MPE: Pathways Conference DX

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 
 
Payers are attempting to control their provider networks to bring more stability to their bottom line. However, this can have massive operational and financial implications for your practice. In this session, learn common elements of payer contract language and strategies for addressing fee schedules with payers. For example, if your specialty is considering anything cutting edge, watch out for limitations on new technology, prohibitions on pass-through billing and attempted limits on private practice acquisitions through non-assignment clauses. The speaker will provide actual language from payer agreements and helpful reminders about the traditional language terms that can have an adverse financial impact on your practice, such as notice of material change, term language lock-ins, all product participation requirements, and penalties for non-timely demographic updates.  

This session will provide you with the knowledge to: 

1. Point out new language relevant to billing operations that directly and adversely impact revenue  

2. Collect the new, relaxed E/M documentation standards for your commercial agreements 

3. Examine new payer contract language that could impede a practice’s strategic growth plan in areas such as expanded ancillary services, practice acquisition, and new locations 

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

Revenue Cycle Management 
Basic | Traditional | Comprehension 

Billing and coding has become more complex, and pressure has increased on provider margins. Shifting your organization’s focus to claim denial prevention and education, while engaging a partner to recoup lost revenue on your behalf, will improve overall revenue cycle workflow. This session focuses on implementing best practices for using coding technology and clinical claims editing coupled with a risk-free denials and underpayment recovery solution to maximize reimbursement. This results in revenue leakage prevention, cash acceleration, and revenue integrity optimization. Attendees will learn about best practices to employ throughout your revenue cycle from front-end to coding and billing and finally post-adjudication review. Revenue cycle leaders will learn the value of partnering with a zero-balance review professional who will conduct a targeted review of your practice’s denied and underpaid claims to recover lost revenue with no financial risk to your organization.  
 
This session will provide you with the knowledge to:  

1. Identify your organization’s rate of claim denial and rejection 

2. Recognize where revenue leakage occurs within the revenue cycle and how education improves this process 

3. Discuss how risk-free zero balance reviews recoup lost revenue 

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 

Organizations have grappled with what to do about the thousands of employees who suddenly became remote workers during the COVID-19 pandemic. With the research showing that approximately three quarters of employees wished to continue remote work in some fashion, organizations quickly began to consider arrangements that could meet the needs of both employees and employers. In this session, the speaker will discuss various approaches and provide insight into the hybrid model adopted by a large multispecialty physician practice. In this session attendees will learn strategies for developing a model that balances job functions with employee preferences and aligns with organizational values, as well as approaches to building a positive workplace culture and maximizing employee engagement in a fully or partially remote work environment. The session will detail how remote or hybrid work models can be an opportunity to improve employee productivity and organizational efficiency, and present lessons learned from the approach adopted by a large, multispecialty medical practice.  

This session will provide you with the knowledge to: 

1. Operate a hybrid model that balances job functions with employee preferences and aligns with organizational values 

2. Manage a positive workplace culture that maximizes employee engagement in a fully or partially remote work environment 

3. Produce hybrid work models that improve employee productivity and organizational efficiency 

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

Patient Access 
Traditional |Intermediate |Analysis 

This session will explore how to integrate in-person and virtual healthcare solutions to create the highest level of patient satisfaction. Attendees will learn best practices for hybridized healthcare and what has been effective towards the success of a leading telemedicine and AI-powered patient engagement platform. Achieving hybridized healthcare success comes from listening to providers and patients to ensure accessible, affordable care. Attendees will learn how focusing on customer service fosters positive, long-standing engagement and why practices should tailor efforts to the patient's desire for more convenient, consumer-centric care. The session will detail how to achieve ease of patient and provider communication with AI predictability, using technology to reduce administrative burden, increase quality time with patients and improve efficiency. 

This session will provide you with the knowledge to: 

1. Organize telehealth and in-person care offerings for a hybridized healthcare setting with seamless patient experience 

2. Outline best practices for providing a positive, patient-centered experience throughout the entirety of the virtual visit 

3. Prepare technological solutions that make telehealth easy to use and accessible for all patients 

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

Content area: Business Intelligence 
Intermediate | Traditional | Analysis 

Medical groups of all sizes and levels of integration struggle to utilize data to drive action and accountability. This session will explain how to develop a data-driven culture to improve operational and financial performance, providing options and examples of proven metrics and tactics. The speaker will discuss performance metrics and ways to utilize data as the backbone of consistency to develop a high-performing culture of accountability. He will also address tactics for actionable reporting and consistent communication across organizational levels and ways to engage providers and employees in ownership of data and outcomes. 

This session will provide you with the knowledge to: 

1. Distinguish components and management principles for developing a data-driven culture 

2. Calculate key performance indicators and targets, including financial, provider productivity and compensation, patient access, revenue cycle, and nonprovider staffing 

3. Prepare tactics for utilizing data to manage staff and engage providers as leaders, mentors and champions with common group-level objectives 

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

The process of paying for healthcare is stressful and complex for providers and patients alike. So much so, that many patients are foregoing needed care due to their financial responsibility. As a healthcare provider, it is crucial that your organization prioritize patient-centric processes and tools that facilitate faster, more complete collections – while driving increased patient satisfaction. In this session, learn how one medical practice was able to accelerate cash flow and reduce manual work by 60%.

This session will provide you with the knowledge to:
1. Discuss patient engagement tools to overcome payment challenges.
2. Describe how automation improves patient payment processes.
3. Identify how patient-centric solutions can improve cash flow and increase patient engagement.

Eligible for ACMPE : 0.5 | CEU : 0.5  

In today's climate, financial recovery is of the utmost importance. The age-old saying, "time is money," is especially accurate when referring to 'physicians' time. Join us as we explore how to surround the patient-physician encounter with AI-powered, voice-enabled ambient technology to boost efficiency, increase throughput, and improve the patient-physician experience. Join this session to discover why optimizing 'physicians' time has a critical effect on productivity, how their time can best be utilized to achieve desired financial outcomes. 

This session will provide you with the knowledge to: 

1. Identify opportunities increase operational efficiencies. 

2. Describe strategies to boost physician satisfaction 

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

Traditional | Intermediate | Application 
Operational Excellence 

Hospitals invest in physician practices to improve community access, ED coverage and ensured market viability. Health systems also realize building their employed network, is an investment in their ability to improve quality through better care coordination and managing risk contracts over the long term. But, as health systems continue to employ larger numbers of physicians, many challenges have emerged. Mismatches in supply and demand, inadequate management infrastructure, and organizations' willingness to invest capital in practices have steadily increased losses on employed physician networks. Many organizations are at the point where there is a threat to bottom lines. These factors are not new issues, yet most health systems still do not have a sophisticated understanding of the root cause of the losses in their network. Health systems must embrace a data-driven management style to pinpoint where these losses start and determine to fix the data will be the key to successful physician networks in the future.    

This session will provide you with the knowledge to: 

1. Identify opportunities to increase operational efficiencies.
2. Discuss language access to more of your limited English proficiency (L.E.P.) patients.
3. Describe legal obligations to support LEP patients.

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

Content area: Payer Contract Analysis and Negotiation 
Intermediate | Traditional | Application 

Managing contracts and fee schedules is an important part of managing a medical practice. Unfortunately, many practice management systems lack the tools and reports to effectively manage this aspect of the revenue cycle. In this session, learn how organizations can take advantage of common applications, such as Microsoft Excel and Power Pivot, to create powerful tools and reports. The speaker will demonstrate a variety of tools that can be built to help analyze and compare payer contracts, set fee schedules and prices, and even estimate patient responsibility. These tools will not only help make the management process easier, but will enable managers to solve problems and make better business decisions.  

This session will provide you with the knowledge to: 

1. Discover the challenges and limitations of managing payer contracts and fee schedules with out-of-the-box practice management tools 

2. Apply common BI tools, such as Microsoft Excel Power Pivot, that enhance the management of payer contracts and fee schedules 

3. Use the BI tools to conduct analyses and solve problems 

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

Content area: Revenue Cycle Management 
Basic | Traditional | Comprehension 

In the past several years medical practices have partnered with third-party vendors to support their revenue cycle processes. Most of these vendors offer a combination of technology and services with the intent of eliminating the burden of collecting what is owed to the practice. Unfortunately, practice executives struggle with finding the right approach to manage these relationships and find themselves spending more time handling non-sensical interactions than they originally did completing the processes themselves. This session will equip attendees with tools to better manage these relationships and build partnerships that deliver optimal results. The speaker will also discuss real-life challenges that are commonly identified during these engagements.  
 
This session will provide you with the knowledge to:  

1. Identify the top challenges managing revenue cycle resources 

2. Review strategies to support continuous process improvement initiatives 

3. Give examples of useful tools to monitor progress and deliver results 

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

Traditional | Basic | Comprehension 
Operational Excellence 

One of the most common reasons employees leave organizations is a feeling of workload imbalance or unfairness in their work unit. Without consistent accountability, organizations are at risk for both inefficient flow and losing their high-performing staff, creating a detrimental impact on their entire practice. By establishing a system with clear expectations and measures for individual and team performance, you can increase engagement, teamwork and productivity, laying the basis for optimal clinical flow. This session will help attendees learn key strategies to hardwire and improve processes and build an engaged team-based culture, while reducing the frequency of workload imbalance and intensity of training new staff.  

This session will provide you with the knowledge to:  

1. Recognize the importance of an accountability culture and how to launch one through Day Zero Conversations™ and a workload system 

2. Review how to use Lean and Six Sigma tools to refine processes, training, and expectations 

3. Discuss how to design a clinical staff productivity monitoring system and incorporate it in establishing a culture of accountability across all roles

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

Operational Excellence 
Traditional |Intermediate |Analysis 

Practices all over the country are learning the innovative steps needed to run an efficient, paperless practice. By virtually handing off your front desk duties and eliminating the cost of associated with having a front desk, this session will show you how to see significant savings for your practice. 

This session will provide you with the knowledge to: 

1. Discover the seven platforms needed to acquire a truly virtual front desk 

2. Point out which key staff positions are vital for a virtual operation 

3. Calculate the savings of shifting from a traditionally manned front desk to a virtual front desk 

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

Content area: Business Intelligence 
Intermediate | Interactive | Analysis 

Is your revenue cycle running as efficiently as it should? How do you know? What do you measure? Revenue cycle reporting is so much more than simply tracking charges, payments and A/R. Too many revenue cycle reports are backward-looking metrics that simply report problems instead of solving them. This session will take a unique, innovative approach to learning together. The speaker will provide examples of custom dashboards, reports and spreadsheets that practices are using to optimize their revenue cycle, from scheduling appointments to appealing denied claims. He will facilitate a discussion on revenue cycle topics and examples the group is most interested in talking about. Get insight from top performers to think differently about how patients and dollars flow through your practice. Join an interactive discussion with practice managers nationwide to talk about how to measure, monitor, and master your revenue cycle.  

This session will provide you with the knowledge to: 

1. Analyze examples of reports from practices to visualize and improve revenue cycle management 

2. Outline examples of revenue cycle reports that go beyond historical reporting of charges and payments 

3. Prepare a report your practice could adopt to gain fresh insight into your revenue cycle 

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

Traditional |Intermediate |Application 
Staffing and Human Resources

A people-first workplace creates a culture of connection by using communication techniques that improve collaboration and produce better outcomes. Achieving a people-first workplace always begins with an open dialogue asking their people, "What do you need, and how can we create it together?" This question may scare some leaders because it feels like it will open a can of worms, but there is a surprising level of breathing room that comes from simply starting the conversation this way. Join this session to help grow your mindset and intentions as a leader to become a people-first organization.   

This session will provide you with the knowledge to:  

1. Discover best practices for sharing information and gathering feedback  

2. Apply procedures and processes that put people first  

3. Use smart strategies that allow you to move your organization together quickly in the direction you want to go 

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

According to the Center for the Study of Health System Change, 97% of doctors in America reported treating limited English proficiency (LEP) patients. To provide the best care possible, bridging the language gap with these patients is essential. Additionally, under Title VI of the Civil Rights Act and Section 1557 of the ACA, language support from a qualified medical interpreter is compulsory for certain providers in communities with high volumes of LEP patients. To respond to their language support demands, Urban Health in 2021 brought virtual and on-demand interpretation to their patients in the New York City area. Using a virtual interpretation technology platform, Urban Health providers are able to use over-the-phone interpreting (OPI) and video remote interpreting (VRI) to communicate with LEP patients successfully. This affordable model of medical language support has allowed the practice to serve diverse communities in the South Bronx, Queens, Central Harlem, and more. Join this session to discuss the system’s implementation of virtual interpretation, how the practices utilize the technology and the expansion of care afforded by on-demand interpretation technology. 

Learning Objectives:

1.Identify opportunities to increase operational efficiencies.
2.Discuss language access to more of your limited English proficiency (L.E.P.) patients.
3.Describe legal obligations to support LEP patients.

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 | Comprehension 
Revenue Cycle Management 
 
MGMA's practice data programs allow an industry-wide look into how medical practices perform financially and operationally. These data enable MGMA to compare and recognize practices that perform better than the industry standards. Learn how Clinics of North Texas, a multi-specialty organization in Wichita Falls, TX, achieved the MGMA Better Performer status in 2021. Join this session to see how this organization used best practices and new workflows to improve denial management and stabilized its revenue cycle operations. 

Learning Objectives: 

1. Discuss the effectiveness of your organization's current revenue cycle processes 

2. Identify gaps in your organization's operations

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

Payer Contract Analysis and Negotiations
Intermediate | Traditional  | Application           

Medical groups are under increasing pressure to engage in risk-based contracts with payers. As organizations engage in pay-for-performance and shared savings contracts, they face challenges in creating the infrastructure necessary to assume risk for a population. Organizations that have been successful in risk-based contracts have established partnerships with payers in a way that shares risk and collectively builds the appropriate infrastructure that’s crucial for success. This presentation provides insights from payer and provider perspectives, providing a blueprint for building key elements, including contract terms, infrastructure, data sharing, and care management. Several case studies will be presented in a shared learning environment geared toward building competencies in risk-based contracting. 
 
This session will provide you with the knowledge to:  

1. Discover the elements vital to building a risk-based contact and in working with payers 

2. Manage key elements for achieving success within shared savings and risk-based contracts 

3. Produce a value-based payer strategy and appropriate infrastructure within a risk-based environment. 

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

Compensation and Productivity 
Intermediate | Traditional | Analysis 

Entering any value-based contract changes the way your practice operates. Including the way, physician compensation plans are designed and executed. Practices must now expect to go well beyond the RVU models. In this session, the speakers will discuss compensation design and planning, performance management, and optimizing implementation timing. 

This session will provide you with the knowledge to: 

1. Rearrange incentives between healthcare organizations and payers 

2. Outline value-based care compensation design and planning considerations 

3. Leverage Artificial Intelligence & Machine Learning in Value-Based Care for initiative implementation 

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

Traditional | Basic | Comprehension 
Staffing and Human Resources 
 
Just when we think we have seen it all, an employee or patient will surprise us. We might roll our eyes or even feel as if we have lost control of reality. We often forget that, in the mind of that other individual, what they have said or done made complete sense. The best leaders can take such interactions in stride. They navigate an ever-changing industry while inspiring employee engagement and fostering an environment of both high productivity and high-quality care. How? By leveraging emotional intelligence. In this session, leaders will explore the four aspects of emotional intelligence. Recognizing and responding to emotions in a healthy way is a learned skills. Attendees will learn how emotions and thought patterns impact their leadership style, participating in activities to enhance the ability to recognize a variety of emotions in ourselves and others. Leaders will walk away with skills and activities they can bring back to their team members to enhance emotional intelligence in their workplace. The session will explore what motivates different individuals and how understanding one another can drive teams to the next level of performance and achievement. This knowledge helps leaders to better coach their team and results in team members who more fully trust one another, leading to stronger engagement and a greater sense of pride in one’s work.  

This session will provide you with the knowledge to: 

1. Explain how the emotions we feel influence our actions and perceptions of others 

2. Recognize emotions in others and respond in a manner that fosters growth rather than reinforcing barriers  

3. Discuss how different individuals perceive the world and are motivated by stimuli to enhance their leadership and interpersonal skills

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

Traditional |Intermediate |Application 
Patient Access 

For each claim your billing team works, there is an opportunity to collect sooner by improving your clinic’s operational workflows on the front end. This interactive session will explore the value of each employee at every step in the patient’s journey and develop an understanding of their impact on the life cycle of the claim. Attendees will receive actionable tools and tips that can be implemented immediately (without the fatigue of change) on how to identify areas for amplifying the MVPs in your practice’s current front office and billing teams. Attendees will be able to build on the best practices that have been used by clinics nationwide to increase cash flow with long term sustainable results.  

This session will provide you with the knowledge to:  

1. Discover how each team member impacts a practice’s life cycle of the claim 

2. Produce actionable steps that can improve front office workflows and increase efficiency and cash flow 

3. Manage your clinic’s revenue cycle with monitoring of best practices, from scheduling through final billing 

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

Operational Excellence 
Traditional |Intermediate |Analysis 

Data-driven marketing has arrived for medical practices. Attendees will see how two medical practices use the latest predictive technology and measurement strategies to grow their revenue and thrive through automated marketing. For years, marketers outside of healthcare have been able to track the results of their efforts down to market segments and actual customers. HIPAA regulations and security concerns have prevented healthcare marketers from using those same tools and tactics. That has now changed, and this presentation will share details on how medical practices can use these cutting-edge tools and attribution processes. Their use of social media, increased online visibility, highly targeted ads, predictive analytics, and detailed tracking down to individual patients — including the revenue generated from those patients — will be highlighted and shared. Attendees will receive a checklist/cheat sheet on implementing data-driven marketing tactics, as well as case study summaries and contact information for the highlighted practices. The principles and solutions shared in this presentation apply to any practice that spends marketing dollars and wants to truly understand the value and effectiveness of that investment.  

This session will provide you with the knowledge to: 

1. Breakdown how to track your marketing campaigns down to patient name 

2. Examine ROI to determine marketing spend 

3. Compare your patient acquisition costs to local and national numbers.

Interactive | Basic | Comprehension 
Financial Management 

Moderator: Craig Wiberg, Sr. Editor, MGMA 

Some of the best ideas and education comes from your peers. Join this facilitated interactive session to talk more about the revenue cycle and cost containment trends and challenges that are important to practice executives. Take advantage of this time with your peers to brainstorm solutions and get a pulse on what other practices are doing to solve some of your most pressing issues. 

Learning Objectives: 

1. Discuss new strategies to address revenue issues in your practice 

2. Identify colleagues whom you can contact after the conference to continue problem-solving 

Interactive | Basic | Comprehension 
Operational Excellence 

Moderator: Andrew Hajde, assistant director Association Content, MGMA 

Some of the best ideas and education comes from your peers. Join this facilitated interactive session to talk more about the operational issues, trends and challenges that are important to practice executives. Take advantage of this time with your peers to brainstorm solutions and get a pulse on what other practices are doing to solve some of your most pressing issues. 

Learning Objectives: 

1. Discuss new strategies to address operations in your practice 

2. Identify colleagues whom you can contact after the conference to continue problem-solving 

Interactive | Basic | Comprehension 
Business Intelligence 

Moderator: Chris Harrop, Sr. Editorial Manager, MGMA 

Some of the best ideas and education comes from your peers. Join this facilitated interactive session to talk more about the data needs and challenges to practice executives. Take advantage of this time with your peers to brainstorm solutions and get a pulse on what other practices are doing to solve some of your most pressing issues. 

Learning Objectives: 

1. Discuss new strategies to address how data is collected and used in your practice 

2. Identify colleagues whom you can contact after the conference to continue problem-solving