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SPEAK AT NPAC 2023!

Deadline for Application is NOVEMBER 11TH, 2022

Overview


Physician Advisors are called upon to solve complex problems and bridge departmental silos creating processes and outcomes which benefit their facilities and health system.  The focus of the 2023 National Physician Advisor Conference is Physician Advisors serving as mavericks of change transforming their roles to meet the needs of a multi-faceted, rapidly changing healthcare environment.  Physician Advisors produce transformative value within all aspects of healthcare; especially in the ability to adapt to new challenges, provide insight for health systems, and create collaborative efforts across the spectrum.

As the Physician Advisor role transforms and leads change, this conference is a perfect fit for your professional engagement, discourse, and shared experiences.  Your contribution and in-person attendance would be invaluable to you and your organization!

We have compiled a list of scenarios, projects, and experiences Physician Advisors frequently encounter.  If you identify with any of them and feel you have helped drive change, consider sharing your experience with your peers. 

Instructions for submission follow the “Submit Materials” header below. 


Submit Materials


1. Choose a Session Topic Category (click here)

2. Identify your Desired Style of Presentation

  • 60-minute main stage presentation
  • 30-minute quick-hit session

3. Submissions - You may do either of the following:

  • Fill out the “Abstract Form” below with details about your topic of interest-OR-
  • Submit an abstract or completed presentation.

TIPS:

  • Do not use abbreviations, symbols, or nomenclature. If an acronym is used, please spell it out the first time it is stated.
  • Things to consider when writing your abstract may include: lessons learned; why is this a “must-know” message for NPAC 2022 attendees; is this an initiative you would recommend others implement or is it an initiative that you instead learned from and would recommend against implementation; pertinent data that supports conclusions.
  • If the initiative described is underway, please include initial results and describe ongoing work anticipated in the months leading up to the conference.
  • Abstract form
    • Define the problem encountered
      • Proposal Title (maximum 12 words) 
    • What assets and resources were available and/or absent/needed?
      • Stakeholders
      • Available tools or other such resources
      • Support - e.g. data analyst
    • How did you engage the problem, or what did you do to solve it? 
      • How did you convince stakeholders about the problem or potential solution?
      • How did you secure needed assets?
    • What were the challenges along the way?
    • How did you navigate them?
      • What was the outcome?
      • What is the future of this issue at your organization? (Optional)
  • Developed abstract or completed presentation
    • Your abstract should be approximately 500 words. This should include an overview of the desired topic to be presented, including its relevance to the Physician Advisor field. If your initiative is based on a project you completed, please include background information, methods of intervention, and outcomes with pertinent data as applicable. You may be contacted for further information.
    • Proposal title (maximum 12 words) 
    • Include supporting images or data tables (optional)
    • You can submit up to two (maximum) images with your abstract, saved in one of the following formats: JPEG (*.jpg), PNG image (*.png), or GIF (*.gif).

4. Provide at least two Learning Objectives

This is a requirement for all CME credits. Objectives should be written keeping in mind what the learner will obtain from the information in your talk. Use Action Verbs when able (Bloom’s Taxonomy is a great resource).


5. Provide the Background Information for the Lead Presenter and Co-Presenters

We recommend a maximum of two presenters per session. Submissions must include the following information for all presenters/co-presenters:

  • Name (first, last) with credentials of lead presenter
  • Employer
  • Address you would like materials to be sent to
  • Phone number & e-mail address
  • Disclosures
  • Conferences speaker has presented at in the past (if applicable)
  • Reference (please provide a minimum of one) of someone who can speak to your speaking skills and expertise in your topic area. Contact information should be included (name and phone and/or e-mail).

6. Provide Biosketch(es) for Presenters

This should be contained to 150 words. This should include pertinent biographical information about yourself and your role.




Session Topic Categories


The below topics are not meant to be all encompassing, but instead to provide speakers ideas; the committee is open to and encourages unique & innovative ideas. Choose the topic that best fits.

Professional Leadership

Sessions in this category should focus on management and leadership experiences, skills training, and functional activities related to the advancement of Physician Advisor program efforts and could include any one of the following:

  • Developing the Physician Advisor as a physician executive
  • Ensuring Physician Advisor engagement with an organization’s C-suite
  • Aligning the Physician Advisor role with the Chief Medical Officer (CMO) as a liaison between C-suite and medical staff 
  • Establishing the Physician Advisor as a resource, subject matter expert (SME), and liaison between the C-suite, medical staff, Care Coordination, Compliance, and Revenue Cycle
  • Developing the Physician Advisor skill set for success within an organization 
  • Certification, formal training, or an advanced degree’s (MBA, MPH) impact on your role within your institution 

Regulatory Strategy

Sessions in this category should focus on regulatory or payment issues that Physician Advisors should be aware of and involved in, in part within Utilization Management. They could include any of the following or similarly-related topics: 

  • Utilization Management Committee structure and functional importance 
  • Medicare Two Midnight Rule (the basics). Consider the following: 
    • Benchmark cases
    • Presumption cases 
    • Occurrence Span Code 72 
    • Exceptions to the Two Midnight Rule 
    • Condition Code 44, Self Denial, and Part B rebilling 
  • Conditions of Participation vs. conditions of payment 
  • How to prepare for and navigate a government audit (QIO, RAC, MAC, etc.)
  • Medicare Inpatient Only list changes and its implications for now and in the future 
  • Medical necessity status determinations and the importance of clinical documentation 
  • Role and goals of Observation Care 
  • Update on current legislative initiatives for the provision of healthcare in the United States 
  • Developing a good relationship with your organization’s Compliance department
    • Risk managing and adjusting

FINANCIAL STRATEGY 

Sessions in this category should focus on how Physician Advisors should or could function within the Revenue Cycle Chain or Finance divisions for revenue integrity. 

  • Revenue Cycle: Essentials 
  • Early-revenue cycle (contracting), mid-revenue cycle, or late-revenue cycle (billing and payment) 


    • Elements for payment
    • Management of Observation hours 
    • Observation Units: effective or not? 
    • Management of length of stay (LOS) (obstacles, strategies)
    • Conditions of payment and other payment guidelines 

  • Denials Management
    • Levels of appeal for all payers 
    • How to effectively appeal all types of denials including peer-to-peer reviews 
    • Performing root cause analyses for your organization’s denials 
    • Risk managing/adjusting for denials based on root cause analyses 

  • Payor Strategy
    • Collaboration with payer strategy for contracting 
    • Understanding Managed Care (Medicare/Medicaid) 
    • Establishing Joint Operating Committees (JOCs) with payors

Clinical Documentation Integrity (CDI)

Sessions in this category should cover basic coding and documentation guidelines as well as common high-value diagnoses impacting revenue and quality. 

  • Physician Advisor role in CDI programs
  • Case Mix Index (CMI) and other basics about CDI and coding
  • CDI in non-traditional clinical areas such as surgical service lines or the Emergency Department 
  • Queries – judging, compliance, creating templates 
  • Condition-specific direction on high-value diagnoses 
  • Clinical validation (DRG) denials 
  • Leveraging the Electronic Health Record to improve documentation
  • Basics of Hierarchical Condition Categories (HCCs) 
  • Tracking and promoting the worth of a CDI program 

Pediatrics

Sessions in this category should focus on the unique aspects of serving in the Physician Advisor role in children’s hospitals or in health systems with large pediatric populations.

  • Pediatric quality reviews
  • Approaches to pediatric-specific denials
  • Advocating with your state's Medicaid plan
  • Pediatric CDI 
  • Situations unique to the Physician Advisor in pediatric populations (e.g., NICU) 

EVOLVING ROLES & SPECIALTIES FOR PHYSICIAN ADVISORS

  • Population Health 
  • Sessions in this category should cover how the Physician Advisor is/may be playing a role in the Population Health initiatives for an organization. 


    • Continuum of Care (pre-acute, acute, post-acute) 
    • Transitions of care/discharge planning 
    • Value-Based Models 
    • Medicare Shared Savings Program (Ambulatory)
    • Social Determinants of Health 
    • Preventative care
    • Advancing technology 

  • Behavioral Health
  • Sessions in this category should focus on the unique aspects of serving as a Physician Advisor in behavioral health facilities or in health systems providing behavioral health services. 


    • Behavioral Health reviews
    • Behavioral Health payments
    • Understanding your state’s Medicaid plan 
    • Behavioral Health CDI 
    • Challenges providing care for Behavioral Health populations 

  • Procedural Services
  • Sessions in this category should focus on the role of a Physician Advisor in supporting medical and surgical service lines for the performance and payment of procedures. 


    • Pre-authorizations for outpatient and inpatient procedures 
    • Managing high cost and high risk procedures 
    • Denials management 
    • Service line revenue analysis 

  • Ancillary Services 
  • Sessions in this category should focus on the role of a Physician Advisor in supporting various aspects for outpatient and inpatient ancillary services. 


    • Pharmacy and Pharmaceuticals
      • Pharmacy collaborations (e.g., physician and pharmacist advisors)
      • Medication authorizations 
      • Medical necessity requirements 
      • Data and analytics 
      • Denials management 
      •  Service revenue analysis
        • Infusion centers
    • Radiology, Laboratory, and Pathology Services
      • Imaging,Interventional Radiology, specialty lab, and pathology authorizations 
      • Medical necessity requirements
      • Data and analytics
      • Denials management 
      • Service revenue analysis


For questions & more information, please contact amyjm@frontlineco.com.