MGMA MISSOURI SPRING CONFERENCE: PIECING TOGETHER THE HEALTHCARE PUZZLE May 6 8, 2018 Tan Tar A Resort, Osage Beach, MO Conference Agenda

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1 MGMA MISSOURI SPRING CONFERENCE: PIECING TOGETHER THE HEALTHCARE PUZZLE May 6 8, 2018 Tan Tar A Resort, Osage Beach, MO Conference Agenda Sunday, May 6 TH 12:00 5:00pm Registration 11:30 1:00pm Local Chapter Board of Directors Leadership Symposium 3:00 4:00pm Preconference Session: ACMPE Overview David Taylor, FACMPE This session provides general information on the American College of Medical Practice Executives requirements for certification and fellowship, and will give you a better understanding of the process involved for advancement in the College. This session offers you a first step for assessing skills and helps you develop a plan for pursuing certification and fellowship. David Taylor is a corporate vice president of CoxHealth s Systems Resource Group. He served as president of MGMA Missouri in 2010 and is a past board chair of MGMA. 1:00 4:00pm Preconference Workshops: Seeing into the Future of Human Resources Issues Kyle Haubrich, JD Want to brainstorm with your peers and learn what challenges and successes other physician offices are dealing with in Human Resources? Join us for this interactive session as we explore the many HR topics you face on a day to day basis. Kyle Haubrich is an attorney with Sandberg Phoenix & von Gontard, PC Keys to Evaluation and Management of Documentation, Assessment and Coding Linda Martien, CPC and Sarah Reed, CPC A deep dive into the complexities of Evaluation and Management code assignment beyond the common key components. Attendees will review policies, tools and have hands on experience in code assignment for several examples working from real life scenarios. A variety of place of services, services provided, including procedures and diagnosis coding, and provider education hints and tips will also be discussed. Linda Martien brings her 40+ years of experience in coding, billing, auditing, practice management and consulting to the table. She began her work in the medical arena as an EMT in remote Arizona, as one of the first class to be licensed in that state. She is current the Chairman of the Board of Directors for the AAPC Chapter Association and has served as a past officer and member of the AAPC National Advisory Board, as well as various local chapter officer positions in the Columbia and Jefferson City, MO chapters. She is employed by Revenue Cycle Solutions providing education, training and auditing services to select clients. Sarah Reed brings over 37 years of experience in Healthcare. She has a BSE in Education and feels she has taught every day of her career since starting at Truman Medical Center in Much of her career has been spent in administrative roles in both academic and private practice settings. Over the years, Sarah s primary interests have centered on coding compliance, auditing, and education for physicians and staff. Sarah s most recent role was as a Senior Managing Consultant and Coding Instructor for Medical Revenue $olutions, LLC (MRS). Prior to that Sarah was an influential member of an audit team for over 15 multi specialty practices in the Kansas City area. 4:00 5:00pm Reception for all First Time Attendees & New Members 5:00 6:30pm Opening Night Reception & Dinner 6:30 8:00pm General Session: It Takes 4 to Tango: Let s Piece Together the Personality Difference Puzzle! Candy Whirley Anyone who works with people will benefit from THIS Keynote! In It Takes 4 To Tango, Candy has two meanings when it comes to her 4. The first meaning... she will take you through her 4 C s of Leadership which are the importance of Confidence, Communication, Creativity and Change in the workplace, the second meaning you will go on a brilliant exploration of personality styles that will make you think, laugh, even dance and recognize your true self and others. This is NOT the Myers Briggs Personality Indicator, this is NOT the DISC test or even True Colors Candy gets participants up and out of their seats and networking with other ANIMALS (Chameleon, Lion, Lamb or Owl) just like them! This is an open and honest way for all the personalities to hear from

2 one another about how to communicate better with other Animals, how to motivate them and which ANIMAL drives them the craziest and why WITHOUT A TEST! You ll also learn to overcome personality differences that lead to problems like communication breakdown, negotiation letdown, and delegation fall down by learning the secrets to connecting and partnering with other personality styles. People leave understanding how to treat people like THEY want to be treated and recognize that people are not difficult, they are just different. From the Hawaiian Islands to London, England, Candy Whirley is famous for her high energy enthusiasm, innovative training activities, and contagious sense of humor. She is a dynamic speaker dedicated to sharing over 20 years of her expertise to help professionals improve their job performance and achieve their personal goals. Candy is most known for her interactive keynotes and breakout sessions, whether the request is team building, relationships or leadership skills, her clients know the audiences will be interactive, energized and entertained! 8:00 10:00pm Cocktail Party at Mr. D s Monday, May 7 th 7:00 8:00am Breakfast with Exhibitors 8:00 9:30am General Session: Intelligent Business: Giving Analytics Meaning Cameron Cox, FACMPE We are constantly being told that the new healthcare system will depend on Big Data, Business Intelligence and Analytics. What does this mean? Haven t we always analyzed data? This presentation will challenge you to reconsider whether you are asking the right questions and whether you have the right data and tools to answer them. Learn how analytics adds value to your practice s financial position and operations. We ll review some commercial products in the marketplace and also build some of our own! Cameron Cox, FACMPE is President and CEO of MSOC Health. Early in his career, Cam served as Practice Administrator for a radiology practice in Virginia. His role included all aspects of the revenue cycle, human resource management, strategic planning and business development, as well as daily operations. This experience provided an in depth working knowledge of both the intricacies of start up practices and the idiosyncrasies of mature practices. Cam is a Fellow in the American College of Medical Practice Executives and Past President of Triangle Medical Managers. He currently serves on the Political Advocacy Committee for the North Carolina Medical Group Managers. He holds undergraduate and graduate degrees in Healthcare Administration from the University of North Carolina at Chapel Hill. Cam regularly speaks on a broad array of issues, including effective practice management, revenue cycle, EMR and other technologies, and a host of other subjects that are presenting challenges and opportunities to today s medical practitioners. 9:30 10:00am Exhibitor Networking Break 10:00 11:00am Breakout Sessions Accountable Care Organizations Jill Watson Jill Watson is the executive director of Centrus Health Kansas City, a clinically integrated network in Kansas City. Centrus Health Kansas City is comprised of three health systems and their employed physicians and more than 30 independent physician practices. Together there are more than 1,650 physicians in Centrus Health KC, representing roughly 26% of the Kansas City health care market. Centrus Health participants are aligned around the goal of providing high quality care at lower cost. Centrus is poised to bring better health outcomes to Kansas City by leveraging physician leadership, data, and best practices across health systems. Centrus Health Kansas City has accountable care (ACO) contracts with Blue KC and the Medicare Shared Savings Program (MSSP) beginning January 1, Top 10 Security Vulnerabilities That Can End Your Practice John Motazedi The top 10 newest internal threats that put your practice at risk. How could your employees unknowingly cost your $1000 s. New threats including phishing, ransomware and drive by Web attacks will be discussed. Learn what procedures to put in place to protect your practice and your patient information. This will be a dynamic interactive session. John Motazedi is the President and CEO of SNC Squared Technology Group, a company of IT experts who pride themselves on offering cutting edge services to businesses throughout Joplin, Missouri and its surrounding areas.

3 Is Your Physician Ready Coding, Communication and Documentation Brenda Edwards, CPC Is your provider willing to roll the dice with current documentation? Whether we discuss documentation from a CDI standpoint or for ICD 10 diagnosis coding, the common thread is being prepared. Topics include effective provider education, documentation and compliance in the EHRs. This interactive session includes how to as well as how to not communicate with your providers when delivering coding and documentation education Brenda Edwards has been involved in the healthcare arena for 30 years with experience in chart audit, coding and billing, education, consulting, practice management and compliance. She works closely with practices, providers and residency programs to ensure documentation is compliant and accurate. She is widely published and is a much sought after speaker. Her humorous and engaging presentation style has made her a favorite at both regional and national conferences for the AAPC as well as local chapter meetings and other organizations. Brenda is past chair of the AAPC Chapter Association Board of Directors. Mentoring fellow members of the AAPC is a passion of hers. She is the co founder of the Northeast Kansas (NEKAAPC) chapter and has served in many offices. Intruder Alert (Run, Hide or Fight) Rick Goins Rick Goins is from Homeland Security and he will review best practices in the event an intruder enters the premises. 11:15 12:15pm Breakout Sessions Playing the Long Game & Winning Why Telemedicine & Patient Engagement Matter Cameron Cox Healthcare is moving from a service to a relationship. If physician practices want to be successful, the patient experience must be prioritized above all else. Even the carriers agree and are developing telemedicine policies designed to incentivize providers, increase patient satisfaction and control their costs. This presentation will highlight the importance of adopting telemedicine and engaging patients. NPP Relations Ethan Hampton, CRNP We will discuss the role of the nurse practitioner in primary care; Nurse practitioner vs. physician assistant; and How are nurse practitioners viewed by physicians and patients? Ethan started his healthcare career as nurse s aid in nursing home, later worked a few years in Springfield MO as surgical intensive care nurse, and then as cardiovascular intensive care nurse in North Kansas City while obtaining his Master s degree in nursing. He is currently practicing at an internal medicine clinic in the North Kansas City area. He has a passion for preventative healthcare, especially diabetic treatment and education. MACRA, MIPS and HIPAA Slips Kyle Haubrich, JD and Diane Robbin, JD What is MACRA, MIPS and HIPAA today and how will they affect your practice? Kyle Haubrich and Diane Robbin are attorneys at Sandberg Phoenix & von Gontard, PC Behind the Audit 8 Ball Linda Duckworth, CPC Physician practices are finding themselves behind the 8 ball when audited by Medicare. Often the initial audit response (release of records) is mishandled by staff who are not qualified to process the release. So, what can be done proactively? After this session, Managers and Coders will have a heightened awareness of how their practice is monitored by Medicare, and what they can do to self monitor. They will be able to anticipate the most problematic areas for physicians of all specialties. They will receive instruction on how to respond to documentation requests correctly, and completely, the first time around, and learn key coding terms to interject into their audit responses. Case studies will be provided so that the audience can see their provider s documentation, coding and claims through a compliance officer s, and auditor s eyes. Linda Duckworth has over 30 years of experience in Healthcare ranging from practice management to audit, education and compliance. She has developed surgical and E/M audit programs for a multitude of specialty practices. She has built internal audit and compliance programs for several organizations. She is well acquainted with the billing regulations of larger Academic institutions and smaller Rural Health Care centers. Linda has created effective CME and CEU training courses for physicians and staff and has authored articles for coding, reimbursement, and physician specialty industry publications. She has been a speaker at local, regional and national.

4 At present, Linda is a Senior Managing Consultant and Compliance Officer with The SCBI where she concentrates her efforts on regulatory issues, audit response and litigation support. 12:15 1:15pm Lunch with Exhibitors 1:15 2:45pm General Session: Washington Update Drew Voytal, MPA This update will provide timely information on the status of pertinent healthcare issues under consideration by Congress and federal regulatory agencies. Attendees will learn about recent legislative and regulatory developments affecting medical groups, gain a deeper understanding of these changes and their impact on the day to day activities of medical group practices, and be directed to clarifying resources. Specific topics include 2018 implementation details for the Medicare Quality Payment Program, as well as payment policy changes finalized under the 2018 Medicare Physician Fee Schedule, among a host of other timely issues. As a Government Affairs Analyst, Drew Voytal provides data insights, program management and evaluation to the MGMA Government Affairs team. He works closely with each staff member to help policymakers in Washington D.C. understand the realworld impacts of federal healthcare policies and regulations on medical groups. Drew holds a Master of Public Administration with a Healthcare Administration focus and a bachelor s degree in Political Science, both from Western Michigan University. 2:45 3:15pm Exhibitor Networking Break 3:15 4:15pm Breakout Sessions Intruder Alert (Run, Hide or Fight) Rick Goins (repeat) WAYAWAYH? Our Journey Toward Population Health William Dailey, MD Summary: Our transition from physician centered teams of one, absent measurement to data driven, physician managed microsystems improving patient care; from blinders to transparency. Bio: William Dailey, MD, MSEng, MSMI, CHCIO eligible Nebraska native. Studied at the Nebraska Medical Center and Northwestern University. Fellowship Trained in rural Family Medicine. Eclectic background as a Navy Nuclear operator on submarines and Chemical Engineer (BS and MS). Serving as CMIO at Golden Valley Memorial Healthcare in Clinton, MO. Passionate Senior leader for the Information Technology Department and physicians. Boarded in Family Medicine and Informatics. Technophile. Moving the Patient Experience Needle in Your Practice Kyle Adkins An energetic and fun look at ways to take your patient experience data and make adjustments that can make a real difference in the ways you strive to satisfy your patients. Various practical tips and takeaways of how to navigate these challenging waters will be shared in this session that can help practice managers, providers and front line staff better serve their patients while improving their outcomes as well. Where do you begin and how do we engage staff in the process and bring providers along for the journey without kicking and screaming the entire way? Kyle Adkins is the Administrator at Golden Valley Medical and currently serves on the Board of MGMA Missouri. Coding Chronic Conditions Brenda Edwards, CPC Chronic conditions account for a large percentage of healthcare dollars. The accurate capture of these charges is critical. Our discussion will include helpful tips to ensure documentation is thorough and complete. We will review the importance of reporting manifestations and combination codes. Chronic conditions discussed in this presentation includes diabetes mellitus, congestive heart failure, kidney disease, heart disease and sepsis. 4:15 5:15pm Breakout Sessions How to Handle a Difficult Staff or Boss Scott Foster Difficult people can be a combination of self centered attitudes, motivations, and behaviors that have adverse effects on staff, the organization, and mission performance. This person lacks concern for others and the climate of the organization, which leads to short and long term negative effects. Scott will identify ways to work in this environment and discuss how you can protect yourself and your staff from buckling under the pressure. Scott Foster is a dynamic Human Resources professional with over 10 years of experience in Human Resources Consulting, Organizational Development, Leadership Development, Employee Relations, Certified Meyers Briggs Practitioner, and Recruitment/Retention.

5 Top 10 Security Vulnerabilities That Can End Your Practice (repeat) John Motazedi Moving the Patient Experience Needle in Your Practice (repeat) Kyle Adkins What To Do When the Audit Letter Comes Sarah Reed, CPC We will address the different types of external audits and their purposes (including but not limited to CERT, OIG, HEAT, ZPIC, MAC, MIC and commercial payers). In addition to defining and educating on what the intent of the audit is, she will provide information on how to respond and track these audits in your practice. Who should be involved from manager to coding staff to providers and how should you respond? Ms. Reed will also give some education tips for sharing in the practice so staff understands the process and the importance of the audit in progress. 5:15 6:15pm Networking Reception Tuesday, May 8 th 7:00 8:00am Breakfast with Exhibitors 8:00 8:15am Annual Business Meeting 8:15 9:30am General Session: How to Terminate an Employee Stephen A. Dickens, JD, FACMPE Human resources are one of the most time consuming aspects of the practice executive s responsibilities. Bringing together different personalities and work styles can be overwhelming. When everything comes together the practice and patients reap the rewards. Unfortunately, not everyone is a good fit. Sometimes the kindest thing you can do is set an employee free to seek new opportunities. Utilizing a mock termination scenario, this session will help you navigate the termination process. At the conclusion of this session, attendees should: Recognize the importance of progressive discipline; Identify best practices for documentation; and discover the simplest way to conduct a termination. Stephen A. Dickens, JD, FACMPE is an attorney with SVMIC where he is the Assistant Vice President of Medical Practice Services. He is a published author and frequent speaker at state and national conferences on the topics of operations, strategic planning, leadership, patient experience and human resources. Mr. Dickens has spent the last 23 years working with physicians in various roles including 15 years in medical practice, hospital and home care executive positions before joining SVMIC in He is a Past Chair of the Medical Group Management Association having served as the first solo chair of MGMA ACMPE. He is a Past President of the MGMA Financial Management Society, Tennessee MGMA and Tennessee Association for Home Care. He is a Board Certified Medical Practice Executive and a Fellow in the American College of Medical Practice Executives. In addition, he has previously earned Fellowship in the American College of Healthcare Executives and certification as a Home and Hospice Care Executive by the National Association for Home Care. 9:30 10:00am Exhibitor Networking Break 10:00 11:30am General Session: BUILDING THE EDGES FIRST Finding the key pieces of your leadership legacy Terri Tucker What is the first thing every puzzle master does? Of course he or she grabs the flat edged pieces and the corners. The frame is built first. In successful leadership we, too, must grab key foundational behaviors that create a solid frame around our culture. Then team members know the playing field and can run around inside of that culture doing what they do best. Our consistency and reliability as leaders create the atmosphere where mastery and autonomy thrive. If you would like to have team members take more action; make more decisions; solve more problems and surface more opportunities this session is a great investment of your time. If you wish your customers would partner with you for mutual success and develop relationships with your service providers be sure to attend. You will walk out with actual leadership behaviors to practice not just philosophies to ponder. Find the pieces that will help frame your leadership legacy. Terri Tucker is a professional speaker, facilitator, writer and leadership consultant. She has owned and operated Tucker Resources since 1996 and serves clients worldwide in many industries. 11:30am Closing Remarks & Prize Drawings

6 CONFERENCE FEES Before 04/13/18 After 04/13/18 MGMA MO ACTIVE MEMBER $295 $395 AAPC MEMBER $295 $395 NON MEMBER $395 $495 MGMA MO LIFE MEMBER $125 $150 CONFERENCE FEE REFUND POLICY Cancellations received prior to April 13, 2018 are subject to a $50.00 cancellation fee. Cancellations received after April 13, 2018 and no shows cannot be refunded. Substitutions from within the same group are acceptable. CREDIT HOURS American College of Medical Practice Executive (ACMPE) Credit Hours: To apply this program toward your ACMPE continuing education requirement, please calculate the total number of clock hours you spent in educational sessions and enter your hours online in the My Transcript area of mgma.com. The program has the prior approval of AAPC for 14.0 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. HOTEL INFORMATION Tan Tar A Resort, located in Osage Beach, Missouri, is now a Margaritaville resort. Quietly nestled on 420 lush acres along the Lake of the Ozarks, this Midwest 3 Diamond resort is a haven for endless excitement or complete relaxation. Its convenient location and stunning surroundings makes Tan Tar A the premier Missouri vacation resort. Hotel reservations can be made by calling or online at tar a.com. Reservations must be received on or before April 6, Be sure to use our group code: MDCL to receive the discounted rates. Rates are as follows: Resort complex: Run of House: Guest room: $126 Guest room: $115 One Bedroom Suite: $189 One Bedroom Suite: $179 Two Bedroom Suite: $251 Two Bedroom Suite: $241 CONFERENCE REGISTER AT MGMA MO.ORG

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