Central
Monthly Medicare Reimbursement Update Webinar (HTH)
Tentative: February
22- 23, 2017
(Courtyard in Ankeny)
Live Training Event
A live 2-day workshop with other participating hospitals will provide education in the area of
Revenue Cycle Improvement and Coding training.
February 28, 2017
1pm Eastern.
12pm Central
Quarterly CAH Webinar
March 8, 2017
10am Eastern/
9am Central
Monthly Medicare Reimbursement Update Webinar (HTH)
March 28, 2017 11am Eastern.
10am Central
Quarterly ICD-10/Coding Webinar (HCCS):
Physician E/M and CPT Reporting in the ED Setting & ICD-10 Update
Recommended Online Course ICD-10 Course: Part V: Physician CDI Series (Chapters 15-17)
Recommended Online Course ICD-10 Course: Part VI: Physician CDI Series (Chapters 19-21)
April 12 2017
10am Eastern/
9am Central
Monthly Medicare Reimbursement Update Webinar (HTH)
April 25, 2017
11am Eastern.
10am Central
Revenue Cycle Management Transformation Webinar: #4
Topics TBD based upon needs of hospitals
May 10, 2017
10am Eastern/
9am Central
Monthly Medicare Reimbursement Update Webinar (HTH)
May 16, 2017
1pm Eastern,
12pm Central
Quarterly CAH Webinar
May 23, 2017
at 10am Eastern
11 am Central
Closing Program Webinar: Setting Goals for Improvement (HTH Team w/ Panel)
Post-Program Assessment Delivery: Complete by May 31, 2017
June 27, 2017
11am Eastern.
10am Central
Post-Program
(June 2017)
Quarterly ICD-10/Coding Webinar (HCCS):
Hitting the Mark on Compliant OB coding in ICD-10 & ICD-10 Update
Post-Program Hospital Assessment Report Delivered
2017 IRCTC Program Schedule
2016-2017 Iowa SHIP Grant Program Iowa Revenue Cycle Transformation Consortium (IRCTC)
Grant Program Managed by HomeTown Health, LLC
