Determine the appropriate sessions to attend based on your specific areas of interest.
Finance and Accounting Operations
Payer Contracting
Evolving Healthcare
Physician Compensation
Benchmarking Analysis and Applications
Government Affairs
Finance and Accounting Operations concurrent sessions
Leading Edge: The Elements of Financial Management and
the Revenue Cycle in the Medical Practice
FoundationalSunday, Feb. 26, 2:00-5:00 pmSara M. Larch, FACMPE, principal, Business of Medicine, Christiansted, V.I., and Daniel D. Mefford, MBA, FACMPE, CPA, consultant, Practice Resource Management Group Inc., Columbus, Ohio Are you new to medical practice management? Do you want to strengthen your knowledge of key revenue cycle processes and financial management issues in medical practice management? If you answered “yes” to either, this session is for you. This fast-paced session will outline the essentials of both financial and revenue cycle management in the medical practice. Find out how to take hold of the numbers, ask the right questions and explain those numbers to your physicians. Leave this session with a grasp of the essential revenue cycle functions, including billing and collections.
This session will provide you with the knowledge to:
- Identify key accounting and financial management concepts, including balance sheet, income statement and applicable financial management analytical tools
- Define essential processes, strategies and priorities that impact your revenue cycle
Leading Edge: Interactive Problem Solving in Healthcare Financial Management
OperationalSunday, Feb. 26, 2:00-5:00 pmSarah Holt, PhD, FACMPE, practice administrator, Cape Girardeau Surgical Clinic Inc., Cape Girardeau, Mo.Today’s medical practice administrators face many new challenges, and each individual brings a different set of experiences to the table. Participating in interactive problem solving and networking can provide invaluable opportunities to explore solutions while learning from and sharing with others. This facilitator-led interactive session creates discussion around a set of financial management, payer contracting and evolving healthcare scenarios that represent many of the timely, real-world issues that impact healthcare organizations’ financial health and stability. This “problem → discussion → solution” format fosters effective problem solving through focused discussion and sharing of expertise as participants explore solutions to the problems they face.
This session will provide you with the knowledge to:
- Explore current and emerging financial and payer contracting issues that impact healthcare financial management
- Share individual expertise and exchange ideas while learning from others
- Generate solutions in a face-to-face format
102: Telling the Story: How to Measure and Analyze the Revenue Cycle
OperationalMonday, Feb. 27, 9:45-11:00 amSara M. Larch, FACMPE, principal, Business of Medicine, Christiansted, V.I.Medical group leaders are responsible for communicating results to their group. Knowing how to analyze your revenue cycle performance and report it to your physicians is a key success factor. Just placing data on a page doesn’t make it a communication; you must make sure your reports are “telling the story.”
This session will provide you with the knowledge to:
- Evaluate and improve revenue cycle management reports
- Identify the necessary month-end and ad hoc reports
- Explain what key revenue cycle factors can skew your results compared to industry benchmarks
202: Is it Time to Change Your Revenue Cycle Model: Centralize, Decentralize, Outsource?
OperationalMonday, Feb. 27, 11:15 am-12:30 pmSara M. Larch, FACMPE, principal, Business of Medicine, Christiansted, V.I. If your current revenue cycle performance is not in line with those of best-practice medical groups, you want to consider other models that may improve key revenue cycle processes. The ongoing debate about whether to centralize, decentralize or outsource billing has become an opportunity to build a hybrid model that works for your medical group.
This session will provide you with the knowledge to:
- Define decentralized, centralized and outsourced models
- Explain why a hybrid model could improve performance
- Design a transition plan to another model
302: CSI: Reporting – Unlocking the Secrets Behind Your Data
Operational Monday, Feb. 27, 1:30-2:45 pmNancy Wilkes, CPC, vice president, practice management technology, UCI Medical Affiliates, Inc., Columbia, S.C. Find the places where money might be hiding from you – money that could be recovered with the right tools. Are your reports providing the in-depth knowledge of your accounts receivable, or could you be missing valuable information? Do you know how your top 20 codes compare across all of your payers?
This session will provide you with the knowledge to:
- Maximize recoveries by identifying areas of hidden data
- Improve productivity and efficiency by identifying issues caused by payers, employees and/or software
- Import reports to Microsoft Excel to enable greater data flexibility
402: CSI: Reporting Lab
Operational Monday, Feb. 27. 3:30-4:45 pmNancy Wilkes, CPC, vice president, practice management technology, UCI Medical Affiliates, Inc., Columbia, S.C. If your software applications provide you with several reports that you would like to combine into one, or if you need the ability to summarize or sort the data differently but do not have business intelligence software to achieve this, this is the session for you. Find out how to merge spreadsheets, merge and split column data using delimiters, and apply and change formula values to calculated values. Participants will learn how to import text files of reports into Microsoft Excel to allow for data manipulation and merging of multiple spreadsheets through the use of inexpensive Microsoft Excel add-ins.
Prior to attending the session, participants may want to download a free 15-day trial of DigDB at http://digdb.com/ download/ and a free 90-day trial of ASAP Utilities at http:// asap-utilities.com/download-asap-utilities.php.
This session will provide you with the knowledge to:
- Export reports to text files and import them into Microsoft Excel
- Review and demonstrate the main features of DigDB and ASAP Utilities by merging and manipulating multiple spreadsheets
- Summarize detail data and copy it into another spreadsheet to allow manipulation of the summarized data
502: Health Systems and Independent Clinics: Are We Right for Each Other?
Strategic Tuesday, Feb. 28. 8:15-9:30 amVince Manoogian, CMPE, senior director, Southwind, A Division of The Advisory Board Company, St. Louis
Many independent medical groups are considering new relationships with hospitals and health systems to meet the challenges of the changing healthcare landscape. What is driving this latest wave of acquisitions and mergers? How does an entity know when the time is right to merge, and with whom? This session will explore the current and developing state of mergers between independent groups and health systems. Learn to identify, through real-life examples, the opportunities and pitfalls for aligning your organization with another. The stakes are high and the risks are great, so getting it right is critical.
This session will provide you with the knowledge to:
- Identify independent groups’ and health systems’ expectations when merging
- Determine whether a potential merger represents a good deal for your organization
- Examine mergers’ impact on healthcare quality, patient safety and cost effectiveness
602: Physician Practice Valuation – Fundamentals to Essentials
OperationalTuesday, Feb. 28, 9:45-11:00 amReed Tinsley, CPA, CVA, CFP, CHBC, consultant/owner, Reed Tinsley, CPA, Cypress, Texas More and more physicians are looking to sell their medical practices to hospitals. So what is a fair price for their practice? This how-to session will provide seminar participants with a solid foundation in the analysis and valuation of medical practices. Learn about the methods used to value a medical practice, regulatory issues to consider in a valuation and the key factors to consider when valuing any medical practice. Find out about the Derby case and how it applies to valuation.
This session will provide you with the knowledge to:
- Define the impact of regulatory laws on valuation
- Review the nuances of a physician practice valuation
- Examine the income, asset and market valuation methodologies
604: Nearly Half of Medical Practices Encounter Employee Theft:
Where Does Your Practice Fall?
OperationalTuesday, Feb. 28, 9:45-11:00 amStephen A. Pedneault, CPA/CFF, CFE, principal, Forensic Accounting Services, LLC, Glastonbury, Conn. A difficult economic climate, heightened unemployment, reductions in reimbursement levels, decreases in fee realizations, declines in patient and procedure volumes, and increased competition are among the significant financial factors impacting today’s medical practices. Given the uncertainty surrounding your practice’s future revenues and cash flows, the last thing any practice should worry about is whether someone is stealing. This session will discuss the policies and procedures every practice should implement to minimize the risk of employee theft and embezzlement. Discussions will include recent cases, schemes perpetrated and the means by which each could have been prevented or detected.
This session will provide you with the knowledge to:
- Explain why employee theft and embezzlement is a threat to every medical practice
- Identify common areas of opportunity along with typical schemes
- Develop transparency and accountability in accounting, billing and collection processes to close the accountability gaps
702: Ancillary Revenue: Past, Present and Future
OperationalTuesday, Feb. 28, 11:15-12:30 pmReed Tinsley, CPA, CVA, CFP, CHBC, consultant/owner, Reed Tinsley, CPA, Cypress, Texas Implementing new service lines and adding ancillary services are among practices’ viable options for enhancing revenue and increasing profit. This session will review service options for primary care, single-specialty, multispecialty and academic groups. We will also explore new practice-revenue opportunities under current guidelines, as well as changing reimbursement options under healthcare reform. Fee for service, gain sharing and other risk-reimbursement methodologies, along with capitation models, will be viable future options to incentivize quality rather than quantity. Interpret your ancillary service opportunities under the changing rules associated with patient-centered medical homes, accountable care organizations and other healthcare reform models.
This session will provide you with the knowledge to:
- Identify potential ancillary service options for your practice
- Consider how ancillary reimbursement methodologies may change under healthcare reform
- Examine how to lead your practice to receive payment for quality, not quantity, incentives
Payer Contracting concurrent sessions
Leading Edge: Foundations of Payer Contracting
FoundationalSunday, Feb. 26, 2:00-5:00 pmRandy Cook, MPH, FACMPE, president/chief executive officer, AmpliPHY Physician Services, Columbia, Tenn.This foundation-level course offers a comprehensive overview of the knowledge and skills a medical practice administrator must have to create an effective payer-contracting strategy. You will learn how to develop a fee-analysis system and conduct a reimbursement analysis. Additionally, you will learn about measuring cost and using it to set a pricing policy. All attendees will receive a link to a resource package of templates, tools, worksheets and other resources. You will leave this session with a complete model of how to build a managed-care strategy for your practice.
This session will provide you with the knowledge to:
- Focus on the critical elements in the written payer agreement
- Develop the skills to build your own fee schedule analyzer
- Create and use a reimbursement analysis that measures net reimbursement for each commercial payer
Leading Edge: Interactive Problem Solving in Healthcare Financial Management
OperationalSunday, Feb. 26, 2:00-5:00 pmSarah Holt, PhD, FACMPE, practice administrator, Cape Girardeau Surgical Clinic Inc., Cape Girardeau, Mo.Today’s medical practice administrators face many new challenges, and each individual brings a different set of experiences to the table. Participating in interactive problem solving and networking can provide invaluable opportunities to explore solutions while learning from and sharing with others. This facilitator-led interactive session creates discussion around a set of financial management, payer contracting and evolving healthcare scenarios that represent many of the timely, real-world issues that impact healthcare organizations’ financial health and stability. This “problem → discussion → solution” format fosters effective problem solving through focused discussion and sharing of expertise as participants explore solutions to the problems they face.
This session will provide you with the knowledge to:
- Explore current and emerging financial and payer contracting issues that impact healthcare financial management
- Share individual expertise and exchange ideas while learning from others
- Generate solutions in a face-to-face format
101: Negotiating the Language of a Payer Contract:
Protecting Your Interests on Rates, Rights and Rules
Operational Monday, Feb. 27, 9:45-11:00 amPenny Noyes, president, Health Business Navigators, Bowling Green, Ky.While the payer or network contract is the instrument that defines the terms of your agreement, reimbursement rates are the first step in the negotiation process. This session covers all aspects of payer contract negotiation, including finding all of your current rates and utilization, understanding the notice requirements to renegotiate, creating a timeline, getting an initial response, analyzing the effects, asking questions about what was not included in the offer description, and knowing when to ask for carve-outs and other improvement methods. Practical organizational and analytical tools and methods, with realistic examples, will bring the negotiation process to life.
This session will provide you with the knowledge to:
- Develop a systematic negotiating approach for improved payer and network reimbursements
- Determine the effect on the bottom line of a payer offer or your counteroffer
- Employ tactics to improve the reimbursement exhibits/attachments of your payer contract
201: Financial Analysis and Negotiation of Payer or Network Reimbursement
Operational Monday, Feb. 27, 11:15-12:30 pmPenny Noyes, president, Health Business Navigators, Bowling Green, Ky.You know the current rates for your payer or network, and they stink. This session will demonstrate how to start the negotiation, analyze current rates, and determine – and get – the rates you want. Knowing which contracts require negotiation is the first step. While sending the contract-driven notices to payers, you will analyze current rates, create some utilization-adjusted analysis of current rates and determine what you need. Learn how to use proprietary schedules and other strategies based on Medicare, specialty banding, carve-outs, defaults, escalators, performance bonuses and your unique leverage points.
This session will provide you with the knowledge to:
- Initiate the contract notice and negotiation processes
- Analyze your aggregate financial goal for a given contract negotiation
- Achieve the aggregate goal through various reimbursement and negotiation methods
301: Silent PPOs: An Enforcement Strategy
OperationalMonday, Feb. 27, 1:30-2:45 pmRandy Cook, MPH, FACMPE, president/chief executive officer, AmpliPHY Physician Services, Columbia, Tenn.Small payers, which usually constitute less than 1 percent of the practice’s business, can often be the practice’s second- or third-largest payer group. How can this be? These small payers often take discounts that are not earned, given their volume, without contractual authority. This session will demonstrate how to identify payer contracts that are leased to other networks and establish a small-payer enforcement process. You will receive a resource package of enforcement letters, contract templates and a model enforcement plan.
This session will provide you with the knowledge to:
- Use a pricing policy to set an enforcement threshold
- Identify payer contracts that are leased to other networks
- Build your own enforcement plan
601: Negotiating Skills for Medical Practice Administrators
Operational Tuesday, Feb. 28, 9:45-11:00 amRandy Cook, MPH, FACMPE, president/chief executive officer, AmpliPHY Physician Services, Columbia, Tenn.Negotiation is a skill required of every successful medical practice professional, yet few have any formal training. Being an effective negotiator requires more than just having knowledge of your contracts. You also need to understand and use specific skills and subtle tools that will put you in the driver’s seat. By recognizing the type of negotiation environment, preparing properly and determining how to apply the right tactic at the right moment, you will improve your negotiation results. During this session you will learn about the importance of body language and how to use this knowledge to improve your practice’s financials.
This session will provide you with the knowledge to:
- Distinguish among four different negotiating environments
- Apply the best negotiation approach depending on the environment
- Practice and recognize the various signals you and others send with body language
701: Negotiating Skills Lab
Tuesday, Feb. 28, 11:15-12:30 pmRandy Cook, MPH, FACMPE, president/chief executive officer, AmpliPHY Physician Services, Columbia, Tenn.This session follows Cook’s 600-series session, “Negotiation Skills for Medical Practice Administrator.” Participants will practice lessons learned in the lecture session and create a discussion plan for a fictitious medical practice called Getwell Medical Group. After developing the discussion plan, the group will hold a mock negotiation between Getwell and Divided Health Plan.
This session will provide you with the knowledge to:
- Practice developing an approach based on one of the four negotiating environments
- Build a discussion plan for a payer negotiation
- Practice implementing the discussion plan
Evolving Healthcare concurrent sessions
Leading Edge: Interactive Problem Solving in Healthcare Financial Management
OperationalSunday, Feb. 26, 2:00-5:00 pmSarah Holt, PhD, FACMPE, practice administrator, Cape Girardeau Surgical Clinic Inc., Cape Girardeau, Mo.Today’s medical practice administrators face many new challenges, and each individual brings a different set of experiences to the table. Participating in interactive problem solving and networking can provide invaluable opportunities to explore solutions while learning from and sharing with others. This facilitator-led interactive session creates discussion around a set of financial management, payer contracting and evolving healthcare scenarios that represent many of the timely, real-world issues that impact healthcare organizations’ financial health and stability. This “problem → discussion → solution” format fosters effective problem solving through focused discussion and sharing of expertise as participants explore solutions to the problems they face.
This session will provide you with the knowledge to:
- Explore current and emerging financial and payer contracting issues that impact healthcare financial management
- Share individual expertise and exchange ideas while learning from others
- Generate solutions in a face-to-face format
Keynote session: What the Heck is Value-Based Healthcare Anyway? How Do We Get It?
StrategicSunday, Feb. 26, 5:45-6:45 pmRobert K. Smoldt, MBA, emeritus chief administrative officer, Mayo Clinic, associate director, Health Care Delivery and Policy Program, Arizona State University, TempeOur country should have the highest-value healthcare system in the world. It should not strive to simply have cheaper healthcare. Value in the U.S. healthcare system can be measured and defined as patient outcomes + safety + patient satisfaction/cost over a span of time. Moving each of these elements together toward a cohesive, measurable system is one of the central policy challenges today. The keynote session will discuss critical factors that must be in place to facilitate the emergence of a high-value healthcare system, including current and best-practices models. The program will also explore public/private options for these changes and the policy implications of each. It will also discuss payment methods that can help facilitate these changes.
This session will provide you with the knowledge to:
- Determine how to measure the U.S. healthcare system’s true value
- Identify the key factors, options and best practices essential to facilitating a high-value healthcare system
- Describe the payment methods that foster high-value healthcare
General session: Evolution of Local and Regional Health Delivery Systems –
What is Working and Not Working with Clinically Integrated Networks, ACOs and Related Approaches
StrategicMonday, Feb. 27, 8:00-9:00 amKeith Moore, chief executive officer, McManis Consulting, Englewood, Colo.Creating healthcare organizations that can work with both public and private payers while delivering value to employers and individuals is a substantial challenge. Newer types of care delivery systems such as accountable care organizations and patient-centered medical homes are intended to manage the health of defined populations, receiving reimbursement based on measurable quality-of-care improvements and patient satisfaction. These systems will be challenged to deliver reduced-cost care to payers while remaining highly effective. Based on a pivotal study by McManis Consulting for the American Hospital Association, this session will explore several case studies that feature organizations navigating this fundamental change. Each is a unique healthcare organization, with its own strengths and weaknesses. Learn about these organizations, the steps they are taking and the costs they are incurring on the voyage through the evolving healthcare system.
This session will provide you with the knowledge to:
- Identify the issues surrounding the balance of cost containment with value and quality
- Describe the cost, quality and payer-relations issues unique to emerging care models
- Recount the experiences of real-life healthcare organizations facing the challenge of delivering reduced-cost, high-quality care
103: Value-based Insurance: The Employer Perspective
Strategic Monday, Feb. 27, 9:45-11:00 amErin M. O'Connor, Esq., practice leader, Cammack LaRhette Consulting, New York, N.Y.Although there is no single, generally accepted payment approach to support value-based insurance (VBI), it can be examined by looking at the payment models for patient-centered medical homes (PCMHs). The PCMH’s payment-reform elements – shifting dollars into primary and preventive care with the goal of averting preventable high-cost complications – require collective action by payers. This session will discuss the relationship between these incentive systems and employers’ involvement in VBI design. It will use the PCMH model as a prime example of how thoughtful VBI design can benefit both the employer and your medical practice.
This session will provide you with the knowledge to:
- Review VBI from the employer perspective
- Examine VBI design as it relates to new models of care
- Characterize the relationship between VBI design and the medical practice
203: The Value-Based Practice: Position Your Practice Now for Competitive Advantage
StrategicMonday, Feb. 27, 11:15 am-12:30 pmDavid Cook, CPA, MBA, CMPE, chief administrative officer, ProHealth Solutions, LLC, Waukesha, Wis.When negotiating payment contracts, payers today are increasingly abandoning traditional fee-for-service models and asking for a value-based option. In this session you will examine the types of analysis and tools required to ensure that you meet the necessary performance elements and stay competitive. You will identify the necessary financial implications and management strategies required to make the value-based approach successful. Finally, you will determine the level of payer data collaboration required to ensure that contractual obligations are being met.
This session will provide you with the knowledge to:
- Grasp how the new value-based payment models will impact your practice
- Prepare for the shift toward quality instead of quantity (fee for service)
- Identify concepts and analysis for remaining independent in a value-based environment
303: From Medical Practice to Medical Home to Accountable Care Organization: Opportunity or Threat?
Strategic Monday, be. 27, 1:30-2:45 pmJ. Max Reiboldt, CPA, president and chief executive officer, Coker Group, Alpharetta, Ga. Accountable care organizations (ACOs), a model of physician/hospital integration, focus on better coordination of patient care to both control costs and improve quality of care. As healthcare reform emerges, providers must carefully assess their ability to participate in ACOs. In this session, you will explore the anticipated future of ACOs and the opportunities that the ACO model presents. Learn how the ACO is structured, grasp the essential elements of an ACO and evaluate methods to project cost savings. Explore the role of physicians, physician leadership, change and culture within evolving healthcare models.
This session will provide you with the knowledge to:
- Evaluate the effects of an outcome-based healthcare market
- Assess current physician-hospital alignment strategies
- Examine how today’s organizations have successfully improved their value proposition to payers and patients
403: The Next Stage of Healthcare: Fiscally Embracing the Accountable Care Organization Model
Strategic Monday, Feb. 27, 3:30-4:45 pmJ. Max Reiboldt, CPA, president and chief executive officer, Coker Group, Alpharetta, Ga. One thing is certain: change is inevitable. How we prepare for, accept and adjust to change determines our ability to survive and thrive, especially in today's climate. This session will cover adaptation methods in a shifting marketplace that is moving from a unit-based revenue model to one that rewards accountable and reliable outcomes. This program will provide insight into the future of the accountable care organization (ACO), the opportunities this model presents, the related long-term strategic decisions that must be made and the effects of an outcome-based healthcare market. The session will also review the elements of the ACO rules and the Shared Savings Program.
This session will provide you with the knowledge to:
- Explore opportunities presented by the ACO model
- Discuss the anticipated future of ACOs
- Assess current physician-hospital alignment strategies
503: Essential Financial and Management Elements of Patient-Centered Medical Home Transition
StrategicTuesday, Feb. 28, 8:15-9:30 amDavid Gans, MSHA, FACMPE, vice president, innovation and research, Medical Group Management Association, Englewood, Colo. There has been wide and growing interest in organizing primary care practices into patient-centered medical homes (PCMHs), which provide care coordination, patient education and related services in support of primary medical care. However, becoming a PCMH entails much more than hiring staff or contracting for new services. This session will focus on the core components of the PCMH model, and the financial and management strategies you will need to transition a traditional primary care practice into a successful PCMH.
Course content will be drawn from MGMA data and PCMH model case studies.
This session will provide you with the knowledge to:
- Determine the financial reality of a PCMH’s daily operations, including identifying costs and how they are reimbursed
- Examine the administrative challenges of PCMH operations
- Examine the different payment mechanisms currently being used by PCMHs in both the public and private sector
603: Defining the Costs and Benefits of the Patient-Centered Medical Home
StrategicTuesday, Feb. 28, 9:45-11:00 amDavid Gans, MSHA, FACMPE, vice president, innovation and research, Medical Group Management Association, Englewood, Colo.The costs of implementing a patient-centered medical home (PCMH) vary based on factors such as practice size, existing practice capabilities, the costs of new capabilities required to “ramp up” in order to qualify for PCMH status, availability of low-cost or subsidized practice and patient-support resources, and patient-population demographics. Understanding these costs is an integral first step in moving to the PCMH model. This session will focus on clear and accurate cost estimation for practices seeking to implement the PCMH model.
This session will provide you with the knowledge to:
- Describe the incremental costs of a practice that serves as a PCMH
- Examine the direct relationships between practice costs and an increased level of medical home compliance (PCMH recognition level and accreditation scores)
- Define which aspects of practice redesign will most impact patient centeredness and practice costs
703: Financial Management, Payer Contracting and Evolving Healthcare: Future Directions
StrategicTuesday, Feb. 28, 11:15-12:30Daniel D. Mefford, MBA, FACMPE, CPA, consultant, Practice Resource Management Group Inc., Columbus, OhioNow that you’ve attended the MGMA 2012 Financial Management and Payer Contracting Conference sessions, what are your next steps? This session focuses on how to implement the concepts you learned at the conference once you’re back in the office, including a review of your practice’s strategic plan as it relates to the changing healthcare environment. This session covers the latest thoughts on accountable care organizations, patient-centered medical homes, general healthcare reform and the basics of financial management and payer contracting, with an emphasis on improving your practice’s position for the future.
This session will provide you with the knowledge to:
- Recap the important concepts outlined at the MGMA 2012 Financial Management and Payer Contracting Conference
- Discuss your specialty-specific plans for future adaptation to the emerging healthcare trends
- Outline next steps in your strategic plans and activities upon your return to the office
Physician Compensation concurrent sessions
104: Understanding Physician Compensation
FoundationalMonday, Feb. 27, 9:45-11:00 amJustin Chamblee, senior manager, Coker Group, Dallas The success of a physician practice depends on the design of an appropriate physician pay structure and incentive model. Today, numerous variables must factor into the equation of designing a suitable compensation plan that supports the organization and its employed physicians’ needs, but also attracts physicians for the future. This session will discuss compensation basics and address the components that affect the creation of physician compensation plans.
This session will provide you with the knowledge to:
- Establish an objective methodology for calculating physician compensation, especially as related to various specialties
- Attract top physicians to your practice by providing compensation that is commensurate with area norms and competitive within the marketplace
- Maintain the financial viability of the organization with an appropriate compensation plan that meets the organization’s and physicians’ needs
204: Physician Compensation: Developmental Principals
Operational Monday, Feb. 27, 11:15 am-12:30 pmJustin Chamblee, senior manager, Coker Group, DallasWith the advent of the accountable care organization and reimbursement shifts from pay for performance to bundled payments, physician compensation plans must do more than ensure fair compensation for physicians. Effective compensation plans must encourage and incentivize quality and foster strong physician alignment for hospitals and health systems to achieve core strategic goals.
This session will provide you with the knowledge to:
- Analyze the compensation plans most commonly utilized in limited, moderate and full alignment models
- Apply current trends in physician-hospital alignment and blend new methods and incentives with your organization's existing model
- Explore how integration, quality measures and non-productivity metrics affect physician compensation
304: Physician Compensation: Preparing for the Future!
Operational Monday, Feb. 27, 1:30-2:45 pmJustin Chamblee, senior manager, Coker Group, Dallas Designing a physician compensation plan can be a daunting task for any healthcare organization. As reimbursements continue to tighten, employment models are equally affected. More than ever, physicians must be careful when considering proposed compensation arrangements. In this session, you will receive timely information on the latest trends in physician compensation and model structures as well as issues influencing compensation distribution, how this information translates to your hospital system or group practice and what measures should be established to ensure future financial stability.
This session will provide you with the knowledge to:
- Explore the latest trends in physician compensation distribution, including the benefits and challenges
- Examine how recent regulatory compliance issues and legal structures affect your healthcare organization
- Apply current compensation models to allow physicians to meet their goals and expectations
Benchmarking Analysis and Applications concurrent sessions
404: Using MGMA Tools to Understand and Benchmark Your Data: RVU Analysis and E&M Profile
OperationalMonday, Feb. 27, 3:30-4:45 pmSteven Strode, vice president, ambulatory services, Rockford Health System, Rockford, Ill.; David Taylor, vice president, regional services, CoxHealth, Springfield, Mo.; and David Litzau, surveys systems analyst, Medical Group Management Association, Englewood Colo.MGMA has recently developed a number of tools that utilize the MGMA survey data to help you benchmark your practice data and drive practice success. This session will explore the use of the MGMA RVU Analysis Tool and the E&M Profiling Tool, using your practice’s data. It will show you how to upload your data, develop reports, interpret the results and develop data benchmarks for more advanced uses. This highly interactive session will be a great opportunity not only to learn to use the tools, but also to learn from other administrators as participants collectively review their practices’ data.
This session will be hands-on, utilizing the tools and your practice’s data. Please come prepared with your laptop and your practice’s CPT data.
This session will provide you with the knowledge to:
- Use the MGMA RVU Analysis Tool and E&M Profiling Tool
- Upload and analyze your practice’s data for real-time benchmarking
- Use advanced benchmarking techniques to optimize practice performance
504: Using MGMA Tools to Understand and Benchmark Your Data: Physician Compensation Model Tool
Operational Tuesday, Feb. 28, 8:15-9:30 amSteven Strode, vice president, ambulatory services, Rockford Health System, Rockford, Ill., David Taylor, vice president, regional services, CoxHealth, Springfield, Mo.; and David Litzau, surveys systems analyst, Medical Group Management Association, Englewood Colo.Benchmarking can mean the difference between good and great. Over the past several years, MGMA has developed a number of tools that utilize MGMA survey data to help practices make the transition from good to great. This session will explore, using your practice’s data, the use of MGMA’s online Physician Compensation Modeling Tool. It will show you how to upload your data, develop reports, interpret the results and develop data benchmarks for more advanced uses. This highly interactive session will be a great opportunity not only to learn to use the tool, but also to learn from other administrators as participants collectively review their practices’ data.
This session will be hands-on, utilizing the tools and your practice’s data. Please come prepared with your laptop and your practice’s RVU data.
This session will provide you with the knowledge to:
- Use the MGMA online Physician Compensation Modeling Tool
- Upload and analyze your practice’s data for real-time benchmarking
- Use advanced benchmarking techniques to optimize practice performance
704: Using MGMA Tools to Understand and Benchmark Your Data: Fee Schedule Analysis Tool
OperationalTuesday, Feb. 28, 11:15 am-12:30 pmSteven Strode, vice president, ambulatory services, Rockford Health System, Rockford, Ill., David Taylor, vice president, regional services, CoxHealth, Springfield, Mo.; and David Litzau, surveys systems analyst, Medical Group Management Association, Englewood, Colo.In response to members’ needs for actionable use of data, MGMA has developed several tools that utilize the MGMA survey data to help you benchmark your practice data and drive practice success. This session will explore in detail the use of MGMA’s online Fee Schedule Analysis Tool using your practice’s data. It will show you how to upload your data, develop reports, interpret the results and develop data benchmarks for more advanced uses. This highly interactive session will be a great opportunity not only to learn to use the tool, but also to learn from other administrators as participants collectively review their practices’ data.
This session will be hands-on, utilizing the tools and your practice’s data. Please come prepared with your laptop and your practice’s fee schedule data.
This session will provide you with the knowledge to:
- Use the MGMA online Fee Schedule Analysis Tool
- Upload and analyze your practice’s data for real-time benchmarking
- Use advanced benchmarking techniques to optimize practice performance
Government Affairs concurrent sessions
401: MGMA Government Affairs Update: Recent Developments and Hot Topics
OperationalMonday, Feb. 27, 3:30-4:45 pmAllison Brennan, senior advocacy advisor, Medical Group Management Association, Washington, D.C.This session will provide a timely look at pertinent healthcare issues under consideration by Congress and federal regulatory agencies. Attendees will learn about recent legislative and regulatory developments and how proposed changes might affect medical group practices’ day-to-day activities. Additionally, attendees will learn what resources are available to clarify these federal initiatives.
This session will provide you with the knowledge to:
- Identify relevant legislative and regulatory initiatives that might affect group practices
- List critical elements from legislative and regulatory initiatives that can affect your practice
- Determine when to expect changes to current regulations that will impact your practice and what resources are available to assist you
501: MGMA Government Affairs Update: Emerging Medicare Payment Models
StrategicTuesday, Feb. 28, 8:15-9:30 amAllison Brennan, senior advocacy advisor, Medical Group Management Association, Washington, D.C.This session will provide a timely look at emerging Medicare payment initiatives and discuss the intermediate-term outlook for their implementation. The presentation will focus on key Medicare payment initiatives including accountable care organizations, Shared Savings and bundled payment pilots, and new value-based payment modifiers.
This session will provide you with the knowledge to:
- Articulate the Medicare payment changes that may impact medical practices in the coming years
- Determine when to expect implementation of new payment models and initiatives
- List the key elements of pending Medicare payment models and pilot programs