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Breakout
Sessions |
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1:15 pm - 2:45 pm / 3:15
pm - 4:45 pm |
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| A. "Creating
Meaningful Reports for Physicians" |
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Michael Vigoda, MD,
MBA |
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| Physician practices can
benefit from common business methods such as
strengths/weaknesses/opportunities/threat (SWOT) analysis and
performance improvement strategies. These tools require
transformation of operational data (e.g., productivity,
financial, quality) into concise reports. Review the barriers
facing physicians and administrators who attempt meaningful
communication. Transform existing data into informative
reports, recognize proven strategies for creating successful
reporting mechanisms, explain the importance of information
management, and integrate reporting into your business
objectives and your mission statement. The presentation of
many examples will give you strategies for creating
meaningful reports for physicians.
Dr. Vigoda is currently the Director,
Center for Informatics and Perioperative Management in the
Department of Anesthesia at the University of Miami. He is a
board certified pediatrician and anesthesiologist. He has
practiced pediatric anesthesia since 1994. He works in the OR
3 days/week as a pediatric anesthesiologist and 2 days/week as
the Director of the Center for Informatics. |
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| B. "Washington
Update" |
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Lisa Goldstein, JD |
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| Medical practices often
receive late and contradictory information on the actions of
Capitol Hill and the Administration affecting health care and
daily administrative burdens. This update will provide timely
information on the status of Medicare administrative
simplification, Medicare reimbursement and fraud and abuse
compliance. The presentation will also address other hot
topics under consideration by Congress and federal regulatory
agencies. Learning Objectives:
- Discover recent developments in
regulatory and legislation affecting medical groups
- Understand recent changes in Medicare
reimbursement and program policies
- Recognize the implementation status
and upcoming issues of HIPAA compliance
- Distinguish how federal regulations
(including self-referral laws and HIPAA) govern day-to-day
activities of medical group practices and what resources are
available to clarify these federal initiatives
Lisa serves as the Eastern and Southern
Section Government Affairs Representative for the Medical
Group Management Association. In this position, Lisa answers
national member questions about technical details of federal
legislative and regulatory issues and coordinates grassroots
efforts by MGMA members. She also speaks before MGMA state and
national meetings. She began her work with MGMA in April 2005.
She received her J.D. from Georgetown University Law Center in
Washington, D.C. and is a member of the New York State Bar. |
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| C. "Effective
Strategies for Auditing Payer Contracts" |
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Debbie Welle-Powell,
MPA, CMPE |
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| You want to make sure that
the deal you negotiated is the deal you got. After attending
this session, you will be able to develop tools to effectively
manage and audit your payer agreements. You want to
effectively manage, analyze and audit denials; enforce your
agreements through the effective use or mediation and
arbitration tactics while maintaining payer relationships and
develop exit strategies for badly written contracts; and
identify and troubleshoot problems frequently encountered in
the implementation of the contract from the patient financial
services, registration and management aspects of managed care.
Debbie is the Vice President of Managed
Care and Network Development for Exempla Healthcare, a large
provider system in the Denver metro area. Debbie is
responsible for the payer and employer contracting strategy
for three acute care hospitals, behavioral
inpatient/outpatient center, and a fifty employed-physician
medical group. She chairs several health policy committees,
where she is involved in testifying on health care bills as
well as working with Colorado Senators and Representatives on
developing health care policy and legislation. Debbie has
devoted considerable time to projects related to paying for
clinical quality and in January 2004 signed its first P4P
contract.
She has held leadership positions within
Medical Group Management Association, including President of
the Managed Care Assembly and member of Government Affairs
committee. She has a Masters in Public Administration with an
emphasis in health care from the University of Colorado in
Denver. |
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