Event Calendar

Subscribe to RSS Feed

October 2017

Oct 26

Lunch and Learn - Best Practices to Decrease Managed Care Denials

Thursday 12:00 PM
Managing denial and appeal processes can be a long and frustrating undertaking. Hospitals face serious threats to their financial health from revenue lingering in denial limbo.
This presentation provides best practices for managing medical necessity denials from managed care payers, as well as examples of how some facilities are addressing the growing threat to their revenue from medical necessity denials.
Attendees will gain a better understanding of:
The current environment for medical necessity denials from all payers
The standard appeal processes for medical necessity denials
What should be included in a denials management and prevention strategy
What are the challenges and some best practices surrounding appealing and preventing medical necessity denials

John Zelem, MD, FACS
Vice President, Compliance and Physician Education
Optum Executive Health Resources

Dr. Zelem currently serves as Vice President, Compliance and Physician Education, for Optum Executive Health Resources. At present, more than 2,300 hospital and healthcare organizations across the country are using Optum Executive Health Resources? solutions. A Board Certified general surgeon with more than 25 years of clinical experience, Dr. Zelem is responsible for quality assessment and improvement at Optum Executive Health Resources? client hospitals. Dr. Zelem is also a member of the physician education team and regularly visits client hospitals to provide medical executives and staff members with ongoing education on a variety of topics including Medicare and Medicaid compliance and regulations, medical necessity, Recovery Audit Contractors, utilization review, denials management and length of stay. In addition, Dr. Zelem is a renowned industry author who has published many books and is a well-known motivational speaker and presents often to professional and public/patient audiences on health and wellness, personal development, and leadership and success.

Dr. Zelem received his medical degree from Boston University School of Medicine and bachelor?s degree in biology from Boston College
Registration Link

November 2017

Nov 16

Fall One Day Education Event and Bahia Holiday Social Cruise

Thursday 8:30 AM - 6:30 PM
Please join us November 16th, for our Fall One Day Education event and Holiday Mixer. This is a day of education held at the beautiful Bahia Resort with vignette type sessions which will touch on all aspects of the Revenue Cycle. Our Holiday Mixer follows at 4:30 p.m. where you will experience 19th Century Elegance with a Bahia Bell sunset cruise on Mission Bay.

Join us for the full event or just the mixer, but we hope you will attend!
Information, Agenda and Pricing
Registration link