Knowledge Expansion

Online Payer Contracting Seminar

Webinar

SKU: 19OLSEM01

Overview

11/06 at 10:00 AM to 11/07/2018

Part I: Gathering and Analyzing Your Contracts
Exam: Member Price: $0.00 | Nonmember Price: $49.00
Add Exam to Cart

Part II: Articulating Practice Value, Developing Contract Proposals and Building a Go-Forward Strategy
Exam: Member Price: $0.00 | Nonmember Price: $49.00
Add Exam to Cart

Part III: Establishing a Contract Monitoring and Evaluation Process
Exam: Member Price: $0.00 | Nonmember Price: $49.00
Add Exam to Cart

Do your payer contract rates fairly compensate your practice? Evaluating and optimizing your contract rates requires diligence and perseverance. Register for the Online Payer Contracting Seminar to gain the skills you need to manage your payer contracts.

Each seminar is two-hours long. Parts I and II will be held on Nov. 6, starting at 12 pm ET and at 2:30 pm ET. Part III will be held on Nov. 7, starting at 12 pm ET. This seminar is eligible for ACMPE, ACHE (live only), CPE (live only) and CEU credit. It will be made available as a recording 72 hours after the event ends.

Materials: Your registration fee includes the Transitioning to Alternative Payment Models: A Guide to Next-Generation Managed Care Contracting book that offers medical practice leadership teams practical guidance on navigating the shift from volume-based to value-based managed care contractual relationships.

1:1 appointments
As an additional benefit, we’re offering complimentary 1:1 appointments with the presenters. A link to sign-up for a 20-minute consultation will be posted soon. All registrants will receive an email notification as soon as it’s available.
 

ACMPE: 6

ACHE: 6

CPE: 6

CEU: 6

Continuing Education Information

Delivery method: group-live | group-internet-based 
Learning level: Advanced
Learning format: Traditional  
Prerequisites: A working knowledge of medical group practice management. 
Advance preparation: None
Duration: 120 minutes each part of the seminar 

Seminar Series Maximum clock hours*
ACMPE: 6 | ACHE: 6 (live only) | CPE (live only): 6 | CEU: 6
*Subject to change and dependent on total number of participation hours.
             
Claiming Credit:
If you wish to claim continuing education credit, you must first attend the seminar and pass the associated exam with a score of 80% or higher. 

Registration is required for BOTH the seminar and the exam. 
  • ACMPE, medical practice administrators in certification and Fellowship through ACMPE
    • Exam must be completed no later than: Nov 7, 2019 
  • ACHE, American College of Healthcare Executives Qualified Education
    • Attendance at the live seminar
    • Exam must be completed no later than: Nov 7, 2019
  • CPE, continuing professional education for accountants 
    • Attendance at the live seminar
    • Exam must be completed no later than: Nov 7, 2019
  • CEU, generic continuing education unit 
    • Exam must be completed no later than: Nov 7, 2019

After you register for the exam, instructions on how to access the exam will be emailed to you. 

Team: 
Participants who want to claim continuing education credit must be individually registered for the seminar and subsequent exam. If participants would like to attend the seminar as a team using one person’s log-in credentials, the person who launched the seminar will need to email a list (first and last names) of all participants to continuinged@mgma.com after the seminar has concluded. MGMA will mark these individuals’ status as “completed” within five business days to allow each team participant to claim his or her desired continuing education credit.

Official Continuing Education Statements and Availability


 American College of Medical Practice Executives (ACMPE)

ACMPE credit continues to be a free member benefit and is available to registered seminar attendees who purchase and complete both the seminar and exam.

A cumulative total of 50 ACMPE continuing education credit hours is among the requirements for advancement to Certified Medical Practice Executive (CMPE) status. Once you have advanced to CMPE or Fellow status, you must earn and submit 50 hours of qualifying credit hours every three years to maintain your designation. 

Learn more about the ACMPE certification program. 

One ACMPE credit is earned for every 60 minutes of educational content, rounded down to the nearest 0.25.

ACHE Qualified Education

ACHE credit is available to registered seminar attendees who purchase and complete both the live seminar and exam. 

By attending the Online Payer Contracting Seminar series offered by The Medical Group Management Association, participants may earn up to 6 ACHE Qualified Education Hours toward initial certification or recertification of the Fellow of the American College of Healthcare Executives (FACHE) designation.

One ACHE credit is earned for every 60 minutes of educational content, rounded down to the nearest 0.25.




Continuing Professional Education (CPE)

CPE credit for certified public accountants (CPAs) is available to registered seminar attendees who purchase and complete both the live seminar and exam. 
MGMA-ACMPE is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.nasbaregistry.org. 
  • In accordance with the standards of the National Registry of CPE Sponsors. CPE credits have been granted based on a 50- minute hour. Rounded down to the nearest 0.5.
  • This program is in the Specialized Knowledge and Applications field of study. 
  • The type of instruction is group-internet-based
  • National Registry of CPE Sponsors ID: #103652.

Continuing Education Units (CEU) 

Generic CEU credit is available to registered seminar attendees who purchase and complete both the seminar and exam.

One generic CEU credit is earned for every 60 minutes of educational content, rounded down to the nearest 0.25.

 
Part I: Gathering and Analyzing Your Contracts
Nov. 6, 2018, 12:00-2:00 pm ET (11:00 am CT, 10:00 am MT, 9:00 am PT)

Available for: ACMPE: 2 | ACHE (live only): 2 | CPE (live only): 2 | CEU: 2
Advanced | Traditional

Most practices know what is required to accomplish due diligence on their contracts but dread the thought of systematically gathering payer agreements and fee schedules, analyzing the findings, and developing and executing a strategy to renegotiate agreements. The challenge of being faced with so many hard-to-find puzzle pieces in the quest to accomplish even the first steps of finding the agreements, amendments and relevant schedules can quickly overwhelm a practice and derail it from its goals. This session will share turnkey processes that will get you headed in the right direction and on task even when obstacles are in the way. The primary focus of this session will be on building your foundation—the gathering, analysis and strategy development stage of your payer contracting project.  

This session will set the stage for the content in Part II of the education series: How to initiate a negotiation, what makes your practice special, and how to model and test an offer so that you have a clear understanding of why it is so important to start with a solid foundation.

This 2-hour online seminar will provide you with the knowledge to: 
  • Assemble payer agreements, amendments and fee schedules
  • Prepare payers’ schedules in need of renegotiation
  • Develop renegotiation strategy

Part II: Articulating Practice Value, Developing Contract Proposals and Building a Go-Forward Strategy 
Nov. 6, 2018, 2:30-4:30 pm ET (1:30 pm CT, 12:30 pm MT, 11:30 am PT)

Available for: ACMPE: 2 | ACHE (live only): 2 | CPE (live only): 2 | CEU: 2
Advanced | Traditional

This session will build upon the contracting foundation established in Part I. Once a practice has tracked down contacts, agreements and fee schedules, the contracting process enters the next phase: Developing proposals and your practice value proposition. The first focus of this session will be on identifying your specific negotiation targets, including identifying top CPT® codes, comparing rates, evaluating proposals and methodologies across your book of business, and establishing targets for negotiation. The instructor will then use this analysis to construct proposals, including sample verbiage and recommended strategies. The session will provide insight into the alternative payment model landscape for practices to consider during the negotiation process. Additionally, this session will focus on developing the practice value proposition, providing templates to use to start the process of articulating the value during the negotiation process. The final focus will include recommended go-forward strategies to integrate the contracting practice into the core financial management strategy.

This 2-hour online seminar will provide you with the knowledge to: 
  • Develop payer proposals 
  • Create practice value proposition
  • Devise a renegotiation strategy

Part III: Establishing a Contract Monitoring and Evaluation Process
Nov. 7, 2018, 12:00-2:00 pm ET (11:00 am CT, 10:00 am MT, 9:00 am PT)

Available for: ACMPE: 2 | ACHE (live only): 2 | CPE (live only): 2 | CEU: 2
Advanced | Traditional

The concluding session addresses contract monitoring and evaluation. The first hour demonstrates how to track and analyze payer performance through contract monitoring, providing methods for ensuring that the rates negotiated match payment rates. The instructor will then lead a hands-on workshop demonstrating the Microsoft Excel VLOOKUP function as a tool to analyze payer performance. A sample dataset will be provided for all attendees to manipulate during the session.

NOTE: It is recommended that attendees have access to two monitors for the last portion of this session. There will be a demonstration as well as hands-on work.

This 2-hour online seminar will provide you with the knowledge to: 
  • Construct key methods to evaluate contracted rates with payment rates
  • Manage payer agreements for payment compliance
  • Develop spreadsheet for contract monitoring
Part I: Gathering and Analyzing Your Contracts

Penny Noyes

Penny Noyes, CHC

President, Health Business Navigators

Penny Noyes brings four decades of healthcare related experience to medical practices on both the payer/MCO and provider sides of the industry. Since 1999, when Ms. Noyes founded HBN, she has been working with a variety of healthcare-related clients who require assistance with payer contracting and credentialing. She has written and executed business plans, renegotiated managed care agreements, provided market exposure, improved client revenue and increased the bottom line. She is sought after by numerous organizations to provide opinions on hot issues for periodicals and to do educational seminars on the topics of payer contacting and credentialing as she brings her "roll up the sleeves," candid approach to material presented.

Ms. Noyes has held various leadership positions throughout her career in healthcare. She served as Senior Vice President of Business Development for a venture capital backed start-up, U.S. HealthWorks, a practice management company specializing in occupational medicine where she was able to negotiate both improved reimbursement and achieved delegated credentialing with all payers for nearly 100 clinics in 7 states representing nearly $100 million in annual revenue. Prior to that she spent 11 years at Allmerica Financial, an $11 billion insurance and financial services company, where she was an Assistant Vice President responsible for product development of health plans nationwide, as well the contracting and credentialing of 180,000 providers nationwide. While at Allmerica she also led a project related to the development of PHCS in collaboration with 17 other health insurance companies. Earlier in her career she worked at Blue Cross of Massachusetts for 6 years on development and marketing of fully insured and self-funded health plans and HMO products, including some of the earliest Medicare risk based plans.



Part II: Articulating Practice Value, Developing Contract Proposals and Building a Go-Forward Strategy

Doral Davis-Jacobsen

Doral Davis-Jacobsen, MBA, FACMPE

Doral Davis-Jacobsen is chief executive officer of Prosper Beyond, Inc., a specialized healthcare consulting firm in Asheville, N.C. She is a seasoned healthcare consultant with more than 20 years of experience serving healthcare providers ranging from solo practitioners to large academic medical centers. Davis-Jacobsen is a popular speaker and author, always looking around the corner to help her clients prepare for what’s next.

She is known for assisting practices with next-generation managed care contract negotiations, revenue cycle and payment reform. Davis-Jacobsen is a Fellow in the American College of Medical Practice Executives who earned a bachelor’s degree in health services from Florida Atlantic University and a master’s in business administration from Webster University in Denver. She has authored numerous articles on medical practice revenue cycles, managed care contracting and payment reform, and is a frequent speaker at national, regional and local healthcare forums.



Part III: Establishing a Contract Monitoring and Evaluation Process

Nate Moore

Nate Moore, CPA, MBA, FACMPE

President, Moore Solutions Inc.

Nate Moore, CPA, MBA, FACMPE, speaks, consults, records and writes about business intelligence in medical practices throughout the country. Nate’s book, Even Better Data, Better Decisions: Advanced Business Intelligence for Medical Practices, is an MGMA best seller. Nate’s consulting focuses on using SQL Server to mine and leverage medical practice data into actionable knowledge.

Nate creates a series of powerful Excel Videos at mooresolutionsinc.com demonstrating how to use Microsoft Excel in a medical practice. Excel Videos have been viewed thousands of times by practice managers across America. Nate also moderates the Excel Users MGMA Community, the online resource for practice administrators to collaborate about Microsoft Excel.

Seminars are delivered live using online web conferencing software, which allows you to interact directly with presenters and colleagues through your web browser.

You will receive informational emails with log-in instructions, handout materials and the recording.

Technical requirements
To participate you will need:
  • Adobe Connect: Run this connection test
  • Internet: A high-speed connection
  • Audio: Computer speakers and, if you’re participating live, a phone in case of audio difficulties
View the technical requirements page for mobile device information as well as operating system, browser and software requirements. 
 
Live Facilitator led
Registration cancellation requests must be received prior to the start time of the seminar to be eligible for a full refund minus a $50 processing fee. Registration fees cannot be refunded after the seminar has started.
 
Exam
Exams purchased, but not yet started are eligible for a refund minus a $30 processing fee. Exam refunds will be processed within 90 days of the cancellation date. Fees cannot be refunded once an exam is started or completed.
 
Cancellation
If for any reason MGMA must cancel this seminar, MGMA will notify participants by email of the cancellation no less than 48 hours prior to the expected start of the seminar. Full registration and exam cancellation fees will be processed within 90 days of the cancellation.
 
Contact MGMA
Contact the MGMA Service Center for cancellations or refunds:
 

Toll-free: 877.275.6462, ext. 1888
Email: service@mgma.com
 
Complaint resolution policy
Please contact the MGMA Service Center toll-free at 877.ASK.MGMA (275.6462) for issues or concerns with this seminar.

Loading...