Nat'l Physician Advisor and Utilization Review Boot Camp VII Video Content Now Available Online and via Flash Drive

Medicare Advantage: Building Blocks of Contracting, Provider Sponsored MA Plans, and the Ongoing Denial Challenges
  • An In-person plus Live Webstreamed Event
  • Co-Produced by the RAC Summit & AR Systems, Inc.
  • Held July 29 - 31, 2019
  • Onsite at the Hyatt Regency on Capitol Hill, Washington, DC
  • Online Live and Archived Webcast
  • www.RACSummit.com
PRESS RELEASE
Phone: 800-503-0188
Email: registration@hcconferences.com
Website: www.RACSummit.com

THE 2019 SEVENTH NATIONAL PHYSICIAN ADVISOR AND UTILIZATION REVIEW BOOT CAMP
CONTENT IS NOW AVAILABLE IN VARIOUS POST CONFERENCE FORMATS

The 2019 Seventh Physician Advisor and UR Boot Camp conference content is now available in the following formats: Flash Drive or online archive (6 months access).

YOU CAN PURCHASE THE 2019 SEVENTH NATIONAL PHYSICIAN
ADVISOR AND UTILIZATION REVIEW BOOT CAMP CONTENT AS FOLLOWS:

Online Archive of 2019 Seventh National PA/UR Boot Camp Presentations today!
Complete conference: $195
Order Now
Flash Drive of 2019 Seventh National PA/UR Boot Camp Presentations today!
$195
Order Now


SAMPLE VIDEO

WASHINGTON DC USA -- PREDICTIVE MODELING UPDATE NEWS SERVICE™ -- AUGUST 5, 2019: The National RAC Summit, www.RACSummit.com, in partnership with Day Egusquiza and AR Systems, Inc., offered the 2019 Seventh National Physician Advisor and Utilization Review Boot Camp on July 29 - 31, 2019 at the Hyatt Regency on Capitol Hill in Washington, DC. The conference video content is now available for purchase in a variety of formats.

CONFERENCE CHAIR

Day Egusquiza
President and Founder, AR Systems, Inc. and Patient
Financial Navigator Foundation, Inc., Twin Falls, ID

AGENDA AT-A-GLANCE
MONDAY, JULY 29
1:00 pm PRECONFERENCE SESSION: BASICS 101
5:00 pm PRECONFERENCE ADJOURNMENT / OPENING RECEPTION
TUESDAY, JULY 30
7:00 am REGISTRATION OPENS
8:00 am DAY II: MORNING PLENARY SESSION (8:00 am - 10:25 am)
Welcome, Audience Response, and Outline of the Boot Camp
What Does Disruption in Healthcare Look Like?
Regulatory Updates
10:25 am NETWORKING BREAK IN EXHIBIT HALL
10:50 am DAY II: MEDICARE ADVANTAGE OVERVIEW (10:50 am - 3:00 pm)
All Things MA
Understanding Audit Risk Adjustments, Provider Networks, and CMS's Oversight Responsibilities
Morning Faculty Q&A Panel
Working Lunch - Networking Tables & Case Studies
Presentation of Case Studies
Managed Care Anguish
Medicare Advantage - a Patient Perspective
3:00 pm BREAK
3:20 pm DAY II: BUILDING BLOCKS OF CONTRACTING (3:20 - 6:30 pm)
Value Based and Hot Contract Issues- Payer
Key Revenue Cycle Elements
When Not to Contract - What To Consider.
CMS Guidance: What If You Are Not Contacted with a MA Plan?
Hot Contracting Issues - Provider Perspective
Next Generation of Contracting
What 3 Things MA Plans Don't Want You to Know
Afternoon Faculty Q&A Panel
6:30 pm DUTCH DINNER WITH FACULTY
PLUS NEW THIS YEAR: DINING WITH DYNAMO WOMEN - THE POWER OF ONE
WEDNESDAY, JULY 31
7:00 am TABLE TALK WITH FACULTY
Building a Clinical Denial Prevention Program
Revenue Integration of Revenue Cycle with Case Mgt
Breakfast with the Lawyers
The MA's Inpatient Only List
Documentation to Optimize Mortality Metric Tracking
Medicare Advantage and Documentation Demands
Digital and Reimbursement Consultant
8:00 am CLOSING PLENARY SESSION (8:00 am - 12:30 pm)
Learn About Your Own Patient Financial Navigator Program
8:20 am CASE STUDIES - 2 PROVIDER SPONSORED PLANS: LESSONS LEARNED: HOW TO, INTERNAL CHALLENGES, SUCCESSES, ONGOING EXCITING CHANGES
Cone Health
9:10 am DENIAL ANGUISH
Flash Back - Bounce Forward - Ongoing Denial Challenges with MA Plans
New Provider - Payer Relationship Potential
10:20 am BREAK
11:00 am APPEAL STRATEGIES
Regulatory Complaint Process with CMS. (includes case studies)
Hot Legal Issues with MA Plans
12:00 pm MORNING FACULTY Q&A PANEL
12:20 pm LAST THOUGHTS - HUMOR IN ALL THINGS
12:30 pm ADJOURNMENT

FEATURED FACULTY

Mike Adelberg
Principal, Faegre Baker Daniels Consulting; Former Director of Medicare Advantage Operations and Former Acting Director of Exchange Policy and Operations, CMS, Washington, DC
Alyse Adelstein
Digital and Reimbursement Consultant
Marlene Allen, MBA, CHA, CHCO
Compliance and HIPAA Privacy Officer, Harrisburg Medical Center, Inc., Harrisburg, IL

David Ault
Counsel, Faegre Baker Daniels, LLP, Former Director at HHS of the Division of Financial Risk in the CMMI and litigator in the CMS Division of the HHS Office of General Counsel, Washington, DC
R. Phillip Baker, MD
Medical Director for Case Management and Physician Advisor, Self Regional Healthcare, Greenwood, SC
Jennifer Bartlett
System Coordinator of Clinical Audits and Disputes, Infirmary Health, Former Coordinator Of Patient Financial Services, Infirmary Health, Mobile, AL

Timothy Brundage, MD, CCDS
Medical Director, Brundage Group, Saint Petersburg, FL
Diana L. Cokingtin, MD
Medical Director, Customer Experience, Change Healthcare, Formerly 23 years in managed care with BCBSKC, Coventry, Aetna and Molina, Leawood, KS
Ernie de los Santos
Founder & Faculty Chair at Appeal Academy, Former Creator & Chief Architect, The RAC Shadow Agency, San Antonio, TX

Day Egusquiza
President and Founder, AR Systems, Inc. and Patient Financial Navigator Foundation, Inc., Twin Falls, ID
DeVonne Grizzle, RN, MSN, CCM
Vice President of Case Management, Post-Acute Services, & CarePledge Alliance (ACO), Quorum Health, Fort Smith, AR
Jessica L. Gustafson, Esq.
Founding Shareholder, The Health Law Partners, Farmington Hills, MI

Ronald Hirsch, MD, FACP, CHCQM, CHRI
Vice President, Regulations and Education Group, R1 RCM Inc., Chicago, IL
Maria Johar, MD, MBA
Physician Advisor, Toledo, OH
Michele Marcum, CHFP
Senior Contract Specialist, Saint Alphonsus Health System and Saint Alphonsus Health Alliance, Formerly in Network Development and Contracting with Humana and Aetna, Boise, ID

John Montaine, MBA, FHFMA, HRM
Chief Executive Officer, Creative Managed Care Solutions, LLC, San Antonio, TX
Steve Neorr, MBA
Senior Vice President, Population Health, Cone Health, Chief Administrative Officer, Triad HealthCare Network, Chief Executive Officer, HealthTeamAdvantage, Greensboro, NC

Ed Norwood
President and CEO, ERN Enterprises, Inc., President, National Council of Reimbursement Advocacy (NCRA), and CCO, The Reimbursement Advocacy Firm (TRAF), Cypress, CA
Abby Pendleton, Esq.
Founding Shareholder, The Health Law Partners, Farmington Hills, MI

TESTIMONIALS FROM PREVIOUS PHYSICIAN ADVISOR
- UR BOOT CAMPS
- I have been completely blown away by this conference. This was put together professionally and with great thought. Thank you for doing this Boot Camp and being willing to educate us! Day Egusquiza, you are an exceptional chair!!

- Rarely, if ever, have I attended a conference with such consistently good speakers.

- The content was consistently PA-UR but the varied perspectives of speakers provided a 360 degree approach -- excellent!

- I believe a lot -- a whole lot -- of the excellent feedback is due to the thorough planning and the professional execution of The Boot Camp. The participants both in person and online were treated respectfully. I have attended more than 100 CME conferences over 35 years and respect for the audience's needs and time was lacking in most.

- Congrats to you both for putting together the best PA conference I've ever attended, and I've attended quite a few!

- First of all, thank you for a wonderful educational opportunity. I learned so much. More appropriately it confirmed much of what I already thought and envision for my institution. Perhaps I can use this knowledge and new found energy to bring my administrators along into this "new age" a bit more quickly and with some urgency.

- Thx for info today - can't wait to go back to my system and help "tell the story from the beginning"

- Really liked the case studies over lunch and going over them after

- Fantastic conference - can't wait to go to another one!
CO-PRODUCED BY


CO-SPONSORED BY


PHYSICIANS / NURSES CONTINUING EDUCATION CREDITS: EARN 14.75 CME CREDITS

In support of improving patient care, this activity has been planned and implemented by Amedco LLC and Health Care Conference Administrators. Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit Designation Statement - Amedco LLC designates this live activity for a maximum of 14.75 AMA PRA Category 1 Credits™ for physicians and 14.75 contact hours for nurses. Learners should claim only the credit commensurate with the extent of their participation in the activity.

- Click here for more information. -

ADDITIONAL CONTINUING EDUCATION CREDITS

Compliance Professionals: The Compliance Certification Board (CCB)® has approved this event for up to 21.3 live CCB CEUs. Continuing Education Units are awarded based on individual attendance records. Granting of prior approval in no way constitutes endorsement by CCB of this event content or of the event sponsor.

ABQAURP: This conference is pre-approved by ABQAURP to provide up to 14.75 continuing education hours to apply towards the Health Care Quality & Management (HCQM) certification exam eligibility requirements, or recertification requirements for ABQAURP Diplomates.

Certified Case Managers (CCM®): Pending approval for CCM® credits.

Accounting Professionals: Pending approval for NASBA CPE credits.

- Click here for more information. -

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PA/UR BOOT CAMP IS

THE SEVENTH NATIONAL PHYSICIAN ADVISOR
AND UTILIZATION REVIEW BOOT CAMP
July 29 - 31, 2019


ONSITE
Hyatt Regency on Capitol Hill
Washington, DC
OR		 WEBCAST ATTENDANCE
In your own office or home live via the Internet
with 24/7 access for six months
CONTENT PURCHASING INFORMATION

Choose from the following purchase options:

  • Online Archive with conference content (for entire conference or individual presentations)
  • Flash drive with conference content