Meet Your Medford Summit Speakers This half-day summit brings together two experts who help practices understand, protect and negotiate the revenue they've earned. Here's a closer look at who you'll be learning from.
Jill Arena, BA, FACMPE CEO, Health ePractices | Host, Medical Money Matters Podcast
Jill Arena is a nationally recognized expert in medical practice finance, operations, revenue cycle management and leadership development. She wrote Physician, Heal Thy Financial Self, a guide for physicians who want to master their practice's finances. She also hosts Medical Money Matters, a weekly podcast for physicians and administrators.
Session: All The Ways Your Money Goes Missing (Some of Them Are Perfectly Legal)
Missing money doesn't always mean theft. Embezzlement is only one way revenue slips away. Undercoding, payer downcoding, weak revenue cycle performance and outdated payer contracts can all quietly drain a practice. Learn where money leaks out, and how to protect and recover it.
What you'll learn:
- Identify revenue lost to theft, undercoding and payer downcoding.
- Recognize gaps in revenue cycle performance and payer contracts.
- Take practical steps to protect, recover and keep the money you've already earned.
Mike Tripp, President, Contract Rates Inc.
Mike Tripp has spent two decades on health system finance committees, in IPA contract negotiations and in provider partnership meetings. He has seen firsthand the advantage insurers bring to contract talks: they arrive with complete market data, while practices are often left to guess at fair rates. Mike now helps practices close that gap, so they can negotiate from the same position of strength insurers have always had.
Session: Two Parity Tests for Every Payor Contract Using Public Rate Data: Practice-to-Practice and Payor-to-Payor
Payers know the contracted rate of every practice in your market. Most practices know only their own. This session gives practice leaders two practical tests for any payer contract, using public, federally mandated Transparency in Coverage data.
What you'll learn:
- Practice-to-practice parity: See where your rates fall within the market quartiles for each payer, county and specialty.
- Payer-to-payer parity: Compare what different payers pay for the same specialty in the same county, and identify which ones pay below their competitors.
- Using a payer's own public filings: Add support to your negotiations with information from the payer's filings, including cost projections, network adequacy obligations and medical loss ratio results.
- Modeling the dollar impact: Calculate how a proposed fee schedule would affect your practice, based on your own service mix and volume. This includes the multi-year effect of a "percentage of Medicare" offer, before you accept or counter.
All examples use public data. This session does not discuss, recommend or coordinate the rates any practice should request or accept.
Questions? Contact the MGMA Service Desk at service@mgma.com or 877.275.6462*—we're happy to help.*