Nat'l Physician Advisor and Utilization Review Boot Camp VII Features Learn the Basics of Medicare, CDI, P2P & Denial Prevention; Early Bird Ends on Friday 6/28
Medicare Advantage: Building Blocks of Contracting, Provider Sponsored MA Plans, and the Ongoing Denial Challenges
|
- An In-person plus Live Webstreamed Event
- Co-Produced by the RAC Summit & AR Systems, Inc.
- July 29 - 31, 2019
- Onsite at the Hyatt Regency on Capitol Hill, Washington, DC
- Online Live and Archived Webcast
- www.RACSummit.com
PRESS RELEASE
Phone: 800-503-0188
Email: registration@hcconferences.com
Website: www.RACSummit.com |
EARLY BIRD REGISTRATION
- SAVE UP TO $300 -
|
Register by Friday, June 28, 2019 and save up to $300.
Click here to register.
|
|
FEATURING LEARN THE BASICS
|
MEDICARE 101 - A,B,C, D
|
Day Egusquiza
President and Founder, AR Systems, Inc. and Patient Financial Navigator Foundation, Inc., Twin Falls, ID
|
|
CDI 101
|
Timothy Brundage, MD, CCDS
Medical Director, Brundage Group, Saint Petersburg, FL
|
|
P2P 101 - PROVIDER AND PAYER
|
Diana L. Cokingtin, MD
Medical Director, Customer Experience, Change Healthcare, Formerly 23 years in Managed Care with BCBSKC, Coventry, Aetna and Molina, Leawood, KS |
Maria Johar, MD, MBA
Physician Advisor, Toledo, OH
|
|
DENIAL
PREVENTION
|
DeVonne Grizzle, RN, MSN, CCM
Vice President of Case Management, Post-Acute Services, & CarePledge Alliance (ACO), Quorum Health, Fort Smith, AR
|
|
APPEALS 101 -
INTERNAL
|
Jennifer Bartlett
Clinical Appeals & Denials Coordinator, Infirmary Health, Former Coordinator Of Patient Financial Services, Infirmary Health, Mobile, AL
|
|
BACK-END DENIAL WORK - KEY ACTION ITEMS PLUS APPEAL WRITING 101
|
Ed Norwood
President and CEO, ERN Enterprises, Inc., President, National Council of Reimbursement Advocacy (NCRA), CCO, The Reimbursement Advocacy Firm (TRAF), Cypress, CA
|
|
|
WASHINGTON DC USA -- RAC UPDATE NEWS SERVICE -- JUNE 6, 2019: The National RAC Summit, www.RACSummit.com, in partnership with Day Egusquiza and AR Systems, Inc., are offering the 2019 Seventh National Physician Advisor and Utilization Review Boot Camp on July 29 - 31, 2019 at the Hyatt Regency on Capitol Hill in Washington, DC. Registrants may attend the event in person or online (live webcast and archived for 6 months).
|
|
THE SEVENTH NATIONAL PHYSICIAN ADVISOR AND UTILIZATION REVIEW BOOT CAMP
Medicare Advantage: Building Blocks of Contracting, Provider Sponsored MA Plans, and the Ongoing Denial Challenges
|
|
July 29 - 31, 2019
|
ONSITE ATTENDANCE
Hyatt Regency on Capitol Hill
Washington, DC
|
WEBCAST ATTENDANCE
Live and Archived
for 6 months
|
Co-Produced by the National RAC Summit
and AR Systems, Inc.
|
CONFERENCE CHAIR
|
Day Egusquiza
President and Founder, AR Systems, Inc. and Patient
Financial Navigator Foundation, Inc., Twin Falls, ID
|
AGENDA AT-A-GLANCE
|
1:00 pm
|
PRECONFERENCE SESSION: BASICS 101
|
5:00 pm
|
PRECONFERENCE ADJOURNMENT / OPENING RECEPTION
|
7:00 am |
REGISTRATION OPENS
|
8:00 am |
DAY II: MORNING PLENARY SESSION (8:00 am - 10:25 am)
Welcome, Audience Response, and Outline of the Boot Camp
What Does Disruption in Healthcare Look Like?
Regulatory Updates
|
10:25 am |
NETWORKING BREAK IN EXHIBIT HALL
|
10:50 am |
DAY II: MEDICARE ADVANTAGE OVERVIEW (10:50 am - 3:00 pm)
All Things MA
Understanding Audit Risk Adjustments, Provider Networks, and CMS's Oversight Responsibilities
Morning Faculty Q&A Panel
Working Lunch - Networking Tables & Case Studies
Presentation of Case Studies
Managed Care Anguish
Medicare Advantage - a Patient Perspective
|
3:00 pm |
BREAK
|
3:20 pm |
DAY II: BUILDING BLOCKS OF CONTRACTING (3:20 - 6:30 pm)
Value Based and Hot Contract Issues- Payer
Key Revenue Cycle Elements
When Not to Contract - What To Consider.
CMS Guidance: What If You Are Not Contacted with a MA Plan?
Hot Contracting Issues - Provider Perspective
Next Generation of Contracting
What 3 Things MA Plans Don't Want You to Know
Afternoon Faculty Q&A Panel
|
6:30 pm |
DUTCH DINNER WITH FACULTY
PLUS NEW THIS YEAR: DINING WITH DYNAMO WOMEN - THE POWER OF ONE
|
7:00 am |
TABLE TALK WITH FACULTY
Building a Clinical Denial Prevention Program
Revenue Integration of Revenue Cycle with Case Mgt
Breakfast with the Lawyers
The MA's Inpatient Only List
Documentation to Optimize Mortality Metric Tracking
Medicare Advantage and Documentation Demands
Digital and Reimbursement Consultant
|
8:00 am |
CLOSING PLENARY SESSION (8:00 am - 12:30 pm)
Learn About Your Own Patient Financial Navigator Program
|
8:20 am |
CASE STUDIES - 2 PROVIDER SPONSORED PLANS: LESSONS LEARNED: HOW TO, INTERNAL CHALLENGES, SUCCESSES, ONGOING EXCITING CHANGES
Cone Health
Memorial Hermann
|
9:20 am |
DENIAL ANGUISH
Flash Back - Bounce Forward - Ongoing Denial Challenges with MA Plans
New Provider - Payer Relationship Potential
|
10:20 am |
BREAK
|
11:00 am |
APPEAL STRATEGIES
Regulatory Complaint Process with CMS. (includes case studies)
Hot Legal Issues with MA Plans
|
12:00 pm |
MORNING FACULTY Q&A PANEL
|
12:20 pm |
LAST THOUGHTS - HUMOR IN ALL THINGS
|
12:30 pm |
ADJOURNMENT
|
|
FEATURED FACULTY
|
Mike Adelberg
Principal, Faegre Baker Daniels Consulting; Former Director of Medicare Advantage Operations and Former Acting Director of Exchange Policy and Operations, Centers for Medicare and Medicaid Services, Washington, DC |
Alyse Adelstein
Digital and Reimbursement Consultant |
Marlene Allen, MBA, CHA, CHCO
Compliance Internal Auditor/HIPAA Privacy Officer, Harrisburg Medical Center, Inc., Harrisburg, IL
|
R. Phillip Baker, MD
Physician Advisor, Self Regional Healthcare, Greenwood, SC |
Jennifer Bartlett
Clinical Appeals & Denials Coordinator, Infirmary Health, Former Coordinator Of Patient Financial Services, Infirmary Health, Mobile, AL |
Timothy Brundage, MD, CCDS
Medical Director, Brundage Group, Saint Petersburg, FL
|
Diana L. Cokingtin, MD
Medical Director, Customer Experience, Change Healthcare, Formerly 23 years in managed care with BCBSKC, Coventry, Aetna and Molina, Leawood, KS |
Ernie de los Santos
Founder & Faculty Chair at Appeal Academy, Former Creator & Chief Architect, The RAC Shadow Agency, San Antonio, TX |
Day Egusquiza
President and Founder, AR Systems, Inc. and Patient Financial Navigator Foundation, Inc., Twin Falls, ID
|
DeVonne Grizzle, RN, MSN, CCM
Vice President of Case Management, Post-Acute Services, & CarePledge Alliance (ACO), Quorum Health, Fort Smith, AR |
Jessica L. Gustafson, Esq.
Founding Shareholder, The Health Law Partners, Farmington Hills, MI |
Ronald Hirsch, MD, FACP
Vice President, Regulations and Education Group, R1 RCM Inc., Chicago, IL
|
Gary Jacobs
Managing Partner, Circumference Consulting, Alexandria, VA |
Maria Johar, MD, MBA
Physician Advisor, Toledo, OH |
Michele Marcum, CHFP
Senior Contract Specialist, Saint Alphonsus Health System and Saint Alphonsus Health Alliance, Formerly in Network Development and Contracting with Humana and Aetna, Boise, ID
|
John Montaine, MBA, FHFMA, HRM
Chief Executive Officer, Creative Managed Care Solutions, LLC, San Antonio, TX |
Steve Neorr, MBA
Senior Vice President, Cone Health, Chief Administrative Officer, Triad HealthCare Network, President, HealthTeam Advantage, Greensboro, NC |
Ed Norwood
President and CEO, ERN Enterprises, Inc., President, National Council of Reimbursement Advocacy (NCRA), and CCO, The Reimbursement Advocacy Firm (TRAF), Cypress, CA
|
Abby Pendleton, Esq.
Founding Shareholder, The Health Law Partners, Farmington Hills, MI |
Jamie Reynoso
Chief Executive Officer, Memorial Hermann Health Solutions, Inc., Houston, TX
|
|
TESTIMONIALS FROM PREVIOUS PHYSICIAN ADVISOR
- UR BOOT CAMPS
|
- I have been completely blown away by this conference. This was put together professionally and with great thought. Thank you for doing this Boot Camp and being willing to educate us! Day Egusquiza, you are an exceptional chair!!
- Rarely, if ever, have I attended a conference with such consistently good speakers.
- The content was consistently PA-UR but the varied perspectives of speakers provided a 360 degree approach -- excellent!
- I believe a lot -- a whole lot -- of the excellent feedback is due to the thorough planning and the professional execution of The Boot Camp. The participants both in person and online were treated respectfully. I have attended more than 100 CME conferences over 35 years and respect for the audience's needs and time was lacking in most.
- Congrats to you both for putting together the best PA conference I've ever attended, and I've attended quite a few!
- First of all, thank you for a wonderful educational opportunity. I learned so much. More appropriately it confirmed much of what I already thought and envision for my institution. Perhaps I can use this knowledge and new found energy to bring my administrators along into this "new age" a bit more quickly and with some urgency.
- Thx for info today - can't wait to go back to my system and help "tell the story from the beginning"
- Really liked the case studies over lunch and going over them after
- Fantastic conference - can't wait to go to another one!
|
|
|
|
|
|
THE SEVENTH NATIONAL PHYSICIAN ADVISOR
AND UTILIZATION REVIEW BOOT CAMP
July 29 - 31, 2019
|
ONSITE
Hyatt Regency on Capitol Hill
Washington, DC
|
OR |
WEBCAST ATTENDANCE
In your own office or home live via the Internet
with 24/7 access for six months
|
|
|
|
PARTICIPATION OPTIONS
|
TRADITIONAL ONSITE ATTENDANCE
|
Simply register, travel to the conference city and attend in person.
Pros: subject matter immersion; professional networking opportunities; faculty interaction
|
|
|
|
LIVE AND ARCHIVED WEBCAST ATTENDANCE
|
|
|
|
|