Free Webinar on Advanced Strategies in Responding to Managed Care & Payer Audits on Tuesday, May 9th

  • Creating a new Collaborative Payer and Provider Pathway. Turning Anguish into Action
  • Sponsored by the Fifth National Physician Advisor & Utilization Review Boot Camp
  • Tuesday, May 9, 2017
  • 1:00 pm - 2:30 pm eastern
  • http://appealacademy.com/from-anguish-to-action/

PRESS RELEASE
Contact: Ernie de los Santos
Phone: 800-680-6067
Email: erniedls@appealacademy.com
Website: http://appealacademy.com/from-anguish-to-action/

FEATURING
Day Egusquiza, President, AR Systems, Inc., Twin Falls, ID
Maria Johar, MD, System Physician Advisor and Medical Director,, Promedica Health Network, Promedica Health System, Toledo, OH
THIS FREE WEBINAR IS A PREVIEW OF THE UPCOMING
FIFTH PHYSICIAN ADVISOR AND UR TEAM BOOT CAMP
A Hybrid Conference, Internet Event and Training Tool
Attacking Payer Denials -- turning anguish into action PLUS Creating a collaborative dream team
Co-Produced by the National RAC Summit and AR Systems, Inc.
July 19 - 21, 2017, Hyatt Regency Coconut Point, Bonita Springs, FL
www.RACSummit.com

WASHINGTON, DC -- HEALTHCARE UPDATE NEWS SERVICE™ -- MAY 3, 2017: Join us on Tuesday, May 9th at 1:00 pm Eastern for a free webinar titled "Advanced Strategies in Responding to Managed Care & Payer Audits."

During the webinar, we will be discussing all 5 members of the Dream Team as we learn better practices that impact provider's relationships with the payers.

The faculty for the webinar, Day Egusquiza and Dr. Maria Johar, will outline how she and Aetna turned anguish into a new working relationship. Exciting!

The webinar will be broadcast at http://appealacademy.com/from-anguish-to-action/. Just go to this website Tuesday, May 9th at 1:00pm EST to join us. We look forward to seeing you online!

FEATURING A PRECONFERENCE SESSION
  • Documentation 101: Telling an Enhanced Patient Story
PLENARY SESSIONS
  • Regulatory Update: Impacts from DC and Payer Updates
  • Managed Care Anguish and Why I Love the 2 MN Rule
  • Contracting: Key Elements Within a Contract and Creating an Operational Focus for Contracting
  • Payer Relations: Each Payer will Address Key Areas of Status Disputes, Contract Issues and Payer/Provider Challenges
  • Case Study Discussion: Payer Denial Anguish with Action Plan
  • Provider Challenges: BUILDING A Contract Data Base for ongoing Payer Challenges
  • Provider Challenges: UM Contracting Worksheet
  • Provider Challenges: Payer Anguish
  • Provider Challenges: Payers and Providers Forging a new Relationship
  • Provider Challenges: Payer/Provider Workgroup
  • Appeal and Denial Prevention Team
  • Nuts and Bolts of Peer2PeerReview
  • Strategies for Internal Appeal filings
  • Legal Team: When All Else Fails
TABLE TALK WITH FACULTY
  • The Validity of Clinical Validation Denials
  • Integration with the Revenue Cycle Team to Find Lost Revenue
  • Lessons Learned from Filing Payer Appeals and Common Denial Patterns
  • The Physician Advisor and Payer Relations
  • Patient Notices: ABN, HINN, IMM, Moon
  • Appeals Hot Topic
AND THE RAC CERTIFICATE PROGRAM
The Boot Camp Certificate Program Curriculum and Requirements are as Follows:
  • Complete preconference readings (as needed, up to 4 hours).
  • Attend the preconference (4 hours).
  • Attend the entire Boot Camp (12 hours).
  • Successfully complete the post-conference online examination (1 hour).

Those who successfully complete the program requirements and pass the final examination will receive a certificate of completion.

AND SAVE THE DATE FOR THE FIFTH PHYSICIAN ADVISOR AND UR TEAM BOOT CAMP FEATURING

Marlene Allen, MBA, CHA, CHCO
Compliance Internal Auditor/HIPAA Privacy Officer, Harrisburg Medical Center, Inc., Harrisburg, IL

R. Phillip Baker, MD
Physician Advisor, Self Regional Healthcare, Greenwood, SC

Jennifer Bartlett
Clinical Appeals & Denials Coordinator, Infirmary Health, Former Coordinator Of Patient Financial Services, Infirmary Health, Mobile, AL

Mary Murray Battiste, MA
Manager, Clinical Documentation Improvement, Infirmary Health, Mobile, AL

Ernie de los Santos
Founder & Faculty Chair at Appeal Academy, Former Creator & Chief Architect, The RAC Shadow Agency, San Antonio, TX

Jessica L. Gustafson, Esq.
Founding Shareholder, The Health Law Partners, Southfield, MI

Ronald Hirsch, MD, FACP
Vice President, Regulations and Education Group, R1 Physician Advisory Services, Chicago, IL

Maria Johar, MD
System Physician Advisor and Medical Director, Promedica Health Network, Promedica Health System, Toledo, OH

Elizabeth Lamkin, MHA
Chief Executive Officer, PACE Healthcare Consulting, LLC, Former Market President &CEO, Hilton Head Regional Healthcare, Tenet Healthcare, Hilton Head Island, SC

Kathryn Lueken, MD, MMM, CPE
Regional Medical Director, Humana, Former Chief Medical Officer, WVP Health Authority, Durham, NC

William Malm, ND, CMAS, CRCR
Managing Director, Revenue Integrity Services, Healthcare Audit Specialist, Appeal Academy, Former Director, Revenue Integrity Services, Wake Forest Baptist Health, Cleveland, OH

John Montaine, MBA, FHFMA, HRM
Chief Executive Officer, Creative Managed Care Solutions, LLC, San Antonio, TX

Anand Nilakantan, DO, MBA
Medical Director, Aetna Mid-America Region, Dublin, OH

Abby Pendleton, Esq.
Founding Shareholder, The Health Law Partners, Southfield, MI

Ferdinand Richards, MD
Medical Director, KePro Quality Improvement Organization, Internal Medicine and Emergency Medicine Physician, Tampa General Hospital, Tampa, FL

K. Cheyenne Santiago, RN
Clinical Manager Medical Review, WPS GHA, Omaha, NE

Sommer Slavin, RN, MS, MBA, CCDS
Program Coordinator, Utilization Management, Strong Memorial Hospital, University of Rochester Medical Center, Rochester, NY

Denise Wilson, RN, MS, RRT
Vice President, Intersect Healthcare + AppealMasters, Lutherville, MD

BOOT CAMP REGISTRATION

For Boot Camp registration information, visit www.RACSummit.com/registration/, email registration@hcconferences.com, or call 800-503-0188.


BOOT CAMP EXHIBIT & SPONSORSHIP INFORMATION

For sponsorship and exhibit information, visit www.RACSummit.com/promotional-opportunities/, or contact Justin Sorensen, Exhibit Manager, at (206) 673-4815 phone, 206-319-5303 fax, or exhibits@hcconferences.com.