The Tennessee Healthcare Symposium is a collaborative event between the Tennessee Medical Association and major insurance carriers. It is designed to help practice managers, coders, billers, auditors, and other medical office staff improve office efficiency and financial performance. Up to 21 CEU and CME credits will be available over the three-day virtual event.
EDUCATION: Learn from speakers on a variety of healthcare topics including specialty coding, auditing, compliance, and much more!
Earn up to 21 CEUs or CME credits during the three day virtual event.
CLAIMS HELP: Engage with payer representatives in virtual chat rooms for help with claims issues, disputes and appeals, policy changes, prior authorization and more.
VENDORS AND EXHIBITORS: Interact with individual vendors at their virtual booths to learn more information about their company's services and benefits.
7:00-7:55 7:55-8:00 8:00-9:30
Alex Shepard Rowe, Apryle Phipps, 9:30-10:30 10:30-11:30 11:30-12:30 12:30-1:00 1:00-2:00 2:00-3:00 7:00-7:55 7:55-8:00 8:00-9:30This session will focus on the areas payers and government agencies are taking a closer look at to determine Fraud Waste and Abuse (FWA). Topics include Evaluation and Management Services (Medical Necessity and Clinical Judgement), Telehealth and the proposed new subsection added by the government to the Medicare Physician Fee Schedule (MPFS – 2022) and other high-risk audit targets. 2021 has without a doubt been the year of the audit and the aggressive stance taken by payers and their contracted bounty hunters should make all healthcare professionals/providers sit up and take notice.
9:30-11:00Many practices struggle with compliance. Join us as we walk through building a compliance plan and fostering a culture of compliance throughout your organization. We will explore how to develop your 7 step compliance plan as well as tips to engage your team members.
11:00-12:00A.I.-powered solutions can transform healthcare and improve upon traditional techniques typically utilized by providers to manage the revenue cycle. Familiar to most is A.I. utilization in disease diagnosis and clinical workflow. Less familiar to providers may be the A.I. opportunities that exist for the healthcare revenue cycle that facilitate automation, data analytics and machine learning that can unlock new efficiencies and increase productivity. This session will explore those A.I.-powered RCM strategies.
12:00-1:00 1:00-2:30As federal and state governments demand more and more from medical practices in the regulatory realm and as we emerge from our focus on COVID-19, those in the medical business need to get caught up. Participants will receive an overview of emerging compliance issues of which medical practices need to be aware and address. The second part of the presentation will consist of a walkthrough of some state law compliance issues straight from the files of the TMA legal department. With over 30 years of experience, your instructor will help navigate you out of compliance paralysis and give you resources to get back on track.
2:30-4:00This session will provide an overview of the Office of Inspector General (OIG). It will include history, statistics, and types of cases it works related to the medical field. Case study examples will also be presented.
7:00-7:55 7:55-8:00 8:00-9:30As we have worked with the new guidelines throughout the first part of 2021, we have certainly seen the challenges, but we have also already seen the compliance risks and concerns being identified. During this session, we will identify risks that your practice should be aware of and recommendations to mitigate these pitfalls.
9:30-11:00 11:00-12:00TennCare will provide an update on the state of Medicaid in Tennessee, inclusive of key initiatives the agency is undertaking.
TennCare will provide an overview of its Episodes of Care program, reviewing common questions about the program and highlighting changes for the 2022 calendar year.
12:00-1:00 1:00-2:30 2:30-4:00
