OPENING

The conference opens with a review of what’s happening nationally and globally relating to legislation, regulation, information systems, technology innovations, hospitals and their effect on the billing industry.

INDUSTRY OVERVIEW

Explore the latest and most important trends in the medical billing industry that may have a positive or negative effect on your company. Insights will be shared as to how you can adapt and capitalize on the various trends. We’ll cover active and emerging trends in hospitals, practices, insurers, regulations, billing companies, technology and much more.

20/20 FORESIGHT: THE NEXT 5 YEARS WILL RESHAPE THE BILLING INDUSTRY

The entire health care industry is in perpetual change: new clinical care innovations; new clinical technologies; evolving provider categories; mega- and mini-mergers and consolidations; evolving billing technologies; new regulations; workforce changes and much more. We’ll take a close look at what will shape the billing industry by 2025 and how you can be prepared to succeed and prosper.

SURPRISE BILLING REGULATIONS: NOW WHAT?

By February 2020, will Congress have already passed federal regulations? If so, how will they apply to your clients? Whether there are federal regulations or not, there are already 20+ state-level laws and regulations that may interact with and/or supersede federal regulations – and possibly more to come. We will provide you with the MOST CURRENT information about how to assist your clients with surprise billing compliance, how to operationalize it within your company, how to stay current and how it will affect workflow and costs.

SUPERJOBS: GENERATIONAL CHANGE

The employees and jobs of the 2020’s will be vastly different. As the baby-boomers age out of the workforce, their much younger replacements have extremely different expectations about how they work, what (de)motivates them, how they can supercharge your operation and how your costs will be lower and higher – at the same time. Be prepared for a genuine paradigm shift!

EMPLOYEE INTERVIEWING and SELECTION

With over 50% of operating expenses devoted to employees, successful interviewing and selection is extremely important. Making bad choices is extremely expensive and making good choices can propel your success and profitability. We will share checklists, procedures, approaches and decision points so that you make great choices and reduce your turnover at the same time.

KPI/BENCHMARKING

This ever-popular session covers WHAT to measure, HOW to measure it, WHEN to measure, WHY to measure it and the importance of each. You’ll get all of the formulae, methods for gathering the data and how to deduce what cannot be obtained. We will also provide a number of totally new performance indicators and benchmarks specially designed for 21st century billing operations.

AI, ROBOTICS and PROCESS AUTOMATION

The next decade will usher in dramatic changes in how we process and manage data, make decisions about patient accounts and A/R, anticipate and manage events (denials, unanswered claims, missing data, etc.) and streamline the daily workflow in your business – and your clients’. Should you build, buy or rent new technologies, replace your current software or acquire “bolt-on” products, contract specific tasks to technology partners, or wait? You’ll know what to do when this session is over.

PREVENTING and DEALING with LITIGATION

The more successful you are as a billing company, the more likely it is that you will become involved in litigation with a client, either as a Plaintiff or as a Defendant. We will present the best ways to prevent and avoid litigation, how to recognize that it’s coming, how to protect your company and how to manage the process when/if you are the Plaintiff or Defendant, this session will be packed with examples from real cases.

INNOVATION and CREATIVITY IN YOUR WORKPLACE

This session will include proven techniques to help you jumpstart Innovation and Creativity in your company that will enable you to stay on the cutting edge in today’s ever-changing environment in the Medical Billing Industry. Innovation and creativity can be learned and if we don’t get creative in how we deliver our services we may find ourselves struggling to remain in business.

CONTROLLING COSTS and MAXIMIZING PROFITABILITY

Controlling and managing your operating costs is ten times easier than increasing revenue via higher client collections. Adding new clients may increase revenue, but your costs will rise, too. This program will provide a ranked list of “how-to” approaches to reduce your costs, often while increasing productivity at the same time.

MINI COMPLIANCE CONFERENCE: 6.5 HOURS

COMPLIANCE – HOT TOPICS – Back by popular demand!

This session will focus on what is new, what is coming and current compliance program effectiveness expectations. Included will be the latest OIG and federal compliance rules and initiatives, new regulatory changes and interpretations, and how to refresh your Compliance Program. We will cover new ways to look at risk assessments and measurable results, as well as new risk areas and specialty-specific issues. This will be an interactive discussion of things we need to know for your real, living, and meaningful compliance program.

COMPLIANCE – BILLING CONTRACTS 3.0 – Back by popular demand!

This session will be based on a 100% fresh, completely updated Billing Agreement from two of the industry’s most experienced experts. Included will be a long list of optional sections designed to be used in specific situations, such as when you provide enrollment, coding, pre-authorization and other integrated or optional services. The rationale behind the “why’s and how’s” of each section will be explained.

COMPLIANCE – THINGS YOUR CLIENT WON’T TELL YOU

  • Case studies from the trenches.
  • What can we learn from the Independent Review Organizations (IRO), DOJ, OIG, and program integrity cases? Were there warning signs?
  • Does your contract include the necessary protections and provisions?
  • How do you know your clients know and follow all of the rules and regulations? Are you an integral participant in their compliance efforts?
  • Can you trust hospitals to prevent compliance issues?
  • Come prepared to participate, offer suggestions, share knowledge, offer expertise.

COMPLIANCE – CODING: CHALLENGES AND CHANGES

Whether you provide coding as a separate service, or are indirectly involved in coding (whether you know it or not), this session will give you a completely current recap of all of the 2020 coding changes and issues that have emerged, including the new E & M Documentation Guidelines and coding protocols, modifiers and specialty changes for 2020. This is a must-have program for all billing companies!