Knowledge Expansion

Online Payer Contracting Seminar

Webinar

SKU: 20OLSEM02

Overview

11/13 at 12:00 PM to 11/14/2019 at 2:15 PM

Exam: Member Price: $0.00 | Nonmember Price: $25.00
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The seminar consists of three 2-hour session plus the closing session; the entire event will be 6 hours and 15 minutes, November 13-14. This seminar is eligible for ACMPE, AAPC, ACHE (live only), CPE (live only) and CEU credit. It will be made available as a recording after the event ends.
 
Do your payer contract rates fairly compensate your practice? Evaluating and optimizing your contract rates requires diligence and perseverance. Register for the Online Payer Contracting Seminar to gain the skills you need to manage your payer contracts.
 
Materials: Your registration fee includes the Transitioning to Alternative Payment Models: A Guide to Next-Generation Managed Care Contracting ebook that offers medical practice leadership teams practical guidance on navigating the shift from volume-based to value-based managed care contractual relationships.
 
1:1 appointments
As an additional benefit, we’re offering complimentary 1:1 post-seminar appointments with the presenters. A link to sign-up for a 20-minute consultation will be posted after the seminar begins, and all registrants will receive an email notification when it’s available.
 
Agenda Overview
Part I: Gathering and Analyzing Your Contracts
Nov. 13, 2019, 12:00-2:00 pm ET (11:00 am CT, 10:00 am MT, 9:00 am PT)
 
Part II: Articulating Practice Value, Developing Contract Proposals and Building a Go-Forward Strategy
Nov. 13, 2019, 2:30-4:30 pm ET (1:30 pm CT, 12:30 pm MT, 11:30 am PT)
 
Part III: Establishing a Contract Monitoring and Evaluation Process
Nov. 14, 2019, 12:00-2:00 pm ET (11:00 am CT, 10:00 am MT, 9:00 am PT)
 
Part IV: Closing Session — Reflections and Takeaways
Nov. 14, 2019, 2:00-2:15 pm ET (1:00 pm CT, 12:00 pm MT, 11:00 am PT)
 

ACMPE: 6

AAPC: 6 Core A

ACHE: 6

CPE: 7

CEU: 6


Continuing Education Information
 
Delivery method: Group Internet Based | Internet Live Course
Learning level: Advanced - Education that builds on an intermediate curriculum, designed to help you synthesize and evaluate complex concepts to create outcomes-based solutions.
Learning format: Traditional 
Prerequisites: The ability to apply the topic or knowledge area. 
Advance preparation: None
Duration: 120 minutes each seminar part
 
Seminar Series Maximum clock hours*
ACMPE: 6 | AAPC: 6 CORE A | ACHE: 6 (live only) | CPE (live only): 7 | CEU: 6
*Subject to change and dependent on total number of participation hours.
            
Claiming Credit:
If you wish to claim continuing education credit, you must first attend the seminar and pass the associated exam with a score of 80% or higher.
 
Registration is required for BOTH the seminar and the exam.
 
  • ACMPE, medical practice administrators in certification and Fellowship through ACMPE
    • Exam must be completed no later than: Nov. 14, 2020
  • AAPC, certified professional coders and other AAPC designations
    • Exam must be requested no later than: May 31, 2019
  • ACHE, American College of Healthcare Executives Qualified Education
    • Attendance at the live instructor lead program
    • Exam must be completed no later than: Nov. 14, 2020
  • CPE, continuing professional education for accountants
    • Attendance at the live instructor lead program
    • Exam must be completed no later than: Nov. 14, 2020
  • CEU, generic continuing education unit
    • Exam must be completed no later than: Nov. 14, 2020
 
After you register for the exam, instructions on how to access the exam will be emailed to you.
 
Team:
Participants who want to claim continuing education credit must be individually registered for the seminar and subsequent exam(s). If registered participants attend as a team, the person who launched the seminar will need to email a list (first and last names) of all participants to continuinged@mgma.com after the seminar has concluded. Each participant will be required to complete the exam under his/her own account.  
 
Official Continuing Education Statements and Availability
 
 American College of Medical Practice Executives (ACMPE)
This program is approved as a live learning event for ACMPE continuing education hours. A cumulative total of 50 ACMPE continuing education credit hours is among the requirements for attaining the Certified Medical Practice Executive (CMPE) credential. To maintain CMPE or Fellow status, you must earn 50 hours of qualifying credit hours every three years, of which 30 hours must come from MGMA national, state or local offerings, including 12 from a live learning event.
 
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.
 
ACHE Qualified Education
By attending the Online Payer Contracting Seminar offered by the Medical Group Management Association, participants may earn up to 6 ACHE Qualified Education Hours toward initial certification or recertification of the Fellow of the American College of Healthcare Executives (FACHE) designation.
 
One ACHE credit is earned for every 60 minutes of educational content, rounded down to the nearest 0.25.

 AAPC 
This program has the prior approval of AAPC for 6 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC for the programs content or the programs sponsor.

One AAPC credit is earned for every 60 minutes of educational content, rounded down to the nearest 0.5 or as AAPC deems appropriate.
 
Continuing Professional Education (CPE)
MGMA-ACMPE is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.nasbaregistry.org.
 
  • In accordance with the standards of the National Registry of CPE Sponsors. CPE credits have been granted based on a 50- minute hour. Rounded down to the nearest 0.5.
  • This program is in the Specialized Knowledge field of study.
  • The type of instruction is group-internet-based.
  • National Registry of CPE Sponsors ID: #103652.
 
Continuing Education Units (CEU)

A certificate of attendance will be provided to healthcare professionals requesting generic CEUs for professional development, certifications through other professional associations or specialty societies.
 
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
Nov. 13, 2019, 12:00-2:00 pm ET (11:00 am CT, 10:00 am MT, 9:00 am PT)
Available for: ACMPE: 2 | AAPC: 2 | ACHE (live only): 2 | CPE (live only): 2 | CEU: 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 II 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
  • Prepare payers’ schedules in need of renegotiation
  • Develop renegotiation strategy
 
Part II: Articulating Practice Value, Developing Contract Proposals and Building a Go-Forward Strategy
Nov. 13, 2019, 2:30-4:30 pm ET (1:30 pm CT, 12:30 pm MT, 11:30 am PT)
Available for: ACMPE: 2 | AAPC: 2 | ACHE (live only): 2 | CPE (live only): 2 | CEU: 2
Advanced | Traditional
 
This session will build upon the contracting foundation established in Part I. 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 and methodologies across your book of business, and establishing targets for negotiation. The instructor will then use this analysis to construct proposals, including sample verbiage and recommended strategies. The session will provide insight into the alternative payment model landscape for practices to consider during the negotiation process. Additionally, this session will focus on developing the practice value proposition, providing templates to use to start the process of articulating the value during the negotiation process. The final focus will include recommended go-forward strategies to integrate the contracting practice into the core financial management strategy.
 
This 2-hour online seminar will provide you with the knowledge to:
  • Develop payer proposals
  • Create practice value proposition
  • Devise a renegotiation strategy
 
Part III: Establishing a Contract Monitoring and Evaluation Process
Nov. 14, 2019, 12:00-2:00 pm ET (11:00 am CT, 10:00 am MT, 9:00 am PT)
Available for: ACMPE: 2 | AAPC: 2 | ACHE (live only): 2 | CPE (live only): 2 | CEU: 2
Advanced | Traditional
 
The concluding session addresses contract monitoring and evaluation. The first hour will be a hands-on workshop demonstrating the Microsoft Excel VLOOKUP function as a tool to analyze payer performance. A sample dataset will be provided for all attendees to manipulate during the session. The session will then demonstrates how to track and analyze payer performance through contract monitoring, providing methods for ensuring that the rates negotiated match payment rates.
 
NOTE: It is recommended that attendees have access to two monitors for the first portion of this session. There will be a demonstration as well as hands-on work.
 
This 2-hour online seminar will provide you with the knowledge to:
  • Construct key methods to evaluate contracted rates with payment rates
  • Manage payer agreements for payment compliance
  • Develop spreadsheet for contract monitoring
 
Part IV: Closing Session — Reflections and Takeaways
Nov. 14, 2019, 2:00-2:15 pm ET (1:00 pm CT, 12:00 pm MT, 11:00 am PT)
 
All three speakers, Penny Noyes, Doral Davis-Jacobsen and Nate Moore close out the session with reflections and takeaways.

Part I: Gathering and Analyzing Your Contracts
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, Developing Contract Proposals and Building a Go-Forward Strategy
Doral Davis-Jacobsen

Doral Davis-Jacobsen, MBA, FACMPE

Doral Davis-Jacobsen, MBA, FACMPE, is a Partner at Prosper Beyond LLC, a specialized healthcare consulting firm nestled in beautiful Asheville, North Carolina. Doral is a seasoned healthcare consultant with over 20 years of experience serving healthcare providers ranging from solo practitioners to large academic medical centers. She is a popular speaker and author, always looking around the corner to help her clients prepare for “what’s next.” Doral is known for assisting practices with next generation managed care contract negotiations, payment reform and revenue cycle. She is a Fellow in the American College of Medical Practice Executives. Doral serves as the Chair for the North Carolina MGMA Payer Contracting Committee 2019. Doral has written numerous articles on medical practice revenue cycle, managed care contracting and payment reform and is a frequent speaker at national, regional and local healthcare forums. Doral is a co-author of MGMA’s book, Transitioning to Alternative Payment Models: A Guide to Next Generation Managed Care Contracting, published in October 2016.



Part III: Establishing a Contract Monitoring and Evaluation Process
Nate Moore

Nate Moore, CPA, MBA, FACMPE

President, Moore Solutions Inc.

Nate Moore, CPA, MBA, FACMPE, speaks, consults, records and writes about business intelligence in medical practices throughout the country. Nate’s book, Even Better Data, Better Decisions: Advanced Business Intelligence for Medical Practices, is an MGMA best seller. Nate’s consulting focuses on using SQL Server to mine and leverage medical practice data into actionable knowledge.

Nate creates a series of powerful Excel Videos at mooresolutionsinc.com demonstrating how to use Microsoft Excel in a medical practice. Excel Videos have been viewed thousands of times by practice managers across America. Nate also moderates the Excel Users MGMA Community, the online resource for practice administrators to collaborate about Microsoft Excel.

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.
 
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

Part III: Establishing a Contract Monitoring and Evaluation Process, Nov. 13, 2019, 12:00-2:00 pm ET (11:00 am CT, 10:00 am MT, 9:00 am PT)
  • It is recommended that attendees have access to two monitors for the first portion of this session. There will be a demonstration as well as hands-on work.
 
View the technical requirements page for mobile device information as well as operating system, browser and software requirements.
Live Instructor Refund Policy
Cancellation requests must be received prior to the start of the program to be eligible for a full refund minus a $50 setup cost. Fees cannot be refunded after the live program has started.
 
Live Instructor Cancellation Policy
If for any reason MGMA must cancel this program, MGMA will notify participants by email of the cancellation no less than 48 hours prior to the expected start of the program. Full refunds 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 program.

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