ACO's and PCMH Practices: Impact Considerations on the Practice's Revenue Cycle

Speaker: Susan Childs, FACMPE, Evolution Healthcare Consulting

As billers and client advisors, we are required to be more than aware of physicians considering various models and maximizing revenue, such as when joining an ACO and PCMH certification. ACO affiliation, coupled with PCMH initiatives require reports and transactions to identify, track and benchmark revenue. This can help determine how to maximize profits and track adjustments that facilitate future forecasting with our clients. Approached from a biller’s perspective, are examples of essential accounts receivables reports, transactions and adjustment types to create and track.

Learning Objectives:

• At the end of this session, participants will be able to:
• Identify basic ACO models and typical contract structures
• List considerations of PCMH payment methodologies
• Utilize reports that can help review and forecast financial profits.

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