Knowledge Expansion

Payer Contracting Online Seminar Series - on demand

Package

Contracting

Member Price: $399.00Non-Member Price: $532.92
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Overview

Register for the Payer Contracting Online Seminar Series to gain the skills you need to manage your payer contracts.

Register for the entire conference at a discounted rate, or you can puchase the sessions individually. 

Part I: Gathering and Analyzing Your Contracts, Recorded on March 15, 2018
Part II: Articulating Practice Value and Developing Contract Proposals, Recorded on March 20, 2018
Part III: Establishing an Evaluation, Monitoring and Go-Forward Strategy, Recorded on March 20, 2018

Each seminar is two-hours long.
 

Continuing Education 

This seminar is eligible for ACMPE and CEU Credit. Specific details can be found in the Continuing Education


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Nonmember price: $147.00
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Part I: Gathering and Analyzing your Contracts (Recorded)

Penny Noyes

Penny Noyes, CHC

President, Health Business Navigators

Penny Noyes brings four decades of healthcare related experience to medical practices on both the payer/MCO and provider sides of the industry. Since 1999, when Ms. Noyes founded HBN, she has been working with a variety of healthcare-related clients who require assistance with payer contracting and credentialing. She has written and executed business plans, renegotiated managed care agreements, provided market exposure, improved client revenue and increased the bottom line. She is sought after by numerous organizations to provide opinions on hot issues for periodicals and to do educational seminars on the topics of payer contacting and credentialing as she brings her "roll up the sleeves," candid approach to material presented. Ms. Noyes has held various leadership positions throughout her career in healthcare. She served as Senior Vice President of Business Development for a venture capital backed start-up, U.S. HealthWorks, a practice management company specializing in occupational medicine where she was able to negotiate both improved reimbursement and achieved delegated credentialing with all payers for nearly 100 clinics in 7 states representing nearly $100 million in annual revenue. Prior to that she spent 11 years at Allmerica Financial, an $11 billion insurance and financial services company, where she was an Assistant Vice President responsible for product development of health plans nationwide, as well the contracting and credentialing of 180,000 providers nationwide. While at Allmerica she also led a project related to the development of PHCS in collaboration with 17 other health insurance companies. Earlier in her career she worked at Blue Cross of Massachusetts for 6 years on development and marketing of fully insured and self-funded health plans and HMO products, including some of the earliest Medicare risk based plans.

Part II: Articulating Practice Value and Developing Contract Proposals (Recorded) and Part III: Establishing an Evaluation, Monitoring and Go-Forward Strategy (Recorded)

Nate Moore

Nate Moore, CPA, MBA, FACMPE

Nate Moore consults, speaks, records and writes about Microsoft Excel and data mining in medical practices throughout the country. Nate’s consulting focuses on implementing the tools and techniques described throughout this book to help practices nationwide. He also creates data warehouses, report servers, and custom code to automatically connect practice management data to reports that mine and then leverage practice data into actionable knowledge. Nate creates a series of powerful Excel videos, available at mooresolutionsinc.com, that demonstrate how to use Excel in a medical practice. Hundreds of thousands of users have viewed these videos across the world. Nate also moderates the Excel Users eGroup within the MGMA Community, an online resource for practice administrators to collaborate about Excel. Nate is a certified public accountant with an MBA and a BA in accounting and a minor in Japanese from the University of Utah. Nate is a Fellow in the American College of Medical Practice Executives. He lives in Utah with his wife and their three children. To contact or learn more about Nate, visit mooresolutionsinc.com.


Doral Davis-Jacobsen

Doral Davis-Jacobsen, MBA, FACMPE

Doral Davis-Jacobsen is chief executive officer of Prosper Beyond, Inc., a specialized healthcare consulting firm in Asheville, N.C. She is a seasoned healthcare consultant with more than 20 years of experience serving healthcare providers ranging from solo practitioners to large academic medical centers. Davis-Jacobsen is a popular speaker and author, always looking around the corner to help her clients prepare for what’s next. She is known for assisting practices with next-generation managed care contract negotiations, revenue cycle and payment reform. Davis-Jacobsen is a Fellow in the American College of Medical Practice Executives who earned a bachelor’s degree in health services from Florida Atlantic University and a master’s in business administration from Webster University in Denver. She has authored numerous articles on medical practice revenue cycles, managed care contracting and payment reform, and is a frequent speaker at national, regional and local healthcare forums.

Delivery method: group-on demand | ongoing

Learning level: Advanced - Education designed to improve your problem solving skills and develop in-depth expertise in a topic or knowledge area.
Prerequisites: A fundamental knowledge of medical group practice management.
Learning Format: Traditional - Traditional seminar session features wither a speaker sharing his or her knowledge in a lecture-style presentation or a panel of speakers with a moderator facilitating the discussion. Traditional sessions include limited question-and-answer time with the audience.
Advance preparation: None
Duration: 2 hours for each of the individual parts in the series. Total series: 6 hours
Exam: You must participate in the live seminar. Required for CPE.
 

Continuing Education Credit

Seminar Series Maximum clock hours*:
ACMPE Credit: 6 | CEU Credit: 6

*Subject to change and dependent on total number of participation hours.

Claiming Credit

ACMPE - medical practice administrators in certification and Fellowship through ACMPE
CEU - generic continuing education unit
 

Team:

Participants who want to claim continuing education credit must be individually registered for the seminar. If participants would like to attend the seminar as a team using one person’s log-in credentials, the person who launched the webinar will need to email a list (first and last names) of all participants to continuinged@mgma.com after the seminar session has concluded. MGMA will mark these individuals’ status as “completed” within five business days to allow each team participant to claim his or her desired continuing education credit.
 

Official Continuing Education Statements and Availability

American College of Medical Practice Executives (ACMPE)

ACMPEACMPE credit continues to be a free member benefit and is available to registered seminar attendees who purchase and complete the seminar.

A cumulative total of 50 ACMPE Continuing Education credit hours is among the requirements for advancement to Certified Medical Practice Executive (CMPE) status. Once you have advanced to CMPE or Fellow status, you must earn and submit 50 hours of qualifying credit hours every three years to maintain your designation.

Learn more about the ACMPE certification program.

One ACMPE credit is earned for every 60 minutes of educational content, rounded down to the nearest 0.25.

Continuing Education Units (CEU)

Generic CEU credit is available to registered seminar attendees who purchase and complete the seminar.

One generic CEU credit is earned for every 60 minutes of educational content, rounded down to the nearest 0.25.

Part I: Gathering and Analyzing your Contracts
Recorded on March 15, 2018

Available for: ACMPE Credit: 2 | CEU Credit: 2
Advanced | Traditional

Most practices know what is required to accomplish due diligence on their contracts but dread the thought of systematically gathering payer agreements and fee schedules, analyzing the findings, and developing and executing a strategy to renegotiate agreements. The challenge of being faced with so many hard-to-find puzzle pieces in the quest to accomplish even the first steps of finding the agreements, amendments, and relevant schedules can quickly overwhelm a practice and derail it from its goals. This session will share turnkey processes that will get you headed in the right direction and on task even when obstacles are in the way. The primary focus of this session will be on building your foundation - the gathering, analysis and strategy development stage of your payer contracting project.

This session will set the stage for the content in part two of the education series: how to initiate a negotiation, what makes your practice special, and how to model and test an offer so that you have a clear understanding of why it is so important to start with a solid foundation.

This 2-hour online seminar will provide you with the knowledge to:

  • Assemble payer agreements, amendments, and fee schedules
  • Derive which payers’ schedules need to be renegotiated
  • Develop renegotiation strategy

Register for only Part I:

Member price - $149.00
Nonmember price - $199.00
Add to Cart

Or, register for full seminar series at a discounted price:

Member price - $399.00
Nonmember price - $532.92
Add to Cart

Part II: Articulating Practice Value and Developing Contract Proposals
Recorded on March 20, 2018

Available for: ACMPE Credit: 2 | CEU Credit: 2
Advanced | Traditional

This session will build upon the contracting foundation established in part one. Once a practice has tracked down contacts, agreements, and fee schedules, the contracting process enters the next phase: developing proposals and your practice value proposition. The first focus of this session will be on identifying your specific negotiation targets, including identifying top CPT codes, comparing rates, evaluating proposals, methodologies across your book of business, and establishing targets for negotiation. The instructors will then turn to taking the analysis and constructing proposals, including sample verbiage and recommended strategies. Additionally, it will focus on developing the practice value proposition providing templates to use to start the process of articulating the value during the negotiation process.

This 2-hour online seminar will provide you with the knowledge to:

  • Organize top practice CPT codes and renegotiation targets
  • Develop payer proposals
  • Create practice value proposition

Register for only Part II:

Member price - $149.00
Nonmember price - $199.00
Add to Cart

Or, register for full seminar series at a discounted price:

Member price - $399.00
Nonmember price - $532.92
Add to Cart

Part III: Establishing an Evaluation, Monitoring and Go-Forward Strategy
Recorded on March 20, 2018

Available for: ACMPE Credit: 2 | CEU Credit: 2
Advanced | Traditional

This session concludes the seminar series and takes the contracting foundation/negotiation results and moves into language evaluation, contract monitoring and go forward contracting strategy. The instructors will provide high notes on language evaluation including guidance on specific considerations and how to ask for revisions. The seminar will then move into contract monitoring providing methods for ensuring the rates negotiated match payment rates as well as overall monitoring methods. The instructors will provide recommendations or developing and deploying a go-forward contract monitoring and renegotiation strategy, including a payer relationship check list and other useful take-home tools.

This 2-hour online seminar will provide you with the knowledge to:

  • Construct key methods to evaluate payer contract language, including key provisions
  • Manage payer agreements for payment compliance
  • Develop contract monitoring system and go-forward renegotiation strategy

Register for only Part III:

Member price - $149.00
Nonmember price - $199.00
Add to Cart

Or, register for full seminar series at a discounted price:

Member price - $399.00
Nonmember price - $532.92
Add to Cart

Seminars are delivered live using online web conferencing software, which allows you to interact directly with presenters and colleagues through your web browser.

You will receive informational emails with log-in instructions, handout materials and the recording.

Program

Part I: Gathering and Analyzing your Contracts

Part II: Articulating Practice Value and Developing Contract Proposals

Part III: Establishing an Evaluation, Monitoring and Go-Forward Strategy

Technical requirements

To participate you will need:

  • Adobe Connect: Run this connection test
  • Internet: A high-speed connection
  • Audio: Computer speakers and, if you’re participating live, a phone in case of audio difficulties

View the technical requirements page for mobile device information as well as operating system, browser and software requirements.

Live Facilitator led

Registration cancellation requests must be received prior to the start time of the seminar to be eligible for a full refund minus a $30 processing fee. Registration fees cannot be refunded after the seminar has started.

Cancellation

If for any reason MGMA must cancel this seminar, MGMA will notify participants by email of the cancellation no less than 48 hours prior to the expected start of the seminar. Full registration and exam cancellation fees will be processed within 90 days of the cancellation.

Contact the MGMA Service Center for cancellations or refunds:

Toll-free: 877.275.6462, ext. 1888
Email: service@mgma.com

Complaint resolution policy

Please contact the MGMA Service Center toll-free at 877.ASK.MGMA (275.6462) for issues or concerns with this seminar.

Required Exam:
If you wish to claim the following credit, you must have attended the live seminar, then passed the exam with a score of 80% or higher. Registration is required for BOTH the seminar and the exam.

• CPE - continuing professional education for accountants
Exam must be completed no later than: March 20, 2019

After you register for the exam, instructions on how to access the exam will be emailed to you.
 

No Exam:

• ACMPE - medical practice administrators in certification and Fellowship through ACMPE
• CEU - generic continuing education unit
 


Purchase Exam Series

Member price: $0.00
Nonmember price: $147.00
Add to Cart

Part I exam:

Member price - $0
Nonmember price - $49.00
Add to Cart

Part II exam:

Member price - $0
Nonmember price - $49.00
Add to Cart

Part III exam:

Member price - $0
Nonmember price - $49.00
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Shipping

Member Pricing: 
MGMA members enjoy FREE standard shipping on all purchases. 

Standard and express shipping options are available to customers.

  • Standard shipping $9.50 (5-7 business days)
  • Two-day shipping $20.00
  • Overnight shipping $25.00 (excludes Saturday delivery)


MGMA can ship internationally for an additional fee. Please call the MGMA Service Center for a shipping quote.

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