3rd Annual Congress on Healthcare Payment Solutions for Providers and Payers

About the Conference

3rd Annual Congress on
Healthcare Payment Solutions for Providers and Payers
Invaluable Strategies for Increasing Revenue Cycle Productivity and Provider-Payer Collaboration to Enhance the New Healthcare Payment Process

January 26-27, 2012 • Planet Hollywood Resort & Casino • Las Vegas, NV

The passage of the healthcare reform has introduced numerous changes to the entire healthcare system, deeply affecting the providers and the payers. Due to the complexity of the reform and the incorporation of ICD-10, which entails the addition of over 30,000 new codes and becomes effective on October 1, 2013, there is an enormous amount of uncertainty in the industry. Many healthcare executives from both the provider and payer sides are concerned about critical issues, such as the new system will not operate as it has been intended to and as a result, payments might very well be impacted – new technology, forms and systems must be established, and staffing needs must be re-evaluated. Furthermore, there are a great deal of unknowns causing much confusion, resulting in a large focus on devising safeguard strategies, creating new methods in cost reduction, improving quality and enhancing efficiencies. New shifts are emerging in the industry that seek to embrace these challenges and incorporate new strategies to address these changes.

We have created a high-level forum featuring providers and payers who will share their insights and expertise on how to navigate the intricacies of healthcare reform, reduce costs, improve quality, and enhance efficacy surrounding payments. Attendees will also benefit from learning about actual case studies exemplifying the challenges that have been encountered and various effective strategies which have been employed. This impressive program will include distinguished members from highly regarded institutions comprised of hospitals, health systems, health insurers and industry experts. The content will illuminate best practices to utilize in today's rapidly evolving world which will address optimizing revenue cycle operations and enhancing the payment process to ensure correct reimbursement.

By attending the 3rd Annual Congress on Healthcare Payment Solutions for Providers and Payers on January 26 – 27, 2011 in Las Vegas, NV, you will learn what others involved within the healthcare payments arena are doing to be prepared for the challenges that lie ahead in 2012 and beyond.

Register today to reserve your seat at the conference and take advantage of early bird discounts. Call 1-800-646-9581 or register online at www.hcpayments2012.com.

We look forward to seeing you in Las Vegas!

Sincerely,

GMD Healthcare Payments Team

Who Should Attend

Senior Hospital and Healthcare Executives Responsible for:

• Patient Financial Services

• Collections

• Patient Access

• Treasury Operations

• Patient Business Services

• Controller

• Pre-Admissions

• Contracting

• Revenue Cycle

• Operations

• Revenue Management

• Provider Services

• Patient Accounts

• Financial Services

• Registration

• Finance

• Reimbursement

Senior Health Insurance Executives Responsible for:

• Strategy or Strategic Services					• Product Strategy
• Banking Integration					• Employer Relations
• Financial Services Integration					• Institutional Business
• IT/Information Systems					• Government Relations/Affairs
• E-Solutions					• Compliance and Quality
• Product Development					• Customer Solutions
• Product Management					• Client Relationships
• Consumer-Directed Health					• Business Development
• Health Savings Accounts (HSAs)

Senior Banking Executives Responsible for:

• Health Care

• Consumer-Driven Health

• Health Care Integration

• Employer/Consumer Relations

• Health Care Finance

• Business Development

This program is also geared towards vendors, consultants and solutions providers offering services or tools to assist those in the healthcare industry with the payment process.

Main Conference Workshop

Thursday, January 26, 2012
5:30 p.m. – 7:30 p.m.

An Update on Healthcare Reform and New Techniques in Preparing for ICD-10 and HIPAA Compliance

This workshop will provide an overview of Healthcare Reform and a perspective on the direction in which it is heading, and the potential impacts it might have on healthcare, health providers, payers and reimbursements.

The session will also focus on effective techniques for preparing for ICD-10 and HIPAA Compliance, and ensuring that your organization will be in an advantageous position once the new systems have been implemented.

ABOUT THE WORKSHOP LEADER:
Trahan Whitten is Principal & Director of Government Programs & Reimbursement Services at HFS Consultants. Mr. Whitten leads the Government Programs and Regulatory Reporting and Compliance Service Lines of HFS Consultants. The Regulatory group focuses on reimbursement, revenue management, risk mitigation, finance and compliance services. He specializes in reimbursement strategy validation and implementation, mergers and acquisitions, and strategic financial management. Mr. Whitten has a comprehensive understanding of the operational and financial issues surrounding a provider’s revenue and cost structure from CDM standardization, pricing, and departmental operational improvement programs to Medicare reimbursement. Mr. Whitten is the former National Managing Partner of Ernst & Young’s Government Programs, Reimbursement and Compliance Service Lines in the United States.

Prior to joining HFS, Mr. Whitten was the National Managing Partner of Ernst & Young’s Government Programs, Reimbursement and Compliance Service lines in the United States. He was awarded the 2000, 2001 & 2002 National Outstanding Practice Leadership award, both the 2004 National Innovation and Distinguished Mentor awards.

Conference Day One

Day One – Thursday, January 26, 2012

7:00	Conference Registration & Morning Breakfast
8:00	Chairperson's Opening Remarks
8:15	Keynote Presentation: The Future of Healthcare Reform and its Impact on Provider and Payer Reimbursements Mark Rumans, MD Physician-in-Chief Billings Clinic
9:00	The Pros and Cons of Facilitating Bundled Payments William Watson Director, Contracting Wellcare Health Plans
9:45	Networking Break and Refreshments
10:15	Physician and Clinical Education to Ensure Proper Coding for Quality Metrics and Reimbursement Elaine Schembari, JD, MBA Section Head, Quality & Compliance Mayo Clinic
11:00	Payment Innovation in the ACO Model Antonio Linares, MD, FAAFP Regional Vice President & National Medical Director Anthem Blue Cross
11:45	An Update on CMS Revisions and its Impact on Reimbursements Shelley Gast System Director, Managed Care Norton Healthcare
12:30	Luncheon for Speakers and Delegates
1:30	Case Study: Establishing Clinical Integration to Improve Quality and Lower Costs Jay Bishop Director, Clinical Programs Baptist Physician Alliance
2:15	Managing Denials for Reimbursements: Strategies for Measuring, Trending and Resolving Self-Inflicted and Payer-Initiated Denials Michael Taylor Regional Director, Patient Health Services Sutter Health Sacramento Sierra Region
3:00	Networking Break and Refreshments
3:30	Alternative Reimbursement Methods and Payment Structures Steven Thompson Director, Network Optimization & Innovation Blue Cross and Blue Shield Minnesota Sean Burns Director, Network Performance, Pricing & Interplan Management Blue Cross and Blue Shield Minnesota
4:15	Benefits of Administrative Simplification for Enhanced Revenue Cycle and Payment Processing Jim McNiff Associate VP, Health Service Receivables Montefiore Medical Center
5:00	End of Day One

Conference Day Two

Day Two – Friday, January 27, 2012

7:30	Morning Breakfast
8:30	Recap of Day One
8:45	New Trends: How the Provider and Payer Can Collaborate to Manage Care and Costs Sandra McAnallen Senior Vice President, Clinical Affairs & Quality Performance UPMC Health Plan
9:15	Fraudulent Payment Detection and Prevention Jean Sexton Area Director, Special Investigations Humana
10:00	Networking Break and Refreshments
10:30	Patient-Centered Revenue Cycle Amidst the Implications of Healthcare Reform Lyman Sornberger Executive Director, Revenue Cycle Management Cleveland Clinic
11:15	Case Study: “Patient Portion Pricer” Implementation at Emory Clinic Andrew Rowles Project Manager, Patient Financial Services Emory Clinic
12:00	Conference Concludes

Speaking Faculty

William Watson
Director, Contracting
Wellcare Health Plans

Jean Sexton
Area Director, Special Investigations
Humana

John McLean
Director, Contracting, Managed Care & Payor Relations
Penn Medicine

Sean Burns
Director, Network Performance, Pricing & Interplan Management
Blue Cross and Blue Shield Minnesota

Steven Thompson
Director, Network Optimization & Innovation
Blue Cross and Blue Shield Minnesota

Antonio Linares, MD, FAAFP
Regional Vice President & National Medical Director
Anthem Blue Cross

Lyman Sornberger
Executive Director, Revenue Cycle Management
Cleveland Clinic

Sandra McAnallen
Senior Vice President, Clinical Affairs & Quality Performance
UPMC Health Plan

Jim McNiff
Associate VP, Health Service Receivables
Montefiore Medical Center

Antoinette Box
Manager, Provider Operations & Business Engineering
Regence Group

Yvonne Focke
Director, Revenue Cycle & Integrated Care Services
St. Elizabeth Healthcare

Jay Bishop
Director, Clinical Programs
Baptist Physician Alliance

Elaine Schembari, JD, MBA
Section Head, Quality & Compliance
Mayo Clinic

Shelley Gast
System Director, Managed Care
Norton Healthcare

Andrew Rowles
Project Manager, Patient Financial Services
Emory Clinic

Mark Rumans, MD
Physician-in-Chief
Billings Clinic

Cynthia Trapp
Director, Professional Coding & Coding Education
Lahey Clinic Hospital

Jannifer Harper, MD, CPE
Vice President, Medical Operations
Blue Cross and Blue Shield of Florida

Michael Taylor
Regional Director, Patient Health Services
Sutter Health Sacramento Sierra Region

Trahan Whitten
Principal & Director of Government Programs & Reimbursement Services
HFS Consultants

Venue and Pricing

Hospital/Health Systems/Health Plans	Register by January 26, 2012
Conference Only	$995
Conference & Workshop	$1195

Solution Providers/Vendors	Register by January 26, 2012
Conference Only	$1295
Conference & Workshop	$1495

Venue:

Planet Hollywood Resort & Casino
3667 Las Vegas Blvd S
Las Vegas, Nevada 89109
877-244-9474

*Mention Priority Code 'Global Media Dynamics' to get the discounted rate of $99/night.

Sponsors & Exhibitors

For sponsorship opportunities please contact Justin Sanders at 800-646-9581 or email him at jsanders@globalmediadynamics.com

Media Partners

Healthcare Finance News is the leading industry news source, offering healthcare financial managers the comprehensive coverage they require of today’s unprecedented financial challenges. Content is published in print and online, as well as through mobile and social media platforms. News coverage includes revenue cycle management, capital finance, compliance, denials management, labor and payer relations, as well as vendor and provider news. Healthcare Finance News is read on all media platforms by CFOs, VPs Finance, C-suite and other financial management at hospitals, medical/surgical clinics and group practices, healthcare payers and more.

With a focus on provider reimbursement and how IT can be leveraged to improve accuracy and efficiency in payer networks, Healthcare Payer News offers health insurance executives original industry news and other content online as well as through mobile and social media platforms. News coverage includes government regulations and policy, CMS, medical banking, public and private reimbursement, and public and private contracts. Healthcare Payer News is read on all media platforms by executive management at health insurance companies, health plan organizations and third party administrator groups.

To become to a supporting partner, please contact Jack Parrish at 800-646-9581 or email him at jparrish@globalmediadynamics.com

3rd Annual Congress on
Healthcare Payment Solutions for Providers and Payers

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3rd Annual Congress onHealthcare Payment Solutions for Providers and Payers

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3rd Annual Congress on
Healthcare Payment Solutions for Providers and Payers