Palm Springs. Hot Topics In February 20-24, MACRA and MIPS Alternative Payment Models Out of Network (OON) and Balance Billing
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1 Register before January 20 and save $100 * with promo code: PALM Palm Springs February 20-24, 2017 Hot Topics In 2017 MACRA and MIPS Alternative Payment Models Out of Network (OON) and Balance Billing
2 Stay Up-to-Date on Your Reimbursement & Coding Knowledge Get the latest news and essential topics you need to know at ACEP s Reimbursement and Coding Conferences. Hot Topics in 2017 MACRA and MIPS Complexities for 2017: A Roadmap to Avoid Big Penalties Alternative Payment Models: Salvation From MIPS or a Sentence of Hard Times to Come? Managing The Out of Network (OON) and Balance Billing Issues. And much more Who Should Attend: Emergency Physicians Hospital Outpatient Coders ED Nursing Directors Billing/Coding/Medical Records Professionals Graduating Residents Reimbursement/Practice Management Consultants Emergency Physician Group Managers 100% No Risk Guarantee ACEP guarantees the quality of its educational conferences. If, for any reason, you are dissatisfied with the educational content of a conference for which you have paid, notify the ACEP Meeting Registrar in writing within 30 days of attending the conference, and ACEP will give you a credit towards another conference of comparable value or refund your registration fee. 2 Reimbursement Coding Conferences
3 Reserve your room at the Westin Mission Hills Golf Resort & Spa Dinah Shore Drive Rancho Mirage, CA Phone: (760) Reservations: (866) or visit: acep.org/rc/hotel Room Rate: $190 plus taxes and $15 per night resort fee Discounted rate available until January 23, Explore the Exhibits Tuesday, Feb. 21 Wednesday, Feb. 22 The exhibit program will feature approximately 30 companies ready to demonstrate what is new in products and services specific to your reimbursement and coding needs. Upcoming Webinars January 31, 2017 at 2:00 PM: Get up-to-speed with The Nuts and Bolts of Physician Reimbursement and Optimizing RVUs May 23, 2017 at 2:00 PM: Stay current with Industry Updates Presented by Dr. Michael Granovsky, Chair of ACEP s Reimbursement and Coding Conference NEW! Fireside Chat Tuesday, Feb. 21 There will be a Fireside Chat with exhibitors out on the terrace on Tuesday evening! Webinar Pricing Conference Attendee $95 ACEP Member...$155 Non-Member...$175 Reimbursement Coding Conferences 3
4 Reimbursement: Trends and Strategies in Emergency Medicine 4 Reimbursement Coding Conferences MONDAY, FEBRUARY 20 7:00 AM - 8:00 AM Registration and Continental Breakfast 8:00 AM - 9:00 AM 9:00 AM - 10:00 AM 10:00 AM - 10:15 AM Break 10:15 AM - 11:15 AM 11:15 AM - 12:15 AM 2017 Reimbursement Update and National Trends Michael A. Granovsky, MD, CPC, FACEP; David A. McKenzie, CAE Commercial Payer ED Reimbursement, ACOs, and The Future Susan M. Nedza, MD, MBA, FACEP Turn the Tables: Patient Throughput Strategies to Increase Revenue James J. Augustine, MD, FACEP Time is Money: How Do You Measure Up? ED Benchmarking Best Practices and Solutions James J. Augustine, MD, FACEP 12:15 PM - 1:30 PM Lunch (On Your Own) 1:30 PM - 3:00 PM 3:00 PM - 4:00 PM 4:00 PM - 4:15 PM Break 4:15 PM - 5:00 PM 5:00 PM - 5:45 PM How to Hold Serve and to Avoid the Double Bagel in ED Coding, Billing, Audits and Compliance Edward R. Gaines, III, JD, CCP How to Save Par by Managing The Out of Network (OON) and Balance Billing Issues Edward R. Gaines, III, JD, CCP Canary in the Coal Mine: The Maryland Experience William P. Jaquis, MD, FACEP; Michael A. Granovsky, MD, CPC, FACEP; Susan M. Nedza, MD, MBA, FACEP Alternative Payment Models: Salvation From MIPS or a Sentence of Hard Times to Come? William P. Jaquis, MD, FACEP Question & Answer Session 5:45 PM - 6:15 PM Michael A. Granovsky, MD, CPC, FACEP (Moderator); David A. McKenzie, CAE; Edward R. Gaines, III, JD, CCP; William P. Jaquis, MD, FACEP; Susan M. Nedza, MD, MBA, FACEP TUESDAY, FEBRUARY 21 7:30 AM - 8:00 AM Continental Breakfast 8:00 AM - 9:00 AM The Business Case for Freestanding EDs Timothy Seay, MD, FACEP 9:00 AM - 9:45 AM Observation Economic Drivers Michael A. Granovsky, MD, CPC, FACEP 9:45 AM - 10:30 AM Break - Visit the Exhibits Struggling Back To Baseline: Enterprise EMR Challenges: ICD-10 and PQRS Scribe Solutions 10:30 AM - 11:30 AM Kevin M. Klauer, DO, EJD, FACEP Strategic Compsensation Structures in the Age of Alternative Payment Models 11:30 AM - 12:30 PM Kevin M. Klauer, DO, EJD, FACEP 12:30 PM - 1:45 PM Lunch (On Your Own) 1:45 PM - 2:45 PM ACA Realities, Out of Network Payments, and Value Models Michael A. Granovsky, MD, CPC, FACEP; David A. McKenzie, CAE; Jennifer L. Wiler, MD, MBA, FACEP 2:45 PM - 3:30 PM Break - Visit the Exhibits 3:30 PM - 4:30 PM Commercial Payers Consolidation and How to Survive the New World Ron Howrigon 4:30 PM - 5:30 PM Question & Answer Session Michael A. Granovsky, MD, CPC, FACEP (Moderator); Ron Howrigon; David McKenzie, CAE; Jennifer L. Wiler, MD, MBA, FACEP 5:30 PM - 6:30 PM Fireside Chat with Exhibitors WEDNESDAY, FEBRUARY 22 7:30 AM - 8:00 AM Continental Breakfast Payer Negotiations: Strategies to Maximize Success with the Movement to 8:00 AM - 9:30 AM Value-Based Reimbursement Ron Howrigon 9:30 AM - 10:15 AM Break - Visit the Exhibits Drowning in a New Alphabet: MACRA and MIPs Complexities for 2017: A Roadmap to 10:15 AM - 11:15 AM Avoid Big Penalties Jennifer L. Wiler, MD, MBA, FACEP; Michael A. Granovsky, MD, CPC, FACEP Question & Answer Session 11:15 AM - 12:15 PM Michael A. Granovsky, MD, CPC, FACEP (Moderator); Ron Howrigon; David McKenzie, CAE; Jennifer L. Wiler, MD, MBA, FACEP
5 Advanced Procedure Coding for Emergency Medicine 7:30 AM - 8:00 AM Continental Breakfast 8:00 AM - 9:00 AM 9:00 AM - 10:00 AM 10:00 AM - 10:15 AM Break 10:15 AM - 11:15 AM 11:15 AM - 12:15 AM THURSDAY, FEBRUARY Expert Coding Update: CPT MIPS, and Audit Traps Michael A. Granovsky, MD, CPC, FACEP; David A. McKenzie, CAE Critical Care Coding: What Coders and Physicians Both Need to Know Rebecca B. Parker, MD, FACEP 2017 ICD-10: Grace Period is Over - Solutions for this Year Michael A. Granovsky, MD, CPC, FACEP; Stacie Norris, MBA, CPC, CCS-P Compliance Concerns: They Are Watching You! What You Need to Know to be Safe Todd Thomas, CCS-P 12:15 PM - 1:30 PM Lunch (On Your Own) Lightning Rounds: Don t Get Struck EHRs, MDM Controversies, and Other Hot Topics 1:30 PM - 3:00 PM David A. McKenzie, CAE (Moderator); Michael A. Granovsky, MD, CPC, FACEP; Stacie Norris, MBA, CPC, CCS-P; Rebecca B. Parker, MD, FACEP; Todd Thomas, CCS-P 3:00 PM - 3:15 PM Break 2017 Merit-Based Incentive Payment System Specifications and Solutions 3:15 PM - 4:15 PM Michael A. Granovsky, MD, CPC, FACEP; Stacie Norris, MBA, CPC, CCS-P Open Forum: Your Specific Coding Concerns Addressed 4:15 PM - 5:15 PM Michael A. Granovsky, MD, CPC, FACEP (Moderator); David A. McKenzie, CAE; Stacie Norris, MBA, CPC, CCS-P; Todd Thomas, CCS-P FRIDAY, FEBRUARY 24 7:30 AM - 8:00 AM Continental Breakfast Stop the Bleeding: Coding for High RVU Procedures 8:00 AM - 9:00 AM Michael A. Granovsky, MD, CPC, FACEP Advanced Coding Case Study Workshop 9:00 AM - 10:30 AM David A. McKenzie, CAE (Moderator); Michael A. Granovsky, MD, CPC, FACEP; Stacie Norris, MBA, CPC, CCS-P; Rebecca B. Parker, MD, FACEP; Todd Thomas, CCS-P 10:30 AM - 10:45 AM Break Advanced Coding Case Study Workshop (continued) 10:45 AM - 12:15 PM David A. McKenzie, CAE (Moderator); Michael A. Granovsky, MD, CPC, FACEP; Stacie Norris, MBA, CPC, CCS-P; Rebecca B. Parker, MD, FACEP; Todd Thomas, CCS-P 12:15 PM - 1:30 PM Lunch (On Your Own) Observation Services: Expanding Opportunities; Professional and Facility Coding Solutions 1:30 PM - 2:30 PM Michael A. Granovsky, MD, CPC, FACEP Open Forum: Your Specific Coding Concerns Addressed 2:30 PM - 3:30 PM Michael A. Granovsky, MD, CPC, FACEP (Moderator); David A. McKenzie, CAE; Todd Thomas, CCS-P Optional Session: Introduction to Emergency Department Coding This session is great for emergency physicians and coders new to ED coding or are looking for a basic ED coding refresher - a perfect companion to get up-to-speed before the Advanced Procedure Coding for Emergency Medicine conference on Thursday. WEDNESDAY, FEBRUARY 22 1:30 PM - 3:30 PM Basic E/M Coding for Physician Services in the ED Todd Thomas, CCS-P 3:30 PM - 3:45 PM Break 3:45 PM - 5:45 PM Case Study Presentation: Look At This Case Through My Eyes David A. McKenzie, CAE (Moderator); Rebecca B. Parker, MD, FACEP; Todd Thomas, CCS-P Reimbursement Coding Conferences 5
6 Invited Faculty* James J. Augustine, MD, FACEP Dr. Augustine brings his reimbursement expertise as Vice President of the Emergency Department Benchmarking Alliance. He is a current ACEP Board Member and a Past Chair for the Joint Commission Hospital Professional Technical Advisory Committee. Edward R. Gaines III, JD, CCP Mr. Gaines is the Chief Compliance Officer at Zotec partners, one of the largest providers of physician and hospital coding, billing and practice management services in the US. He is also the Co-Founder and a current Board Member of the Emergency Department Practice Management Association (EDPMA). Mr. Gaines is a past ACEP s Outstanding Speaker of the Year ( ) Michael A. Granovsky, MD, CPC, FACEP (Course Director) Dr. Granovsky is the President at LogixHealth, one of the nation s leading providers of revenue cycle management services. He has an extensive career as a coding expertise holding distinct positions as Editor for ED Coding Alert and Subject Matter Expert for AAPC ED Subspecialty Certification Exam. He is also Course Director for ACEP s Reimbursement and Coding Conferences. Dr. Granovsky is a past ACEP s Outstanding Speaker of the Year ( ) Ron Howrigon Mr. Howrigon is President and CEO of Fulcrum Strategies, a contract negotiation and practice marketing firm specializing in improving contract language and reimbursement rates and brings over 30 years of experience on the payer and provider sides of healthcare. William P. Jaquis, MD, FACEP Dr. Jaquis is the Chief of the Department of Emergency Medicine at Lifebridge Health. He is the ACEP Board liaison to the Reimbursement Committee and CNAC. Dr. Jaquis is also on the Joint Task Force on Out of Network/Balance Billing and Medicaid. Kevin M. Klauer, DO, EJD, FACEP Dr. Klauer serves as Chief Medical Officer-Emergency Medicine and Chief Risk Officer and Executive Director Patient Safety Organization for TeamHealth. He has co-authored three risk management books: Emergency Medicine Bouncebacks: Medical and Legal and Risk Management, Bouncebacks: Pediatrics, and The Emergency Department: Executive Leadership for Protecting Patients and Hospitals. Dr. Klauer is a past recipient of the ACEP Honorable Mention Outstanding Speaker of the Year award ( ). Dr. Klauer is also Medical Editor-in-Chief of ACEP Now, ACEP s official monthly publication. David A. McKenzie, CAE Mr. McKenzie is the Reimbursement Director for ACEP and is the liaison to the ACEP Reimbursement and Nomenclature Advisory Committee. He is the staff contact for the AMA RVS Update Committee(RUC) and the CPT Advisory Committee. Mr. McKenzie is a recipient of the CPT Excellence in Education Award (2016). Susan Nedza, MD Dr. Nedza is CMIO and Senior Vice President of Clinical Outcomes Management at MPA Healthcare Solutions, specializing in the areas of clinical assessment and improvement, bundled payments, and comparative effectiveness. Dr. Nedza is also a member of the ACEP Alternative Payment Models Task Force. Stacie Norris, MBA, CPC, CCS-P Ms. Norris has an extensive career centering on healthcare billing and coding. She is currently Director of Coding and Quality Assurance at Zotec Partners and an AHIMA ICD-10 Certified Trainer. Ms. Norris is Co-Chair to the EDPMA Quality, Coding and Documentation Committee and is on the Editorial Advisory Board for ED Coding Alert. She is also a member of the ACEP Coding and Nomenclature Advisory Committee and member of AHIMA. Rebecca B. Parker, MD, FACEP Dr. Parker is President of Team Parker, LLC, a consulting group for coding, billing and compliance. She also serves as Senior Vice President Practice and Payment Integration for Envision Healthcare, Executive Vice President Leadership development and Education for EmCare and is currently the President-Elect for the Board at ACEP. Timothy Seay, MD, FACEP Dr. Seay is Chairman of the Board for the Emergency Department Management Association. He is also Vice President of Emergency Medicine Risk Retention Group. Dr. Seay was the recipient of the EDPMA Committee/Task Force Service Award (2013). Todd Thomas, CCS-P Mr. Thomas is President at ERCoder, Inc. one of the nation s most trusted coding and consulting firms supporting the emergency medical community. He is also a member of the ACEP Coding and Nomenclature Advisory Committee and member of ED Coding Alert Editorial Advisory Panel. Mr. Thomas is a past winner of the ACEP Outstanding Speaker of the Year award ( ). Jennifer L. Wiler, MD, MBA, FACEP Dr. Wiler is currently Executive Vice Chair and Associate Professor of Emergency Medicine at the University of Colorado. Dr. Wiler is a co-editor of Innovations in Quality and Value in Acute and Emergency Care. 6 Reimbursement Coding Conferences *Faculty subject to change. Visit acep.org/rc/faculty for full faculty bios and up-to-date information
7 Reimbursement and Coding Registration SAVE $100 * with promo code PALM Reimbursement: Trends and Strategies in Emergency Medicine with promo code PALM Regular Price Advanced Procedure Coding for Emergency Medicine with promo code PALM Regular Price ACEP Member $ $ $ $ ACEP Member Same Institution ** $ $ $ $ ACOEP Member $ $ $ $ Non-Member Physician $ $ $ $ Non-Member Physician Same Institution ** $ $ $ $ ACEP Resident $ $ $ $ ACOEP Resident $ $ $ $ Non-Member Resident *** $ $ $ $ Physician Assistant $ $ $ $ Nurse / NP **** $ $ $ $ Billing / Coding $ $ $ $ Additional Billing / Coding ** $ $ $ $ Consultant $ $ $ $ Additional Consultant ** $ $ $ $ Optional Session Regular Price: $ Ext. 5 meetingregistrar@acep.org ACEP Meeting Registrar P.O. Box Dallas, TX *Promo code valid until January 20, 2017 **The additional member, non-member same institution, and additional billing/coding professional or consultant fee is applicable when registering three or more paid registrants from the same institution or group. The three or more registrations must be mailed together and full payment must be included, or call the Member Care Center at ext. 5 with your credit card payment. ***Letter of verification required ****Nurses/NPs must include License # CANCELLATION POLICY Full conference registration, less the $100 cancellation fee, is refundable only if submitted in writing to meetingregistrar@acep.org 30 days prior to the beginning of the conference. Registrations and cancellations received after the 30 day deadline are not refundable. Exceptions will be made for family emergencies and must be submitted in writing to meetingregistrar@acep.org. For these instances the full conference registration fee, less the $100 admin fee, will be refunded. You cannot reinstate a registration after you cancel. If you cancel and are entitled to a refund, expect the refund within 30 days. All refunds will be issued back to the original payment type. Cash payments will be refunded by check. Continuing Medical Education Credit for Physicians The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Reimbursement: Trends and Strategies in Emergency Medicine. The American College of Emergency Physicians designates this live activity for a maximum of AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity. Optional Session: Introduction to Emergency Department Coding. The American College of Emergency Physicians designates this live activity for a maximum of 4 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity. Advanced Procedure Coding for Emergency Medicine. The American College of Emergency Physicians designates this live activity for a maximum of 13.5 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity. Reimbursement: Trends and Strategies in Emergency Medicine, Optional Session: Introduction to Emergency Department Coding and the Advanced Procedure Coding for Emergency Medicine have been approved for 18.75, 4 and 13.5 hours, respectively for ACEP Category I credit. AAPC has approved the conference Reimbursement: Trends and Strategies in Emergency Medicine sponsored by American College Emergency Physicians for 19 CEUs. AAPC has approved the conference 2017 Advanced Procedure Coding for Emergency Medicine sponsored by American College Emergency Physicians for 13.5 CEUs. AAPC has approved the conference 2017 Optional Session: Introduction to Emergency Department Coding sponsored by American College Emergency Physicians for 4.0 CEUs. Advanced Procedure Coding for Emergency Medicine, scheduled for February 23-24, 2017, has been approved for 13.5 credits of AOA Category 2-B. Optional Session: Introduction to Emergency Department Coding, scheduled for February 22, 2017, has been approved for 4 credits of AOA Category 2-B. Reimbursement: Trends and Strategies in Emergency Medicine, scheduled for February 20-22, 2017, has been approved for credits of AOA Category 2-B. Reimbursement Coding Conferences 7
8 Post Office Box Dallas, TX NONPROFIT U.S. POSTAGE P A I D MADISON WI PERMIT NO Register before January 20 and save $100 * with promo code: PALM Palm Springs February 20-24, 2017 Register Online: acep.org/rc (I come to the conference for) the coding knowledge, credibility, networking, exploring problems, and all the great resources available here. Marilyn Hall, CPC, Overgaard, AZ
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