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Resource Archives

2009 Spring Conference Handouts - April 30

• Back to Basics
  • Revenue Cycle - Exploring Education for Staff (2.9 MB)
  • Deciphering the Maze of Hospital Billing - Part I & II (6.2 MB)
  • Revenue Cycle & Compliance: KPI and Risk Factors (2.3 MB)
• Compliance
  • OIG Work Plan (442 KB)
  • AB 1203 (280 KB)
• Finance and Accounting
  • CHA Presentation: Value-Based Purchasing (207 KB)
  • Clinic Models Case Study - Joe Harrington (44 KB)
  • Clinic Models Operational & Legal Considerations - Steve Rousso(10.4 MB)
  • Alternative Financing Approaches - Bruce Barnum (458 KB)
  • Impact of the Financial Crisis on Capital Market Access - Keith Grundy (2 MB)
  • Maximizing Service Line Performance - Joe Tomaro (9.8 MB)
• Managed Care
  • Contracting Strategies - Tips and Ideas from the Industry - Jim Hammond (7.5 MB)
  • Enforcing Your Managed Care Contract - Fedor (47 KB)
  • SAC Panel Discussion (146 KB)
  • Sample Contract Summary - Hammond (55 KB)
• Revenue Cycle
  • Charge Master to Charge Capture - Cathy Meeter (306 KB)
  • CMS RAC Presentation (340 KB)
  • Customer Service (2.2 MB)
  • Preparing for the RAC Attack - Rudy Braccili (982 KB)
  • HDI RAC Presentation (293 KB)

2009 Spring Conference Handouts - May 1

• Compliance
  • False Claims Act - Qui Tam (163 KB)
  • Long Term Care Legal Update (118 KB)
• Managed Care
  • Current Issues in Payor-Provider Relations (320 KB)
  • Insurance Underpayment Trends - Tienken & Zibilich (141 KB)

2008 Spring Conference Presentations

• Back to Basics
  • Back to Basics: Medicare - Steve Thompson (1.7 MB)
  • Billing Medi-Cal with National Provider Identifier (NPI) (203 KB)
  • Inpatient Common Denials (44 KB)
  • RAC Attack: A Pro-Active Provider Plan (113 KB)
• Compliance
  • Prompt Payment Legislation - Maria Dryden (1.42 MB)
• Executive Panel Discussion
  • Health Care Reform: Update - Anne McLeod(827 KB)
• Finance and Accounting
  • AR Valuation in Healthcare - Michele Smith & Heather Heise (226 KB)
  • Budgeting Best Practices - Debra Miller (1.09 MB)
  • Data reporting: Bridging the Gap Between Finance & Clinicians - Karen Rago & EulaMcKinney (249 KB)
  • Healthcare Tax, Regulatory & IRS Form 990 Update (1.08 MB)
• Managed Care
  • Consumer Driven Cash Collections - Jackson and Haluska (763 KB)
  • Contracting Best Practices - Steve Geoff (219 KB)
  • MS-DRG HFMA - Gloryanne Bryant (1.59 MB)
• Revenue Cycle
  • Chargemaster Nuts and Bolts - Cathy Meeter (297 KB)
  • Registration, Staff Building and Retention - Souza and Muzinich (2.09 MB)
  • Take Control of your AR Management Processes - Burton & Zimmerman (1.06 MB)
  • Update onf Charity Care Reform - John Barnes (164 KB)

2008 Summer Managed Care Conference

• Department of Managed Health Care - Gary Baldwin
• Medi-Cal and Beyond - Greg Price
• CHA Key State Issues
• Medi-Cal Managed Care Program Highlights - Willie Anderson

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2007 PFS Road Show Presentations

• Update on Charity Care Reforms - John Barnes
• Myths and Facts: Government Programs
• Revenue Cycle - Steve Thompson

2007 Spring Managed Care Conference

• Workshop - Denial Management
  • Presentation
  • California Statute Spreadsheet

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Manged Care Committee - "Hot Regulatory and Legislative Issues"
June 2006

• MediCal Managed Care - Willie Anderson (pdf: 252 kB)
• Payers' Bill of Rights - Kenny Kwong (pdf: 72 kB)
• Provider's Request for Assistance - Instructions
• Provider's Request for Assistance - Form
• SB 367 & SB 634 Narrative

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Managed Care Committee - MediCal Presentations
October 2005

• MediCal Managed Care Overview - Willie Anderson (pdf: 700kB)
• MediCal Reimbursement Issues - Greg Price (pdf: 67000kB)

Spring Managed Care Conference
June 2005

• Non-Contracted Provider ER Billing - Dept. of Managed Health Care (pdf: 120kB)

Joint Managed Care and Patient Financial Services Meeting
February 2005

• High Deductible Health Plans - Client First Insurance Services (pdf: 8.4 mB)
• HSAs and High Deductible Plans - SutterHealth (pdf: 1.2 mB)

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Managed Care Committee Presentations
June 2004

• Legislative and Regulatory Update - CA Association of Health Plans (pdf: 0.2 mB)
• Health Insurance Regulatory Environment - California Healthcare Foundation (pdf: 0.2 mB)
• CA Dept. of Managed Healthcare - (pdf: 0.5 mB)

Spring Conference
March 2004

• Web Strategies - Kaiser Permanente - (pdf: 2.0 mB)
• "Watch What Consumers Do to the Health System" - Wanda Jones (pdf: 0.5 mB)

 

Managed Care Committee Presentation
January 21, 2004

• Tiered Networks - Blue Shield of California - (pdf: 1.4 mB)

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Managed Care Committee Presentation
October 22, 2003

• Software Strategies for Managing Contracts - Nextance - (pdf: 2.3 mB)

 

Managed Care Committee Presentation
July 24, 2003

• Update on AB 1455 - Cindy Ehnes, Deputy Director for Plan and Provider Relations
  (PowerPoint)