3 years ago

5th Annual Hospital, Health System And Payer ... - World Congress

5th Annual Hospital, Health System And Payer ... - World Congress

THURSDAY, November 8,

THURSDAY, November 8, 2012 10:45 am – 11:30 am Administrative Simplification under the Affordable Care and its Impact on Payers and Providers • Discuss the need for Administrative Simplification • Understand the new age of Administrative Simplification under the Affordable Care Act • Review specifics of current and upcoming standards and operating rules under ACA • How far can we go? Explore approaches for implementing the EFT & ERA Operating Rule Set and the EFT and Health Plan Identifier (HPID) standards Matthew Albright Lead Health Insurance Specialist, Office of E-Health Standards and Services (OESS) Centers for Medicare and Medicaid Services (CMS) 11:30 am – 12:15 pm Automated Claims Processing from Data to Dollars: Improving Revenue with Efficient, Streamlined Processes Providers want to be paid on time, but paper claims are piling up, EDI claims have errors, and some plans are still sending faxes. Stop fighting with multiple processing flows and inaccurate data by streamlining all your claims (including re-priced) onto one platform for an incredible increase in claim data accuracy, processing speed, and process control. Learn how corporations are seamlessly processing a couple thousand claims to up to 100,000 claims daily with the latest technology. Attendees will learn how to: • Bring all paper, EDI 837, and fax claims into the same rules engine • Achieve uniform data with flexible business rules • Increase data accuracy entering the adjudication system • Generate completed CMS1500 or UB04 form images from received EDI data • Auto-Balance Date-of-Service (DOS) line items to claim total • Auto-Balance multi-page claims to claim total • Generate 5010 compliant EDI 837 or text files for output Ken Kriz Manager, Strategic Alliances AnyDoc Software 12:15 pm – 1:15 pm Networking Luncheon in the Executive Networking Lounge 1:15 pm – 2:15 pm CASE STUDY: Grappling with the New Reality of Collecting Payment from Consumers – ‘Retail-izing’ the Payment Experience • Identify consumer perceptions and mindset of medical bills • Increase point of service collections through increased contacts with the patient • Build awareness of programs and assist members in making the transition to electronic or mobile payments • Develop a strategic plan to increase number of subscribers submitting their premium payments electronically • Utilize web analytics to measure behavior and track product use for successful marketing campaigns Cheryl Thomas Operations Manager, Payment Processing Blue Cross Blue Shield of Alabama Additional Thought Leaders TBD 2:15 pm – 3:15 pm Lessons Learned from 5010 Implementation and Preparation Tips for ICD-10 Transition • Strategies to remain adaptable and compliant in an ever changing regulatory environment • Apply lessons learned from the HIPAA 5010 transition to ICD-10 • Examine the impact of ICD-10 on claims processing and determine best practices for preparation and implementation Taylor Williams Director, Patient Financial Services Emory Healthcare 3:15 pm – 3:45 pm Networking and Refreshment Break in the Executive Networking Lounge Dedria Johnston Manager, Treasury Operations Blue Cross Blue Shield of Alabama Cheri Hill Manger, eCommerce Excellus Health Plan Program presents the perspectives of all stakeholders – Industry, Provider, Payer, and Vendor To Register please visit • Phone: 800-767-9499 • Fax: 781-939-2543 • Email:

3:45 pm – 4:45 pm Denials Management Strategies and Solutions to Build a Bullet Proof Defense • Learn the demographics on your patient base starting with registration • Review snapshot cases of actual appeals that were successful • Hear the payer perspective on the design of denial programs • Discuss strategies to prepare for Medicare RAC audits Thought Leaders TBD THURSDAY, November 8, 2012 Helen Campbell, MBA, RHIA Vice President, Industry Alignment and Engagement UnitedHealth Group Payment Innovation Presented By: SPONSORSHIP AND EXECUTIVE NETWORKING OPPORTUNITIES World Congress offers comprehensive sponsorship packages which include presentation opportunities, exhibit space, branding, product demonstrations as well as the use of post show delegate list. Sponsorships allow you to achieve your objectives before, during and long after the event. Any sponsorship can be customized to meet with your company’s needs and budget. Premier Sponsorship Opportunities – World Congress has developed several exclusive opportunities at varying levels to meet your goals and objectives within the conference and summit sessions. As the exclusive sponsor of the summit your company will benefit from the following: Platinum, Gold and Silver Corporate Sponsorships – These high level sponsorships provide your company with the greatest degree of visibility as a supporter of the World Health Care Congress’ mission to identify and implement innovative and creative approaches to health care cost and quality improvement. Focus Group Sponsorship – World Congress will work together with the sponsor to invite a select group of C-suite or Senior Level delegates and appropriate speakers to an official sponsored Focus Group during the Congress. Breakfast & Luncheon Presentations – Invite session attendees to enjoy breakfast or lunch on your company’s behalf while you give your talk. Includes a 30-minute presentation and concludes with a 15-minute Q&A session. Invitation-Only VIP Breakfast/Luncheon and Dinner/Hospitality Suite – Sponsor will select invitees from the conference pre-registration list for an evening of networking at the hotel. World Congress will extend invitations, conduct followup and monitor responses. Reminder cards will be placed in the badges of those delegates who will be attending. Exhibits – Exhibitors at the summit will enjoy facilitated networking opportunities with high level decision makers. Speak face to face with prospective clients and showcase your latest product, service or solution. Prospect Connect – The World Congress Prospect Connect connects sponsors to the prospects and clients they want to meet. Simply provide us with a list of potential attendees who you would like to network with during the event and let our professional staff set appointments that help maximize your conference experience. Other Networking And Promotional Opportunities: Badge Lanyard Sponsor • Exhibit Hall Reception • Hotel Room Drop Keynote Chair Drop •Tote Bag Sponsorship • Tote Bag Insert • Program & Exhibit Guide Sponsor (Exclusive) • Advertisement in the Program Guide Refreshment Break Sponsorship Marketing and Brand Awareness • Corporate branding prominently displayed on web site and all marketing materials • Outreach via email and direct mail to your top prospects and clients • On-site signage For more information on sponsorship and networking opportunities, please contact Peter Bowes at 781-939-2619 or or David Capobianco at 781-939-2635 or To Register please visit • Phone: 800-767-9499 • Fax: 781-939-2543 • Email:

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