MPE: Pathways Conference DX

Eligible for: ACMPE : 1 | AAPC : 1 | ACHE : 1 | CME : 1 | CPE : 1.2 | CEU : 1 | PDU: 1 | PDC: 1 

Content Type: Government Affairs 
Traditional | Basic | Comprehension 

In this session, MGMA Government Affairs staff will provide an update on current and potential policy developments impacting medical group practices. The speakers will discuss the latest legislative and regulatory issues covering topics such as Medicare reimbursement, telehealth, quality reporting, and surprise medical billing.  

This session will provide you with the knowledge to:  

1. Identify key regulatory developments   

2. Discuss legislative issues impacting medical groups   

3. Describe MGMA advocacy initiatives 

Eligible for: ACMPE : 1 | AAPC : 1 | ACHE : 1 | CME : 1 | CPE : 1.2 | CEU : 1 | PDU: 1 | PDC: 1 

Traditional | Basic | Comprehension 
Revenue Cycle Management 

Collecting payments for patient accounts 90-120 days past due is a challenge for all practices. There is a reason these accounts often end up with a collection agency, but did you know that up to 25% of revenue recovered by collection agencies comes from payers? How can they receive payments on bills that have been submitted several times to payers? Join this session to see what tools and workflows collection agencies use to quickly find the most likely accounts and cases to get paid.  

This session will provide you the knowledge to: 

1. Identify common issues for payment denials 

2. Discuss methods to improve collection on denied claims. 

3. Describe solutions to identify primary, secondary, and tertiary coverage for patients.  

Eligible for: ACMPE : 1 | AAPC : 1 | ACHE : 1 | CME : 1 | CPE : 1.2 | CEU : 1 | PDU: 1 | PDC: 1

Staffing and Human Resources 
Traditional | Advanced | Synthesis 

What is the business case for doing leadership development at the frontline level? How do you prepare non-managerial staff for future promotion into management? In this session, attendees will learn how one medical practice built a leadership development program for staff to improve its pipeline of internal management candidates. Presenters will explore the cost and organizational culture reasons for doing leadership development in-house. The presenters will share the business case for providing this training to staff. We will review the content areas to cover with your frontline staff to build their emotional intelligence as leaders. We will review specific topics like feedback, building trust, creating a culture of fun, and how to customize communication for personality. Participants will learn how to translate these topics into engaging exercises that will reinforce knowledge. Attendees will get slides and content they can implement immediately in their own organizations.  

This session will provide you with the knowledge to: 

1. Develop the business case for an engaging DIY training 

2. Design an engaging training program for emerging and first-time leaders 

3. Assemble education for the foundational skills that all leaders need

Eligible for ACMPE : 0.5 | AAPC : 0.5 | ACHE : 0.5 | CME : 0.5 | CEU : 0.5 | PDU: 0.5 | PDC: 0.5 

Traditional | Basic | Comprehensive

The COVID pandemic has disrupted the practice of medicine more than any other challenge in the past 50 years. But with all challenges comes opportunity. By adopting RT-PCR testing for COVID-19, influenza, RSV, and Group A strep, one practice has improved care efficiencies, clinical accuracy, patient satisfaction, and practice profitability. This session will take you through one practice's journey and advise you on how you can adopt similar technology in your practice.

This session will provide you with the knowledge to:
1.Seamlessly integrate RT-PCR into your everyday practice
2.Improve practice efficiency, especially during yearly flu seasons and the COVID pandemic

Eligible for ACMPE : 0.5 | CEU : 0.5  

Traditional | Basic | Comprehension
Operational Excellence

Medical practice administrators face pressure from multiple stakeholders: patients demanding an improved experience and high quality of care, organizations looking to optimize productivity, and providers competing at their breaking point. The needs of these stakeholders are often seemingly in conflict. Are there solutions that can help move an organization toward all three of these goals? Join this case study to see how one practice implemented an ambient clinical intelligence that helped streamline clinic workflows to improve productivity and access and free clinicians of administrative burdens.

This session will provide you with the knowledge to:

1. Discuss how to improve clinician efficiency while simultaneously increasing the quality of care
2.  Identify how to decouple scribes from a physician with no changes to existing workflows
3. Describe how improved efficiency helped achieve financial performance goals

Eligible for: ACMPE : 1 | AAPC : 1 | ACHE : 1 | CME : 1 | CPE : 1.2 | CEU : 1 | PDU: 1 | PDC: 1 

Revenue Cycle Management 
Intermediate | Traditional | Application 
Pain Treatment Center 

The majority (80%) of patient data practices collect today are unstructured and do not provide actionable insight to clinicians, let alone adding value to quality and compliance. While 50% of providers' time during visits is spent in the EHR, denial and rejections for claims are high mostly because of lack of clinical documentation and justification. There is also lack of transparency on financial responsibility from patients' point of view, and payers are missing data related to patients’ treatment adherence across time. As RCM is done retroactively, implementing a tailored technology can provide clinical justification for ancillary services and qualify patients for ancillary services during onboarding. Treatment guidelines can be included in the patient onboarding process as "Clinical Algorithms as a Service (CaaS)," which can collect automated clinical and administrative justification and increase quality and compliance while decreasing reimbursements. With an end-to-end patient engagement platform, the speaker’s organization was able to demonstrate revenue increases of more than 15% by implementing clinical onboarding before visits and decreasing denials and rejections by more than 10%.  

This session will provide you with the knowledge to: 

1. Solve interoperability challenges with automated systems integration within onboarding process 

2. Discover how clinical guidelines can be applied to onboarding processes that increases efficiency 

3. Demonstrate how to prevent claims rejections and denials by automating clinical justification tailored to practices 

Eligible for: ACMPE : 1 | AAPC : 1 | ACHE : 1 | CME : 1 | CPE : 1.2 | CEU : 1 | PDU: 1 | PDC: 1

Interactive | Intermediate | Analysis 
Operational Excellence 

In the healthcare setting, taking a great idea and turning it into a reality can be daunting. In this session, the speaker will walk you through his experience converting an academic medical center’s primary care section away from a volume-based model to a value-based model. Attendees will learn how to perform successful strategic planning, start to finish, including the best structure for meetings; how to engage key stakeholders to build consensus and approval; what data is needed; how to fund a population health based primary care model in an AMC setting; how to convert to value-based care and charter workgroups; and how to assess performance in real-time. Attendees will learn a working model for strategic planning process and execution and receive a template to convert a volume-based practice to value, with information on which subgroups are needed to bring to fruition. Attendees will be asked to propose workgroups they would need to charter to convert their own respective practices. They will also be asked what barriers they have faced in attempts made prior.  

This session will provide you with knowledge to: 

1. Analyze structure, meeting cadence, engagement methods, data and more for successful strategic planning, start to finish 

2. Outline the funding of a population health-based primary care model in an AMC setting 

3. Examine crucial areas for a successful conversion to value-based care 

Eligible for: ACMPE : 1 | AAPC : 1 | ACHE : 1 | CME : 1 | CPE : 1.2 | CEU : 1 | PDU: 1 | PDC: 1 

Operational Excellence 
Traditional | Basic | Comprehension 

When healthcare providers sign contracts for payments by third-party payers, they agree to comply with a whole host of federal laws and regulations that pertain to medical practices. This talk provides a valuable roadmap on the important steps a practice administrator can set to become compliant. Explore more with the author of the MGMA Compliance Toolkit, and the MGMA HIPAA Policies and Procedures for Outpatient Providers, and the author of the OSHA Compliance Manual, which has been updated for Covid regulations. Learn about the probability of getting caught for violating a federal regulation and the severity of the fines under the law. The result will be peace of mind that an essential item for your practice has been addressed. 

This session will provide you with the knowledge to: 

1. Learn to answer every provider's question: "What can I go to jail for?" 

2. Understand the high-risk areas of federal laws, such as the False Claims Act, HIPAA, OSHA and Human Resource regulations. 

3. Gain take-aways that illustrate the importance for providers of having an effective compliance plan. 

Eligible for: ACMPE : 1 | AAPC : 1 | ACHE : 1 | CME : 1 | CPE : 1.2 | CEU : 1 | PDU: 1 | PDC: 1 

Traditional | Basic | Comprehension
Operational Excellence

Interpret the industry on a national scale with data that helps deliver answers. MGMA's DataDive platform is the industry-leading source for healthcare management data, including compensation, revenue, operations, and more. Once inside the platform, users can carve up data to gain invaluable insights, ultimately helping them understand the industry beyond their practice. In this session, attendees can expect a detailed walk-through of the updated platform, multiple use cases and an open forum to address specific questions.

This session will provide you with the knowledge to:

1.Describe the DataDive platform and filtering options.
2.Discuss how to create reports from DataDive
3.Identify use cases for data in day-to-day operations

Eligible for ACMPE : 0.5 | AAPC : 0.5 | ACHE : 0.5 | CME : 0.5 | CEU : 0.5 | PDU: 0.5 | PDC: 0.5 
 
Financial Mastery
Traditional | Basic | Comprehension
 
To ensure smooth provider management, healthcare providers must keep up with the constantly evolving requirements surrounding provider enrolment and credentialing processes. While credentialing forms and agreements may appear to be a basic regulatory undertaking, the absence of consistency in the procedures utilized by payers, clearinghouses and other outsiders opens doors for errors and delays. Join this session to see how practices can shorten the credentialing process by using technology to manage the process to allow providers to deliver care and get reimbursed for those services sooner.  
 
This session will provide you with  the knowledge to:
1.Identify how to sync recruitment, provider data collection and management, data    standardization and exchange with payors. 
2.Discuss how to eliminate manual document tracking and follow up – predict the data need and schedule outreach.
3.Describe how to avoid payor denial and network dropouts caused by inaccurate or incorrect provide data.

Eligible for ACMPE : 0.5 | AAPC : 0.5 | ACHE : 0.5 | CME : 0.5 | CEU : 0.5 | PDU: 0.5 | PDC: 0.5 

Traditional | Basic | Comprehensive
Staffing and Human Resources
 
Conventional strategies for recruiting and retaining employees aren't seeing the same results anymore, resulting in practices facing major under-staffing problems. Instead, medical practices are using innovative ways to fill openings, including remote employees, both domestically and internationally. This session will help you gain key insights into how practices are filling their staffing needs during the pandemic while being cost-effective and increasing profits for the medical practices.
 
This session will provide you with the knowledge to:
1.Discuss  how to minimize staffing shortages
2.Describe how to quickly hire recruit, train, manage and retain employees while increasing productivity and profits for your practice

Eligible for: ACMPE : 1 | AAPC : 1 | ACHE : 1 | CME : 1 | CPE : 1.2 | CEU : 1 | PDU: 1 | PDC: 1 

Payer Contract Analysis and Negotiation 
Intermediate | Traditional | Analysis 

For successful medical group leaders, developing a broader knowledge to prepare your practice to navigate and succeed under payment reform and payer contracting is an essential skill. This session will help attendees identify practical building blocks to create an enterprise-wide payer contract management and data analytics strategy. By effectively utilizing this data, organizations of any size can define processes that will drive informed decision-making. 

This session will provide you with the knowledge to: 

1. Examine payer contract language  

2. Distinguish pre-negotiation assessments, payer performance assessments, and benchmarking financial assessments  

3. Breakdown actionable tactics for process management 

Eligible for: ACMPE : 1 | AAPC : 1 | ACHE : 1 | CME : 1 | CPE : 1.2 | CEU : 1 | PDU: 1 | PDC: 1 

Traditional | Basic | Comprehension
Operational Excellence

Obtaining data is only one piece of the puzzle. Interpreting data is the next step that leaders must prioritize to guide impactful change. DataDiscovery, MGMA's newest analytics tool, collects practice data, compares it against benchmarking data from the industry-leading platform, DataDive, and delivers prescriptive insights on trends allowing real-time interpretations. Attendees will be given an in-depth demo, walk-through scenario-based application, and the opportunity to participate in discussion.

This session will provide you with the knowledge to:
1.Discuss how to interpret real-time data
2.Identify key benchmarks that can be used as key performance indicators
3.Deescribe various benchmarks and dashboards as compared to industry data

Eligible for: ACMPE : 1 | AAPC : 1 | ACHE : 1 | CME : 1 | CPE : 1.2 | CEU : 1 | PDU: 1 | PDC: 1

Staffing and Human Resources 
Traditional |Intermediate |Application 
 
The great challenge for healthcare administrators is to develop effective physician retention programs that reduce turnover, increase physician engagement, mitigate burnout, and contribute to a positive workplace culture. The speaker’s organization surveyed physicians and administrators at the end of 2020 to better understand their views on these issues. The results suggest that administrators are attempting to address them, but many physicians are unaware or are not yet positively influenced. Additionally, our data shows that the intense strain of COVID-19 on physicians is leading a surprisingly large percentage to consider leaving the practice of medicine entirely or retiring early. During this interactive session, we’ll dive into the survey findings, outline actionable steps that medical groups can implement to communicate and improve their physician retention programs, and discuss why it’s critical to anticipate and address future staffing needs earlier to overcome the downside of lengthy vacancies.  

This session will provide you with the knowledge to: 

1. Outline effective physician retention programs
2. ​Analyze the qualities that physicians value most in an employer   
3. Discover methods to mitigate burnout by learning how and when to include your physicians in the long-term solution  

Eligible for: ACMPE : 1 | AAPC : 1 | ACHE : 1 | CME : 1 | CPE : 1.2 | CEU : 1 | PDU: 1 | PDC: 1 

Health IT 
Traditional | Basic | Comprehension 

Thoughtful IT design can exponentially improve your practice's efficiency, increase profitability, and improve patient outcomes. With the rapid pace of technological advancement, it is imperative for top practices to maintain a competitive technological edge. This means investing in tools and programs that provide increased value for your practice and your patients. This also means staying informed about the latest technological threats and opportunities. This talk will provide healthcare decision-makers a timely update on the state of play within healthcare IT using real-life case studies. We will also discuss defensive and offensive IT strategies deployable in select scenarios.  

This session will provide you with the knowledge to: 

1. Discuss the hidden costs of a ransomware attack 

2. Describe how practices benefit in three key areas using cloud applications and infrastructure 

3. Explain the NIST layered security framework and how it should be implemented within healthcare practices 

Eligible for: ACMPE : 1 | AAPC : 1 | ACHE : 1 | CME : 1 | CPE : 1.2 | CEU : 1 | PDU: 1 | PDC: 1 
Staffing and Human Resources
Traditional | Basic | Comprehension

To successfully lead people through and out of a crisis, first, we have to understand the 6 stages of the crisis. Based on her Navy experiences during the first and second Gulf Wars and 9-11, Commander Mary Kelly articulates the reactions of people in various stages of crisis, challenge, or change. As effective leaders, we have to be able to help our people P.I.V.O.T. through the crisis, by renewing their sense of purpose, influencing and inspiring others to take the right action, assessing the volatility levels, seeing the opportunities, and providing the right tools, techniques, and technology that allow people to succeed. Then we can apply Mary’s seven leadership reminders, using the acronym C.L.A.M.P.E.R. so that we are providing the right response to the right people at the right time to achieve the right outcomes.

This session will provide you with the knowledge to :
1.Describe the six stages of any crisis, challenge, or change.
2.Identify the five ways to P.I.V.O.T. through the crisis.
3.Describe the seven leadership reminders to lead out of a crisis.