PROGRAM OF EVENTS October 23-25, 2012

Transcription

1 TUESDAY, OCTOBER 23, :00 AM 7:30 PM PROGRAM OF EVENTS October 23-25, :00 7:45 AM Check In, Registration, Exhibits and Networking Breakfast 7:45 8:00 AM Opening Comments Devin Jopp, Ed.D., WEDI President and CEO 8:00 9:00 AM GENERAL SESSION I The Future of the Health IT Enabled Health Plan Presenter: Frank Coyne, Vice President, Operations and National Programs, BlueCross BlueShield Association 9:00 10:00 AM GENERAL SESSION II Presenter: Hospital CIO, TBD 10:00 10:15 AM Break Exhibit Viewing 10:15 11:15 PM GENERAL SESSION III NHIN/ONC Update and Overview of the OCR Regulatory Actions, new regulations, proactive audits in 2013, and new guidance documents published. 11:15 12:15 PM WEDI Awards Ceremony & Member Meeting 12:15 1:30 PM Networking Lunch 1:30 3:00 PM CONCURRENT SESSIONS BREAKOUT SESSION I Security & Privacy OCR Audit Report The OCR audit program has now completed 115 audits. Come and learn the specifics of the completed audits, including: The Findings, how will the Audit Protocol be updated, if the documents list sent with the initial letter will be updated, if the timelines change. Presenters: Linda Sanches, Senior Advisor, Health Information Privacy at DHHS/OCR (Invited) and Vern Rinker, Health Information Privacy Specialist, DHHS/OCR (Invited) (As of ) 1

2 TUESDAY, OCTOBER 23, :30 3:00 PM CONCURRENT SESSIONS (continued) BREAKOUT SESSION II Reinvigorate Your ICD-10 Efforts with a focus on Financial Impact While most organizations are reporting that they have tackled key ICD-10 compliance tasks like coder education and training there is still uncertainty around the potential financial implications of the transition. In this session, we will outline strategies for how you can most effectively mitigate your losses and instead leverage the transition to find opportunities to increase accuracy in reimbursement revenue. We will share our best practice insight of focusing on concepts rather than codes, as well as highlight the financial and performance gains available to those that begin the transition as soon as possible. We will show how hospitals can and should develop an analytic and automated approach to their process, and participants will learn how to harness their solutions to: Identify claims that will be reimbursed differently in ICD10 vs. ICD9 Target the key concepts you should be prioritizing for physician training Gain valuable insight for payer negotiations Moderator: Peggy Lynahan, ICD-10 Program Director, Christiana Care Health System Presenter: Ed Hock, Senior Director, Advisory Group BREAKOUT SESSION III The Evolution of the NwHIN Exchange to a Production Capability and HIE Initiatives at the State Level Participants will learn about the transition of the ONC-funded Nationwide Health Information Network Exchange efforts to a public-private nonprofit operating entity that will provide support for the nationwide infrastructure for health information exchange in collaboration with state, Federal, and private health information exchange partners. Participants also will hear about the challenges in establishing HIE capabilities within a state and region that has competing IDNs and multiple HIEs in place and emerging. Presenters: Michael Matthews, CEO, MedVirginia and Holt Anderson, Executive Director, North Carolina Healthcare Information and Communications Alliance, Inc. 3:00 3:30 PM Break Exhibit Viewing 3:30 5:00 PM CONCURRENT SESSIONS BREAKOUT SESSION I Is HIPAA Privacy and Security Different for Cloud? The Security and Privacy Work Group (SPWG) has written a second white paper in the cloud computing area specific to HIPAA privacy and security and the NIST tools available. We are interested in hearing privacy and security barriers to implementing cloud computing in health care. Come and help us add case studies, and barriers and challenges list to this new work. Presenters: David Ginsberg, Co-Founder and President, PrivaPlan Associates, Inc. and Lola Jordan, Vice President and Chief Operating Officer, Companion Data Services, LLC BREAKOUT SESSION II ICD-10: Testing for Business Continuity In order to effectively transition to ICD-10, organizations need End-to-End testing capabilities that not only evaluate system readiness, but more importantly, provide insight into business impacts. During this session, WellPoint will present on their effort to transform End-to-End testing into the new capability of Business Continuity testing that focuses on collaborating with providers, vendors and trading partners to evaluate and gauge outcomes that may impact both parties. WellPoint will also provide insights from early provider collaboration efforts that included the processing of natively coded ICD-10 claims. Moderator: Stanley Nachimson, Principal, Nachimson Advisors, LLC Presenter: Michael Fierro, Director, External Partner/Subsidiary Readiness & Advocacy for Enterprise ICD-10 Adoption, WellPoint (As of ) 2

3 TUESDAY, OCTOBER 23, :30 5:00 PM CONCURRENT SESSIONS (continued) BREAKOUT SESSION III Attachments The Affordable Care Act mandates that the Claim Attachment transaction standard and associated operating rules be adopted by January 1, 2014 and effective by January 1, There was been a significant amount of work in preparing for this mandate as well as collaborative work within the esmd project and WEDI. The foundation of this presentation will provide a forum during which attendees can provide input into the business decisions that are necessary to move ensure successfully implementation. The outcome of this session will also provide a foundation of 'moving forward' best practices to be formulated as the industry get ready for implementation. Moderator: Laurie Burckhardt, Manager, Electronic Data Interchange, WPS Insurance Presenter: Mary Lynn Bushman, Business Analyst III, National Government Services, Inc. 5:00 6:00 PM Vendor Informational Concurrent Sessions TriZetto - Relay Health - Edifecs 6:00 7:30 PM Networking Reception Monster Bash & Costume Contest WEDNESDAY, OCTOBER 24, :00 AM 6:00 PM 7:00 7:45 AM Check In, Registration and Exhibits 7:00 7:45 AM WEDI New Member Breakfast Roundtable 7:45 8:00 AM Opening Comments Devin Jopp, Ed.D., WEDI President and CEO 8:00 9:00 AM GENERAL SESSION IV Uncharted Territory: From the ACA forward Presenter: Kathleen Sebelius, Secretary of Department of Health and Human Services (DHHS) (Invited) 9:00 10:00 AM GENERAL SESSION V Facilitating America s Health Information Privacy & Security Presenter: Leon Rodriguez, Director, Office of Civil Rights, DHHS (Invited) 10:00 10:15 AM Break Exhibit Viewing 10:15 11:15 PM GENERAL SESSION VI Leveraging Infrastructure to Make Meaningful Change Presenter: John Glaser, CEO, Health IT Unit, Siemens (As of ) 3

4 WEDNESDAY, OCTOBER 24, :15 12:15 PM GENERAL SESSION VII Harnessing the Power of Electronic Health Records and Health Information Technology to Improve Population Health Professor Weiner s presentation will focus on how electronic health records and other e-health tools can be harnessed not just to provide medical care to single patients, but also to increase the effectiveness, efficiency and equity of care provided to communities and denominators of patients enrolled in health plans, ACOs and other integrated systems of care. Presenter: Jonathan P. Weiner, Dr.P.H., Professor, Health Policy & Management and of Health Informatics, Director, CPHIT, Johns Hopkins Bloomberg School of Public Health 12:15 1:30 PM Networking Lunch 1:30 3:00 PM CONCURRENT SESSIONS BREAKOUT SESSION I Showcasing State HIX Successes & Challenges Presenter: Kevin Yang, CIO, Maryland Health Benefit Exchange BREAKOUT SESSION II ICD-10: End-to-End Testing "We Did It" This session will focus on initial ICD-10 testing activities conducted in collaboration by a provider, technology vendor, clearinghouse and a health plan. The participants developed an End-to-End test model leveraging current industry transaction and reporting standards. Attendees will gain insight on this particular test model, as well as some lessons learned by each participant. The presentation will provide attendees with the following: Overview of End-to-End test model Goals/objectives of initial testing Scope of activities Testing constraints Outcome of tests End-to-End test model accomplishments and challenges Lessons learned and next steps Moderator: TBD Presenters: Debbie Meisner, VP Regulatory Strategy, Emdeon (Clearinghouse), Lynn Syrek, Director, Ops support, Coventry Health Care (Payer), and (Provider) TBD BREAKOUT SESSION III EFT/ERA Proposed Operating Rules Part 1 In early August, CMS announced an interim final rule with comment period (IFC) under which the Department of Health and Human Services (HHS) is adopting operating rules for the health care Electronic Funds Transfers (EFT) and Electronic Remittance Advice transaction (ERA) to be implemented by January 1, This first session will provide an overview of the requirements on the standards of EFT, the Operating Rules enrollment requirements. Moderator: Deb Strickland, Senior Solutions Architect, TIBCO Software, Inc. Presenter: Pam Grosze, Vice President, Manager, PNC Bank, Healthcare Operations Payer Services 3:00 3:30 PM Break Exhibit Viewing 3:30 5:00 PM CONCURRENT SESSIONS BREAKOUT SESSION I What are the Privacy and Security Issues in Mobile Health? Are there barriers and challenges that are different from cloud computing? From HIE? Come and learn with this new and exciting SPWG Sub-work group is doing and how you can participate. Presenters: Lesley Berkeyheiser, Principal, The Clayton Group, LLC and Mark Cone, Principal, N-Tegrity Solutions, LLC (As of ) 4

5 WEDNESDAY, OCTOBER 24, :30 5:00 PM CONCURRENT SESSIONS BREAKOUT SESSION II ACO and Bundled Payment Administrative (Billing) Challenges As the industry moves to more bundled payment methodologies (ACOs, Medical Homes, Episodes of Care, etc), what do industry stakeholders see as the administrative/billing challenges associated with these changes? As new models are developed, will our billing and operational processes stay automated or does this become an administrative burden? Listen to speakers talk about some of the administrative challenges associated with a few of the existing bundled payment models. Following the presentations, we d like to hear input from you on what are some of the challenges that need to be addressed. WEDI will be kicking off an ACO/Bundled Payment Workgroup that will address some of these identified issues. Presenters: TBD BREAKOUT SESSION III EFT/ERA Proposed Operating Rules Part 2 Part 2 of this session will not only cover the Operating Rules for ERA with an emphasis on discussion surrounding the RARC/CARC requirements as well as the association requirements in which the EFT and ERA must be delivered within a specified time period but will also provide an update from the WEDI Policy Advisory Group (PAG) that was held prior to conference. The session will also cover work that WEDI sub work groups have begun to help the industry with their implementation. Moderator: Pam Grosze, Vice President, Manager, PNC Bank, Healthcare Operations Payer Services Presenter: Deb Strickland, Senior Solutions Architect, TIBCO Software, Inc. 5:00 6:00 PM Vendor Informational Session THURSDAY, OCTOBER 25, :00 AM 12:00 PM 7:00 7:45 AM Registration, Continental Breakfast 7:45 8:00 AM Opening Comments for the Day 8:00 9:15 AM GENERAL SESSION VIII ICD-10: End-to-End testing: From Dress Rehearsal to Show Time Provider Perspective Many of our payers and clearinghouses have made it clear that they will be hard pressed to have a test and production system in place to allow providers to do "complete End-to-End testing" with both ICD9 and ICD10 codes. Since a great deal of Health Care transactions require electronic transfer of information/data and there is no system to accommodate that, we needed to come up with a way to work around that limitation. Given the potential revenue cycle impact to provider facilities, it is imperative to execute a methodology that tests the patient care process from the time they enter the hospital until the claim is satisfactorily paid to the hospital. Attendees will hear about our approach, our validation process, and most importantly results and lessons learned. Presenter: Christian Omba, ICD-10 Program Manager, Rexhealth (As of ) 5

6 THURSDAY, OCTOBER 25, :15 10:30 AM GENERAL SESSION VIIII HPID Setting Your Implementation Roadmap (Part 1) HHS has issued the final rule to adopt the standard for a national unique health plan identified (HPID) and a data element that will serve as an other entity. Section 1104 of the Affordable Care Act requires HHS to issue a series of regulations over five years that are designed to streamline health care administrative transactions, encourage greater use of standards by healthcare providers, and make existing standards work more efficiently, and HPID is one of them. Learn about the latest regulation and what it means to health plans, providers, and patients. Even if you re not a health plan, the implications and business impacts will change business for all. Presenters: Laurie Darst, Revenue Cycle Regulatory Advisor, Mayo Clinic and WEDI Education Co-Chair, and Gail Kocher, Director, Industry Standards & ehealth, BCBS Association 10:30 10:45 PM Break Exhibit Viewing 10:45 12:00 PM GENERAL SESSION VIIII HPID Setting Your Implementation Roadmap (Part 2) HHS has issued the final rule to adopt the standard for a national unique health plan identified (HPID) and a data element that will serve as an other entity. Section 1104 of the Affordable Care Act requires HHS to issue a series of regulations over five years that are designed to streamline health care administrative transactions, encourage greater use of standards by health care providers, and make existing standards work more efficiently, and HPID is one of them. Learn about the latest regulation and what it means to health plans, providers, and patients. Even if you re not a health plan, the implications and business impacts will change business for all. Presenters: Laurie Darst, Revenue Cycle Regulatory Advisor, Mayo Clinic and WEDI Education Co-Chair, and Gail Kocher, Director, Industry Standards & ehealth, BCBS Association and WEDI Education Co-Chair 12:00 PM Closing Remarks THANK YOU TO OUR 2012 FALL CONFERENCE SPONSORS! (As of ) 6