As healthcare costs continue to rise, providers are increasingly squeezed by government contractors and commercial payers seeking to reduce payments. Utilization Review, linked directly to hospital compliance and revenue cycle is now more important than ever as providers strive to minimize vulnerabilities.

Join us for this dynamic, operational class that will will walk thru better practice ideas to improve UR functions and achieve 24/7 coverage. This training will also include:

• Utilization of nursing partners while focusing on the ER for point of placement
• UR highlights and key differences for Inpatient vs Observation

Our instructor, Day Egusquiza, a UR and audit/appeals expert, will use case study examples to illustrate the concepts and recommendations.

Who Should Attend

• Hospital CEO, CFO
• VP/Director of Revenue Cycle
• Chief Compliance Officer
• Compliance Director
• Chief Risk Officer
• Director of Risk Management
• Director of Regulatory Affairs

About the Presenter

Day Egusquiza brings over 30 years experience in health care reimbursement, hospital business office operations, contracting and compliance implementation. Additionally, her experience includes eight years as a Director of a Physician Medical Management billing service and most recently completed an integrated business office between a hospital and a large physician clinic. She has been an entrepreneur in hospital and physician practice accounts receivable management and a leader in redesigning numerous organizations. Her work includes providing guidance as a compliance and APC educator while providing operational insight on the revenue cycle impacts of HIPAA. Additionally, she has been instrumental in researching and preparing national education on the impact of the Prescription Drug Benefit to hospitals and nursing homes. Ms. Egusquiza is a nationally recognized speaker on continuous quality improvement (CQI), benchmarking, redesigning, reimbursement systems and implementing an operational focus of compliance- both in hospitals and practices. She has been on the AAHAM National Advisory Council, HFMA National Advisory Council, HFMA faculty, CCH Reimbursement Advisory board and is a past President of the Idaho HFMA Chapter &; recently received the Lifetime Achievement Award. She has been highlighted in JCAHO's Six Hospitals in Search of Excellence, Zimmerman's Receivable Report, HFMA's HFM and Patient Account, AHIA Prospective, and numerous healthcare newsletters along with a contributing author to 2006 Health Law and Compliance Update. She received the Idaho Hospital Association Distinguished Service Award; for her legislative work and training on new indigent law. Attendees at HFMA's ANI rated her in the top 25%, earning her the 'Distinguished' Speaker recognition for each year she has presented.

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