Illinois Chapter Spring Meeting Thursday, March 12, 2015 8:00 a.m. to 8:45 a.m. Registration opens & continental breakfast 8:45 a.m. to 9:00 a.m. General membership meeting 9:00 a.m. – 10:30 a.m. Today’s Business Office Model: Streamlined Staffing and Productivity Presented by: Lori Zindl, President OS inc. With ICD-10 and the many upcoming changes in healthcare reimbursement, revenue cycle management has never been more closely tied to a provider’s financial viability. A weak RCM strategy today will be nothing short of a disaster next year at this time. This session will focus on identifying opportunities to improve RCM performance and productivity now, allowing for reallocation of FTE to meet the ICD-10 challenges head on. Topics will include: FTE calculators for business office personnel, productivity standards, performance matrixes and deciding which investments in technology are necessary in RCM to achieve long term success. SPEAKER BIO: An entrepreneur and industry leader, Lori Zindl built OS inc. on the principles of valuing both clients and employees equally. Under her direction, OS inc. has become a foremost authority in revenue cycle management for hospitals, clinics and healthcare institutions. Lori has more than 20 years of experience in the revenue cycle management field and is a nationally recognized speaker, seminar leader, consultant and trainer. She is currently serving on the Wisconsin Hospital Association ICD-10 task force helping providers manage the upcoming changes and associated effects. Lori and her team spearheaded the development of efficientC®, OS inc.'s state-ofthe-art proprietary claim processing software. Building on the success of efficientC, strong client partnerships, a talented staff and proven business philosophies, OS inc. effectively manages more than $3 billion in client receivables. 10:30 a.m. to 10:45 a.m. Break 10:45 a.m. – 12:00 p.m. Illinois Medicaid changes to EAPGs and Medicare changes to APCs for 2015: Understand the Impact on Your Organization Presented by: David Fee, Content Manager, Applied Research Group 3M Health Information Systems Payment reform is a major theme for healthcare. We see clear examples of that in Illinois with IL Medicaid transitioning to 3M Enhanced Ambulatory Patient Groupings (EAPGs) and in the changes Medicare is making to APCs. This session will provide background on 3M EAPGs, and how they work to calculate payment. The session will describe the methodology used to build the system, and will also address bundling and payment, and the impact of modifiers and the Illinois ambulatory procedure list (APL). Attendees will also learn about major changes to the Medicare Outpatient Prospective Payment System (OPPS), including the new comprehensive APCs (C-APCs), the dramatic increase in packaging of services for Medicare payment, and impact on processes that need to be reviewed. The session will also describe new modifiers introduced by CMS and changes to medically unlikely edits (MUEs). SPEAKER BIO: As a content manager with the Applied Research Group for 3M Health Information Systems, Dave Fee is responsible for: Understanding agency regulations Providing industry and internal education on outpatient payment methodologies, including Medicare’s OPPS with APCs and 3M™ Enhanced Ambulatory Patient Grouping System™ (EAPGs) Identifying customer needs for product development Helping agencies understand and implement 3M EAPG-based payment systems Working with product development to translate needs to enhancing existing products and developing new products Dave works with technical development teams to create 3M software for ambulatory care products that assist hospital efforts to generate compliant and complete claims, and to validate accuracy of payment for outpatient claims. These products include APC and 3M Enhanced APG (EAPG) classification systems, including related reimbursement and editing modules. Dave has been involved with outpatient prospective payment (OPPS) since Iowa Medicaid implemented Ambulatory Patient Groups in 1994. He has been a speaker at national conferences, including AHIMA, HFMA, and the American College of Healthcare Executives, and has published articles on the topics of APCs, outpatient prospective payment, and related subjects in a number of industry publications. He received his M.B.A. from Brigham Young University in Utah. 12:00 p.m. to 12:45 p.m. Lunch 12:45 p.m. – 1:15 p.m. AAHAM Certification Trivia Presented by: John Currier, CRCE Revenue Cycle Director Gibson Area Hospital SPEAKER BIO: John is the Executive Director of Revenue Cycle Management for Gibson Area Hospital & Health Services in Gibson City, IL. John has been in healthcare management for 25+ years, dealing in Revenue Cycle Management (for hospital & physicians). Besides his current duties, John spends a great deal of time doing presentations on customer service, motivation and team building throughout the county. John holds a BS in Education from IL State University and a MS in administration from the University of IL at Springfield. A father of 4 and a grandfather of 9, his number one priority is family. John is currently the National AAHAM First VicePresident. 1:15 p.m. – 2:30 p.m. 5 Things Government Payors Don’t Want You to Know Presented by: Ed Norwood, President ERN/The National Council of Reimbursement Advocacy (NCRA) We are in a war. A war to preserve patient access to care. A war to advocate for medically appropriate healthcare for patients. So if you are having difficulty getting government claims paid, more than likely you are fighting with the wrong weapons. As advocates, we have a right to demand substantiation of payer action or inaction. In this powerful half day session, you will learn: 1. How to request internal VA and CMS prompt payment policies, directives and Standard Operating Procedures under the Freedom of Information Act. 2. Federal laws that statutorily deem poststabilization services authorized when VA and Medicare Advantage Plans (MAO) fail to respond to authorization request timely. 3. Federal timeframes for VA and MAO emergency reimbursement and appeals. 4. How to challenge Medicare untimely payment and date of death errors that result in improper denials. 5. How to overcome Observation vs Inpatient Denials AND MORE! SPEAKER BIO: President of ERN/The National Council of Reimbursement Advocacy. He has been recognized as a unique and distinctive authority in transitional leadership and administrative laws that govern the healthcare delivery process. Few have blazed the trail of success in the same inimitable style as Ed. With an entrepreneurial story which is both entertaining and inspiring, Ed has a seasoned, realistic perspective that inspires people: “It’s never too late to become what they might have been” (Eliot.) Multi-faceted, with a creative ability to inspire his audience, Ed combines his healthcare influence and expertise with his passion to help providers advocate for medically appropriate healthcare pursuant to Wickline v. State of California (1986) 192 Cal. App. 3d 1630 [239 Cal. Rptr. 810.] 2:30 p.m. to 2:45 p.m. Break 2:45 p.m. – 4:15 p.m. 5 Things Government Payors Don’t Want You to Know (continued) Presented by: Ed Norwood, President ERN/The National Council of Reimbursement Advocacy (NCRA) 4:15 p.m. to 4:30 p.m. Q & A and Adjourn Illinois Chapter SPRING MEETING LOCATION INFO When: Where: Hotel Phone #: Room Cost: Rooms blocked until: Wednesday, March 12, 2015 Hawthorn Suites by Wyndham 101 Trade Centre Drive Champaign, IL 61820 (217) 398-3400 $99.00 + tax (king) or $104.99 + tax (2 double beds) February 19, 2015 Room Block ID: CG11IL Meeting Cost: $50.00 (AAHAM members) $75.00 (non-members) Meeting attire: Business casual Click to register on-line at www.illinoisaaham.com Illinois Chapter SPRING MEETING REGISTRATION Please provide us with your registration information: Name: Title: Company Name: Company Address: Phone: ( ) E-mail: Certified: Yes No If certified please indicate which: Are you a member of AAHAM? Is this your first IL AAHAM meeting? Did you register on-line? CRCE Yes No Yes No Yes No CRCP CRCS CCT Membership # _____________ Cancellation policy is 72 hours from date of event for full refund. Registration deadline is Monday, March 9, 2015. Please send your payment by Monday, March 9, 2015. Please make checks payable to IL AAHAM and mail your registration form and payment to: Maria Orwig 26285 Oak Leaf Lane Canton, IL 61520 e-mail: [email protected] Illinois Chapter MEETING AGENDA Wednesday, March 11, 2015 6:00 p.m. Board Meeting Thursday, March 12, 2015 8:00 - 8:45 a.m. Registration & continental breakfast 8:45 - 9:00 a.m. General membership meeting 9:00 - 10:30 a.m. Today’s Business Office Model: Streamlined Staffing & Productivity presented by Lori Zindl, President, Os inc. 10:30 - 10:45 a.m. Break 10:45 - 12:00 p.m. Illinois Medicaid changes to EAPGs and Medicare changes to APCs for 2015: Understand the Impact on your Organization presented by David Fee, Content Manager, Applied Research, 3M Health Information Systems 12:00 - 12:45 p.m. Lunch 12:45 - 1:15 p.m. AAHAM Certification Trivia presented by John Currier, Revenue Cycle Director, Gibson Area Hospital 1:15 - 2:30 p.m. 5 Things Government Payors Don’t Want You To Know presented by Ed Norwood, President, ERN/The National Council of Reimbursement Advocacy 2:30 - 2:45 p.m. Break 2:45 - 4:15 p.m. 5 Things Government Payors Don’t Want You To Know (continued) presented by Ed Norwood, President, ERN/The National Council of Reimbursement Advocacy 4:15 - 4:30 p.m. Q & A – Adjourn
© Copyright 2024