Innovation Conference - All Sessions Pack - HBMA Store

This item is a package of all the recorded sessions from HBMA's 2024 Innovation Conference. The sessions included:

Vendor Showcase Moderated by Mark Anderson  
Description:
The HBMA Innovation Committee has pre-reviewed numerous Innovative Technologies and has selected 9 vendors who will provide a short presentation on new and enhanced processes designed to improve productivity, reduce operating costs, and enhance cash collections. The presentations will be divided into two categories: Innovations in Pre-Claims submission processes and Post claim submission processes.

Each vendor presentation will be limited to no less than 10 minutes and will be developed around an actual client Case Studies designed to highlight:

1. The problem
2. The solution
3. Quantified results
4. Timeframe
5. Lessons learned 

Following the Vendor Showcase, participates will have time to talk to the vendors in the exhibit hall prior to lunch. The Vendor Showcase will be moderated by Mark Anderson, an HBMA advisor with more than 35 years’ experience in purchasing innovative technologies in healthcare.

Objectives:
Course participants will be able to:

1. Learn about new innovative technologies designed to Improve Cash Collections and productivity while reducing costs.
2. Learn how you can add new technologies without replacing any of your current technologies.
3. Learn what it takes to embrace new technologies and which technologies have the best ROI.
4. Observe actual condensed product demonstrations designed to highlight business benefits.

Innovation Framework of Healthcare Ventures Presented by Kunal Jain & Desmond Meridian
Description:
In the healthcare business, innovation is pivotal in reshaping the landscape of medical practice and institutions. This presentation aims to empower medical business professionals to become entrepreneurial forces, driving impactful and innovative changes within the healthcare sector. By comprehending the six fundamental drivers of innovation, attendees will gain the tools to proactively manage change, foster creativity, and ultimately thrive in a dynamic industry while making a positive impact on humanity.

The six critical factors of innovation explored in this session are: Structure, Public Policy, Technology, Accountability, Consumer Dynamics, and Financing.

This session is tailored to provide a comprehensive understanding of the evolving tools and technologies driving the transformation of Revenue Cycle Management (RCM). From advanced Excel applications and SQL to cutting-edge solutions like Robotic Process Automation (RPA) and Python programming, we will delve into the forces behind the RCM transformation and explore how these innovations can amplify your organization's revenue cycle. Join us in the journey of innovation and change in healthcare to ensure your business thrives in these dynamic times of AI and ChatGPT.

Join Kunal and Desmond as they present real-life case studies from the Healthcare Revenue Cycle Management (RCM) domain, shedding light on how these frameworks can be practically applied in today's ever-evolving healthcare landscape.

Objectives:
Course participants will be able to:

1. Understand innovation frameworks, equipping them to spearhead transformative changes within the healthcare sector
2. Learn the six critical factors of innovation
3. Receive current examples in RCM healthcare space where disruption has been introduced by innovators successfully or it has failed miserably because the framework was missing

AI from the Healthcare Business Perspective Presented by Samuel Waissman 
Description:
In 2023, AI has become one of the hottest topics, in the first 10 months of 2023 web searches tripled and reached over 30.4 million searches in March alone (1). AI offers the promise of revolutionizing business processes with automation and sophistication. It can automate tasks that were previously challenging, such as authorization & denial follow ups, contact center interactions, complex coding challenges, and real-time recommendations. 

However, simply acquiring AI technology is not enough for success. Businesses need to go beyond technical implementation and consider the impact on people, processes, and tools.

This chat will focus on a business-centric approach to AI. We will discuss the factors businesses should consider before, during, and after implementing AI. Drawing on industry best practices and proven knowledge, we will explore how businesses can prepare themselves to fully leverage AI, mitigate risks, and ultimately reap its benefits.
(1) Statista.com, extracted on 11/3/2023 by SEW, https://www.statista.com/statistics/1398211/ai-keyword-traffic-volume/

Objectives:
Course participants will be able to:

1. Understand the foundational components for a successful Revenue Cycle AI project.
2. Anticipate organizational impact and risks due to AI projects.
3. Be better prepared to evaluate AI solutions.

Panel: A Day in the AI Life: A View of the Future of RCM Presented by Kyle Tucker 
Panel Members: Keven McDonald, Michael Brozino, & Steven Lassig
Description:
This session will peer into the RCM crystal ball and envision a day in the life of an RCM executive once AI is fully realized. 

The first portion of our session will be set in the future where an RCM executive speaks with his AI-controlled billing software via an Alexa-like speaker.  We will enact what we feel are potential interactions with the computer asking it to perform certain tasks, giving us updates, and changing actions based on its learning. We will look bring KPIs into the discussion with the computer so that people will be confronted with the game-changing nature of this technology.

The second portion of the session will be a panel discussion of the reality of what is available to today and the viability of the future we have just explored.  

Objectives:
Course participants will be able to:

1. Understand the potential of AI and how it may change the future of RCM
2. See how AI may change different facets of our business from coding to call center and more

Panel: Innovation in the Front Office Moderated by Mark Anderson  
Panel Members: Megan Hebert & Matt Seefeld
Description:
This session will be designed as a fire-side chart format with 3-4 HBMA and/or Vendors regarding technology Innovations designed to improve staff productivity and enhance pre-claim processes that can help improve workflow related to: 

• Eligibility Tracking
• Pre-authorization confirmations
• Enhance charge capture
• Improved diagnostic coding
• Improved patient payment and collections 
• Reporting and Analytics

Objectives:
Course participants will be able to:

1. Learn about new innovative technologies designed to Improve pre-claims processing while reducing costs.
2. Learn how you can add new technologies without replacing any of your current technologies.
3. Learn what it takes to embrace new technologies and which technologies have the best ROI

Revolutionizing Revenue Cycle: The Synergy of Medical Coding and Future Technology Presented by Kyle Tucker & Michael Brozino
Description:
Healthcare providers face the challenges of rising operational costs, which threaten financial stability, and under staffing that results in slower claims processing, decreased reimbursements, and increased denials. In 2019, the US reported $28.9B in improper payments, accounting for 7.25% of all payments. Alarmingly, about 23% of claims are denied, lost, or overlooked, with the average cost for a provider to appeal or address a denial standing at $118.

Innovative revenue cycle solutions are needed to address these challenges today.  

In this session, we will delve into the forefront of technology tailored to tackle the challenges of Medical Coding. We will make the distinctions between Computer Assisted Coding and Autonomous Medical Coding, elaborate the unique features and terminology associated with Autonomous Medical Coding, and explore the benefits of integrating an Autonomous Medical Coding platform.

Objectives:
Course participants will be able to:

1. Navigate the dynamic landscape where Medical Coding and Autonomous Medical Coding platforms converge
2. Evaluate the benefits and challenges of integrating generative AI into the medical coding processes
3. Empowered to make informed decisions that drive innovation in the revenue cycle process

How we Built our own RPA: Automating the Charge Entry and Payment Posting Process Internally Presented by Rob Gontarek & Jon Gerber
Description:
One RCM company’s experience with RPA and our journey over 3 years in building our own internal RPA for Charge Entry with BOT deployment. MEDCOR will present their own case study of the lessons learned, pain points, process, challenges, actual costs, ROI, Staffing impact, efficiency rates, value adds and unintended consequences.

Objectives:
Course participants will be able to:

1. Understand the true cost of building RPA internally
2. Realize true cost savings benefits for employment expense
3. See real life numbers for efficiency and ROI
4. Determine if “the juice is worth the squeeze”

Beyond Algorithms: Understanding Liability in AI's Healthcare Revolution Presented by Landon Tooke
Description:
The rise of AI is reshaping healthcare, including in the realm of finance and revenue cycle management. As we stand on the brink of this revolution, the line between AI's potential and the challenges it presents, especially in terms of liability, blurs. This presentation examines the role of AI in healthcare revenue cycle management, its profound transformative potential, and the intricate web of liability concerns it introduces. With insights from real-world examples, we will examine the balance between leveraging AI's benefits and understanding its implications. Join us to demystify the future of healthcare revenue cycle management, where AI meets accountability. This session also provides a legislative update on federal and state efforts to regulate the development and use of artificial intelligence.

Objectives:
Course participants will be able to:

1. Identify key risk areas where AI is revolutionizing healthcare revenue cycle management.
2. Gain insights into the primary legal and ethical challenges introduced by AI in healthcare finance and revenue cycle management, including real-world scenarios and implications for providers and patients.
3. Become familiar with the federal and state efforts to regulate AI

AI Roadmap for RCM Analytics that Drive Outcomes in Claims Follow-up Presented by Gautam Char
Description:
 This session will explain AI technologies for the revenue cycle and show how they transform codified data into actionable insights that reduce costs and improve performance. The presentation will then explore current technologies that are already mature, ready for immediate use, and generate an ROI. Finally, a roadmap will be presented for the revenue cycle including what is expected to become available over the next few years.

Objectives:
Course participants will be able to:

1. Learn how to leverage analytics to reduce costs and improve performance.
2. Discover the AI technologies that can be leveraged now. 
3. Understand impact of AI technology on the revenue cycle over the next few years.