About Nicole Halsey

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So far Nicole Halsey has created 16 blog entries.

What is Revenue Integrity Anyway?

What is Revenue Integrity? According to the National Association of Healthcare Revenue Integrity, “the basis of revenue integrity is to prevent the recurrence of issues that can cause revenue leakage and/or compliance risks through effective, efficient, replicable processes and internal controls across the continuum of patient care, supported by the appropriate documentation and the application of sound financial practices that are able to withstand audits at any point in time.” But people often think about Revenue Integrity quite differently from this “cut-and-dried” definition. In fact, it’s become something of a hot topic. Some people think it’s simply a department that maintains the Chargemaster. Others view it as a more robust cross-functional team with insight and knowledge of the entire revenue cycle. As subject matter experts, they can identify and resolve gaps that cause revenue leakage. Here, at RoundTable Strategic Solutions, we view Revenue Integrity as a program, strategy and department focused on eliminating revenue leakage and maximizing [...]

2019-11-14T15:54:43-05:00November 14th, 2019|Revenue Cycle, Revenue Integrity|

Professional Transitions: From Clinical Operations to Healthcare IT and Why it Works

At the heart of every RoundTable consulting project is the drive to make existing and incoming technologies better support the people and processes of the healthcare organizations that we serve. Whether assessing an EHR upgrade or a Revenue Cycle system conversion, our consultants expect to complete each project leaving end-users and executives greater satisfied with the tools that they use each day. To consistently achieve these outcomes, RoundTable has consciously built consulting teams with healthcare IT professionals that have previous operations experience within the departments they support. During a recent Epic inpatient financial conversion, we engaged a Hospital Billing Analyst Consultant who had been a Business Office Supervisor prior to her Epic consulting career. This ensured healthcare cash operations workflow expertise and allowed her to understand and optimally communicate end-user processes while working on the client’s conversion. We also engaged a Project Manager Consultant who had previously been an OR Business Manager for a Cerner Operating-Room module [...]

The Right Candidate Yields Client Success

RoundTable’s ability to maintain its outstanding level of client satisfaction and a 99% loyalty rate with our candidates and consultants rests on the ability to find the most qualified and credentialed person who can have the greatest impact for our healthcare partners. Here’s a closer look into how we bring our clients’ success through our recruitment process… STEP ONE:  Assessing the need Our clients hiring challenges: A robust assessment of our clients’ needs provides the initial framework for ensuring the candidate will make a good match. We consider our clients pain points and the specific hard and soft skills to remediate them: Outside of the job descriptions, what do you need this person to accomplish? Specific experience and qualifications/certifications What other important qualities must they possess? What our client offers to attract the top talent (intangibles): In order to attract the best talent, our employers need to identify and communicate the intangible appeal of working with them.  [...]

Learn From Our Leaders: Q&A With Lauren Rosenthal, Director of Recruitment and Delivery

Relationship Building & Management is Key to Talent Acquisition: 8 Qs with Lauren Rosenthal, Director of Recruitment and Delivery "Recruiting the right person is something you enjoy, not just a job. It’s about getting to really know a person and build a relationship with them,” says Lauren Rosenthal, Director of Recruitment and Delivery for RoundTable Strategic Solutions.  With more than 13 years of healthcare recruitment experience, Lauren is driven towards understanding and addressing the multi-faceted and evolving challenges facing healthcare delivery systems. She leverages in-depth knowledge of healthcare clinical, revenue cycle, and support operations and application tools to identify Consultants and Interim Leaders who are equipped to positively impact clients’ operational and financial performance and clinical outcomes. According to a survey from the American Staffing Association, healthcare industry positions held eight of the top 10 spots of the most difficult occupations to fill. Recruiters in the healthcare IT and management industry are experiencing that challenge with the [...]

2019-05-13T12:24:33-05:00May 13th, 2019|Recruitment, Resource Management, Team Members|

Revenue Cycle: Addressing the Talent Gap While Improving Performance

Over the last three years, healthcare systems (hospitals + medical groups), specifically within the Revenue Cycle function, have seen a dramatic shift in the standard for Talent and Performance.  Reimbursement changes, consumer demands / expectations, the breakdown of silos and the centralization of key functions has demanded more sophisticated and higher quality talent who can deliver top notch results – financial, operational and cultural performance.  Many health systems throughout the country, and more specifically in smaller but competitive markets, have struggled to fill key Revenue Cycle leadership roles with the right level of talent. TALENT. RoundTable’s interim leaders (industry top talent) have lived inside the four walls of a healthcare system for the majority of their careers, leading successful and high performing teams and functions (both Hospital & Ambulatory), and now leverage their strong background and experience to assist organizations in filling Interim Revenue Cycle Leadership roles while also improving performance, centralizing / standardizing key functions, developing [...]

2018-10-26T09:36:36-05:00October 26th, 2018|Interim Healthcare Executives, Revenue Cycle|

Learn From Our Leaders: Q&A With Kyle Swarts

How and why did you decide to enter this career path? Well, it actually just fell into my lap. Before I got into healthcare, I was in banking and finance. I met a gentleman in 2007 who was seeking a regional Vice President of Sales – someone he could groom and mentor to help learn the business. I took the position with his healthcare IT company working with payers, and I just fell in love with the industry. It’s intricate; there’s a lot of moving parts and pieces; there’s the financial aspect; there’s the patient and consumer aspect; there’s the care coordination aspect; there’s the quality aspect. And from there it’s just continued to give me additional opportunities. I’ve met some great people along the way, as well as great mentors who continue to provide support, insight and act as a “Big Brother” while continuing to help me learn and grow. How do you think IT leadership [...]

2019-07-17T13:27:42-05:00July 30th, 2018|Team Members|

Coders: A Major Puzzle Piece in The Revenue Cycle

Finding all the pieces of a puzzle is sometimes difficult.  One thing in healthcare that is clear-- coders are a big part of the Revenue Cycle puzzle.  After attending the AAPC HealthCon 2018, two concepts are extremely evident: 1. Coders own a critical piece of the revenue cycle puzzle. 2. Coders need to expand their knowledge of revenue cycle operations by engaging in cross departmental discussions that have typically taken place in silos and should be viewed as a strategic resource to help SOLVE the puzzle! The What:  What do they need to know?  Coders’ expanded knowledge is now required to fully understand their role within the revenue cycle.  Their job can no longer be that of just silent coding for hours, day in and day out. Rather, there needs to be an educational component of how they fit into the revenue cycle and how their role, which is sometimes overlooked, is an integral part of optimizing [...]

2018-06-06T14:41:29-05:00June 6th, 2018|Revenue Cycle, Uncategorized|

Epic Implementation – Plan, Build, Go-Live ….Then What?

How Permanent Resource Placements Yield Greater Budget Savings and Ongoing Support in The Epic Life Cycle For health systems, hospitals, and physician groups, the life cycle of an Epic system can be broken down into two phases: Plan, build and implement in Phase 1, followed by Phase 2 - internal support and optimization.  Unfortunately, as many of our clients have found, once the implementation go-live phase is complete, cost and knowledge retention drastically change due to underestimating the expenses and efforts required when consultants leave. Has your organization experienced budget, staffing, transitioning and maintenance challenges after go-live? Have you lost the best talent on your application teams because they were a contracted consultant? Have you realized that projected post-live support and optimization budgets were significantly under-calculated? Are you recovering from a sub-optimal transition to post-live long-term support? If you answered ‘yes’ to any of these questions, then you understand that resource transitions can get tricky.  They are [...]

2018-05-22T00:16:12-05:00May 22nd, 2018|Epic, Resource Management|

Building Blocks to a Successful Revenue Integrity Program

According to industry experts and research, 68%* of organizations that implemented a new revenue integrity department increased net collections and gross revenue capture. Alignment between health system CFOs, Revenue Cycle, Physician, Compliance and Operational leadership is critical to successfully launch or enhance a Revenue Integrity strategy and program.  Leveraging outside experts who have designed, implemented and built Revenue Integrity programs inside complex delivery systems can balance the organizational drive to increase revenue with the imperative to comply with legal and contractual rules. Partnerships with health system leadership can assist in creating a strategy, defining an achievable plan to optimize your existing Revenue Integrity program or implement a program that mitigates risk to revenue - ensuring compliance, leveraging existing coding/charge capture tools and technology, and creating a sustainable model to embrace both fee for service and value-based care reimbursement models. Below are 7 Key Steps to Consider When Building Your Revenue Integrity Program Obtain buy-in with Executive Leadership, [...]

2018-05-03T11:10:39-05:00April 12th, 2018|Revenue Cycle|

Accelerating Change with Interim Healthcare Executive Leadership – Part 2

An Interim Healthcare Executive Leadership strategy can help healthcare organizations and medical group practices to: 1. Accelerate change, 2. Catalyze operational initiatives, and 3. Keep the organization moving forward.  In addition to knowing who the Interim Healthcare Executive can be to your organization, you must know the right time to search and for whom you are searching.  When to Hire and What to Look for in Your Next Interim Healthcare Executive? When Full Plates Become Overflowing Platters - In the C-suite, we often feel that we are running out of time – health care is changing so rapidly.  Financial and reimbursement uncertainties, for example related to the Accountable Care Act, coupled with daunting budget challenges often pressure senior leaders to cut needed executive roles and skimp on leadership development training of promising administrative and physician managers, which could fill the senior leadership gap. The result is a chronically overwhelmed leadership team with an endless cascading list of [...]

2018-03-21T17:40:54-05:00March 21st, 2018|Interim Healthcare Executives|