MGMA St. Louis January 14, 2009
Luncheon Meeting
Expanded Format and Special Location
2 Sessions Presented by:
Ellen Berra, Senior Analyst
Wisconsin Physician Service (WPS) Medicare
Special Location:
Holiday Inn Southwest/Viking Conference Center
10709 Watson Rd
St. Louis, MO 63127
Schedule:
- 10:30 a.m. - Registration
- 11:00 a.m. - 11:45 a.m.
Session 1: WPS Medicare Local Coverage Determination (LCDs) and
Website Navigation
- 11:45 a.m. - Lunch
- 12:15 a.m. - 1:00 p.m.
Session 2: Physician Quality Reporting Initiative 2007, 2008, 2009
and Beyond
- 1:00 p.m. - 1:30 p.m. - Question & Answer
Session Descriptions:
WPS Medicare Local Coverage Determination (LCDs) and Website
Navigation
The Wisconsin Physicians Service (WPS) Medicare Website contains links to
the Local Coverage Determinations for Jurisdiction 5. We have a listing
on our Website and links to the actual policy and billing and coding
guidelines contained on the CMS Website. We will discuss the process of
implementing LCDs during the transition period, the processes in place
now, and the reconsideration process. We will also navigate the WPS
Medicare Website and show you information on correct billing of Medicare
Claims. Correct billing means getting your responses and payment in a
timely fashion.
Physician Quality Reporting Initiative 2007, 2008, 2009 and Beyond
The Centers for Medicare and Medicaid Services (CMS) instituted the
Physician Quality Reporting Initiative (PQRI) in July 2007. We will
discuss the procedure in place in 2007, the incentive payments, and the
reports available to providers. We will next provide information on the
2008 procedures, different reporting methods and the anticipation of
incentive payments. We will next talk about the changes in this program
beginning in 2009 with the inclusion of a separate bonus possible with
E-prescribing. Lastly, we will also show information on the penalties
coming for those providers not E-prescribing.
About Our Speaker:
Ellen Berra is a Senior Analyst with the Provider Outreach & Education
(POE) department with Wisconsin Physicians Service (WPS) Medicare. Ellen
has been with the Medicare program for over 24 years and has worked in
many of the different areas of Medicare including, Claims Processing,
Appeals, Customer Service, Fair Hearings and now in the POE department.
Ellen has been with the POE since 1996 and has been involved in many
different activities including formulating education material,
participating with different societies, specialties, and groups to
provide education to the provider community.
Date: Wednesday, January 14, 2009
Time: 10:30 a.m. – 1:30 p.m.
Location: Holiday Inn Southwest/Viking Conference Center, 10709
Watson Rd., St. Louis, MO 63127
Fees: $25 Members; $35 Non-Members
Registration Link:
http://guest.cvent.com/i.aspx?5S,M3,4c0026c9-0ac5-4d36-9882-b5e23ed1aeae
MGMA St. Louis February 11, 2009
Luncheon Meeting
Speaker: William F. Jessee, MD,
FACMPE, FACPM, President and CEO of
the Medical Group Management
Association
Topic: State of Healthcare 2009
Description:
The US healthcare system is facing unprecedented challenges. Rising
costs, increased consumer demand, personnel shortages, and administrative
complexity combine to create a perfect storm. Many physicians are
retiring from their practices or seeking employment by hospitals, rather
than continuing to cope with the rapidly changing environment. At the
same time, some medical groups are finding extraordinary opportunities
and are achieving high levels of quality, safety and financial
performance. This presentation examines the major trends impacting
medical practices and the organizations with which they interact, and
explores some of the strategies being used by successful medical groups
to thrive in a time of tremendous environmental turmoil.
About Our Speaker:
William F. Jessee, MD, FACMPE is President and Chief Executive Officer
of the Medical Group Management Association (MGMA), the nation’s leading
voice for
group medical practice. Before joining MGMA in 1999, Dr. Jessee served
for three years as Vice President for Quality and Managed Care Standards
at the American
Medical Association (AMA), where he led the AMA’s activities in clinical
guidelines, quality improvement, and accreditation. He also holds
academic appointments as Clinical Professor of Preventive Medicine and
Biometrics at the University of Colorado Health Sciences Center in
Denver, and as Adjunct Professor of Health Policy and
Administration at the University of North Carolina School of Public
Health, Chapel Hill.
Date: Wednesday, February 11, 2009
Time: 11:30 a.m. – 1:30 p.m.
Location: Ces & Judy's Catering
Fees: $25 Members; $35 Non-Members
RSVP: 314-416-2230 or
administrator@mgma-sl.org
Registration Link:
http://guest.cvent.com/EVENTS/Info/Summary.aspx?e=5cc065e3-e873-48eb-bf9b-ae404b8ca8bb
