All of us have gone to conferences and seminars and webinars, and watched webinar series – we’ve done that for years. Everyone has to budget for them every year. But not everything you go to is all that useful. Or even when it is, you may have questions that you didn’t get to ask before, and now you can’t talk to the speakers anymore. So you have to balance the cost of going to those events versus the benefits you actually get from them.
We decided there should be a way for you and your staff to choose the topics you want to hear about, get a whole day of talks scheduled, even by many of the same industry veterans and experts you’re used to hearing from, and get all that to happen at a location of your own choosing – so no one has to travel out of town, and they don’t have to stay in a hotel, so there’s no expenses for all that! Would that be a ridiculous idea to think you might like to do it that way?
We want to help improve patient care, reduce denials and appeals, reduce preventable deaths and reduce physician burnout. One the ways we do that is to offer hospitals like yours a way to design your own seminar of expert presentations that can be delivered at your site. We now make it possible for you to do what you thought was impossible... Build your own revenue cycle seminar...
The diagram below shows the process that Top Gun Audit School coaches go through to enable your staff to literally build you own one-day seminar – and notice that we do have a loop in this process… everything we do at Top Gun Audit School is about continuous improvement. We are passionate about it all. That’s how we plan to achieve our goals… the pillars of why we do this.
Let's focus on how we start this process, with an introductory meeting, the purpose of which is setting up a conference call with whomever you choose at your hospital to contribute to lining up an agenda for your seminar.
We have eight topics that we typically recommend, based on our collective experiences in the industry from the past 20-odd years. Nevertheless, these are just suggestions, to get some brainstorming started with your staff…
(Bet you guessed this one, right?)
Every goal we have is dependent upon improving clinical documentation including the behaviors and processes that produce it. Keep in mind that for many years running now, about 85% of payer denials are a result of inadequate or poor or missing documentation. Given that FACT, working to improve documentation offers to return the biggest bang-for-the-buck, so to speak. Nuff said.
Of course we also suggest medical coding as a topic, for many reasons, not the least of which is how dependent it is on documentation, and the fact that the topic remains one of the top concerns of management, industry wide. Even great documentation won't save you without proper coding to ensuring accurate reimbursements and a valid record of patient care history.
Charge capture is really a form of documentation, if you think about it like we do… and there are many methods being used to accomplish it… unfortunately, payor rules, terminology and codes change frequently, so there needs to be some kind of process to make sure you capture what happens clinically and how that affects the accuracy and completeness of billing.
Appeals – and of course this must include Denials management, but as I already mentioned, the goal is to continuously improve your processes and results. Winning appeals is a great accomplishment, but you don’t even need to write an appeal if you avoid the denial that was its genesis. We’d like to make sure that the right metrics are being used to show true improvements.
Registration is waaaay up front in your revenue cycle, you might call it patient access. This is becoming even more important as time goes on, and we want to make sure everyone recognizes the crucial nature of what needs to happen here, even this early in the whole process.
Scheduling – no matter how you do this now, there’s a lot of focus on this of late, and we think it needs even more focus than we see in general. And of particular interest is the ability to properly determine appropriate status for surgery claims, submitted to either commercial or government payer programs.
Case management has been going through some changes over the past few years, all aimed at improving the ability of case managers to help identify appropriate providers and facilities throughout the continuum of services, all the while ensuring that available resources are being used in a timely and cost-effective manner, with a goal to obtain optimum value for both the patient, the hospital and the payer. Your staff need continuing education to render appropriate services based on sound principles of practice.
Utilization Review… now has an ever-increasing emphasis on reducing costs while still improving patient outcomes. So if reducing costs and improving outcomes for patient care are good goals, then being able to confirm that plans of care are covered and appropriate in the payers’ eyes is critical to all our stated goals.
But as mentioned above, those topics are just a starting point… this will be your seminar - we’re just your coaches!
YOU get to plan what YOU want to hear about, and then we’ll assemble an agenda that meets YOUR needs.
Once the agenda is agreed upon, we work with you to choose a tentative date, and then we start talking to our team of Strategic Partners who can fit the bill and speak to your topics.Schedule a Discovery Call or Strategy Meeting
Once we have a tentative date for your seminar and your requested agenda, we begin working with our own Coaches and our Strategic Partners to assemble YOUR customized Full Day Revenue Cycle Seminar.
We simply can NOT be expert at everything, so we ally ourselves with others who can fill in the gaps in our own expertise, and provide effective tools and coaching. We have known and work with these companies because we know them to be effective and reliable. Click their logo to learn more about each of them, and their respective expertise.