Our program is eligible for Radiology Business Management Association (RBMA) Fellow credits.
Sunday, February 20, 2022
OPENING
Dave Jakielo and Bob Burleigh CHBME
The conference opens with a review of everyone’s reasons for attending, expectations, goals, specific answers and solutions they’re seeking and what’s happening nationally and globally relating to legislation, regulation, information systems, technology innovations, hospitals, and their effect on the billing industry. We also have the attendees introduce themselves as a way to kick off the networking and sharing that is traditional to our conference. (1 Hour)
INDUSTRY OVERVIEW
Dave Jakielo and Bob Burleigh CHBME
Explore the latest and most important trends in healthcare – hospitals, practices, health insurance, pharmaceuticals, clinical and IT technology and how they all relate to the medical billing industry – and how they 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. (1 Hour)
COMPLIANCE: 2022 E & M CODING and OTHER RISKS
Holly Louie RN, CHBME
2021 introduced significant changes to how E & M codes are documented, coded, billed and paid. One year later, what has emerged are expected and unexpected outcomes, problems, compliance consequences, payment policies and other operational and compliance challenges. In addition, this session covers changes for 2022 and how they affect various specialties and their billing. (1 Hour)
SIX IDEAS THAT COULD FIX HEALTHCARE
Dave Jakielo
As costs continue to spiral out of control and with more Baby Boomers joining Medicare daily, it is inevitable that we will need to make some drastic changes so our healthcare system doesn’t implode. This session will offer some ideas that may help to ensure healthcare doesn’t become unaffordable. Audience participation is required! (1 Hour)
MARKETING and SELLING DURING a PANDEMIC
Dave Jakielo and Bob Burleigh CHBME
Have you found that your phone hasn’t been ringing off the hook with new prospects seeking out your services? With the number of independent physicians continuing to dwindle, plus the pandemic, it’s time you revisited your marketing plans to ensure future growth. So, we will offer various tips to help you grow your revenues in 2022 and beyond. (1 Hour)
2022 SURPRISE BILLING REGULATIONS & BILLING COMPANIES
Bob Burleigh CHBME and Holly Louie RN, CHBME
CMS has issued two rounds of proposed implementation regulations for the federal No Surprises Act (NSA). While there is significant resistance and ongoing activity opposing parts of the regulations, there is no doubt that NSA compliance will become part of your clients’ responsibilities – and yours, too. Get up-to-the-minute advice on what the regulations mean, how they overlap with various state Surprise Billing regulations, how to monitor your clients’ compliance and how to deal with arbitration and disputes. (1 Hour)
ADVANCED MANAGEMENT: Live, Virtual and Everything in Between
Dave Jakielo
The pandemic sure has changed our management paradigm and how we thought we needed to manage and lead our team members. Everyone had to take a crash course in how to work with virtual teams and this skill set will be needed going forward – as our offices will never look the same. We’ll discuss how to ensure your staff is staying productive and motivated even when they, and you, are out of sight. (1.5 Hours)
BUILDING YOUR COMPANY’S LONG-TERM VALUE
Dave Jakielo and Bob Burleigh CHBME
In this session will examine what makes a medical billing company valuable. We will provide you with the key elements and building blocks that are used to determine if your company’s value would be considered having a High, Medium, or Low value in the current and future marketplace. This session is not solely about selling your business – valuation is important for borrowing and lines of credit, inviting or cashing out shareholders and investors, succession and estate planning and many other uses. (1 Hour)
Monday, February 21, 2022
COUNTDOWN TO 2030: HOW OUR WORLD IS CHANGING
Bob Burleigh CHBME
In eight years, we’ll enter the third decade of the 21st century. The real changes in our world since 2010 are remarkable, in technology, society, health care and the world at large. This session is a wake-up call that will cover how the entire world will look and work differently by 2030, including how we work, how we do business, which nations will affect our economy and workforce, and how we will live. (1.5 Hours)
WHAT’S HAPPENING in WASHINGTON, and Why Does it Matter?
Matt Reiter, Vice President, Capitol Associates
Health care is one of the most (over)regulated industries in America. In addition to all of the clinical and legal regulations that affect (afflict) physicians, hospitals, insurers and every corner of health care, there are bookcases full of billing regulations. Most of the regulations originate in Washington, either from CMS or Congress. You’ll get an up-to-the-minute report on what’s in motion, what’s pending, what’s chronic and how you and your clients will be affected in 2022 and beyond. (1.5 Hours)
HIPAA AFTER 25+ YEARS: Common Billing Company Mistakes
Holly Louie RN, CHBME & Bob Burleigh CHBME
In 1996, Congress passed HIPAA. The most immediate change was highly important – preexisting conditions were effectively eliminated from health insurance – a policy and societal change that benefitted our industry and America. Operationally, we know HIPAA for Privacy, the Transaction Code Set (aka “Administrative Simplification,” and Data Security. We’ll review how HIPAA requirements are often misinterpreted, and/or many overlooked HIPAA requirements have impacted billing companies, physicians, hospitals, insurers and patients. You don’t know what you don’t know. (1 Hour)
HOW HAS COVID CHANGED HEALTHCARE?
Dave Jakielo and Bob Burleigh CHBME
I doubt that any company in the medical billing industry looks anything like it did in February 2020. This will be an interactive session where we will solicit input from all attendees to share what has substantially changed in their company and what have been the positive and negative effects. We’ll also discuss which changes are likely to diminish when (if) Covid recedes and which are almost certainly going to be part of the long-term future. (1 Hour)
AI, BLOCKCHAIN & RPA BOTS
Dave Jakielo and Bob Burleigh CHBME
If you’re still processing all of your incoming work, outgoing claims, incoming payments and unpaid receivables with personnel and your billing system, the likelihood of staying in business another five years is poor, or impossible. Artificial Intelligence (AI) products, Robotic Process Automation (RPA) and Blockchain are all revolutionizing many industries, including medical billing. We’ll provide a state-of-the-art update on the ways these tools will improve the results you produce for your clients, lower your operating costs, reduce errors and streamline your entire operation. Just like all of your competitors. (1 Hour)
IS THIS the RIGHT TIME to (RE)START a BILLING COMPANY?
Dave Jakielo and Bob Burleigh CHBME
Has the pandemic led to Billing Fatigue? For some of us the answer maybe yes, for others it has been a time of unparalleled growth. We will share what we see happening in the national marketplace and how you can position yourself to take advantage of the current opportunities. Despite that more than 50% of all physicians are now employed, there are many established and emerging opportunities to retool your company’s specialties, business model, etc. For those considering starting a billing company, the future remains promising – if you know where to look and how to do it. (1 Hour)
MERGERS, ACQUISITIONS and VALUATIONS DURING and AFTER a PANDEMIC
Ted Stack, Managing Partner, Falcon Capital Partners
Billing companies remain an attractive investment and acquisition target for larger billing companies, investors, private equity firms and others, just as they have since the early 1980s. Over the past five+ years, many smaller firms have also engaged in self-organized mergers with other, like firms. Our speaker will discuss they economics, recent history and current factors affecting company value, buyers’ interests, responsibilities of sellers and buyers, and how changes in the economy and the health care industry have affected recent and upcoming deals. (1.5 Hours)
Tuesday, February 22, 2022
BILLING COMPANY BENCHMARKS AND KPIs
Bob Burleigh CHBME
This ever-popular session covers WHAT to measure, HOW to measure it, WHEN to measure, WHY to measure it, and WHERE to go with information – 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. (1.5 Hours)
OFFSHORE – 25 YEARS LATER . . .
Dave Jakielo and Bob Burleigh CHBME
When we first started working with our offshore partners over 25 years ago, their services were usually limited to data entry, payment posting and a few other miscellaneous clerical functions. Jump ahead to 2022, and many of the functions they performed in the past are totally automated and we have now entered into a new era, where offshore company’s offerings can include automated coding, robotic process automation and artificial intelligence. We will discuss what is occurring now and what is on the horizon, including where new support companies are based and what new services are emerging. (1.5 Hours)
Total: 20.0 Hours
