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Audio Archive:
Comparative Analysis: Why Your Benchmark May Be Off the Mark

With the advent of new payment models and quality metrics that rely on electronic records, benchmarking is becoming an even more important component in the success of healthcare organizations. Jason Williams, vice...

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Elliott Fisher: Data-Driven ACO Visionary
December 23, 2010

When asked where he sees himself in 10 years, Fisher commonly hailed as the father of accountable care organizations, is self effacing. "I might be in hiding because ACOs failed," he jokes. [Read more]



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Charge Capture for Oncology Procedures
December 22, 2010

Mike DeTolla, senior vice president of revenue management solutions for Picis LYNX Medical Systems in Bellview, Washington discusses the importance of charge capture for the process of reimbursement on oncology infusions and injections. [Sponsored by Emdeon]



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How IRS Tax Changes Could Impact Nonprofit Hospitals
December 22, 2010

Significant IRS tax changes are underway that could soon impact hospitals' nonprofit status. Milton Cerny, formerly with National Office of the IRS and now counsel with McGuireWoods LLP in Washington, D.C., has extensive experience in the application of the federal tax code to nonprofit organizations. He discusses what new regulations could mean for hospitals. [Sponsored by Emdeon]



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Diane E. Meier: Palliative Care Pioneer
December 22, 2010

Diane E. Meier, MD, Director, Center to Advance Palliative Care, Hertzberg Palliative Care Institute, Mount Sinai School of Medicine, explains her role during the past 10 years as running a political campaign to convey the value of palliative care to various audiences, including C-suite executives, physicians, nurses, patients, families, policy makers, and philanthropists.



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Q&A: Expert Answers to RAC Questions
December 22, 2010

Kimberly Anderwood Hoy, director of Medicare and Compliance for HCPro, Inc. answers questions about recovery audit contractor issues. [Sponsored by Emdeon]



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HL20: John C. Goodman
December 20, 2010

As head of a think tank that searches for private sector alternatives to government programs that are not working, Goodman is in his element when causing a stir. Whether it's being at odds with the White House or Democrats or Republicans in Congress, Goodman takes special delight in taking jabs at health policy makers. [Sponsored by Emdeon]



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Preventing RAC Denials
December 20, 2010

Karen Bowden, president of ClaimTrust Consulting Services, a Tennessee-based in-hospital revenue cycle consulting firm discusses how RAC views "wrong setting" denials, and how you can prevent problems for your hospital. [Sponsored by Emdeon]



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Tony West: Waging War on Medicare, Medicaid Fraud
December 6, 2010

Tony West left a thriving private law practice to return to the Department of Justice as a political appointee when President Obama took office in 2009. Over the last year and half, the department has recovered more than $4 billion lost to healthcare fraud. [Sponsored by Emdeon]



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How MLR Will Impact the Healthcare Industry
November 29, 2010

Brenda Snow, Executive Vice President of Strategic Planning at Firstsource, a global business process outsourcing provider of revenue cycle management services, discusses how the Medical Loss Ratio will impact the healthcare industry. [Sponsored by Emdeon]



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Will DOJ Quash Insurers' Most Favored Nation Clauses?
November 1, 2010

A recent Department of Justice lawsuit threatens the "most favored nation" clauses common to many insurer contracts with healthcare providers. Attorney Dale Grimes of Bass, Berry & Sims discusses the potential upheaval associated with this contracting mainstay. [Sponsored by Emdeon]



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How HIPAA Data Standards Will Benefit Payers, Providers
October 29, 2010

Tom Hughes, President and CEO of the Georgia-based Medical Electronic Attachment, Inc. discusses how the HIPAA HL7 and 275 standards will benefit payers and providers. The standards, designed to facilitate the electronic exchange of patient data, are expected to be finalized in the coming months. [Sponsored by Emdeon]



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Primary Care Physicians to Take Central Role in ACOs
October 21, 2010

Paul Keckley, executive director of Deloitte's Center for Health Solutions, discusses the physician’s role in the accountable care organization. Keckley shares his thoughts about this rapidly evolving team-based system of care with the PC physician at its center, and the important role technology will play. [Sponsored by Emdeon]



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The Importance of Coding Integrity
October 8, 2010

We've shared the importance of clinical documentation for many years at HealthLeaders Media. But there's another side to it—coding integrity. Listen to my interview with Marion Kruse, a director with FTI Healthcare, about that long-neglected piece of the reimbursement puzzle.[Sponsored by FTI Healthcare]



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The Fate of Healthcare Benefit Coverage Subsidies for Nonprofits
September 3, 2010

Bruce McPherson, CEO of the Alliance for Advancing Nonprofit Healthcare discusses tax exemptions for nonprofit hospitals and health facilities in light of healthcare reform legislation. [Sponsored by Emdeon]



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Breaking Down the Barriers to Developing ACOs
September 3, 2010

Listen to MedAssets' Performance Analytics President Stephanie Alexander about the challenges and possible solutions for hospitals and health systems in developing accountable care organizations. [Sponsored by Emdeon]



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Payment Model Innovation: Sharing the Rewards of a Pay-For-Performance Program
September 2, 2010

Neal Peyser, Managing Director FTI Healthcare discusses the creation of payment incentives for better collaboration between hospitals and their medical staff. He describes how one facility was able to tap incentive payments from a commercial payer that were based on meeting quality and efficiency metrics, and share them with physicians. [Sponsored by FTI Healthcare]



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Physicians: Reimbursement and Retention
August 3, 2010
Listen to Crouse Hospital CEO Paul Kronenberg, MD, on the implications of physician recruitment and retention under new models of reimbursement.

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Preventing Missed Revenue Opportunities
June 9, 2010
Robert Sutton of IMA Consulting discusses tips for preventing missed revenue opportunities due to third-party payer contractual underpayment. [Sponsored by Emdeon]

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The State of HSAs
April 7, 2010
Martin Trussell, senior VP of business development at First Horizon Msaver, talks about the state of HSAs and how health reform will affect them. [Sponsored by Emdeon]

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The State of HSAs
April 7, 2010
Martin Trussell, senior VP of business development at First Horizon Msaver, talks about the state of HSAs and how health reform will affect them. [Sponsored by Emdeon]

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Strategies for Reducing Drug Spending
March 31, 2010
Find out how Virginia Commonwealth University Health System saved $2.5 million annually from its outpatient drug spending. [Sponsored by Emdeon]

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Giving Every Patient a Medical Home
March 24, 2010
Lisa Sasko, director of clinical transformation at Capital District Physicians' Health Plan, talks about CDPHP's medical home project. [Sponsored by Emdeon]

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Using Claims Transparency to Reduce Waste
March 17, 2010
Representatives from St. Joseph Health System and Blue Shield of California discuss the Partnership in Operational Excellence and Transparency. [Sponsored by Emdeon]

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The Right Way to Connect with Members Online
March 10, 2010
John Bahl, head of member and consumer online strategy and operations at Aetna, discusses the health insurer's redesigned Web site. [Sponsored by Emdeon]

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State of Nonprofit Healthcare
March 10, 2010
Bruce McPherson, president and CEO at the Alliance for Advancing Nonprofit Health Care, talks about the state of nonprofit healthcare. [Sponsored by Emdeon]

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Small Scale Reforms Needed in Health Insurance
February 17, 2010
John C. Goodman of the National Center for Policy Analysis talks about initiating small scale reforms to the healthcare insurance system. [Sponsored by Emdeon]

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Tips to Avoid Claims Denials
February 1, 2010
Judy Suska of IMA Consulting offers hospitals tips on working with health plans on claims denials. [Sponsored by Emdeon]

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Which Health Reform Provisions Will Pass This Year?
January 27, 2010
Ned Moore, CEO of Portico Systems, talks about health reform in light of Scott Brown's recent election win in Massachusetts. [Sponsored by Emdeon]

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Blue Shield Reaches Patients Through Portal
January 20, 2010
Jim Orchison, director of network design and programs for Blue Shield of California, talks about the insurer's new Patient Ally portal. [Sponsored by Emdeon]

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What's Needed in Health Reform?
January 13, 2010

Kansas Insurance Commissioner Sandy Praeger talks about the current health reform plans and what they would mean to health insurers. [Sponsored by Emdeon]



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