Conference Agenda (Copy) - American College of Physician Advisors Inc.

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Agenda

April 30, 2018

7:30 - 8:30 AM	Registration
8:30 - 8:40 AM	Opening Remarks		Lisa Banker, MD Vice President, Chief Physician Advisor, McLeod Health System
8:40 - 9:00 AM	Burning Platforms for ACPA		Edward Hu, MD, CHCQM-PHYADV System Exec Director, Physician Advisor Services UNC Health Care System
9:00 - 10:00 AM	Fire Starters for the Physician Advisor Basic skill sets Medicare A, B, inpatient, observation 2 Midnight Rule, CC44, HINNs		Pooja Nagpal, MD, CHCQM-PHYADV Physician Advisor, St. Joseph Health
10:00 - 10:45 AM	Proprietary Screening Tools - A "Meeting" of the Minds on Status Decisions		William Rifkin, MD Managing Editor, MCG Hearst Healthcare Network Steve Silverstein, MD Vice President, Chief Clinical Architect Change Healthcare (InterQual)
10:45 - 11:00 AM	BREAK
11:00 - 11:45 AM	Interdisciplinary Rounds - Keeping Feet to the Fire How rounds are structured Who participates Benefits realized		Howie Stein, DO, CHCQM-PHYADV Physician Advisor, CentraState Medical Center
11:45 - 12:30 PM	Case Management in the ED - Up Front Ignition The case for ED case management Operations and obstacles		Day Egusquiza President, AR Systems, Inc
12:30 - 1:00 PM	WORKING LUNCH
1:00 - 1:50 PM	Documentation Integrity Fuels Everything Importance of documentation How to get physician engagement Understanding the relationship with coding		Trey LaCharite', MD, FACP, SFHM, CCS, CCDS Medical Director, CDI and Coding University of Tennessee
1:50 - 2:40 PM	Observation - The Art of Churn and Burn How observation medicine is different How an observation unit should operate What do you measure?		Juliet B. Ugarte Hopkins, MD, CHCQM-PHYADV Physician Advisor, ProHealth Care
2:40 - 3:00 PM	BREAK
3:00 - 3:50 PM	Quality - A Many Splendored Thing		Nick Ulmer, MD, CPC Vice President, Clinical Services Spartanburg Regional Medical Center
3:50 - 4:40 PM	Burning Questions Panel		Pooja Nagpal, Juliet B. Ugarte Hopkins, Howie Stein
4:40 - 5:00 PM	Closing Comments Day One Evaluations

May 1, 2018

7:15 - 8:00 AM	BEST PRACTICE BREAKFAST SESSIONS
8:00 - 8:10 AM	Opening Remarks		Lisa Banker, MD Vice President, Chief Physician Advisor McLeod Health System
8:10 - 9:00 AM	We Like it Hot - Let's Add Some PEPPER Understand purpose and structure of PEPPER report How to act on the report		Ronald Hirsch, MD, CHCQM-PHYADV Vice President, R1 Physician Advisor Services
9:00 - 9:50 AM	CDI Conundrum Diagnoses Frequent and problematic diagnoses How precise documentation can defend against denials		Tim Brundage, MD, CCDS President, Brundage Medical Group
9:50 - 10:10 AM	BREAK
10:10 - 11:10 AM	UM Committees Keep the Fires Burning Structure of the UM Committee Operationalizing the UM Committee Reducing costly clinical variation		Bart Caponi, MD Medical Director, UR & Case Management University of Wisconsin Edward Hu, MD, CHCQM-PHYADV System Exec Director, Physician Advisor Services UNC Health Care System
11:10 - 12:00 PM	Peer to Peer and Medicare Advantage Plans Differences between MA plans and Medicare FFS Strategies for MA plan denials Improving relationships with MA medical directors		Brian Moore, MD, FACEP, CHCQM-PHYADV Medical Director, Utilization Management and Physician Advisor Services Carolinas HealthCare System
12:00 - 12:30 PM	WORKING LUNCH
12:30 - 1:15 PM	Mission Creep: The Physician Advisor and Payer Contracts Understand the importance of contracts How a physician advisor can be helpful Understand how HCCs can be useful in negotiation		Jessica Gustafson, Esq. Health Law Partners Elizabeth Lamkin, MHA President, PACE Healthcare
1:15 - 2:00 PM	Denials Scene RAC focuses, present and future Current state of the ALJs		Jessica Gustafson, Esq. Health Law Partners Abby Pendleton, Esq. Health Law Partners
2:00 - 2:45 PM	Sparking an Overturn - Tips on Fighting Denials Practical advice on strategic approaches Pitfalls to avoid		Lisa Banker, MD, FACP, CCS, CCDS Vice President, Chief Physician Advisor McLeod Health System
2:45 - 3:00 PM	BREAK
3:00 - 4:00 PM	Finance 101 for the Physician Advisor		Sandy Wolskill, FHFMA Director, Healthcare Finance Policy, Revenue Cycle Chuck Alsdurf, CPA Director, Healthcare Finance Policy, Operational Initiatives
4:00 - 4:45 PM	Burning Questions Panel		Brian Moore, Elizabeth Lamkin, Sandy Wolskill
4:45 - 5:00 PM	Closing Comments Day Two Evaluations

May 2, 2018

7:15 - 8:00 AM	BEST PRACTICE BREAKFAST SESSIONS
8:00 - 8:10 AM	Opening Remarks		Lisa Banker, MD, FACP, CCS, CCDS Vice President, Chief Physician Advisor McLeod Health System
8:10 - 9:00 AM	The Two Midnight Rule and Short Stay Reviews How physician documentation can be improved New developments in CMS directed short stay reviews Case examples and interpretation		Ferdinand Richards III, MD KEPRO, Chief Medical Officer
9:00 - 9:50 AM	Seeing Through the Smoke - What's Coming? Overview of future plans for the auditors How a physician advisor can help to ease the denial burden		Ronald Hirsch, MD, CHCQM-PHYADV Vice President, R1 Physician Advisor Services
9:50 - 10:10 AM	BREAK
10:00 - 12:00 PM	Faculty Case Discussion Panel		Edward Hu, MD, CHCQM-PHYADV Ronald Hirsch, MD, CHCQM-PHYADV Brian Moore, MD, FACEP, CHCQM-PHYADV Juliet B. Ugarte Hopkins, MD, CHCQM-PHYADV
12:00 - 12:10 PM	Closing Comments Final Evaluations