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Wednesday | Thursday | Friday

 

Wednesday, September 8

1:00 - 1:45 p.m. Annual Member Business Meeting


1:45 - 2:00 p.m. Break

2:00 - 3:30 p.m. Opening Session
HBMA President's Address

Emily Osetek, CHBME, COO, Pettigrew

Keynote: How To Screw Up, Stress Out & Get Nothing Done!
Steve Bedwell, M.D.
HBMA thanks our Keynote Sponsor WAYSTAR

Session Description
To succeed, we need to understand why we sometimes fail. Dr. Steve offers an hilarious, highly-interactive masterclass in missing the obvious, distressing yourself and procrastinating like a pro! Drawing inspiration from a ping-pong ball, a dead housefly and Shania Twain, he’ll make you laugh harder during a healthcare meeting than you ever thought possible. 

Then, after this roller coaster ride of “grab ’em by the eyeballs” fun, you’ll learn Habit Hacking: A three step system for avoiding burnout and responding to leadership (and personal) challenges more mindfully. Effective, science-smart tactics explained in such straightforward terms that you can put them to work immediately; powerful and time- effïcient.  Expect a speech that’s riveting, provocative and explosively funny...and then watch Dr. Steve exceed your expectations. 
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3:30 - 3:45 p.m. Break

3:45 - 4:45 p.m. Concurrent Sessions

How to Hire a Successful and Diverse Remote Workforce
Michele Howard, District Manager, Performance Resources

Session Description
By now, most of us have experienced a wide range of both successes and failures with moving our workforce to remote status. We are learning that some people thrive when working from home, some don’t do well at all and many lie in the range between, doing it, but not loving it and not performing at the same levels they experienced in the more traditional “work setting.”  While this makes sense intuitively, something surprising has emerged: The people performing well at home are not necessarily the same people who performed well in their previous work setting! In addition, some of the previous middle to low performers have raised their level of performance considerably, thriving in their remote work environment. How does this happen and where do successful remote workers come from?   Wouldn’t it be useful to know, in advance, the key differences between all types and styles of workers? Wouldn’t it be useful to know who needs to get back in the office and who should continue to work from home for maximum productivity while keeping in mind, safety?  In this session you will create a roadmap to guide your efforts as you steer your business through our current challenges with developing a remote workforce or a safe mix of remote and traditional work. We will show you new ways to expand your search for new hires, ensuring everyone has access to your jobs. You will learn how to match a candidate to the correct job, predicting who will thrive in each type of work setting and determine the probable success of your rehires or new hires.

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

  • List each step in your current hiring/rehiring process, starting with the job opening all the way through hiring and onboarding.
  • Determine missing steps in your current hiring process and prioritize the implementation of the missing steps. Which steps do you hope to implement first?
  • List 3 types of tools to help you evaluate who will succeed in the different work environments.
  • List 3 ways to expand where you normally look for remote or traditional workers 

Surprise Medical Bill Laws: The Good, the Bad, and the Ugly
Thomas LaGreca, Esq., Executive Director of Medical Revenue Recovery, Callagy Law
 

Session Description
As a result of patients facing substantial balance bills from out-of-network providers for emergency or inadvertent out-of-network services, states across the country, as well as the federal government, have enacted legislation addressing these “surprise medical bills.”  The only thing they tend to have in common is their protections of the patient, whereby they seek to have the patient treated as if the services they received were in-network services.  They have the overarching benefit to medical providers of removing the necessity of obtaining the health insurance plan of the patient, which can be more than challenging when the patient is seen in an emergent or inadvertent context.  These laws vary widely, however, in terms of the standard and the mechanisms for reimbursing the out-of-network medical provider.  Some are good; some are bad; some are ugly.  This presentation focuses on which laws fall into one category or the other category, and why.  It will also assist in establishing appropriate processes for dealing with this novel line of medical revenue recovery.

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

  • Identify the types of claims subject to these new laws.
  • Define the action steps necessary to pursue appropriate recovery in a timely manner.
  • Recognize and overcome the pitfalls and shortcomings in particular laws.

4:45 - 5:00 p.m. Break

5:00 - 6:00 p.m. Concurrent Sessions


Incorporating Telehealth and Remote Patient Monitoring Into Your Business Portfolio
 
Session Description
COVID changed the way that both providers and patients think about care delivery. Now, more than ever, offering care through multiple delivery channels has become a critical function to both patient satisfaction and the future growth of your clients' practices. Learn how you can confidently incorporate remote patient visits and monitoring into your business portfolio so you can increase your practices' bottom line.
 
Learning Objectives – By the end of this session, attendees will be able to:
  • Understand of new and emerging technology 
  • Speak confidently about RPM 
  • Advise their clients on the best way to proceed when speaking with their practices about RPM

Maximizing Revenue for You and Your Clients through MIPS Compliance Optimization
Sarah Reiter, SVP of Strategic Partnerships, Health eFilings
 

Session Description
MIPS reporting is extremely complicated and failure to comply or earn enough points to avoid a penalty will be financially detrimental to a practice.  Yet, there are still many commonly misunderstood aspects of MIPS and many nuances of how to earn points.  And, it can be challenging to know exactly what you can do to help your clients earn MIPS points and protect their Medicare reimbursements.  Health eFilings, the national leader in automated MIPS reporting, will present critical information about the different reporting methodologies and the impact on your clients ability to maximize reimbursements and protect the bottom line.  And, will provide information on what resources and expertise are required of you and your clients to impact the results.

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

  • Define the financial risks and significance of the MIPS program
  • Define fundamental, but critical, differences between reporting methodologies
  • Identify strategies for you and your clients to maximize revenue through MIPS
  • Explain the advantages of using a technology-based compliance solution vs. a manual one

6:00 - 7:00 p.m. Reception in Exhibit Hall

Thursday, September 9

8:30 - 9:00 a.m. Breakfast in Exhibit Hall

9:00 - 10:00 a.m. General Session

Identifying Your Preferred Impact Around Diversity, Equity and Inclusion

 

Session Description
The workplace is changing rapidly and more than ever before workplace culture and human dynamics have moved to the forefront for business leaders. This shift includes more businesses defining their values and goals for diversity, equity and inclusion or DEI. Leaders are recognizing how DEI supports business prosperity and attracts the next generation of leadership. In this interactive session we will define DEI terminology and best practices, and help leaders identify their preferred DEI impact, creating an enhanced vision for their company’s future.

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

  • Define DEI terminology and best practices
  • Identify their preferred DEI impact
  • Create an enhanced vision for their company’s future

10:00 - 10:45 a.m. Networking in Exhibit Hall

10:45 - 11:45 a.m. Concurrent Sessions

Medical Billing Fraud and Dangers to Billing Companies under the False Claims Act

Landon Tooke, Chief Operating Officer and Chief Compliance Officer, Impact Healthcare Solutions

Session Description
This program begins with a presentation of brief case studies of the seven largest medical billing fraud enforcement actions of 2020.  Attendees will learn about key elements of a false claim, recently established legal theories under which one can be charged with violating the False Claims Act, and penalties available to law enforcement under the False Claims Act and Civil Monetary Penalties Law. The program will address the areas of the law under which a medical billing company is at highest risk, including client activities that can create culpability for a medical billing company. Specifically, the program will examine the definition of a false claim and the materiality of a claim. Attendees will learn about the implied false certification theory and reverse false claims. Finally, the program will present some risk mitigation strategies.

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

  • Outline the elements of a false claim and learn to identify potential liability
  • Identify new ways that law enforcement agencies are prosecuting false claims
  • Define the most common risk areas for billing companies
  • Implement the controls that are best for mitigating risk of false claims.

Outpatient Visit Coding: How to Conduct a Post-Implementation Audit 

Jenny P. Studdard, BA, CCS-P, CPC, CPCO, RCC, Compliance Director, Revenue Cycle Coding Strategies

Session Description
2021 has ushered in a host of transformations including significant changes to coding and documentation for outpatient evaluation and management visits.  After following the same rules for over 20 years, old habits whether good or bad can be hard to break, which may result in potential compliance or financial risks.  Even with simplified coding and documentation guidelines, the importance of internal auditing and education is not diminished.  This presentation will look at how to assess your practice post implementation.  The session will focus on code selection methodology including key risk areas pertinent to coding based on time or medical decision making.  Time will also be spent discussing key reminders for quality documentation with a focus on ever important medical necessity.  Discussions will include the importance of conducting a baseline audit, identifying potential trends and delivering valuable feedback and education to your providers.

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

  • Define pertinent compliance and financial risk areas related to each coding methodology  
  • Outline areas of interest specific to documentation practices and medical necessity 
  • Identify best practice recommendations for baseline auditing and trend analysis 
  • Examine methodologies for effective feedback and education strategies 

11:45 a.m. - 12:15 p.m. HBMA Awards Ceremony

11:45 a.m. - 1:15 p.m. Lunch in Exhibit Hall

1:15 - 2:15 p.m. Concurrent Sessions

Compliant Audits: Best Practices for Successful Outcomes and High Reliability
Paul Kim, JD, MPH, Sung Hwang & Kim, and Christina Krueckeberg, Director of Risk Management, Luthern Hospital
 

Session Description coming soon!


Don´t Manage What You Can Prevent: 4 Steps to End Persistent Denials
Linda Perryclear, Provider Product Line Director, Availity   
 

Session Description
Addressing and fixing denials is an important part of the revenue cycle process. It saves your practice time and money, and it can improve patient satisfaction. But if you’re only focused on appealing denials, you’re missing a real opportunity to streamline your workflow.   According to multiple industry sources, 80-90% of denials are preventable, which means you’re likely spending a lot of time managing something that you could potentially eliminate—or at least significantly reduce. But to do that, you need to get to the root cause of why your practice’s claims are being denied in the first place. To prevent denials, you need to analyze denial patterns and put processes in place to prevent them going forward. In this session, you'll learn how to build and maintain a proactive process to break the cycle of recurring denials.

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

  • Identify how to proactively prevent denials instead of managing them 
  • Identify consultative and do-it-yourself models for denial prevention 
  • Recognize opportunities for improvement within your own billing process through case studies from your peers 

2:15 - 3:00 p.m. Networking in Exhibit Hall

3:00 - 4:00 p.m. Concurrent Sessions

CAQH CORE Operating Rules: How Healthcare Business Rules Support Administrative Simplification and Interoperability Goals

Robert Bowman, Director, CAQH CORE, and Erin Weber, Director, CAQH CORE

Session Description
The healthcare industry is moving towards a more interoperable ecosystem, making clinical and administrative data seamlessly accessible for optimal delivery of patient care. CAQH CORE engages with healthcare industry leaders to write operating rules to standardize revenue cycle processes. CAQH CORE is the HHS-designated national operating rule author to improve the accuracy and effectiveness of industry-driven business transactions. Healthcare operating rules significantly improve revenue cycle performance through real time communications, delivery of robust patient financial information, and easier reassociation of electronic payments and remittances. As new operating rules are published and existing ones are updated, CAQH CORE ensures all industry stakeholders benefit regardless of where they are in the technology spectrum. CAQH CORE is also working to solve current and upcoming industry challenges including telemedicine, prior authorization, and how emerging standards like FHIR and APIs can better integrate patient data. This session will demonstrate how delivery of great patient care can be achieved with less administrative frustration through operating rules. If you work in revenue cycle management, professional billing, accounts receivable, electronic medical record services, and practice management functions, this session is for you.

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

  • Define how HBMA and your organization can contribute to the development of healthcare operating rules to enhance your most challenging business processes.
  • Work with health plans and trading partners to ensure provider organizations are benefiting from healthcare operating rules for more a more efficient revenue cycle from patient registration through collections. 
  • Identify how gaps between entities using legacy and emerging standards can be bridged using a collaborative and transparent approach. 


Session Description
Healthcare consumerization is a topic discussed often in the context of patient retention, access, and satisfaction but what does the consumerization of healthcare mean for medical billing? There are significant implications for medical billing companies as medical providers recognize that patient expectations for self-service, convenience, and digital access extend all the way through the patient financial experience and are looking for billing partners who understand this, too. This session will explore best practices for meeting the expectations of patients as consumers and the benefits for medical billing companies and the providers they serve.

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

  • Define patients as consumers and what it looks like in the context of the patient journey  
  • Identify the expectations patients have today for their medical financial experiences 
  • Outline strategies to meet the expectations of patients as consumers  
  • Name the benefits to both medical providers and medical billing companies of meeting patients' expectations for medical financial experiences

4:00 - 4:30 p.m. Networking in Exhibit Hall

4:30 - 5:30 p.m. General Session

Washington Update

Bill Finerfrock, HBMA Government Relations Director, and Matt Reiter, Assistant Director of Government Affairs, 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:

  • Identify recent legislative updates that may affect your business
  • Discuss how the upcoming elections may impact the future of healthcare policy

Friday, September 10

7:30 - 8:30 a.m. Networking Breakfast

8:30 - 9:30 a.m. General Session

HBMA Member Panel - Technology and Innovation

Kunal Jain, Chief Executive Officer, PracticeForces; Desmond Meridian, Chief Operating Officer, Professional Billing & Management Services; and Josh Lomers, Process Improvement Manager, Acclaim Radiology Management

Session Description
Hear from three HBMA leaders about how they are incorporating innovate technologies into their everyday routine. From patient engagement tools to robotic process automation and cutting edge KPI tracking, this session has something for everyone. The panel will each give a brief presentation and then will open for questions from the audience.  


9:30 - 9:45 a.m. Break

9:45 - 10:45 a.m. General Session

 

Session Description
Revenue cycle management has been done the same way with the same policies and procedures for decades. Healthcare has changed and revenue cycle has to change with the times. Practices are failing because physician practices have been forced to become collection agencies and the processes that have always been implemented do not work. Stop the madness and learn how you can be a better partner for your clients going forward.

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

  • Recognize why revenue cycle has to change
  • Outline strategies to be a better partner to your clients 
  • Define methods to work proactively with your clients

10:45 - 11:00 a.m. Break


11:00 am - 12:00 p.m. General Session

Automation and Transparency: The New Revenue Cycle Imperatives

Matt Seefeld, Executive Vice President, MedEvolve and Kevin Don, Head of Global Business Services, Falck USA Inc.

Session Description
Faced with some of the tightest operational margins in recent history, today’s healthcare organizations need tools and workflows that speed revenue cycle processes and ensure complete, accurate capture of all monies owed—especially in an era that is marked by greater patient financial responsibility. Achieving the needed efficiencies can be daunting for financial executives who manage large billing teams across multiple locations. How do managers ensure staff are working smart—focusing on tasks that have potential to produce the most return on investment—and create an atmosphere of accountability that improves performance?

This presentation will illustrate how Falck US, the second largest providers of emergency medical services in the country, substantially improved revenue cycle performance through implementation of a data-driven approach to workflows and oversight of financial health. Kevin Don, the company’s executive director of global business services, will demonstrate how implementation of workflow automation and data analytics solutions improved transparency into the activity of his 100-plus person billing team. Within three months of implementing the workflow automation and data analytics solutions, Falck achieved their highest collection months in March and April 2021, up 24% from the previous 10 months. Since go-live, Falck has realized an increase of 14% in insurance payments, and implementation of a mobile engagement strategy yielded a 23.4% increase in collections of patient responsible balances. In addition, mobile engagement with patients has expanded the organization’s ability to identify insurance, which would have otherwise aged to bad debt.
 

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

  • Define revenue cycle challenges for billing companies that result from lack of transparency and non-productive activity and the downstream impact to provider clients
  • Analyze how workflow automation tools can improve productivity by prioritizing revenue cycle processes around greatest return
  • Discover how analytics tools can streamline views into revenue cycle and provide a real-time snapshot of financial health
  • Identify best practices and pitfalls to implementing revenue cycle automation and analytics tools. 

12:00 - 12:15 p.m. Closing Remarks