Schedule of Events

The MGMA 2018 Financial Management and Payer Contracting Conference is packed with comprehensive educational programming and networking opportunities. You'll leave this conference with:

  • Best practices for collecting payment at time of service
  • Methods for using data to improve practice performance
  • Business implications of value-based contracts
  • New techniques and strategies for improving performance
  • The latest physician compensation planning trends


Download the conference brochure for a detailed schedule.

Sunday, March 4

8:15 am-6:00 pm

Registration Hours

9:00 am-3:30 pm

PRE101 The Payer Contracting Process: Negotiating and Managing Like a Pro

Speaker:
Penny Noyes, CHC, president, Health Business Navigators, Bowling Green, Ky.


Expanding Item - View More PRE101 Description:

 

Intermediate | Traditional

Description: Tackling a project to get contracts in better order can be incredibly daunting, with many obstacles that can cause practices to derail and fail. Attendees at this preconference will glean insider tips from an expert who spent 18 years on the payer side of the industry. The session will provide practical approaches to overcome these challenges and stay on track. This comprehensive program addresses gathering contracts and subsequent amendments and related contract fee schedules, inventorying and analyzing findings, creating a renegotiation strategy and timeline, sending proper notice to renegotiate or terminate, modeling and analyzing offers and counteroffers, negotiating and/ or managing contract provisions, closing the deals and maintaining contractual relationships going forward. Attendees will receive a contract inventory tool to help launch their project when they return to the office. While basic enough for the beginner, this in-depth start-to finish approach to payer contracting will benefit the seasoned practice administrator as well.

This session will provide you with the knowledge to:

  • Manage current payer and network agreements
  • Create a renegotiation strategy and timeline
  • Identify strategies to improve contract terms


Agenda:

9:00-9:15 am
Welcome

9:15-10:30 am
Lecture

10:30-10:45 am
Networking Break

10:45 am – 12:00 pm
Lecture

12:00 – 12:30 pm
Lunch

12:30-3:30 pm
Lecture

9:00 am-3:30 pm

PRE102 To Sell or Not To Sell: Analyzing the Current Environment for Independent Physician Practices
 

Speakers:
Christine Abell, CPA, CMPE, principal, CliftonLarsonAllen LLP, Phoenix

Steve Stang, CPA, partner, CliftonLarsonAllen LLP, Charlotte, N.C.

Claire Pearson, CPA, principal, CliftonLarsonAllen LLP, Denver Wallis Stromberg, shareholder, Hall Render Killian Heath & Lyman PC, Denver,

Brian Betner, attorney, Hall Render Killian Heath & Lyman PC, Indianapolis

Expanding Item - View More PRE102 Description:

 

Intermediate | Traditional

Description: Healthcare reform has created a set of complex requirements and challenges that physician practices are finding difficult to deal with on their own. As physician practices address these challenges, they are sometimes faced with the difficult decision of going forward, maintaining their independence or joining forces with a larger organization. This in-depth session will explore the market forces driving practices to consider selling or merging, and provide strategies and tools to help determine whether selling or remaining independent makes the most sense for your practice. The discussion will address cultural, financial and legal aspects that must be considered when evaluating your options.

This session will provide you with the knowledge to:

  • Determine preparation, tax implications, valuation, legal and cultural considerations elements of a practice purchase offer
  • Differentiate strategies for selling a practice
  • Outline the steps to take to prepare for a sale


Agenda:

9:00-9:15 am
Welcome

9:15-10:30 am
Lecture

10:30-10:45 am
Networking Break

10:45 am – 12:00 pm
Lecture

12:00 – 12:30 pm
Lunch

12:30-3:30 pm
Lecture

12:30-3:30 pm

PRE103 From Data to Action: Benchmarking for Better Results in your Practice

Speakers:
Frank Cohen, MBB, MPA, director, analytics, Doctors Management LLC, Knoxville, Tenn.

Ryan Lawler, Data Analyst I, MGMA, Englewood, Colo.

Expanding Item - View More PRE103 Description:

 

Intermediate | Traditional

Description: The race to provide more value is driving all practice executives to be in a constant state of process improvement. To improve something, it is necessary to know what it is, where it is, and how it got there. Measurement and benchmarking are only the first steps in the process. Practice administrators must be able to understand all the contextual factors, conduct analysis, apply interpretation and presentation, implement data-driven (and people-driven) decisions, and perform follow-up on high-priority value-added projects. The ability to track, interpret, communicate and utilize key performance indicators for performance improvement will set you and your practice on a path to success. If you don’t value it, you won’t change it, and if you don’t measure it, you can’t manage it.

This session will provide you with the knowledge to:

  • Determine metrics to track in medical practice
  • Analyze and interpret data to identify high-value process improvement initiatives
  • Predict outcomes of process improvement initiatives


Agenda:

12:30-12:45 pm
Welcome

12:45 – 2:00 pm
Lecture

2:00 – 2:15 pm
Networking Break

2:15 - 3:30 pm
Lecture

3:45-5:00 pm

General Session: Taking Control: Overcoming Challenges to Achieve

Speaker:
Isaac Lidsky, JD, speaker, author, and entrepreneur, Orlando, Fla.


Expanding Item - View More GEN01 Description:

 

Description:  In every moment, you choose who you are and how you want to live your life. With this empowerment comes responsibility, complete and inescapable. When you’re beset by challenges, you’re tempted to plead with your heroes, blame your villains and surrender to your limitations. This is a temptation to relinquish your choice, to abdicate your control. Isaac will inspire you to make a better choice. Your heroes, villains and limitations are fictions you perceive as reality. Choose to see through them. Choose to let them go.

This session will provide you with the knowledge to:

  • Outline personal defense mechanisms that cede control
  • Recognize that empowerment is a choice
  • Describe strategies to overcome challenges
     

5:00-6:00 pm

Welcome Reception with Exhibitors

Monday, March 5

7:30 am-4:00 pm

Registration Hours

7:30 am-4:00 pm

Exhibit Hall open

7:30-8:30 am

Networking Breakfast

8:30-9:30 am

Concurrent Sessions
100 series

CON101 Patient Payment Options to Improve Cash Flow and Efficiency

Speakers:
Steven Beene, partner, MSP Consulting, Overland Park, Kan.

Michael Higgins, founding partner, Overland Park, Kan.

 

Basic | Traditional

Description: All sizes of healthcare businesses must know how to evaluate and manage their patient payment. This session will cover the importance of making payment options for patients as convenient as possible to increase the likelihood of them paying in full. An optimized payment solution that allows for multiple methods of payment will streamline processes when collecting payments. During this session, attendees will learn a variety of multi-channel patient payment methods, such as credit-card-on-file, web payment self-service, and phone-in payments, among others.

This session will provide you with the knowledge to:

  • Identify patient payment options
  • Identify opportunities to reduce accounts receivable and the amount of uncollected payments
  • Analyze cost reduction tips for utilizing credit cards



CON102 The Evolving Federal Payment Landscape

Speaker:
Jennifer McLaughlin, JD, senior associate director, Government Affairs, MGMA, Washington, D.C.

 

Overview | Traditional

Description: The Medicare Access and CHIP Reauthorization Act (MACRA) charted new value-based territory for Medicare physician reimbursement – both in traditional fee-for-service and alternative payment models (APMs). At the outset of the second year of the Merit-Based Incentive Payment System (MIPS) and APMs, this session will review key program requirements and steps practice leaders should take to be successful in this new payment structure. This session will also take a timely look at critical healthcare issues moving through Congress and the Administration and discuss their impact on medical groups. Finally, attendees will learn about MGMA’s ongoing advocacy efforts to shape these Medicare payment programs and reduce the regulatory burden on physician practices.

This session will provide you with the knowledge to:

  • Assess the current regulatory and political landscape in Washington for medical practices
  • Evaluate where MIPS and alternative payment models fit in the broader context of Medicare physician payment reform
  • Identify MGMA resources that will help navigate your practice to success in an evolving reimbursement environment



CON103 Weird, Vague and New Stuff in Provider Payer Agreements: Why it is in There and What to Do About it?

Speaker:
Penny Noyes, CHC, president, Health Business Navigators, Bowling Green, Ky.

 

 

Intermediate | Traditional

Description: Thinking about merging with another practice? Referring to an OON specialist or facility? Think your fee schedules can't be changed without your signature? Know whether 2% sequestration reduction is implied in your contract rates? Wanting to limit the number of patients from a low-paying plan? Think you can bill patients for noncovered services in Med Advantage plans if you use the CMS ABN? Need to do anything on your end if you negotiated an annual escalator or COLA? These are just a few issues and questions that will be addressed as we explore some contract provisions that often go unnoticed but can dictate the terms of your payer agreements. We will paint the scenarios, and then find the applicable contract provision, payer payment policy, applicable state or federal law, and/or payer interpretation or guideline that will help you understand how to identify and manage these often detrimental provisions.

This session will provide you with the knowledge to:

  • Identify unusual, vague or obscure contract provisions that can be detrimental
  • Determine the adverse impact of these provisions
  • Outline ways to improve contract language



CON104 Preparing the Practice for Value-based Compensation: Part 1

Speakers:
Tamm Kritzer, RHIA, principal, CliftonLarsonAllen LLP, Austin, N.M.

Curt Mayse, MBA, FACMPE, CPC, principal, CliftonLarsonAllen LLP, St. Louis
 

 

Basic | Traditional

Description: As the healthcare industry migrates from compensation based on volume to one based on value, organizations are left struggling to define exactly what ‘value’ means. Regulatory action in the past few years has accelerated the number of practices participating in value-based payments. Many of these practices are left wondering how and when to begin shifting to a value-based compensation model. Part one of this two-part session will address current value-based compensation trends and the regulatory drivers behind it.

This session will provide you with the knowledge to:

  • Identify current industry trends in value-based physician compensation models
  • Explain regulatory environment driving value-based reimbursement
  • Analyze the challenges in defining “value”

9:30-9:45 am

Networking break with exhibitors

9:45-10:45 am

Concurrent Sessions
200 series

CON201 Lean Cost Accounting for the Medical Practice

Speaker:
Frank Cohen, MBB MPA, director, analytics, Doctors Management LLC, Knoxville, Tenn.

 

 

Intermediate | Traditional

Description: Understanding what it costs to deliver a product or service remains the key to profitability. For a medical practice to thrive, understanding the basics of cost accounting is a must. In this session, the attendee will learn how to measure cost and collection per RVU, perhaps the two most important metrics there are to assess growth or decline within the financial structure of the practice. Using these as a foundation, we will demonstrate how to calculate cost, profit and loss per procedure and determine the break-even fee for each procedure in the fee schedule. When used to negotiate with payers, understanding the data provides the practice with the information needed to make the ‘sign vs. don’t sign’ decision.

This session will provide you with the knowledge to:

  • Explain the concept of Lean Cost Accounting using RBRVS
  • Calculate costs and break-even amounts per procedure
  • Assess the profitability of any contract



CON202 Did Anyone Check the Law? Raising Legal Issues in Medical Appeals

Speaker:
Tammy Tipton, president, Appeal Solutions, Brewster, N.Y.

 

 

Basic | Traditional

Description: Quality appeal review often involves more than a review of the clinical aspects of a submitted claim. With the explosion of regulatory requirements related to medical appeals, it is now important to review denials from both a clinical and legal standpoint. This presentation provides attendees with an overview of the most frequent legal issues which arise with denied claims and how to present an appeal that seeks both a quality clinical and legal compliance review. This presentation comes with the following popular implementation tools: (1) Five sample appeal letters demonstrating legal language, and (2) Managed care letter requesting contract renegotiation.

This session will provide you with the knowledge to:

  • Examine your practice's appeal letters to ensure your appeal is assessed from both a clinical and legal standpoint by the appeal reviewer
  • Outline ERISA and the legal protections it offers in your commercial appeals
  • Explain why legal compliance is especially pertinent to quality appeal review of out-of-network care



CON203 Using Healthcare Claims Data to Support Reimbursement Negotiations

Speaker:
Donna Smith, executive director, business development, Fair Health Inc., New York

 

 

Basic | Traditional

Description: In the process of analyzing and negotiating payer contracts, having access to localized market fees is essential. Robust, validated healthcare claims data from an independent source can provide that knowledge in the form of geographically specific benchmarks for both charged and allowed amounts. Such benchmarks are useful in both fee-for-service and value-based reimbursement models. In this session, attendees will learn how to use independent, conflict-free claims data to enhance their understanding of market rate fees for negotiating in these contexts—analyzing and negotiating payer contracts in both fee-for-service and value-based reimbursement models, and taking part in negotiations related to consumer protection legislation and dispute resolution.

This session will provide you with the knowledge to:

  • Explain how robust, independent, geographically specific healthcare claims data can support sound analysis and negotiation of payer contracts
  • Discuss how healthcare claims data can help ensure equitable reimbursement in the context of bundled payments for episodes of care
  • Describe the role of healthcare claims data in state discussions of consumer protection legislation and in dispute resolution



CON204 Implementing Value-based Compensation: Part 2

Speakers:
Tamm Kritzer, RHIA, principal, CliftonLarsonAllen LLP, Austin, N.M.

Curt Mayse, MBA, FACMPE, CPC, principal, CliftonLarsonAllen LLP, St. Louis
 

 

Intermediate | Traditional

Description: As the healthcare industry migrates from compensation based on volume to one based on value, organizations are left struggling to define exactly what ‘value’ means. Success in this changing landscape will be dictated by a willingness to be innovative and transformational. A continuation of an earlier session on preparing the practice for value-based compensation, this session will address case studies of real-life examples and the transformational practices that accompany value-based compensation.

This session will provide you with the knowledge to:

  • Diagram transformational operational practices in value-based compensation
  • Explain how to implement value-based compensation models
  • Examine medical practice’s experience with value-based compensation

10:45-11:30 am

Networking break with exhibitors

11:30 am-12:30 pm

Concurrent Sessions
300 series

CON301 Keeping Score: Utilizing Key Performance Indicators to Transform Your Revenue Cycle

Speaker:
Lori Zindl, president, efficientC, Pewaukee, Wis.

 

 

Basic | Traditional

Description: Managing employees without key performance metrics is like playing a baseball game and not keeping score. Staff goals and performance metrics should be aligned to the financial goals of the hospital. In this session, learn how to report key performance indicators across the revenue cycle, increase accountability and implement results-oriented employee performance evaluations. Serving as an early warning and continuous feedback system, the scorecard empowers employees to take action, problem-solve and impact the organization through their own individual contributions.

This session will provide you with the knowledge to:

  • Create and implement scorecards that report key performance indicators across the revenue cycle
  • Recognize the importance and value of continuous employee feedback
  • Identify and set employee goals that relate directly to the financial goals of their organization



CON302 Costs Matter! Developing a Profitability and Cost Analysis Model by Unit

Speaker:
Cynthia Nyberg, CPA, CMPE, chief financial officer and strategic planning consultant, Fulcrum Strategies, Raleigh, N.C.

 

 

Intermediate | Traditional

Description: This session features in-depth discussion of the processes necessary to develop and utilize a unit profitability and cost analysis. This type of analysis is necessary to prepare medical practices for future challenges of evolving reimbursements and the necessity to deliver care in a more cost-effective manner. Explore how practice managers actually utilize profitability and cost information for improvement, and once unit profitability and cost analysis is mastered, we'll explore what's next.

This session will provide you with the knowledge to:

  • Develop a unit profitability and cost analysis to evaluate evolving reimbursement models and assist in practice-wide expense reductions
  • Employ profitability and cost information for improvement
  • Outline methods and models necessary to prepare a unit profitability and cost analysis



CON303 Payer Tactics: Don't Be Surprised by What Might Come your Way in a Payer Contract Negotiation

Speaker:
Marcia Brauchler, MPH, FACMPE, COC, CPC, CPHQ, CPC-I, president, Physicians’ Ally Inc., Highlands Ranch, Colo.

 

 

Basic | Traditional

Description: Payers employ numerous tactics during the negotiation process to influence the contract to their benefit. Learn to advocate for your practice despite payer apathy or obstinance, using proven techniques from a veteran contract negotiator. If you know what’s coming, you can keep your focus on the endurance test that is payer contracting. Learn how to make your practice healthier, and you’ll feel so much better. Advocate successfully for your practice and providers!

This session will provide you with the knowledge to:

  • Recognize typical health plan responses to a request to negotiate your payer contract terms
  • Recognize that best and final offer doesn’t always mean best and final
  • Predict the hurdles that will come your way from commercial insurance companies



CON304 Avoiding Pitfalls and Reducing Delays in Credentialing

Speaker:
Lynda Barrie, independent consultant, MGMA Health Care Consulting Group, MGMA, Englewood, Colo.

 

 

Basic | Traditional

Description: This session will review strategies to help avoid the pitfalls and reduce the delays and stress typically experienced in provider credentialing for Medicare, Medicaid and commercial payers. It will also review how to pre-plan credentialing within your practice and who within your practice to involve to improve cycle time. The session will also review various types of structures to expect related to provider agreements, individual versus group contracting, and make recommendations on tracking and understanding fee schedules. We will also review the systems like PECOS and CAQH and how accurate information helps the credentialing process and impacts MIPS reporting. The presenter will share sample tools to use throughout the process.

This session will provide you with the knowledge to:

  • Identify strategies to minimize delays in credentialing
  • Outline workflows for integrating and onboarding physicians
  • Examine tools to implement for successful credentialing

12:30-1:30 pm

Networking Lunch

1:30-2:30 pm

Concurrent Sessions
400 series

CON401 Seeing Past Tomorrow: Utilizing Appointment Data to Thrive

Speaker:
Nate Moore, CPA, MBA, FACMPE, president, Moore Solutions Inc., Centerville, Utah

 

 

Intermediate | Traditional

Description: How would financial management be different in your practice if you could see the future? Appointment data is about as close as a practice manager can come to seeing what next week and next month will look like. Join an interactive discussion on using appointment data to increase opportunities in your practice. We will discuss ways to measure patient access to your providers, to reduce no-show appointments, and to maximize capacity of your most important practice resources. See how practices across America are using appointment data to identify and solve problems before patients arrive, to make staff more efficient and to reduce the number of unsold patient appointments.

This session will provide you with the knowledge to:

  • Examine examples of practices using appointment data to see the future
  • Illustrate ways to gather, analyze and report on appointments
  • Compare ideas and tools to leverage appointment data



CON402 Round Tables of Receivables

Speaker:
Susan Childs, FACMPE, president, Evolution Healthcare Consulting, Rougemont, N.C.

 

 

Basic | Interactive

Description: In this dynamic interactive session, attendees will visit stations for internal checks and balances, benchmarking, grace period issues, high deductibles, front-desk to back-office issues, credit card policies, collections policies and reporting to physicians. Attendees will discuss what works and what doesn’t, and will assemble ideas from the group. When all attendees have gone full circle and noted policies at each location, the speaker will review the answers, and then lead an open discussion to compare concerns, success stories and accounts receivable (A/R) policies across the spectrum of specialties. A follow-up report will be compiled and sent to attendees. Best practices for benchmarking and other A/R metrics to help attendees track and increase collections will be available as a download.

This session will provide you with the knowledge to:

  • Discuss best tips and practices
  • Identify A/R challenges and solutions
  • Analyze best practices on benchmarking and other A/R metrics



CON403 Discover Your Leverage: A Value-based Contracting Case Study

Speakers:
Doral Jacobsen, MBA, FACMPE, partner, Prosper Beyond, Inc., Asheville, N.C.

Amanda Pritchett, MHA, practice administrator, Coastal Pediatric Association, Charleston, S.C
 

 

Intermediate | Traditional

Description: This session focuses on sharing the story of one practice’s journey in negotiating next-generation payer contracts. This case study will include a deep dive into how the practice moved through the process, including data gathering, analyses, creation of a value proposition and payer relationship building. We will identify sources for determining total cost of care, estimating cost savings and suggestions for how to effectively tell your practice story. This talk will include many tips for payer negotiations and guidance for positioning effectively in next-generation payer contract negotiations.

This session will provide you with the knowledge to:

  • Analyze the steps to prepare and execute a value-based contracting strategy
  • Illustrate key elements of alternative payment models and utilize in payer contract negotiations
  • Determine how to utilize a value proposition in payer contract negotiations



CON404 E&M Utilization Analysis

Speaker:
Frank Cohen, MBB, MPA, director, analytics, Doctors Management LLC, Knoxville, Tenn.

 

 

Intermediate | Traditional

Description: Understanding how to benchmark E&M utilization is the key to developing advanced management strategies such as compliance risk assessments and financial impact analyses. While covering basic techniques such as intra-category analysis, this session goes well beyond the ‘bell curve’ concept, focusing on new and emerging techniques. Attendees will also be introduced to two cutting-edge methodological concepts: differential modeling and acuity factoring.

This session will provide you with the knowledge to:

  • Identify the importance of E&M utilization
  • Evaluate comparative E&M databases and statistics
  • Examine how to normalize the CMS database

2:30-3:15 pm

Networking break with exhibitors

3:15-4:15 pm

Concurrent Sessions
500 series

CON501 Unlocking and Using Practice Performance Intelligence

Speaker:
Patti Peets, director, revenue cycle management, CareCloud, Miami

 

 

Basic | Traditional

Description: When it comes to managing for practice performance, which data is the key? Despite the availability of information about tracking and measuring key performance indicators, many practices struggle to collect and act on relevant data in a consistent, timely basis. This session will identify the most important data to capture, highlight tools available through MGMA and other resources to make tracking and benchmarking easier, and review practical ways to make data tracking and business intelligence into practice decision actionable. Attendees will hear first-hand from a practice leader who went through a practice performance data “makeover” to uncover areas of risk and opportunity— and implemented relatively small, simple steps that made a huge difference in the practice’s understanding and ability to manage for performance success.

This session will provide you with the knowledge to:

  • Identify which metrics are leading indicators for high-performing practices
  • Interpret MGMA benchmarks in assessing practice performance
  • Describe steps to make practice performance data easier to capture



CON502 Compliance Plan 101: How to Start and Keep Compliance Alive in your Practice

Speaker:
Marcia Brauchler, MPH, FACMPE, COC, CPC, CPHQ, CPC-I, president, Physicians’ Ally Inc., Highlands Ranch, Colo.

 

 

Basic | Traditional

Description: Voluntary compliance programs are ending. Under the Patient Protection and Affordable Care Act of 2010, Congress mandates compliance for physicians in order to participate in Medicare. Physicians and practice administrators know that having a compliance plan is essential, but most wonder what to include or how to go about getting one that works for the practice. Most physicians do not have a compliance budget, so the solution must be cost-effective. This session should inspire you to create a working compliance plan from scratch or pick up where yours left off. The basics of a compliance plan are presented as well as tools, like the OIG Work Plan, to construct your own.

This session will provide you with the knowledge to:

  • Describe the importance of a compliance program
  • Explain the basics of creating and maintaining a compliance program
  • Identify high-risk areas of federal laws, such as the False Claims Act, HIPAA, OSHA and HR regulations



CON503 HCC Coding for Risk Adjustment

Speaker:
Susan Whitney, CPC-I, CMPE, senior content manager, MGMA, Englewood, Colo.

 

 

Basic | Traditional

Description: As we continue our shift from fee-for-service to value-based care, it is important to understand all the continually moving pieces. This presentation will focus on the history and basic components of Hierarchical Condition Category (HCC) coding. Providers must carefully capture and coders must accurately report all pertinent health conditions of the patient for reliable Risk Adjustment Factor (RAF) scoring. It is more important than ever to have mastered the fundamentals of ICD coding and the direct influence it will have on reimbursements in risk-adjusted payment models.

This session will provide you with the knowledge to:

  • Recognize how coding affects reimbursements in risk-adjusted plans
  • Identify how documentation affects RAF scores
  • Examine HCC coding concepts and their impact on your practice



CON504 Provider Compensation, Engagement and Performance in the Move to Value-based Care

Speakers:
Kritiya Gee, director, Huron Consulting Group, Chicago

Mike Coppola, MBA, FACHE, physician service line leader, Studer Group, A Huron Solution, Chicago
 

 

Intermediate | Traditional

Description: As healthcare moves toward value over volume, practices will face increasingly complex and diverse payment and reimbursement plans. No matter how value-based care evolves in different markets, physicians and advanced practice providers are crucial to every performance, quality, safety, care utilization and patient experience goal. These same factors significantly affect an organization’s financial viability, which is why providers’ compensation must also support them in very purpose-built ways. In this session, attendees will learn how to leverage transparency to build relationships with providers and close the gaps with management, create an accountability structure to sustain high performance, and engage providers through education, feedback and leadership development.

This session will provide you with the knowledge to:

  • Outline a compensation structure that will better align with organizational goals
  • Create a program for offering meaningful and actionable feedback to providers
  • Design compensation models that include performance outcomes and incentives
5:30-7:00 pm Speaker-sponsored dinners

Tuesday, March 6

7:30-8:00 am

Networking Breakfast with Exhibitors

7:30 am-12:15 pm

Registration Hours

7:30-10:00 am

Exhibit Hall Hours

8:00-9:00 am

General Session: The Seven Keys to Leadership in the 21st Century

Speaker:
Pat Williams, senior vice president, NBA's Orlando Magic, Orlando, Fla.

 

 

Overview | Traditional

Description: In this thought-provoking speech, Pat details the seven keys to leadership and teaches how to become a more effective leader. Learn how to create a personal strategy, communicate effectively with employees and make profitable decisions. Pat’s humorous anecdotes and unique leadership philosophy give executives practical and proven techniques for immediately improving organizations with improved leadership.

This session will provide you with the knowledge to:

  • Identify key elements of leadership
  • Describe the connection between leadership and productivity
  • Create a personal leadership strategy

9:00-10:00 am

Networking break in the Exhibit Hall and prize map drawing

9:45 am

Match, Mingle and Win Prize Drawing

10:00-11:00 am

Concurrent Sessions
600 series

CON601 The Decision to Remain Independent: Physician Practice

Speakers:
Claire Pearson, CPA, principal, CliftonLarsonAllen LLP, Denver

Joel Montbriand, MD, president, Endoscopy Center of the Rockies, Louisville, Colo.
 

 

Intermediate | Traditional

Description: Physician practices face many administrative burdens that must be addressed alongside their patient responsibilities. Managing cost and infrastructure, recruitment and retention of physicians, lower reimbursements, and managing payer mix and collections all weigh heavily on the minds of those who manage independent practices. At the same time, many of their peers have gone the direction of selling their practices to relieve some of these pressures. What is a practice that wants to maintain their independence to do? Join this interactive session to hear the experiences and decisions a physician made when evaluating whether to keep his practice independent and the steps his practice undertook to ensure success going forward.

This session will provide you with the knowledge to:

  • Identify the questions that must be answered when determining whether to remain independent
  • Analyze the decisions that need to be made to remain a thriving practice
  • Discover how to remain primarily independent when a capital infusion is needed



CON602 Alternative Payment Models and Specialty Care

Speakers:
Gary Kirsh, MD, president, The Urology Group, Cincinnati

Jeffrey Scott, chief marketing officer and president, life sciences service division, Integra Connect, Jupiter, Fla.
 

 

Intermediate | Traditional

Description: Specialty practices face transformation as they assume accountability for episodes of care. With prep time ending, specialists must quickly embrace alternative payment models (APMs) to land on the right side of reimbursement curves if a practice seeks exclusion from MIPS. This session will show where to start and how to avoid the numerous pitfalls along the way to APM success and share best practices of specialty APM design/adoption for MACRA.

This session will provide you with the knowledge to:

  • Assess the landscape and key stakeholders of specialty APM design
  • Design an episode payment to deliver significant clinical value to patients while addressing controllable external costs
  • Establish successful performance to support your APMs



CON603 The Evolving Federal Payment Landscape

Speaker:
Jennifer McLaughlin, JD, senior associate director, Government Affairs, MGMA, Washington, D.C

 

 

Overview | Traditional

Description: The Medicare Access and CHIP Reauthorization Act (MACRA) charted new value-based territory for Medicare physician reimbursement—both in traditional fee-for-service and alternative payment models (APMs). At the outset of the second year of the Merit-Based Incentive Payment System (MIPS) and APMs, this session will review key program requirements and steps practice leaders should take to be successful in this new payment structure. This session will also take a timely look at critical healthcare issues moving through Congress and the Administration and discuss their impact on medical groups. Finally, attendees will learn about MGMA’s ongoing advocacy efforts to shape these Medicare payment programs and reduce the regulatory burden on physician practices.

This session will provide you with the knowledge to:

  • Assess the current regulatory and political landscape in Washington for medical practices
  • Evaluate where MIPS and APMs fit in the broader context of Medicare physician payment reform
  • Identify MGMA resources that will help navigate your practice to success in an evolving reimbursement environment

11:00-11:15 am

Passing Break

11:15 am- 12:15 pm

Concurrent Sessions
700 series

CON701 Preventing Fraud and Embezzlement in Your Practice

Speaker:
Debra Phairas, MBA, president, Practice and Liability Consultants, San Francisco

 

 

Intermediate | Traditional

Description: It has been estimated that one in six doctors will experience embezzlement at some time during their practice years. A busy practice is an easy target for embezzlement. A variety of tools and tactics to protect your practice will be discussed. Participants will learn detection and prevention techniques, including why employees embezzle and what to do after you discover embezzlement.

This session will provide you with the knowledge to:

  • Summarize effective accounting controls to prevent embezzlement
  • Recognize why employees embezzle
  • Identify ways to protect the practice through motivation and management techniques



CON702 Maximize Payments and Minimize Denials in the Referral Process

Speakers:
Lauren Christian, MBA, senior associate, Pricewaterhouse Coopers, New York

Akash Patel, experienced associate, Pricewaterhouse Coopers, San Francisco 
 

 

Intermediate | Traditional

Description: The efficiency of an organization’s referral and prior authorization process has a significant impact on the patient and referring provider experience. This session will review how revenue, denials and write-offs are impacted by the referral process and how to maximize payment through improved processes. Learn how to utilize technology to create a comprehensive approach to managing referrals and preparing patients for their scheduled services.

This session will provide you with the knowledge to:

  • Develop KPI reporting to identify gaps in the prior authorization process
  • Create clear communication channels with internal and external providers
  • Design patient education for the referral process



CON703 Overcoming Patient Payment Challenges: What Patients Want and Practice Success Stories

Speaker:
Ginny Shipp, inSight solutions, Duluth, Ga.

 

 

Intermediate | Traditional

Description: Today’s consumer-centric environment requires practices to align with patient expectations. Recent industry research conducted with both patients and providers reveals their attitudes and behaviors on patient billing and payments, and offers implications for healthcare organizations. This session will present the research results that define what patients want, current patient billing challenges and what healthcare organizations can do to overcome current obstacles.

This session will provide you with the knowledge to:

  • Outline practice success stories
  • Explain provider and patient satisfaction trends in billing and payments
  • Interpret the data to strategically address risks and opportunities

MGMA Executive Partners