Friday, March 6 |
{^widget|(linktext)Registration+Information|(widget_displayname)WYSIWYG+CTA|(name)WYSIWYGCTA|(linkurl)%7e%2fevents%2fthe-financial-conference%2fregistration|(width)|(height)^}
|
| 8:00-9:00am | CON101: Avoid Denials Related to Credentialing and Product Participation Speakers: Penny Noyes, CHC, President, Health Business Navigators Dawn Anderson, PESC, CPMSM, Sr. Manager, Client Success and Consultant, Verity HealthStream {^widget|(widget_displayname)Accordion+Item|(accordionitemheader)Session+Details|(name)AccordionItem|(accordionitemcontent)Revenue+Cycle+Management%3cbr+%2f%3e%0d%0aIntermediate+%7c+Traditional+%7c+Evaluate%2fCreate%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aPayer+contracts+drive+your+practice%26rsquo%3bs+reimbursement+rates%2c+but+revenue+opportunities+can+be+missed+when+providers+are+not+properly+credentialed+and+linked+to+the+contracts+and+associated+products.+This+session+will+address+how+your+practice+can+develop+a+process+to+verify+the+status+of+each+existing+provider+in+a+practice%2c+how+to+fix+the+gaps+and+how+to+ensure+new+providers+are+properly+credentialed+to+avoid+claims+denials.+It+will+cover+topics+such+direct+credentialing+with+government+and+commercial+payers%2c+the+role+of+CAQH+and+PECOS%2c+when+retro+dates+are+possible%2c+which+provider+types+must+be+credentialed+and+credentialing+nuances+involving+IPAs%2c+PHOs+and+large+groups+with+%26ldquo%3bdelegated%26rdquo%3b+credentialing.+%26nbsp%3b%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aThis+session+will+provide+you+with+the+knowledge+to%3a%0d%0a%3cul%3e%0d%0a%09%3cli%3eAnalyze+the+status+of+credentialing+%26amp%3b+product+participation%3c%2fli%3e%0d%0a%09%3cli%3eDiagram+your+credentialing+cleanup+project+with+research+findings%3c%2fli%3e%0d%0a%09%3cli%3eCompare+government+vs+commercial+payers%2c+direct+vs+delegated+and+the+roles+of+credentialing-related+portals%3c%2fli%3e%0d%0a%3c%2ful%3e%0d%0a|(width)|(height)^} |
| 8:00-9:00am | CON102: Don’t Get Distracted – Your Base Fee Schedule Still Matters! Speaker: Catherine Frey, MHA, Senior Manager, Managed Care & Contracting, Baptist Health {^widget|(widget_displayname)Accordion+Item|(accordionitemheader)Session+Details|(name)AccordionItem|(accordionitemcontent)Payer+Contracting+and+Value-based+Care%3cbr+%2f%3e%0d%0aIntermediate+%7c+Traditional+%7c+Analysis%26nbsp%3b%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aPayers+are+racing+to+add+value-based+programs+to+existing+participation+agreements+with+physicians.+While+these+programs+may+promise+big+results%2c+the+base+fee+schedule+still+drives+the+everyday+reimbursement+to+the+practice.%26nbsp%3b%26nbsp%3bPractice+administrators+need+to+be+savvy+in+their+understanding+of+fee+schedules+and+how+to+analyze+them+to+ensure+they+are+getting+the+most+out+of+their+current+contracts.+In+this+session%2c+the+speaker+will+discuss+how+payer+fee+schedules%2c+payer+policies+and+even+the+frequency+of+procedures+affect+your+bottom+line.+Attendees+receive+a+fee+schedule+analysis+tool+for+use+in+their+practice.%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aThis+session+will+provide+you+with+the+knowledge+to%3a%0d%0a%3cul%3e%0d%0a%09%3cli%3eBreakdown+a+proposed+fee+schedule+(or+existing+one)+to+evaluate+the+overall+yield+as+compared+to+Medicare+and+other+payors.%3c%2fli%3e%0d%0a%09%3cli%3eExamine+payor+policies+to+determine+financial+impact+and+how+to+address+it+both+internally+and+externally.%3c%2fli%3e%0d%0a%09%3cli%3eAnalyze+how+favored+procedures+are+impacting+your+office+financially+and+how+to+communicate+big-picture+financial+goals+and+impact+to+your+practitioners.%3c%2fli%3e%0d%0a%3c%2ful%3e%0d%0a|(width)|(height)^} |
| 8:00-9:00am | CON103: Too Big to Fail? Lessons From a Large Healthcare Provider’s Journey Into Chapter 11 (IND) Speakers: David Light, DPT, MBA, Senior Manager, Healthcare Advisory Services, Daszkal Bolton, LLP Kevin Reynolds, CPA, Partner, Daszkal Bolton, LLP {^widget|(widget_displayname)Accordion+Item|(accordionitemheader)Session+Details|(name)AccordionItem|(accordionitemcontent)Compensation+and+Productivity%26nbsp%3b%3cbr+%2f%3e%0d%0aIntermediate+%7c+Traditional+%7c+Analysis%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aIn+today%26rsquo%3bs+healthcare+environment%2c+no+organization+%26mdash%3b+big+or+small+%26mdash%3b+is+immune+to+the+threat+of+financial+stress+and+potential+bankruptcy.+This+case+study+profiles+a+large+hospital+and+physician+organization%26rsquo%3bs+journey+through+operational+and+financial+challenges+that+eventually+led+to+a+Chapter+11+filing.+Learn+about+the+strategic+and+managerial+decisions+that+led+to+this+reality+and+examine+the+key+performance+indicators+that+organizations+should+use+to+avoid+similar+outcomes.+Gain+insight+from+one+organization%26rsquo%3bs+experience+to+help+your+organization+thrive.+%26nbsp%3b%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aThis+session+will+provide+you+with+the+knowledge+to%3a%26nbsp%3b%0d%0a%3cul%3e%0d%0a%09%3cli%3eOutline+the+key+indicators+and+trends+that+contributed+to+one+organization%26rsquo%3bs+downfall+%26nbsp%3b%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eAnalyze+alternative+strategic+and+managerial+steps+to+mitigate+the+impact+of+business+challenges+on+cash+flow+%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eExamine+the+importance+of+combining+financial+and+managerial+accounting+when+evaluating+a+business%26rsquo%3b+overall+health+%26nbsp%3b%3c%2fli%3e%0d%0a%3c%2ful%3e%0d%0a%3cbr+%2f%3e%0d%0a%26nbsp%3b|(width)|(height)^} |
| 8:00-9:00am | CON104: What’s the Secret Sauce - Drawing a Direct Line from Your Physician Strategy to Your Budget (HOSP) Speakers: Michelle Harmon, MHA, Chief Strategy Officer, Ludi, Inc. Pam Hess, Chief Financial Officer, Saint Thomas Health-West and Midtown Hospitals (Ascension) {^widget|(widget_displayname)Accordion+Item|(accordionitemheader)Session+Details|(name)AccordionItem|(accordionitemcontent)Financial+Management%3cbr+%2f%3e%0d%0aIntermediate+%7c+Traditional+%7c+Analysis%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aPhysician+contracts+are+a+high-dollar%2c+high-risk+piece+of+hospital+and+health+system+business.+Financial+leaders+and+executives+should+ask+key+financial+questions+around+this+strategy+every+year%3a+What%26rsquo%3bs+the+exact+dollar+amount+spent+on+each+contract%3f+Are+there+new+opportunities+to+reduce+costs%3f+Unfortunately%2c+the+answers+to+these+questions+are+often+lost+in+the+catacombs+of+complex+contract+minutia.+In+this+session%2c+a+hospital+financial+expert+will+help+connect+the+dots+between+your+physician+strategy+and+your+bottom+line.+%26nbsp%3b+%26nbsp%3b+%26nbsp%3b+%26nbsp%3b+%26nbsp%3b+%26nbsp%3b+%26nbsp%3b+%26nbsp%3b+%26nbsp%3b+%26nbsp%3b+%26nbsp%3b+%26nbsp%3b+%26nbsp%3b+%26nbsp%3b+%26nbsp%3b+%26nbsp%3b+%26nbsp%3b+%26nbsp%3b+%26nbsp%3b+%26nbsp%3b+%26nbsp%3b+%26nbsp%3b+%26nbsp%3b%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aThis+session+will+provide+you+with+the+knowledge+to%3a%0d%0a%3cul%3e%0d%0a%09%3cli%3eCollect+key+performance+indicators+for+hospitals+to+align+with+physician+arrangements%3c%2fli%3e%0d%0a%09%3cli%3eOutline+best+practices+on+tracking%2c+managing+and+paying+on+physician+contracts+for+reduced+costs+and+improved+Medicare+reimbursement%3c%2fli%3e%0d%0a%09%3cli%3eBreakdown+how+to+build+an+economically+smart+physician+repository+that+can+augment+both+service+line+and+recruitment+strategies%3c%2fli%3e%0d%0a%3c%2ful%3e%0d%0a|(width)|(height)^} |
| 9:15-10:15am | CON201: Using Analytics to Automate and Streamline Practice Management and Revenue Cycle (IND) Speakers: Andrea Vitalich, Clinic Administrator, Pacific Rim Orthopaedic Surgeons, PLLC Matt Seefeld, Executive Vice President, MedEvolve {^widget|(widget_displayname)Accordion+Item|(accordionitemheader)Session+Details|(name)AccordionItem|(accordionitemcontent)Revenue+Cycle+Management%3cbr+%2f%3e%0d%0aBasic+%7c+Traditional+%7c+Knowledge%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aA+small+orthopaedic+practice+with+limited+resources+and+high+staff+turnover+in+the+billing+department+went+from+using+dozens+of+spreadsheets+to+manually+track+the+practice%26rsquo%3bs+performance+to+using+analytics+to+streamline+and+automate+menial+tasks+and+identify+smarter+ways+to+utilize+full-time+employees%26rsquo%3b+time.+This+session+will+explore+the+practice%26rsquo%3bs+case+study+on+effective+methods+to+automate+revenue+cycle+processes+and+to+manage+the+revenue+cycle+with+a+small+billing+staff.%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aThis+session+will+provide+you+with+the+knowledge+to%3a%26nbsp%3b%0d%0a%3cul%3e%0d%0a%09%3cli%3eRecognize+opportunities+to+automate+processes+in+billing%2c+collections+and+claims+to+boost+ROI%3c%2fli%3e%0d%0a%09%3cli%3eIdentify+administrative+pain+points+and+negative+trends+that+impact+the+practice%26rsquo%3bs+bottom+line%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eSelect+methods+for+workflow+streamlining+that+improve+staff+productivity+and+financial+solvency%26nbsp%3b%3c%2fli%3e%0d%0a%3c%2ful%3e%0d%0a|(width)|(height)^} |
| 9:15-10:15am | CON202: Payer Contracting: Develop Your Game Plan Speaker: Doral Jacobsen, MBA, FACMPE, Chief Executive Officer, Prosper Beyond, Inc. {^widget|(widget_displayname)Accordion+Item|(accordionitemheader)Session+Details|(name)AccordionItem|(accordionitemcontent)Payer+Contracting+and+Value-Based+Care%3cbr+%2f%3e%0d%0aIntermediate+%7c+Traditional+%7c+Analysis%26nbsp%3b%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aIn+this+interactive+session%2c+participants+will+work+together+to+identify+payer+contracting+strategy+%26lsquo%3bcritical+components%26rsquo%3b+and+brainstorm+approaches+to+advance+successful+payer+contracting+negotiations+leveraging+the+experience+in+the+room.+This+talk+concludes+with+%26ldquo%3bbest+practices%2c%26rdquo%3b+describing+what+characteristics+and+activities+better+performers+employ+in+payer+contracting.+%26nbsp%3bThis+session+will+provide+a+solid+bases+practices+can+utilize+to+integrate+the+contracting+process+into+your+core+financial+management+strategy.+Participants+will+walk+away+with+a+payer+contracting+%26lsquo%3btool+kit%26rsquo%3b+comprised+of+critical+resources+to+employ+when+deploying+a+payer+contracting+strategy.+%26nbsp%3b%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aThis+session+will+provide+you+with+the+knowledge+to%3a%26nbsp%3b%0d%0a%3cul%3e%0d%0a%09%3cli%3eCompare+data+and+resources+necessary+to+craft+a+practice+value+proposition.%3c%2fli%3e%0d%0a%09%3cli%3eOutline+a+renegotiation+strategy.%3c%2fli%3e%0d%0a%09%3cli%3eAnalyze+a+plan+to+position+your+practice+for+future+models.%3c%2fli%3e%0d%0a%3c%2ful%3e%0d%0a|(width)|(height)^} |
| 9:15-10:15am | CON203: Risk is a Journey, not a Four Letter Word (IND and HOSP system) Speakers: Clive Fields, MD, VillageMD Jim Daniel, JD, MBA, Esquire Hancock Daniel {^widget|(widget_displayname)Accordion+Item|(accordionitemheader)Session+Details|(name)AccordionItem|(accordionitemcontent)Government+Regulations+and+Payment+Programs%3cbr+%2f%3e%0d%0aIntermediate+%7c+Traditional+%7c+Analysis%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aOn+April+22%2c+2019%2c+the+Centers+for+Medicare+%26amp%3b+Medicaid+Services+(CMS)+announced+five+new+payment+models+as+part+of+the+CMS+Primary+Cares+Initiative+under+two+new+tracks%3a+Direct+Contracting+and+Primary+Care+First.+This+session+will+discuss+how+these+new+payment+models+work+and+their+respective+impacts+on+the+delivery+of+primary+care.%26nbsp%3b%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aThis+session+will+provide+you+with+the+knowledge+to%3a%26nbsp%3b%0d%0a%3cul%3e%0d%0a%09%3cli%3eDifferentiate+key+aspects+of+the+Primary+Cares+Initiative+models+and+CMS%26%2339%3b+other+payment+models%2c+such+as+Next+Gen+ACO%2c+Medicare+Shared+Savings+Program+and+Comprehensive+Primary+Care+Plus%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eDetermine+clinical+readiness+to+succeed+in+a+predominantly+risk-bearing+payment+model%3c%2fli%3e%0d%0a%09%3cli%3eAnalyze+the+mechanics+of+the+new+payment+models%2c+including+eligibility%2c+the+application+process%2c+alignment+opportunities%2c+payment+adjustments+and+population-based+payments%26nbsp%3b%3c%2fli%3e%0d%0a%3c%2ful%3e%0d%0a|(width)|(height)^} |
| 9:15-10:15am | CON204: Sell, Partner or Borrow: Strategic Alternatives for Funding Growth Initiatives Speakers: Victor B. Alexander, Head, Consumer Banking, KeyBank Brian Kelly, CEO, Womens Healthcare Associates Colby Kittrell, Director Cain Brothers, a division of KeyBank Capital Markets Melissa Whitmer Senior Commercial Banker, Key Bank {^widget|(widget_displayname)Accordion+Item|(accordionitemheader)Session+Details|(name)AccordionItem|(accordionitemcontent)%3cp+paraeid%3d%22%7becebfb4a-5790-463b-8bac-46dffddb1bde%7d%7b75%7d%22+paraid%3d%2296255065%22%3eEligible+for+ACMPE+Credit%3a+1+%7c+AAPC+Credit%3a+1+Core+B%2c+CPPM+%7c+ACHE+Credit%3a+1+%7c+CPE+Credit%3a+1.2+%7c+CEU+Credit%3a+1%26nbsp%3b%3c%2fp%3e%0d%0a%0d%0a%3cp+paraeid%3d%22%7becebfb4a-5790-463b-8bac-46dffddb1bde%7d%7b81%7d%22+paraid%3d%22560531926%22%3eFinancial+Management%e2%80%af%e2%80%af%26nbsp%3b%3c%2fp%3e%0d%0a%0d%0a%3cp+paraeid%3d%22%7becebfb4a-5790-463b-8bac-46dffddb1bde%7d%7b87%7d%22+paraid%3d%22710831827%22%3eTraditional+%7c+Intermediate+%7c+Analysis%e2%80%af%e2%80%af%26nbsp%3b%3c%2fp%3e%0d%0a%0d%0a%3cp+paraeid%3d%22%7becebfb4a-5790-463b-8bac-46dffddb1bde%7d%7b133%7d%22+paraid%3d%22406638798%22%3eMany+practices%e2%80%afare%e2%80%afexploring+alternatives%e2%80%affor%e2%80%affunding+growth%2c%e2%80%afas+well+as+the%e2%80%aftransition+from+volume+to+value.+These+initiatives%e2%80%afneed%e2%80%afcapital%e2%80%afand%2c%e2%80%afin+many+instances%2c+a+strategic+partner+to+help+guide+them+through+the+next+phase+of+their%e2%80%afpractice%26rsquo%3bs%e2%80%afevolution.%e2%80%afThe+required+capital+is+available+through+several+different+channels%2c%e2%80%afand+each+provides+benefits+and+challenges.+Join+this+panel+to+discuss%e2%80%afdifferent%e2%80%affunding+options+for+medical+practices%2c+how+each+option+impacts+practices+post+transaction+and+guidance+for+which+option+may+be+right+for+you.%e2%80%af%e2%80%af%26nbsp%3b%3c%2fp%3e%0d%0a%0d%0a%3cp+paraeid%3d%22%7becebfb4a-5790-463b-8bac-46dffddb1bde%7d%7b139%7d%22+paraid%3d%221881351119%22%3eThis+session+will+provide+you+with+the+knowledge+to%3a%e2%80%af%26nbsp%3b%3c%2fp%3e%0d%0a%0d%0a%3cul%3e%0d%0a%09%3cli+paraeid%3d%22%7becebfb4a-5790-463b-8bac-46dffddb1bde%7d%7b145%7d%22+paraid%3d%22253863463%22%3eExamine%e2%80%affactors+driving%e2%80%afthe+need+for+funding+in+medical+practice%e2%80%af%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli+paraeid%3d%22%7becebfb4a-5790-463b-8bac-46dffddb1bde%7d%7b145%7d%22+paraid%3d%22253863463%22%3eDifferentiate%e2%80%afthe+impact+of+different%e2%80%affunding+sources+on+practices%e2%80%af%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli+paraeid%3d%22%7becebfb4a-5790-463b-8bac-46dffddb1bde%7d%7b145%7d%22+paraid%3d%22253863463%22%3eOutline%e2%80%afthe+best+funding+source+for+your+practice%e2%80%af%26nbsp%3b%3cbr+%2f%3e%0d%0a%09%26nbsp%3b%3c%2fli%3e%0d%0a%3c%2ful%3e%0d%0a%0d%0a%3cp+paraeid%3d%22%7becebfb4a-5790-463b-8bac-46dffddb1bde%7d%7b163%7d%22+paraid%3d%221149786443%22%3e%26nbsp%3b%3c%2fp%3e%0d%0a|(width)|(height)^} |
| 11:15am-12:15pm | CON301: Improving Time-of-Service Collections in Primary Care (IND) Speaker: Bryan Wood, MBA, Practice Administrator, Cockerell & McIntosh Pediatrics {^widget|(widget_displayname)Accordion+Item|(accordionitemheader)Session+Details|(name)AccordionItem|(accordionitemcontent)Revenue+Cycle+Management%3cbr+%2f%3e%0d%0aBasic+%7c+Traditional+%7c+Comprehension%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aEffective+time-of-service+(TOS)+collection+strategies+are+essential+to+improve+the+practice%26rsquo%3bs+accounts+receivable+(A%2fR)+and+overall+revenue+cycle+performance.+In+primary+care%2c+collecting+balances+and+deductibles+can+be+especially+challenging+due+to+the+high+volume+of+patients+and+a+variety+of+services+that+may+be+billed.+This+session+will+highlight+a+proven+approach+to+improving+TOS+collections%2c+starting+with+identifying+problems+and+opportunities+and+setting+clear+goals+to+improve.+The+session+will+then+focus+on+the+development+of+policies+and+procedures+that+are+aligned+with+the+established+goals.+The+last+part+of+the+presentation+will+focus+on+developing+an+effective+system+for+monitoring+and+evaluating+the+performance+of+those+responsible+for+collecting.+The+presenter+will+provide+real-world+examples+of+collection+strategies+that+have+already+been+successfully+implemented+in+a+primary+care+setting+and+provide+the+audience+with+key+metrics+and+reports+to+manage+TOS+collections+effectively.%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aThis+session+will+provide+you+with+the+knowledge+to%3a%26nbsp%3b%0d%0a%3cul%3e%0d%0a%09%3cli%3eIdentify+the+key+challenges+with+the+collecting+deductibles+and+outstanding+balances+at+the+time+of+service+in+a+primary+care+setting%3c%2fli%3e%0d%0a%09%3cli%3eDevelop+a+plan+for+managing+time-of-service+collections%3c%2fli%3e%0d%0a%09%3cli%3eUtilize+practice+tools+and+resources+to+monitor+the+collection+of+outstanding+collections+effectively%26nbsp%3b%26nbsp%3b%26nbsp%3b%3c%2fli%3e%0d%0a%3c%2ful%3e%0d%0a|(width)|(height)^} |
| 11:15am-12:15pm | CON302: Driving Financial Results in Consumer-centric, Value-based Arrangements (HOSP) Speakers: Dave Dookeeram, MPH, FACHE, Chief Administrative Officer, Dispatch Health Anne Marie Aponte, Senior Vice President, Partner Strategy & Success, Dispatch Health {^widget|(widget_displayname)Accordion+Item|(accordionitemheader)Session+Details|(name)AccordionItem|(accordionitemcontent)Payer+Contracting+and+Value-based+Payment%3cbr+%2f%3e%0d%0aIntermediate+%7c+Traditional+%7c+Application%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aA+convergence+of+factors+related+to+cost%2c+consumerism+and+value+are+driving+rapid+innovation+and+actively+disrupting+how+and+where+care+is+delivered.+This+session+will+explore+how+in-home%2fon-location+care+delivery+has+scaled+to+address+high-acuity+medical+needs+and+tackle+underlying+social+needs%2fdeterminants.+Attendees+will+learn+about+the+resulting+cost+savings%2c+improved+outcomes+and+potential+impact+on+value-based+arrangements.%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aThis+session+will+provide+you+with+the+knowledge+to%3a%26nbsp%3b%0d%0a%3cul%3e%0d%0a%09%3cli%3eDiscover+financial+impacts+realized+for+payers+and+providers+via+acute+care+delivered+in-home%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eReport+on+the+financial+sustainability+of+new+care+locations+and+mobile%2c+on-demand+care+delivery%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eProduce+service+lines+to+expand+in-home+and+on-location+care+as+alternative+delivery+models%26nbsp%3b%3c%2fli%3e%0d%0a%3c%2ful%3e%0d%0a|(width)|(height)^} |
| 11:15am-12:15pm | CON303: Managing Financial Risk with Patient Risk Scoring (IND) Speakers: Adrienne Hollander, MD, Managing Partner, Arthritis, Rheumatic & Back Disease Associates Brian Smith, Ph.D., MBA, CSSBB, Principal, Galvanic Health, LLC Gloria Johnston, MBA, BSN, RHIT Chief Health Information Officer at HealthAdvanta, LLC {^widget|(widget_displayname)Accordion+Item|(accordionitemheader)Session+Details|(name)AccordionItem|(accordionitemcontent)Business+Intelligence%3cbr+%2f%3e%0d%0aIntermediate+%7c+Traditional+%7c+Application%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aThe+emergence+of+value-based+payment+models+has+shifted+financial+risk+from+payer+to+the+provider.+Effective+risk+management+requires+data-driven+decision-making%2c+putting+the+onus+on+healthcare+providers+to+apply+business+intelligence+to+view+the+expected+costs+of+a+patient+or+population+through+the+lens+of+a+payer.+Attendees+will+learn+foundational+concepts+in+Hierarchical+Condition+Categories+(HCCs)+and+risk+scoring%2c+with+an+emphasis+on+the+practical+use+of+these+data+to+guide+payer+negotiations%2c+optimize+operations+and+manage+financial+risk.%26nbsp%3b%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aThis+session+will+provide+you+with+the+knowledge+to%3a%26nbsp%3b%0d%0a%3cul%3e%0d%0a%09%3cli%3eDerive+the+key+components+of+various+risk+scoring+models%3c%2fli%3e%0d%0a%09%3cli%3eDemonstrate+the+importance+of+patient+risk+scoring+to+cost+justification+and+payer+negotiations%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eApply+risk+scoring+concepts+that+improve+practice+operations+in+the+context+of+cost+and+efficiency%26nbsp%3b%3c%2fli%3e%0d%0a%3c%2ful%3e%0d%0a|(width)|(height)^} |
| 11:15am-12:15pm | CON304: Finding ROI in a Lean Team-Based Primary Care Model (IND and HOSP) Speakers: Brent Hobrla, Finance Manager, Mercy Health Physician Partners Joseph Stapf, Director of Finance, Regional Physician Network, Mercy Health Physician Partners Toni Pruitt, Finance Manager, Mercy Health {^widget|(widget_displayname)Accordion+Item|(accordionitemheader)Session+Details|(name)AccordionItem|(accordionitemcontent)Financial+Management%3cbr+%2f%3e%0d%0aIntermediate+%7c+Traditional+%7c+Application%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aArmed+with+Lean+principles%2c+Mercy+Health+Physician+Partners%26rsquo%3b+process+excellence+team+promoted+a+team-based+approach+to+primary+care+to+provide+the+best+support+for+their+primary+care+practices.+This+session+will+explore+how+time+studies+helped+%26ldquo%3bLean-out%26rdquo%3b+waste+in+numerous+processes+and+develop+staffing+requirements+and+standard+work+for+each+step+in+the+patient+care+process.+Attendees+will+learn+from+this+case+study+how+recalibrating+the+practice+workforce+model+brought+dramatic+improvements+in+practice+efficiency+and+an+improved%2c+sustainable+bottom+line+that+favorably+impacts+risk-based+payer+contracts.%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aThis+session+will+provide+you+with+the+knowledge+to%3a%26nbsp%3b%0d%0a%3cul%3e%0d%0a%09%3cli%3eDiscover+the+Lean+principles+that+help+drive+a+team-based+model+for+improved+primary+care+staffing%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eSchedule+work+with+standardized+requirements+and+staffing+to+influence+practice+efficiency%3c%2fli%3e%0d%0a%09%3cli%3eProduce+a+Lean-infused+workforce+model+that+generates+a+clear+ROI+for+your+organization%26nbsp%3b%3c%2fli%3e%0d%0a%3c%2ful%3e%0d%0a|(width)|(height)^} |
| 1:15-2:15pm | CON401: Bringing Revenue Integrity Back to the Claims Process (IND) Speaker: Timothy Mills, Chief Growth Officer, Alpha II {^widget|(widget_displayname)Accordion+Item|(accordionitemheader)Session+Details|(name)AccordionItem|(accordionitemcontent)Revenue+Cycle+Management%3cbr+%2f%3e%0d%0aIntermediate+%7c+Traditional+%7c+Application%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aWhile+statistics+vary+greatly+across+group+practices%2c+as+many+as+one+in+five+claims+submitted+by+a+group+practice+may+need+to+be+reworked%2c+resubmitted+or+even+appealed.+Because+group+practices+have+limited+resources%2c+some+denied+and+rejected+claims+never+get+resubmitted%2c+which+results+in+lost+revenue.+This+session+will+explore+true+cost+and+financial+effect+of+this+traditional+claims+submission-rejection-abandonment+approach%2c+as+well+as+how+to+evaluate+where+many+claim+errors+originate+within+the+workflow+of+the+revenue+cycle+and+how+to+determine+the+most+common+cause+for+claims+denials+and%2f+rejections.+Attendees+will+learn+best+practices+for+assessing+advanced+clinical+and+coding-editing+technology+that+help+maintain+compliance+with+rapidly+changing+billing+and+coding+rules+and+regulations.+Attendees+will+learn+the+importance+of+preemptive+workflow+assessments+in+evaluating+and+implementing+preventative+maintenance+much+earlier+in+the+workflow+%26ndash%3b+at+the+encounter+level%2c+when+coding+a+patient+visit%2c+and+during+charge+capture+or+charge+entry.+While+many+group+practices+continue+to+attack+this+challenge+with+traditional+claim+scrubbing+processes%2c+the+speaker+will+explain+why+it%26rsquo%3bs+time+to+rethink+everything+about+the+traditional+approach+and+stop+the+denial+insanity%3a+don%26rsquo%3bt+do+the+same+thing+over+and+over+expecting+different+results.%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aThis+session+will+provide+you+with+the+knowledge+to%3a%26nbsp%3b%0d%0a%3cul%3e%0d%0a%09%3cli%3eReport+the+true+costs+of+denied+claims+and+associated+rework%2c+resubmittals+and+appeals+within+the+overall+revenue+cycle+workflow%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eDiscover+common+causes+of+denials+and+claim+rejections%2c+as+well+as+best+practices+to+avoid+or+mitigate+them%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eApply+a+preemptive+workflow+assessment+along+with+process+improvement+and+technology+to+effectively+prevent+future+errors+in+the+claims+process%3c%2fli%3e%0d%0a%3c%2ful%3e%0d%0a|(width)|(height)^} |
| 1:15-2:15pm | CON402: The Journey from ‘Data’ to Delivering ‘Your Practice Value Proposition’ Speaker: Doral Jacobsen, MBA, FACMPE, Chief Executive Officer, Prosper Beyond, Inc. {^widget|(widget_displayname)Accordion+Item|(accordionitemheader)Session+Details|(name)AccordionItem|(accordionitemcontent)Payer+Contracting+and+Value-Based+Care%3cbr+%2f%3e%0d%0aIntermediate+%7c+Traditional+%7c+Analysis%26nbsp%3b%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aThis+session+focuses+on+assisting+practices+in+discovering+key+value-based+care+data+points+to+successfully+translate+the+information+into+clear%2c+concise%2c+impactful+talking+points.+We+will+address+the+%26lsquo%3bdata+disconnect%26rsquo%3b+by+taking+attendees+through+a+unique+journey+of+identifying+and+analyzing+cost+of+care+data+and+then+demonstrate+how+to+translate+findings+into+a+memorable+story.+%26nbsp%3bThese+stories+are+what+attendees+can+utilize+in+payer+contract+negotiations+as+a+focal+point+for+enhancing+revenue%2c+supporting+cultural+change%2c+and+improving+patient+outcomes.+%26nbsp%3bThis+session+is+interactive%2c+and+participants+will+set+intentions+relative+to+a+%26lsquo%3bpersonal+successful+data+connection%26rsquo%3b+story%2c+experience+data+visualization+tools%2c+work+on+activities+and+share+learnings+%2f+key+takeaways+as+a+group.+Attendees+will+receive+a+toolkit+as+a+takeaway.%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aThis+session+will+provide+you+with+the+knowledge+to%3a%0d%0a%3cul%3e%0d%0a%09%3cli%3eEmploy+a+data+analysis+approach+method%3c%2fli%3e%0d%0a%09%3cli%3eDiscover+and+access+available+data+to+support+a+practice+value+proposition%3c%2fli%3e%0d%0a%09%3cli%3eIdentify+methods%2c+tools+and+resources+available+to+utilize+in+data+analysis+and+storytelling%3c%2fli%3e%0d%0a%3c%2ful%3e%0d%0a|(width)|(height)^} |
| 1:15-2:15pm | CON403: The Upside of Downside: Innovative Strategies for Protecting Downside Risk (IND) Speaker: Dave Terry, MBA, Chief Executive Officer and Co-founder, Archway Health {^widget|(widget_displayname)Accordion+Item|(accordionitemheader)Session+Details|(name)AccordionItem|(accordionitemcontent)Government+Regulations+and+Payment+Programs%3cbr+%2f%3e%0d%0aAdvanced+%7c+Traditional+%7c+Evaluation%2fCreate%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aRisk+is+being+shifted+rapidly+from+payers+to+providers+through+both+voluntary+and+mandatory+programs.+Leaders+at+The+Center+for+Medicare+%26amp%3b+Medicaid+Services+(CMS)+Innovation+Center+have+expressed+a+desire+to+have+100%2525+of+providers+participating+in+two-sided+risk+models+by+2025+and+have+accelerated+this+through+new+programs%2c+including+the+Primary+Care+First+and+Direct+Contracting+models%2c+the+second+and+final+cohort+of+BPCI+Advanced%2c+expansion+of+CJR%2c+and+a+mandatory+radiation+oncology+bundle.+Providers+navigating+these+programs+need+new+actuarial+methods+for+evaluating+risk.+In+many+cases%2c+new+value-based+payment+programs+pose+challenges+of+small+sample+sizes%2c+complex+pricing+methodologies+and+trends+that+do+not+lend+themselves+to+traditional+actuarial+models.+This+session+will+discuss+a+new+triad+framework+encompassing+risk+assessment%2c+risk+mitigation+and+risk+protection+that+will+help+providers+gain+a+more+appropriate+evaluation+of+risk+and+develop+their+organizational+strategy.+Attendees+will+learn+how+risk+is+quantified%2c+key+factors+that+influence+price%2c+significant+levers+of+risk+mitigation+and+key+questions+that+need+to+be+addressed+to+ensure+they+comprehensively+approach+risk+protection.+A+checklist+will+be+provided+on+how+to+evaluate+risk+and+mitigation+options+better.%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aThis+session+will+provide+you+with+the+knowledge+to%3a%26nbsp%3b%0d%0a%3cul%3e%0d%0a%09%3cli%3eAssess+existing+risk+assessment+approaches+for+shortcomings+in+the+move+toward+taking+on+downside+risk%3c%2fli%3e%0d%0a%09%3cli%3eEvaluate+a+new+framework+of+risk+assessment%2c+mitigation+and+protection+leads+for+more+comprehensive+protection%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eEstablish+practical+applications+of+the+triad+risk+framework+in+your+organization%3c%2fli%3e%0d%0a%3c%2ful%3e%0d%0a|(width)|(height)^} |
| 1:15-2:15pm | CON404: Designing an Innovative Compensation Plan to Fit your Practice (HOSP) Speaker: Elizabeth A. Jaggers, MBA, CPA, Administrative Director, University of Iowa Physicians, University of Iowa Health Care {^widget|(widget_displayname)Accordion+Item|(accordionitemheader)Session+Details|(name)AccordionItem|(accordionitemcontent)Compensation+and+Productivity%3cbr+%2f%3e%0d%0aIntermediate+%7c+Traditional+%7c+Application%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aHow+can+medical+practice+groups+differentiate+themselves+from+the+competition+when+recruiting+new+candidates%3f+And+what+can+they+do+to+gain+a+competitive+advantage+with+regards+to+retaining+new+talent%3f+One+effective+way+is+through+innovative+compensation+plans.+This+session+will+examine+the+forefront+of+physician+and+APP+compensation+models+that+utilize+data-based+productivity+incentives+to+drive+practice+performance.+This+session+will+show+how+integrating+metrics+can+bolster+transparency%2c+ensure+easy+buy-in+from+staff%2c+and+promote+high-quality+recruitment.%e2%80%af%26nbsp%3b%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aThis+session+will+provide+you+with+the+knowledge+to%3a%e2%80%af%26nbsp%3b%0d%0a%3cul%3e%0d%0a%09%3cli%3eInterpret+different+compensation+models+for+physicians+and+advanced+practice+providers%e2%80%af%e2%80%af%e2%80%af%e2%80%af%e2%80%af%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eDiscover+applicable+metrics+and+incentives+that+are+easy+and+clear+and+tie+to+your+practice%e2%80%af%e2%80%af%e2%80%af%e2%80%af%e2%80%af%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eUse+data+and+benchmarks+to+ensure+transparency+and+gain+buy-in%e2%80%af%26nbsp%3b%3c%2fli%3e%0d%0a%3c%2ful%3e%0d%0a|(width)|(height)^} |
| 2:30-3:30pm | CON501: Preparing for the 2021 Outpatient E/M Code Changes Speakers: Shawntea Moheiser, CMPE, CMOM, Owner, ITS Healthcare, LLC Kem Tolliver, CMPE, CPC, CMOM, President, Medical Revenue Cycle Specialists {^widget|(widget_displayname)Accordion+Item|(accordionitemheader)Session+Details|(name)AccordionItem|(accordionitemcontent)Financial+Management%e2%80%af%26nbsp%3b%3cbr+%2f%3e%0d%0aBasic+%7c+Traditional+%7c+Comprehension%e2%80%af%26nbsp%3b%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aE%2fM%e2%80%afcoding+guidelines+are+changing+significantly+in+2021.+These+changes+are+intended+to+increase+efficiency+and+reduce+compliance+risk+by+allowing+coding+to+focus+on+clinically+relevant+information+based+on+the+provider%26rsquo%3bs+needs+and+the+patient%26rsquo%3bs+conditions.+This+session+will+provide+tips+and+tools%e2%80%afto+prepare+your+staff+for+the+new+E%2fM+coding+regulations+and+will+address+the+key+documentation+elements+that+will+be+necessary+for+the+practice%26rsquo%3bs+workflow.%e2%80%af%e2%80%af%26nbsp%3b%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aThis+session+will+provide+you+with+the+knowledge+to%3a%e2%80%af%e2%80%af%26nbsp%3b%0d%0a%3cul%3e%0d%0a%09%3cli%3eReview+the+CPT+coding+changes+related+to+outpatient+E%2fM+visits+for+2021%e2%80%af%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eDiscuss+various+coding+frameworks+available+per+provider+to+assign+the+corresponding+level+of+service%e2%80%af%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eIdentify%e2%80%afkey+documentation+elements+that+will+change+with+the+new+coding+framework%2c+including+opportunities+for+streamlined+documentation+practices%e2%80%af%26nbsp%3b%3c%2fli%3e%0d%0a%3c%2ful%3e%0d%0a|(width)|(height)^} |
| 2:30-3:30pm | CON502: Join the Evolution – Adapting Your Practice to Evolving Payment Models Speakers: Brian Goldrick, Director of Accounting, Vera Whole Health Brian Bogie, Director, Healthcare Vertical, Sage Intacct {^widget|(widget_displayname)Accordion+Item|(accordionitemheader)Session+Details|(name)AccordionItem|(accordionitemcontent)Payer+Contracting+and+Value-Based+Care%e2%80%af%26nbsp%3b%3cbr+%2f%3e%0d%0aIntermediate+%7c%e2%80%afTraditional+%7c%e2%80%afApplication%e2%80%af%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aIt%26rsquo%3bs%e2%80%afincreasingly+important+for+medical+practices+to+understand+and+adapt+to+evolving+payment+models.+Fee-for-service%2c+capitated%2c+value-based+contracts%2c%e2%80%afdirect+primary+care%2c%e2%80%afMedicare+and+Medicaid%e2%80%afall%e2%80%afrequire+different+complex+metrics+to+track+and+report.+Each+type+of+payment+model+affects+not+only+the+way+you+bill+but+the+way+you+track+and+report+your+business+metrics.+The+more+diverse+your+contract+portfolio%2c+the+more%e2%80%afcomplicated%e2%80%afit+is+to+track+the+care+you+deliver+and+to+get+paid+fairly+and+timely+for%e2%80%afit.%e2%80%afAttend+this+session+to%e2%80%aflearn%e2%80%afstrategies+for%e2%80%afgathering%2c+analyzing%2c%e2%80%afreporting%e2%80%afand+utilizing%e2%80%afthe+data+needed+to%e2%80%afsuccessfully%e2%80%afrun+your+practice.%e2%80%af%26nbsp%3b%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aThis+session+will+provide+you+with+the+knowledge+to%3a%e2%80%af%e2%80%af%26nbsp%3b%0d%0a%3cul%3e%0d%0a%09%3cli%3eProduce+KPIs+and+dashboards+to+measure+the+effect+value-based+contracts%e2%80%afcan%e2%80%afhave+on+your+business%e2%80%af%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eReport+financial+data+for+better+contract+negotiations%e2%80%af%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eApply+strategies%e2%80%affor%e2%80%afgathering%e2%80%afand+reporting%e2%80%afpractice+data+from+multiple+contract+types%e2%80%af%26nbsp%3b%3c%2fli%3e%0d%0a%3c%2ful%3e%0d%0a|(width)|(height)^} |
| 2:30-3:30pm | CON503: Finding Opportunity in Healthcare Disruption: New Frontiers for Physician Practices Speakers: Casey Fail, Sales Executive, Quadax Thomas S. Campanella, MA, JD, Professor of Health Economics & Director of Healthcare Business Programs, Baldwin Wallace University Payer-Contracting and Value-Based Care {^widget|(widget_displayname)Accordion+Item|(accordionitemheader)Session+Details|(name)AccordionItem|(accordionitemcontent)Payer-Contracting+and+Value-Based+Care%e2%80%af%26nbsp%3b%3cbr+%2f%3e%0d%0aBasic+%7c+Traditional+%7c+Comprehension%e2%80%af%26nbsp%3b%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aHealthcare+is+experiencing+disruption+inside+and+outside+the+industry+like%e2%80%afnever+before.+With+myriad+forces+driving+change%2c+it+can+be+difficult+for+practices+to+know+where+to+focus+strategic%2c+financial%e2%80%afand+operational+efforts.%e2%80%afFortunately%2c+however%2c+with+disruption+comes+opportunity%2c+particularly+for+physicians+and+physician+practices.%e2%80%afThis+session%e2%80%afwill%e2%80%afidentify+how+physicians+and+physician+practices+are+positioned+to+deliver+care+that+improves+outcomes+and+lower+costs%e2%80%afwhile+excelling%e2%80%afin%e2%80%afa%e2%80%afnew+era+of+healthcare.%e2%80%af%e2%80%af%26nbsp%3b%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aThis+session+will+provide+you+with+the+knowledge+to%3a%e2%80%af%26nbsp%3b%0d%0a%3cul%3e%0d%0a%09%3cli%3eIdentify+the+causes+of+disruption+occurring+in+healthcare%e2%80%af%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eDescribe+how+disruption+can+create+opportunities%2c+as+well+as+challenges%2c+for+physician+practices+and+their+employees%e2%80%af%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eRecognize+the+importance+of+key+external+forces%e2%80%afimpacting%e2%80%afhealthcare+now+and+in%e2%80%afthe+future%e2%80%af%26nbsp%3b%3c%2fli%3e%0d%0a%3c%2ful%3e%0d%0a|(width)|(height)^} |
| 2:30-3:30pm | CON504: Partnering to Ease Retirement Plan Restrictions and Administrative Complexity Speaker: Craig Dewey, Managing Director, Professionals Choice Retirement Plan {^widget|(widget_displayname)Accordion+Item|(accordionitemheader)Session+details|(name)AccordionItem|(accordionitemcontent)Financial+Management%e2%80%af%e2%80%af%26nbsp%3b%3cbr+%2f%3e%0d%0aBasic+%7c+Traditional+%7cComprehension%e2%80%af%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aTraditional+retirement+plans+are+simple+to+manage+but+limit+the+use+of+personal+investment+advisors+or+the+ability+take+advantage+of+institutional+investments+and+custom+portfolios.+Conversely%2c+internal+management+of+the+practice%26rsquo%3bs+retirement+plan+provides+complete+investment+autonomy%2c+but+exposes+managers+to+fiduciary+risk%2c+personal+liability+and+adds+substantial+administrative+complexity+and+expense.+There+are+retirement+plan+management+options+that+ease+administrative+responsibilities+while+offering+more+diverse+investment+options.+Join+this+session+to+see+how+retirement+plans+can+facilitate+single+payroll+submission+for+all+participants%2c+eliminate+directing+checks+to+different+brokerage+accounts%2c+consolidate+reporting+for+core+and+brokerage+accounts%2c+and+simplify+plan+audits%2c+compliance%2c+and+government+reporting.%e2%80%af%e2%80%af%26nbsp%3b%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aThis+session+will+provide+you+with+the+knowledge+to%3a%e2%80%af%e2%80%af%26nbsp%3b%0d%0a%3cul%3e%0d%0a%09%3cli%3eDescribe+the+limitations+of+traditional+retirement+plans+in+medical+groups%e2%80%af%e2%80%af%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eDiscuss+strategies+to+maximize+tax+savings+and+annual+deferrals%e2%80%af%e2%80%af%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eIdentify+opportunities+to+lower+audit+costs+and+time+spent+on+year-end+plan+administration%e2%80%af%26nbsp%3b%3c%2fli%3e%0d%0a%3c%2ful%3e%0d%0a|(width)|(height)^} |
| 4:00-5:00pm | CON601: Improving the Bottom Line and Patient Access Through eConsults (HOSP) Speakers: Elizabeth Jaggers, MBA, CPA, Administrative Director, University of Iowa Physicians University of Iowa Health Care Katie Schaier, MHA, Administrative Fellow, University of Iowa Physicians {^widget|(widget_displayname)Accordion+Item|(accordionitemheader)Session+Details|(name)AccordionItem|(accordionitemcontent)Financial+Management%3cbr+%2f%3e%0d%0aIntermediate+%7c+Traditional+%7c+Analysis%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aFacing+patient+access+concerns+and+specialist+curbside+consults%2c+UI+Health+Care+implemented+eConsults+among+16+specialties.+This+move+allowed+specialists+to+see+the+right+patient+at+the+right+time%2c+reduced+costs+for+patients+and+increased+revenue+for+clinical+departments+by+increasing+patient+access+in+the+clinic.+This+session+will+explore+how+the+eConsult+program+is+evolving+through+collaboration+with+additional%2c+in-demand+specialties%2c+as+well+as+critical+access+hospitals+and+community+healthcare+organizations.+Attendees+will+learn+how+new+CPT+codes+for+eConsults+allow+for+billable+services.%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aThis+session+will+provide+you+with+the+knowledge+to%3a%26nbsp%3b%0d%0a%3cul%3e%0d%0a%09%3cli%3eOutline+the+potential+costs+and+efficiencies+gained+through+the+addition+of+eConsults+as+a+service+line%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eBreakdown+the+billing+and+compliance+requirements+to+build+eConsult+reimbursement%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eCalculate+the+return+on+investment+for+eConsults+for+primary+care+providers+and+specialists+in+your+organization%3c%2fli%3e%0d%0a%3c%2ful%3e%0d%0a|(width)|(height)^} |
| 4:00-5:00pm | CON602: Business Intelligence for Payer Contracting (IND) Speaker: Nate Moore, MBA, CPA, MBA, FACMPE CEO Moore Solutions, Inc. {^widget|(widget_displayname)Accordion+Item|(accordionitemheader)Session+Details|(name)AccordionItem|(accordionitemcontent)Business+Intelligence%3cbr+%2f%3e%0d%0aIntermediate+%7c+Interactive+%7c+Application%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aYou+have+analyzed+your+contracts%2c+negotiated+with+payers+and+set+new+rates+%26ndash%3b+and+the+work+has+just+started.+Short+of+reviewing+every+EOB+and+ERA%2c+how+can+you+ensure+that+new+rates+are+loaded+correctly+and+that+procedures+are+paid+appropriately%3f+How+do+you+confirm+that+claims+are+being+paid+according+to+contract%2c+not+to+mention+the+multiple+procedure+discounts%2c+modifiers+and+other+contracting+nuances%3f+This+interactive+session+will+show+how+tools+such+as+SQL+Server+Reporting+Services+can+prioritize+information+and+communicate+results+for+better+management+of+denials+and+appeals.+Attendees+will+learn+how+to+develop+exception+reports+that+focus+efforts+on+the+most+important+problems%2c+allowing+you+to+empower+your+business+office+and+your+contracting+team+with+automated+insights.%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aThis+session+will+provide+you+with+the+knowledge+to%3a%26nbsp%3b%0d%0a%3cul%3e%0d%0a%09%3cli%3eDiscover+real+world+examples+of+practices+monitoring+payer+contract+compliance%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eProduce+automated+and+simplified+contract+monitoring+using+business+intelligence%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eUse+tools+such+as+SQL+Server+Reporting+Services+to+improve+the+payer+contracting+cycle%26nbsp%3b%3c%2fli%3e%0d%0a%3c%2ful%3e%0d%0a|(width)|(height)^} |
| 4:00-5:00pm | CON603: Could You Be Kicked Off the Team with a Narrow Network? (IND) Speaker: David Cook, MBA, CPA, CMPE, President, ProMedicis Advisors Corp {^widget|(widget_displayname)Accordion+Item|(accordionitemheader)Session+Details|(name)AccordionItem|(accordionitemcontent)Payer+Contracting+and+Value-based+Payment%26nbsp%3b%3cbr+%2f%3e%0d%0aIntermediate+%7c+Traditional+%7c+Analysis%26nbsp%3b%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0a%3cbr+%2f%3e%0d%0aHas+your+practice+been+affected+by+narrow+networks+either+in+a+CIN%2c+ACO+or+a+commercial+payer+contract%3f+What+can+you+do+to+better+position+your+practice+for+continued+participation+in+your+CIN%2fACO%3f+%26nbsp%3bAs+value-based+care+gains+traction%2c+some+provider+groups+are+facing+the+reality+of+being+%26ldquo%3bnarrowed%26rdquo%3b+out+of+certain+arrangements+for+not+meeting+performance+standards.+Attend+this+session+to+learn+how+to+determine+if+your+group+is+at+risk+and+what+can+be+done+to+avoid+being+on+the+wrong+side+of+a+narrow+network.%26nbsp%3b%3cbr+%2f%3e%0d%0a%26nbsp%3b%3cbr+%2f%3e%0d%0a%26nbsp%3bThis+session+will+provide+you+with+the+knowledge+to%3a+%26nbsp%3b%3cbr+%2f%3e%0d%0a%26nbsp%3b%0d%0a%3cul%3e%0d%0a%09%3cli%3eOutline+the+criteria+used+by+CINs+and+ACOs+to+evaluate+participating+medical+groups.+%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3eExamine+strategies+to+avoid+contract+participation+issues.+%26nbsp%3b%3c%2fli%3e%0d%0a%09%3cli%3ePrepare+for+crucial+conversations+with+CIN%2fACO+leadership.+%26nbsp%3b%3c%2fli%3e%0d%0a%3c%2ful%3e%0d%0a|(width)|(height)^} |