Healthcare Finance and RCM: Transformation 2030 and beyond

 

Tuesday, 31st October 2023

10:30 – 13:00 | SESSION 1: HEALTHCARE FINANCE IN THE EMR REGION - INTRO TO THE BUSINESS OF HEALTHCARE (BOH)

Key topics:  

  • 2030 KSA Transformation Goals (Ministry representative to share) 
  • The shift from volume to value 
  • The impact of quality 
  • Evolution of the payment system 
  • Changing roles of managers in healthcare finance 
  • Clinical costing and the National Efficient Price 
  • The concept of case mix 
  • Risk adjusted capitation 
  • Review and highlight BOH modules; highlight components for EMR

 

13:00 – 14:00: LUNCH & NETWORKING

 

14:00 – 16:00 | SESSION 2: REIMBURSEMENT CYCLES AND THE SCOPE OF REVENUE CYCLE PROCESSES

Key topics: 

  • Patient registration and insurance verification 
  • Case management and utilization review 
  • Coding and billing 
  • Patient financial communication 
  • The track ends with sample Certified Revenue Cycle Representative (CRCR) – GCC exam questions to help attendees prepare to take the certification. 

 

Bootcamp Instructors:

  • Hefin Jones, Clinical Costing Director, National Casemix Center of Excellence – MoH, Riyadh, KSA 
  • Ahmed Emad Al-Hamalawy, Executive Vice President, Selat, Riyadh, KSA 
  • Mary Mirabelli, Senior VP of Corporate Strategy, Healthcare Financial Management Association (HFMA), Nashville, Tennessee, USA 

 

Credits & Certification:

Attendees will earn continuing education credits and a certificate for completing this one-day program.   

They also receive an invitation to earn HFMA’s Certified Revenue Cycle Representative – GCC certification at a discounted price. The certification includes a one-year HFMA International membership. An invitation to also earn HFMA's Certified Financial Management Professional (CHFP) will be offered.