Kevin Rash, FACHE

Managing prior authorizations across all lines of business is easier when you have a single source of truth. PA Checkpoint becomes that source of truth for our clients - listen to BCBS of Minnesota share their experience: #PriorAuthorization #AIinHealthcare #ItilitiHealth

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Check out this quick and insightful review of the latest updates from CMS, brought to you by the #Michigan Health & #Hospital Association (MHA)! 🚑📊 The proposed #Medicare 2025 Outpatient Prospective Payment System rule includes a net 2.3% increase, new service additions, the adoption of three measures related to health equity and more: https://lnkd.in/gS8rTHEr #HealthcareUpdates #CMS #Medicare2025 #MHA #OPPS

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Roosevelt General Hospital was recently highlighted in Becker's Healthcare for its commitment to fiscal sustainability, which included implementing MaaS and leveraging MEDITECH's #RevenueCycle solution. The article explores how Roosevelt General has harnessed technology, optimization, and cost reductions to boost financial health and support staff retention. 📈 Learn more: https://hubs.ly/Q02Wrsmy0

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Roosevelt General Hospital was recently highlighted in Becker's Healthcare for its commitment to fiscal sustainability, which included implementing MaaS and leveraging MEDITECH's #RevenueCycle solution. The article explores how Roosevelt General has harnessed technology, optimization, and cost reductions to boost financial health and support staff retention. 📈 Learn more: https://hubs.ly/Q02XWZvH0

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Roosevelt General Hospital was recently highlighted in Becker's Healthcare for its commitment to fiscal sustainability, which included implementing MaaS and leveraging MEDITECH's #RevenueCycle solution. The article explores how Roosevelt General has harnessed technology, optimization, and cost reductions to boost financial health and support staff retention. 📈 Learn more: https://hubs.ly/Q02ZmLSB0

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Ken J. contributed insights to the Kansas Hospital Association (KHA) educational panel webinar 'Defending Your Revenue'. Ken joined moderator Michael J. Patti, MBA of HealthSure, attorney Leah Stewart and Scott Pruzan of HealthSure in a discussion of why and how healthcare organizations should and can defend against revenue leakage from claims denials and contract underpayments. Listen to the panel discussion here: https://bit.ly/4csxwYm #ContractManagement #RevenueLeakage

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Feeling cash pressures? Revenue cycle executives need to re-strategize their processes amid increased denials and slow time to pay, according to a recent panel for HFMA Region 8 featuring Jana Danielson of Nebraska Medicine, Valerie Johnston, PhD, FACHE of Bryan Health and longtime revenue cycle executive Ted Syverson, MBA, FHFMA, EHRC, CELHP. The panel was moderated by Knowtion Health’s Sarah Loeffler. Top takeaways: - Anticipate potential skill gaps. Deep skill sets and institutional knowledge are in high demand and can be difficult to fill on denials teams. Cross-training your team can be an important tactic for success planning. Nebraska Medical Center rotates leaders in HIM, Access Operations, and Revenue Cycle Systems on a three-year program to foster new perspectives around denials and strengthen its bench for now––and the future. - Consider shifting dynamics affecting aging A/R. The same-old, same-old strategies won’t keep your organization performing at its best as payer behavior, denial volumes, and inventory dynamics change. Syverson stresses that organizations need to devote more energy and to understanding what is happening with their A/R inventories to prioritize by recovery opportunity, speed resolution, and build the right front-end processes to reduce future underpayment or non-payment. - Prioritize trending denial performance data. For Bryan Health, focusing on the strength of their payer scorecards has helped guide more effective contracting and a stronger position when approaching payer relations as they better understand variations by payer and service line. At Nebraska Medical Center, benchmarking with the AHA’s Vitality Index is helping compare their organization's denial metrics to other providers and peer groups to better recognize opportunities. 💡Loeffler also shared research highlighting goals and gaps in hospital denials processes, highlighting a study released earlier this summer at HFMA Annual. Read the market analysis: https://hubs.li/Q02Khzxc0. #MASI2024 #healthcarefinance #revenuecyclemanagement #revenuecycle

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Join us tomorrow for the first webinar of our Capital Planning for Health Center Growth! This session focuses on components of Capital Planning and how to integrate and align it with your organization's strategic goals. Register: https://ow.ly/GGbh50TPX7Z

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🚀 Attention all Long Term Facility Leaders 🚀 Are you prepared to be compliant with CMS's latest requirements for Acute Respiratory Illness Reporting Requirements? 📍 The Centers for Medicare & Medicaid Services has published State Survey Agency Directors Memo outlining the requirements, and your state survey will incorporate this into your annual surveys. 🆘 #infectionprevention #infectioncontrol #regulatorycompliance #NHSNreporting #infuenza #COVID19 #RSV

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Have you registered for our HFMA Region 7 Midwest Conference? Here are a few reasons why you don't want to miss this event: Unparalleled Networking Opportunities: The conference will bring together a diverse group of healthcare leaders from across the Midwest. This presents an excellent opportunity for you to connect with like-minded professionals, exchange ideas, and build valuable relationships that can benefit your career and organization. Engaging Educational Sessions: The conference agenda is packed with thought-provoking sessions and panel discussions led by industry experts. You will have the chance to gain insights into the latest trends, best practices, and innovative solutions shaping the healthcare landscape. These sessions will provide you with actionable knowledge that you can apply to your own organization. Collaborative Learning Environment: The conference fosters a collaborative learning environment, encouraging open dialogue and the exchange of ideas. You will have the chance to engage in discussions, and learn from the experiences of your peers. This collaborative atmosphere will inspire new perspectives and innovative approaches to the challenges facing the healthcare industry. This Week's Featured Session: Medicare Advantage Plans: How CMS Final Rules Are Making An Impact Speakers: Terrence Cunningham, Director of Administrative Simplification Policy American Hospital Association Session Description: In this session, Terrence Cunningham from the American Hospital Association will provide an overview of the CY2024 and CY2025 Medicare Advantage rules, including an analysis of the potential impact of key provisions contained within the regulations.   https://cvent.me/W8wlZZ

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As Community Health Systems (CHS) moves to grow its healthcare footprint, CFO Kevin Hammons emphasized expanding access points like ASCs and urgent care facilities. After 8 years without buying a hospital, the system now plans to shift to "offense" in its M&A strategy. https://lnkd.in/eMRuvxhc

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The introduction of AI technology has not only transformed healthcare operations but also the human experience for staff and patients alike at health systems like University of Iowa Health Care and Providence. At our recent Transform Executive Summit, a part of Becker's Healthcare's 12th Annual CEO + CFO Roundtable, Chief Operating Officer at University of Iowa Health Care, Jody Reyes, BSN, FACHE, MSBA and Executive VP and Chief Clinical Officer at Providence, Dr. Hoda Asmar, MD, MBA shared their perspectives on operational excellence. After a transformative experience working with iQueue for Infusion Centers at her previous organization, Ms. Reyes brought iQueue for Operating Rooms to the OR at UI Health Care. In the first 5 months, patient volume grew by 4%, meaning more patients are getting the critical care they need. Providence began its modernization efforts in the OR as a foundation for operational improvements and future growth. In just eight months, iQueue for Operating Rooms has helped reduce abandoned OR time by 34% and reclaim 42,000 hours of valuable OR time, improving staffing flexibility and experience system-wide. Learn more about how UI Health Care and Providence are creating better patient care and staff experiences through AI here: https://bit.ly/4gki2rK

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🚨 CMS Finalizes New Mandatory Payment Model for Acute Care Hospitals! In the 2024 IPPS Final Rule, CMS introduced the Transforming Episode Accountability Model (TEAM), a mandatory 5-year alternative payment model starting in January 2026. TEAM builds on previous episode-based models like Bundled Payments for Care Improvement Advanced and Comprehensive Care for Joint Replacement, focusing on key procedures such as: Coronary Artery Bypass Grafting Lower Extremity Joint Replacement (LEJR) Major Bowel Procedures Spinal Fusion TEAM also satisfies the Advanced APM requirements for the Quality Payment Program (QPP). Hospitals in 188 regions, including Bowling Green, Lexington, Corbin, and Middlesboro in Kentucky, will be required to participate. This episode-based model includes quality measures related to hospital readmissions, patient safety, and health equity initiatives, alongside key beneficiary incentives like telehealth services and waived IP stay requirements for skilled nursing care. 📅 Starting January 2026, TEAM will transform how hospitals approach value-based care, offering three risk-sharing tracks and annual payment reconciliations. Stay tuned to Kentucky REC for further updates and how this impacts your organization! For more details on TEAM and the CMS Final Rule, visit https://lnkd.in/ejAXQxND #HealthcareTransformation #TEAMModel #ValueBasedCare #CMS #KentuckyHospitals

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💰 In a recent survey, 59% of healthcare system and hospital leaders identified financial stability as their organization’s top priority and ranked revenue cycle management (RCM) among their top three priorities. https://lnkd.in/gW7te9KE Optimizing RCM not only has a positive impact on a company’s financial health but also delivers an improved and streamlined patient experience. At Wilshire, we partner with healthcare organizations to solve their most complex RCM challenges by implementing custom solutions at the intersection of operations and technology. From filling gaps in revenue cycle leadership to simplifying workflows and improving productivity, our team leverages decades of industry experience to guide organizations to sustained success. 👉 Are you looking to improve your organization’s RCM? Let’s talk: https://lnkd.in/gWJRqP9P #RevenueCycle #RevenueCycleManagement #RevenueIntegrity #RCM #Healthcare #HealthcareFinance

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Please help the Association of Healthcare Value Analysis Professionals (AHVAP) in welcoming the newest member, Jason Rathbun, from Bryan Health to the Association of Healthcare Value Analysis Professionals (AHVAP) family. Welcome Jason! To learn more about AHVAP membership, visit: www.ahvap.org. #AHVAP #membershipmatters #valueanalysis #valuebasedcare

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Workforce stability is on top of mind for many healthcare leaders today. We’ve decided to host a virtual event on August 29th at 1pm CT that will provide solutions for the most pressing challenges. Back by popular demand, Caitlyn Obrock from SSM Health will join us for another session sharing how they are tackling workforce stabilization planning. It’s a great opportunity to gain actionable insights to improve your organization’s capability to meet future demands! What you’ll learn: - Using data to uncover key challenges and opportunities in your organization. - Techniques to boost staff resilience - Cutting-edge approaches to workforce stabilization Secure your spot today and equip yourself with the tools to build workforce stability! https://hubs.ly/Q02Ll5YM0

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The Association of Healthcare Value Analysis Professionals (AHVAP) celebrates Elizabeth Eisenberg, MSN, RN, CVAHP from Scripps Health for commitment to excellence in the specialty of healthcare value analysis! Liz has signified this commitment by signing the official Association of Healthcare Value Analysis Professionals (AHVAP) healthcare value analysis pledge. To learn more about the Association of Healthcare Value Analysis Professionals (AHVAP) Commitment pledge: https://lnkd.in/gqEWPBue. #AHVAP #valuebasedcare #excellenceincare #valueanalysis

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Check out the press release to learn more.

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