Intelligent Clinical Coding and Revenue Management in Healthcare
Thursday 27 Feb 2020
The Parkview Room
Darling Island, 48 Pirrama Road
“How do we become more responsive to augmenting existing knowledge and smart technologies into new roles and systems in healthcare – particularly around clinical coding, cost and revenue management?”
Working with a real-life practical case example on this topic, this executive lunchtime session will allow a strategic discussion on how can we change and move our healthcare organisations to better leverage and maximise the opportunities in cost and revenue management efficiencies, benefiting from emerging smart technologies and adapting those technologies to our clinical coding and broader workforce.
Enabling the clinical coding workforce to adapt and drive intelligent coding to support improved revenue and cost management for healthcare organisations is becoming increasingly relevant as artificial intelligence (AI) and smart algorithms become available and more pervasive.
We know that today’s healthcare workers are moving towards incorporating technology to perform their current roles in new ways and to adapt for new roles that did not exist in the pre-digital era. However, the workforce is evolving so rapidly with the help of technology, the enterprise supporting the workforce has yet to catch up.
As healthcare organisations continue to innovate and push boundaries, they will need to create new jobs and new roles immersed in technology. They will need to invest in new ways to train and re-skill employees for the post-digital age. They will also need to capture institutional knowledge so that it remains inhouse, rather than
in the minds of people who may be transitioning in and out of jobs. We need ways to augment the technology with the knowledge and skills already in the health system.
A strategic discussion will be led by a senior executive from a healthcare organisation to pose a problem statement that provides practical context to this area. The case study discussion will then form the basis of a design session supported by a Design Thinking facilitator to work through a structured discussion to identify some take away solutions and approaches to support ongoing business strategy and service implementation.
Meet our presenter
Peter Kahn has held senior positions in hospital and health insurance management with over 23years experience in healthcare In Australia and Internationally. He has been at the forefront of improving health care delivery and reimbursement models.
Currently Executive General Manager for Health Funding at Healthe Care. Peter has also was CEO of Health Care’s largest hospital The Valley Private Hospital in Melbourne Victoria.
Peter lived in United Kingdom from 2011 to 2015 where he was Commercial Director for Spire Healthcare plc (UK). He was on the Executive Board delivering strategic advice and experience in operating private hospitals. Strong focus of improving clinical quality that delivered value to patients.
Peter assisted Cinven in their acquisition of Bupa Hospitals in the United Kingdom early 2007. Peter also assisted executive team of Spire Healthcare between 2007 and 2011 as a management consultant working closely with their CEO. Spire was listed on London Stock Exchange in 2014.
Has also worked delivering healthcare management consulting services in South Africa, Spain, and the Middle East.
Peter was an executive with Affinity Health Limited which was created through the buy-out of Mayne Group’s Hospital division in 2003. Ramsay Healthcare acquired Affinity in 2005.
Initially worked in health insurance with Mutual Community, then Australian Health Services Alliance and Medibank Private.
Peter has presented at a number of industry conferences and participated in industry working parties. He holds a Bachelor of Science majoring in Mathematics from University of Adelaide and Graduate Diploma of Applied Science (Health Statistics) from Swinburne University of Technology.