| 10:30-11:25 am ET |
Concurrent Series 100:
CON101: Combining Clinical and Business Analytics for EfficiencyTraditional | Intermediate | Analysis
Speaker: John Tollerson, DO, Chief Medical Information Officer, Kalispell Regional Healthcare
Managing big data is critical to any organization's health and patients, but these initiatives can drain time and resources. One way to increase efficiency, measure progress and improve performance is using analytics to make data more meaningful and provide vital insights about organizational performance. The speaker will share how his organization has used analytical dashboards to inform decisions, transform approach to care, and improve outcomes. He will identify how using data-driven decision-making has led to increased productivity, standardization of RVU processes, closing of care gaps and referral loops, reducing ER bounce backs and hospital admissions, and better continuity of care. He will also focus on how analytics helped improve transparency between the hospital system and physicians and was a catalyst for clinical improvement efforts involving proper documentation and clinical workflow transformation. Finally, he will share how analytics provide a powerful motivator for staff to rally around successes and use that momentum to tackle other organizational issues.
This session will provide you with the knowledge to:
- Examine analytics to make data more meaningful and provide vital insights into organizational performance.
- Outline new workflows and documentation processes with analytical reporting to achieve outcomes.
- Prepare a collaborative work environment to improve clinical results
CON103: CMS 2021 Final Rule: Exploring its Impact on wRVUs and Physician CompensationIntermediate | Analysis
Speaker: Justin Chamblee, MAcc, CPA, Senior Vice President/Director of Operations, Coker Group
The 2021 Medicare Physician Fee Schedule final rule contains some of the most significant changes to wRVUs seen since the creation of the resource-based relative value scale (RBRVS). Most notably, E/M wRVUs increased materially. This, coupled with the decrease in the Medicare conversion factor, means that changes will abound with respect to the measurement of productivity and actual reimbursement across specialties. As many compensation models and other services agreements are tied to wRVU production, it's quite likely that changes in wRVU-based compensation will not trend with reimbursement. This will put pressure on healthcare organizations through diminished financial performance. Without some mitigating efforts, this could prove detrimental to the financial health of organizations. In this session, the speaker will explore the changes in the final rule, look at key trends by specialty, analyze the impact on various compensation arrangements and, most importantly, provide guidance on responding.
This session will provide you with the knowledge to:
- Examine the core changes brought about by the 2021 final rule
- Analyze the impact the final rule will have on various compensation arrangements and overall financial performance of healthcare organizations
- Outline key steps organizations can take to respond to the changes in the final rule and create a pathway for financial health.
|
| 11:25 am-12:15 pm ET |
Solution Center -- Lunch and Learns available from 11:45 am-12:00 pm |
| 12:15-1:10 pm ET |
Concurrent Series 200:
CON201: Transform Care and RCM via a Provider and Patient Digital ExperiencePatient Access and Revenue Cycle
Traditional | Intermediate | Application
Speakers: Sherri Harris, Regional Manager, Scheduling, Sacred Heart Health System/R1 RCM
Joe Polaris, Senior Vice President, Product and Technology, 1 RCM
Patients and referring providers expect a convenient and streamlined experience. Sacred Heart Ascension developed a plan to offer end-to-end digitization for both constituents. The new process leverages digital self-service for patients and rules-based logic and workflow management to reduce manual work and staff intervention with tasks in prior authorization, scheduling, financial clearance and registration. Sacred Heart transformed the care coordination and revenue cycle journey by giving patient access teams and referring providers tools to work smarter. These changes have driven meaningful KPI improvements and helped achieve an 80% increase in orders to more than 8,500 procedures monthly. Attendees will learn how Sacred Heart Health Systems implemented practical strategies to encourage referring providers' adoption of technology, improved provider communication, streamlined patient scheduling and created a better patient experience using self-service tools.
This session will provide you with the knowledge to:
- Employ more efficient electronic order submission and scheduling practices
- Use a provider self-scheduling/real-time booking model to ensure patients don't leave care site without knowing next steps
- Manage a front-end revenue cycle and prior authorization services to save time for referring and rendering providers.
CON203: Front-Loading your Revenue CycleBusiness Intelligence
Speaker: Nate Moore, CPA, MBA, FACMPE, CEO, Moore Solutions Inc
How much of your revenue cycle can be influenced before a patient even walks through your door? What proactive actions can practice administrators take to front-load revenue cycle success? Think of things like reducing no shows, ensuring procedures have pre-authorization, and filling open appointment slots, but there is much more. Have you considered an appointment scrubber that can data mine upcoming appointments for potential issues such as patients in a collection status, patients with insurance plan issues, patients with scheduling problems, or patients in a global period? Appointment data can also show recently canceled appointments that could be filled or blocked provider templates that need be addressed. Keep digging, and appointment data could reveal providers who do not have enough upcoming new patient appointments to generate budgeted procedures, or providers that take too long to get an appointment with, or providers that have cancelled and then lost patient appointments. Join a unique conversation about managing provider capacity, efficiency, and throughput using data your practice management system already knows but may not be clearly telling you. See and discuss examples of actual reports ranging from reducing no show appointments, managing provider templates, mining appointment data, and much more. The audience will select and prioritize the topics we discuss, so come prepared with questions your practice is raising and insight you would like to share.
This session will provide you with the knowledge to:
- Discuss actual reports practices currently use to drive revenue from appointment data
- Improve your providers’ productivity without having them work longer or harder
- Drive practice revenue by optimizing scheduling strategies
CON204: Money In/Money Out: "The Capital Lifecycle"Financial Management
Intermediate | Traditional | Application
Speakers: Alistair Canal, BBA, President of Revenue, CCM
Jacob Corlyon, Co-founder and CEO, Capital Collection Management LLC
Capital is the lifeblood of every healthcare business. Do you know how to keep it flowing? Learn how to procure funds, secure your money and endure through inevitable financial losses. Today's healthcare provider is focused on healing and running a business. Success in both areas requires a clear and complete understanding of the Capital Lifecycle. Join the speakers to help you navigate the options, opportunities and challenges of today's revenue cycle.
This session will provide you with the knowledge to:
- Discover capital options for healthcare organizations
- Employ short- and long-term strategies for capital needs and maximizing ROI
- Manage losses effectively to mitigate financial impact
|
| 1:10-1:15pm ET |
Break |
| 1:15-2:30 pm ET |
General Session 1 - Resilient Leadership: The Role of Well-Being in Individual and Organizational Performance |
| 2:30-2:40 pm ET |
Break |
| 2:40-2:55 pm ET |
Brain Breaks |
| 2:55-3:05 pm ET |
Solution Center | Prize Drawing |
| 3:05-3:20 pm ET |
Excellence in Action Series |
| 3:20-4:15 pm ET |
Concurrent Series 300:
CON303: Top 10 Payer Negotiation and Contracting Tools: 2021 and BeyondPayer Contracting-and Value-based Payments Revenue Cycle
Traditional | Advanced | Synthesis
Speaker: Doral Jacobsen, FACMPE, CEO, Prosper Beyond, VBC Inc.
For medical practices to successfully position for the future, they need healthy revenue streams. Practices routinely need to make incremental revenue increases over time, largely from payer contracts. This session defines a step-by-step process to build an effective strategy for the payer contracting journey, including the top 10 tools used by successful practices. The speaker will provide tactical guidance by reviewing those tools, including next-generation value proposition development, value-based care model checklist, proposal development grid, termination evaluation tool and strategy management matrix. Participants will work together to identify critical components in a payer contracting strategy and brainstorm approaches to advance successful negotiations. The session concludes with best practices describing the characteristics and activities/tools top performers use in payer contracting.
This session will provide you with the knowledge to:
- Develop effective payer proposals
- Design an effective renegotiation strategy
- Construct a plan to position your practice for future payment models
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| 4:15-4:20 pm ET |
Break |
| 4:20-4:50 pm ET |
End of Day Wrap/Discussion Groups |
| 4:50-5:20 pm ET |
Happy Half Hour |
Wednesday, May 12
|
| 10:30-11:25 am ET |
Concurrent Series 400:
CON404: From Cost Center to Revenue Center: The ROI of Patient Communications Business Intelligence
Intermediate | Application
Speakers: Amy Lee, MBA, MBHA, MJ, CHC, FACMPE, Vice President, Chief Operating Officer, Central Maine Medical Group
Ronald Spoltore, MBA, Board of Directors, American Health Connection
Nonclinical call centers often are deemed cost centers without practice leaders questioning their real ROI and how they affect bottom-line performance. This session will focus on the key characteristics that drive maximum quantitative and qualitative ROI in patient communications. Attendees will learn transformative methods used by medical groups to improve provider productivity by leveraging existing assets with new and innovative business intelligence tools. The session will highlight day-to-day challenges in scheduling, referral services, pre-registration, financial clearance, insurance verification and no-show management that can be optimized without costly investments in technology and resources.
This session will provide you with the knowledge to:
- Discover tools to measure the ROI of patient communications via call center
- Produce maximum provider productivity through call center optimization
- Use KPIs essential to achieving optimal bottom-line results
|
| 11:25-11:35 am ET |
Break |
| 11:35-11:50 am ET |
Excellence In Action Series |
| 11:50 am-12:15 pm ET |
Solution Center -- Lunch and Learns available from 11:55 am-12:10 pm |
| 12:15-1:10 pm ET |
Concurrent Series 500:
|
| 1:10-1:15 pm ET |
Break |
| 1:15-2:30 pm ET |
General Session 2 - Rising From the Ashes Into a World-Class Medical Practice |
| 2:25-2:30 pm ET |
Break |
| 2:30-3:00 pm ET |
Speed Sessions |
| 3:00-3:05 pm ET |
Break |
| 3:05-3:20 pm ET |
Brain Breaks |
| 3:20-3:25 pm ET |
Break |
| 3:25-4:20 pm ET |
Concurrent Series 600:
CON603: Recipe for Success: Mastering 15-Minute Payer Contract ReviewsIntermediate | Traditional | Analysis
Speakers: Penny Noyes, CHC, President, Health Business Navigators
Amanda Hilbert, Director Payer Contracting, Health Business Navigators
Reviewing dozens of pages in old agreements or new proposals might seem daunting, but the key is to take a strategic look. In this session, attendees will learn how to assess a payer agreement, new or proposed, in about 15 minutes. The speaker will highlight key provisions, where you can typically find them, whether a payer can or might change the ugly stuff (or how to manage, if not), and how to jump-start a renegotiation or request for changes. Attendees will learn to quickly identify and assess issues with effective date, initial term, termination without cause, products, amendments, notice and rate exhibit. The session will also include a comprehensive checklist of other provisions to understand in contracting strategy.
This session will provide you with the knowledge to:
- Outline key provisions needed for a critical payer contract review
- Examine existing and proposed payer contracts for high-impact provisions
- Breakdown specific provisions for renegotiation in a payer contract
|
| 4:15-4:30 pm ET |
Break |
| 4:30-5:00 pm ET |
End of Day Wrap/Discussion Groups |
| 5:00-5:30 pm ET |
Happy Half Hour |
Thursday, May 13
|
| 10:30-11:25 am ET |
Concurrent Series 700:
CON701: You Get What You Focus On: Designing the Right Comp ModelCompensation and Productivity
Intermediate | Analysis
Speaker: Adrienne P. Lloyd, MHA, FACHE, MGMA Consultant, Optimize Healthcare
Elizabeth G. Hunter, MHA, Chief Financial Officer, Ophthalmology, Duke Medical Center
Behaviors are often driven by the cultural norms or incentives within an organization. Many of these norms, for better or worse, can be traced back to the compensation model design. This session will explore how to modify compensation models to incentivize and encourage new behaviors that produce the outcomes your organization need to achieve. Attendees will learn about the art of choosing the right measures and engaging your leadership and providers in the conversations to help them understand the metric and outcome alignment and the ability they have to influence outcomes.
This session will provide you with the knowledge to:
- Examine key variables in compensation models that drive behavior and hold opportunity for transforming the practice
- Point out the balance between full transparency and models that create parameters for building trust between providers and leadership
- Prepare for conversations with your group's providers to make necessary modifications to the compensation models
CON703: Maximizing Revenue While Facing a Shifting Payer MixBusiness Intelligence
Traditional | Intermediate | Application
Speaker: Tim Ruse, MBA, FACHE, CMPE, Vice President of Client Business Services, abeo
The healthcare industry faces significant challenges from a shifting payer mix due to the aging of the baby boomer generation. This trend is disrupting the income, culture and staffing models of medical practices. The COVID-19 pandemic further exacerbated the shift in payer mix, with unemployment resulting in a higher percentage of Medicare volume in surgeries and other procedures. This session will detail actionable steps for applying business intelligence to help mitigate these trends in payer contracting, operating room efficiency, staffing model evaluation and various strategies to improve the practice's payer mix and ultimately increase revenue.
This session will provide you with the knowledge to:
- Discover key factors as the payer-mix shifts from commercial payers to Medicare
- Derive business intelligence about revenue impacts from changes in payer mix
- Produce steps to mitigate the impact of shifts in payer mix in your medical practice
|
| 11:30-11:35 am ET |
Break |
| 11:35 am-12:05 pm ET |
Speed Sessions |
| 12:05-12:15 pm ET |
Break |
| 12:15-1:10 pm ET |
Concurrent Series 800:
CON802: Managing the Financial Transition from Fee-for-Service to Value-based Care Financial Mastery
Traditional | Intermediate | Analysis
Speaker: Randolph H. Pirtle, Chief Executive Officer, Blue Ridge Medical Center
This session provides a simplified conceptual framework for understanding the financial transition from fee-for-service (FFS) to value-based care. The framework can help practice administrators assess the reimbursement give-and-take in the transition from one model to the other. A graphical X-bar analysis demonstrates how organizational margin can be stabilized through the transition. Attendees will learn how to use encounter volume and margin per encounter to understand the complex financial transition better and determine total margin. These three metrics can help you define the financial impact of different rates of change on earnings throughout a transition to value.
This session will provide you with the knowledge to:
- Outline a simplified conceptual framework for understanding the financial transition from fee-for-service (FFS) to value-based care
- Breakdown how Ian Morrison's The Second Curve can be applied to understanding the financial transition to value-based care
- Analyze volume and margin via the graphical X-bar specifically to your organization
|
| 1:10-1:15 pm ET |
Break |
| 1:15-1:35 pm ET |
Solution Center | Trail Map Grand Prize Drawing |
| 1:35-2:50 pm ET |
General Session 3 |