Healthcare Business Management Association - HBMA
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2018 Healthcare Revenue Cycle Conference Descriptions

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Wednesday, September 12

8:00 am - 12:00 pm | Concurrent Pre-conference Workshops*
*Pre-conference Workshops are concurrent and one can be added to your registration for an additional
fee of $149.

Seeing Your Numbers: Visualizing Data with Microsoft Excel - Operations Track
Nate Moore, CPA, MBA, FACMPE, Moore Solutions

Session Description
Excel has several ways to graphically display key practice information, including charts, maps, and sparklines.  Bring your laptop and follow along with example after example of ways medical practices can see their data.  Learn tips and tricks to make your graphs faster, easier, and more informative.  Impress your doctors with information they haven't seen before.

Learning Objectives – By the end of this session, attendees will be able to:

  1. Practice making Excel charts that will impress the doctors you serve.  
  2. Use maps to help end users visualize critical practice data. 
  3. Discover Sparklines, a way to fit a chart in a cell to show trends at a glance.

MACRA Workshop - Management Track
Dan Mingle, MD, Founder and CEO, Mingle Analytics

Session Description
Session Description Coming Soon!

Learning Objectives – By the end of this session, attendees will be able to:
Learning Objectives Coming Soon!

2:30 pm - 3:30 pm | Keynote Address

Transformation Superpowers: Keys to Creating a Culture of Critical Thinking and Emotional Intelligence
Debra Wiggs, FACMPE

The kryptonite that prevents organizations from moving past their programming is a culture that does not demand, and value emotional intelligence and critical thinking skills partnered with personal accountability. It takes a certain measure of bravery or super powers to break through an organization and establish a culture of expectation and accountability that demands critical thinking skills. This presentation includes how emotional intelligence(EQ) and critical thinking skills promote transformation. What defines EQ and what critical thinking skills are and how to assess them personally and within your team and organization. The presentation will look at what the next steps are to promote critical thinking as a skill set and how to implement that process in your organization. The presentation will use practical tools, audience participation and multi-visual resources to engage everyone in the conversation.

3:45 pm - 4:45 pm | Concurrent Sessions

HIPAA for Business Associates: In Action Every Day at Your Business - Operations Track
Marcia Brauchler, MPH, FACMPE, CPC, COC, CPC-I, CPHQ

Session Description
Business Associates, like billing companies, have been off the radar of the Office for Civil Rights since the inception of HIPAA. However, recent enforcement resulted in a small pediatric GI practice in Illinois being fined $31,000 because of an infraction by their business associate. This opens up a new world for private practices to be sure that - at the very least - a HIPAA Business Associate Agreement is in place with it's outsourced billing company. Learn how to review a proposed BA Agreement, and what policies and procedures you should have to protect your client's health information.

Learning Objectives – By the end of this session, attendees will be able to:

  1. Define the 3 HIPAA Rules:  Privacy, Breach (including HITECH), Security, and how each one impacts Business Associates.   
  2. Recognize what Billing Companies need to do to be in compliance with your business' and your clients' HIPAA policies & procedures.    
  3. Name recent enforcement actions and the different types of HIPAA violation categories and fine levels. 

The Art of Effective Reporting - Management Track
Chris Woody, Hero Reporting Tools

Session Description
Reports are most effective when they are clearly understood.  In this session, attendees will dive into three areas billing services can leverage today to help communicate data with skill. By understanding the type of information to include, how to display data to tell your story, and how to avoid reporting pitfalls, these simple reporting strategies will help your business and your clients succeed. 

Learning Objectives – By the end of this session, attendees will be able to:

  1. Recognize when to include or exclude specific elements from reports or tables.   
  2. Identify how the eye can be mislead unintentionally through poor report design.  
  3. Recall 3 areas that all good reports have in common.

5:00 pm - 6:00 pm | General Session

State of the Industry
Ted Stack, Managing Director, Falcon Capital Partners LLC

Thursday, September 13

8:30 am - 9:30 am | Concurrent Sessions

Healthcare Communication Risks - Operations Track
Ashley Morgan, JD, Senior Associate, Liles Parker, Attorneys & Clients at Law

Session Description
E-mails, voice-mails, text messages and social media -- how many ways can you get into trouble? In this session, we will discuss the various "communication risks" facing you and your health care organization, along with ways to reduce your level of risk.

Learning Objectives – By the end of this session, attendees will be able to:

  1. Explain why DOJ is focusing its prosecution efforts on individuals rather than corporations.
  2. List the various "communication risks" facing their health care organization, along with the potential fines, penalties and other adverse actions that may result from improper conduct that is communicated to another party.  
  3. Create a plan to reduce their level of risks.

Revenue Optimization: Maximizing Your Medical Coding and Documentation - Management Track
Natasha Lafayette-Jones, MBA, RHIA, Vice President of Coding Operations, Aviacode, Inc

Session Description
Medical coding is a complicated and detailed science, which has been made ever more complex with the mandates of ICD10. Each year, there are over 1,000 new, changed or deleted medical codes. An incorrect medical code or poor clinical documentation can result in less than optimal revenue – meaning no money, less money than the diagnosis warrants, compliance risks from overcoding, or delays in claims processing. Thankfully, there are a number of common medical coding and clinical documentation errors that can be prevented. Understanding what they are, gaining tips on how to improve documentation, and seeing case studies of bottomline benefits will result in a more informed medical group finance executive and practice manager.

Learning Objectives – By the end of this session, attendees will be able to:

  1. Understand coding errors and how to correct them.
  2. Improve documentation.
  3. Prevent clinical documentation errors.

Humana Updates - Payer Track

Session Description
Session Description Coming Soon!

Learning Objectives – By the end of this session, attendees will be able to:
Learning Objectives Coming Soon!

10:45 am - 11:45 am | Concurrent Sessions

Rapid RCM Best Practices and Resolutions - Operations Track
Sara Nofziger-Drew, CPB, CPC, CHBME, HealthPro Medical Billing Inc.; Suzi Hall, CHBME, Essential Billing Strategies; Roxanne Smith-Kovac, CHBME, Advanced  Pacific Medical Billing

Session Description
Access HBMA's experts at a high speed network pace! Not every process requires a Lean Six Sigma project. Sometimes a problem can be resolved or improved by accessing your network of peers. During this session, you will have access to knowledgeable industry experts in your chosen areas of need. Your peers will be right alongside you for collaboration, suggestions, and resolutions to issues and challenges you are facing in your company. With the opportunity to participate in six different 'speed' sessions in under an hour, you'll make lasting connections to continue working through challenges even after you leave the conference. Make sure to bring your business cards with you to tap into one of HBMA's most valuable resources - continual networking and learning even after you leave the conference. 

Learning Objectives – By the end of this session, attendees will be able to: 

  1. Define best practices in six key areas of revenue cycle management
  2. Discuss opportunities for optimization in your business

How Robotic Process Automation is Changing Revenue Cycle - Management Track
John Fundingsland, VP and GM Healthcare Operations, Hexaware Healthcare Technologies, and Ken Poray, Co-Founder and Chief Executive Officer, ReveMed Technologies

Session Description
In recent years, robotic process automation (RPA) technology has been applied to turbocharge revenue cycle management at leading provider organizations. These new technologies, based on RPA, are changing the game when it comes to streamlining front and back end revenue cycle management processes.  In this session, you will find out how to apply these approaches to collect more cash, at less cost, in less time.

Learning Objectives – By the end of this session, attendees will be able to:

  1. Define robotic process automation and how it differs from workflow.
  2. List techniques to combine analytics and RPA to produce labor saving operating models.
  3. Identify practical applications of RPA within their organizations.
  4. Build a business case for RPA for RCM.

Aetna Updates - Payer Track

Session Description
Session Description Coming Soon!

Learning Objectives – By the end of this session, attendees will be able to:
Learning Objectives Coming Soon!

2:00 pm - 3:00 pm | Concurrent Sessions

The Bridge Between Revenue and Compliance - Operations Track
Karna W. Morrow, CPC, RCC, AAPC, Approved AHIMA ICD10CM instructor, Director of Consulting Services, Coding Strategies

Session Description
“But will it get paid?”  is not an uncommon question within the world of healthcare.  Payors continue to trim the list of payable diagnosis codes and conditions for reimbursing procedures.  Managing the way in which the medical record is morphed into codes while being compliant requires sincere finesse.  This session is dedicated to building a solid bridge between revenue and compliance; that space where dollars are found without becoming the next major headline.

Learning Objectives – By the end of this session, attendees will be able to: 

  1. Identify specific areas within the workflow that may be unintentionally dropping dollars thru the cracks.  
  2. Leverage the code set to reduce Unlisted Procedure Codes and Additional Documentation Requests.
  3. Manage the expectations of both the patients and the providers by keeping the communication lines open.

Building Better Billers: KPI to Improve Your Competitive Edge - Management Track
Ray Jorgensen, MS, CPC, CEO & Co-Founder, RevenueHealth Systems

Session Description
How will you set your medical billing company apart from the rest? The answer is hidden in your data. This session will review sources of valuable billing data, how to decipher and organize your findings into actionable metrics for improvements. You will discover which key performance indicators (KPI) you should be tracking for your clients and which you should use to track internal performance. Learn how consistently tracking these metrics can help you increase your bottom line and rise above the competition.

Learning Objectives – By the end of this session, attendees will be able to:

  1. Identify which KPI you should be tracking in order to optimize client results. 
  2. Use data to track internal performance and increase billing efficiency.
  3. Define an action plan that puts you ahead of the competition.

Cigna Updates - Payer Track

Session Description
Session Description Coming Soon!

Learning Objectives – By the end of this session, attendees will be able to:
Learning Objectives Coming Soon!

3:15 pm - 4:15 pm | Concurrent Sessions

Denials Management: Identifying and Challenging Insurance Coverage Denials from Claim through Litigation - Operations Track
Joseph Gavin, JD, Member, Miller Johnson and Andrew Oostema, JD, Member, Miller Johnson

Session Description
Denials are a fact of life in the revenue cycle management world. Do you know how to effectively challenge them? This session will guide you through identifying, understanding, and challenging wrongful insurance denials. By understanding common coverage denials, you and your business will become more efficient and effective. From providing a high-level look at coverage litigation, attendees will also understand how litigation is occasionally the natural end to the denials management process, and how it can be used to maximize revenue in appropriate cases.

Learning Objectives – By the end of this session, attendees will be able to: 

  1. Identify and recognize strategies to challenge insurance denials in claim processing to maximize claim resolution pre-litigation and overall revenue. 
  2. Identify strategies to minimize claim disputes and maximize recovery potential if litigation becomes necessary. 
  3. Recognize and avoid common technical and procedural mistakes in denials management to ensure that, if litigation is the end result, you are prepared.   
  4. Gain an understanding of how, if handled correctly, the litigation process can be used to maximize revenue and can be effectively integrated into the revenue cycle.

Revitalize the Revenue Cycle Using Artificial Intelligence - Management Track
Michelle Durner, CHBME, President, Applied Medical Systems, Inc.; Ginger Ryder, CHBME, President, EMEDEX; and Rich Papperman, CHBME, President, Cape Medical Billing, Inc. 

Session Description
Labor costs are constantly increasing and payor challenges never ending. At this session, you will learn first hand from your HBMA peers how incorporating Artificial Intelligence as part of your Revenue Cycle operation can increase reimbursements while decreasing costs.  Real-life case studies, including a review of key outcomes and results, as well as examples of the impact to the Revenue Cycle will be provided. 

Learning Objectives – By the end of this session, attendees will be able to:

  1. Summarize the benefits of implementing Artificial Intelligence within Revenue Cycle Operations.  
  2. Identify how Artificial Intelligence can increase reimbursements.  
  3. Identify how Artificial Intelligence can decrease cost of labor.  
  4. Recognize how Artificial Intelligence uses the OODA Learning Loop to be more accurate than humans.

UnitedHealthcare Updates - Payer Track

Session Description
Session Description Coming Soon!

Learning Objectives – By the end of this session, attendees will be able to:
Learning Objectives Coming Soon!

4:30 pm - 6:00 pm | General Session

Washington Update
Bill Finerfrock, President, Capitol Associates and Director of Government Relations, HBMA

Session Description
An annual favorite, the Washington Update is your chance to hear exactly what is happening in our Nation’s Capital. Bill Finerfrock will discuss recent health policy developments and provide an update about how these changes might impact you and your clients.

Learning Objectives – By the end of this session, attendees will be able to:

  1. Identify recent legislative updates that may affect your business.
  2. Discuss how the midterm elections may impact the future of healthcare policy.
Friday, September 14

7:30 am - 8:30 am | Networking Roundtable Breakfast Discussions

8:30 am - 9:30 am | General Session

Don't Be A Slacker, Avoid The Attacker: Cyber Security Preparedness
Eric Christensen, CHCP, is the Director of Client Services at Healthcare Compliance Pros

Session Description
Scams and security breaches threaten the healthcare industry on a daily basis. This session will discuss bringing your own devices (BYOD) to work and the policies and procedures that every practice should be implementing to ensure they are protected. We will outline the steps you should take if a security incident occurs, such as a malware attack or data breach.

Learning Objectives – By the end of this session, attendees will be able to:

  1. Define Cyber Security.
  2. List ways to keep protected health information safe on mobile devices.
  3. Develop a response plan to a hack.

9:45 am - 10:45 am | Concurrent Sessions

Five Strategies Critical to Achieve Payment Assurance Through Patient Engagement -Operations Track
Alyssa Slabek, Senior Manager, InstaMed; Susan Bailie, Vice President of Operations, Healthcare Administrative Partners; and Bill Chae, Patient Operations Manager, Obility

Session Description
The last decade has seen an explosion in the number of patients who owe something after a provider visit. These increases put a burden on billing services to engage and collect from patients long after the date of service, which is especially challenging when direct communication with the patient is limited. This session will focus on how billing services can implement effective patient-engagement strategies to achieve payment assurance while also reducing overhead costs.

Learning Objectives – By the end of this session, attendees will be able to:

  1. Define current trends in healthcare payments that make patient engagement a critical area of focus for billing services.
  2. Understand best practices for collecting payment in other industries and how healthcare can leverage these for success.
  3. Identify strategies for billing services to improve the patient experience, while also reducing overhead costs and ensuring providers get paid.
  4. List the tools to enable billing services to streamline processes to reduce overhead and collect more  

Maximize Revenue for You and Your Clients Through Compliance Optimization - Management Track
Robert Hopton, MBA, Chief Executive Officer, Health eFilings  

Session Description
CMS programs, such as MIPS and CPC+, require providers to transition from a volume to value-based care model or else face significant financial risks and even reputational harm.  Given there are many commonly misunderstood aspects of these complicated and time-consuming programs, it can be challenging to know how to support and best meet your clients’ needs.  As a value-added partner, it is critical to understand the compliance landscape, including what options will optimize their scores without requiring any additional resources or time.  Since the focus is always on the bottom line, it’s imperative for you to know what solutions will enable providers to increase the financial payouts from the programs. 

Learning Objectives – By the end of this session, attendees will be able to:

  1. Define the fundamental but critical differences between reporting methodologies
  2. Understand the advantages of using a technology-based compliance solution versus a manual one
  3. Maximize the financial benefits of participating in CMS programs for both you and your clients
  4. Allocate and utilize resources efficiently to reduce the burden on your organization while supporting your clients more effectively
     

11:00 am - 12:00 pm | General Session

Innovating in Healthcare Framework
Kunal Jain, Founder and President, Practiceforces

Session Description
The idea behind innovation in healthcare ventures is to understand the drivers of change. These Six drivers of innovation are Structure, Public Policy, Technology, Accountability, consumers, and financing. Once you understand these drivers and the business model you will be able to innovate better in the healthcare business.

Learning Objectives – By the end of this session, attendees will be able to:

  1. Define three distinctly different types of health care innovations.  
  2. List the 6 drivers of change in healthcare innovation.  
  3. Describe the essential business model elements of this framework.