Develop a deeper understanding of payer-provider incentives

Editor’s note: Jerilyn Morrissey, MD, senior vice president of clinical and regulatory affairs at Versalus Health, will present “Is a Frictionless, Denial-Free Relationship With Your Payers the Right Approach for Your Hospital?” on Day 2 of the Revenue Integrity Symposium, which takes place on September 19-20 at the Hilton Phoenix Resort at the Peak. Morrissey is responsible for regulatory, private payer, and utilization management education for case management staff and physicians. She is passionate about using data and technology to help hospitals navigate complex Medicare regulations and understand payer practices and their impact on the hospital revenue cycle.

NAHRI: In what ways does your session challenge revenue integrity professionals to think outside the box?
Morrissey: Unsuspecting provider executives have established that key performance indicators aren’t indicators of performance. True evaluation of performance is more nuanced and requires a more thoughtful approach.

NAHRI: What’s one of the most important pieces of information you would like people to take away from your session?
Morrissey: Understanding the unique incentives payers and providers have and the natural conflicts that result. Having this context can help identify behaviors in the data.

NAHRI: What are you most excited about for this year’s topic?
Morrissey: One of our goals at Versalus Health is educating the market on best practices for hospitals to protect their revenue integrity. We are excited to share our knowledge and experience with esteemed groups of individuals at this year’s conference to help them make the best choices in their revenue cycle management and help their hospitals be successful.