anesthesia administration assembly conferencebrochure - mgma

Position your anesthesia/pain management practice and your career to thrive in the new healthcare environment

• Assess changes in anesthesiology billing, coding, collections and compensation

• Formulate strategies to engage and motivate a diverse work force

• Share experiences and exchange ideas with your colleagues

MGMA® 2011 Anesthesia Administration Assembly (AAA) Practice Management Conference March 20-23, 2011

MGMA 2011 Pain Practice Management PreconferenceMarch 20, 2011

Baltimore Marriott Waterfront

Medical Group Management Association®

2 Please use promotion code AAA11BR22 when registering from this brochure. Register at mgma.com or phone toll-free 877.275.6462, ext. 1888.

Whether you are new to anesthesiology/pain

management or an experienced administrator, the

Medical Group Management Association (MGMA) 2011

Anesthesia Administration Assembly (AAA) Practice

Management Conference will provide practical education,

peer-to-peer interaction, tools and techniques, and

hands-on learning experiences that will help you and your

practice succeed.

◆ Network with your colleagues – Exchange ideas

and learn practical solutions. You’ll have plenty

of opportunities to catch up with old friends and

connect with new ones

◆ Exchange Café – Participate to see how others view

and approach select issues and share your insights

◆ Pain management preconference and pain

track – Gain valuable, in-depth pain practice

management education

Who should attend: Administrators, managers, executives, physicians,

and business and billing professionals involved in

anesthesiology and pain management practices and

academic institutions.

We encourage administrator/physician management

teams to attend in order to develop a common foundation

for addressing the challenges of today’s changing

healthcare environment.

Special offer – Physicians attending with MGMA

members receive the member rate.

Team attendance – When two or more members of

the same practice register for this conference, the

second and subsequent team members will receive

$100 off their registration fee. Team members must

register at the same time via phone. Please call

toll-free 877.275.6462, ext. 1888.

Program format:The sessions of the MGMA 2011 AAA Conference were

selected to address job-specific competencies identified in

the Body of Knowledge for Medical Practice Management

developed by the American College of Medical Practice

Executives (ACMPE), MGMA’s standard setting and

certification body. Using the Body of Knowledge ensures

that the educational content is highly relevant and useful

for addressing day-to-day challenges in the medical

practice and for preparing for the ACMPE certification

examinations. Sessions relate to the competencies and the

eight domains in the Body of Knowledge:

Business Operations

Financial Management

Human Resource Management

Information Management

Organizational Governance

Patient Care Systems

Quality Management

Risk Management

The domains form the framework of MGMA’s

core educational curriculum. Visit mgma.com/

BodyofKnowledge to download the Body of Knowledge

brochure and to access domain-specific resources and free

quizzes.

About MGMA:

MGMA is the premier membership association for

professional administrators and leaders of medical group

practices. Since 1926, MGMA has delivered networking,

professional education, and resources and political

advocacy for medical practice management. MGMA

serves 21,500 members who lead 13,700 organizations

nationwide in which some 275,000 physicians provide

more than 40 percent of the healthcare services delivered

in the United States.

Plan to join your colleagues at MGMA’s preeminent conference for anesthesia and pain management practice administration.

3Please use promotion code AAA11BR22 when registering from this brochure. Register at mgma.com or phone toll-free 877.275.6462, ext. 1888.

About ACMPE:

ACMPE is the standard-setting and certification body of

MGMA. ACMPE was established in 1956 as an affiliate to

MGMA to provide board certification, self-assessment and

leadership development for medical practice executives.

Earning your professional ACMPE certification elevates you

in the eyes of your peers and your supervisors, and helps

advance your career and salary opportunities.

About MGMA AAA:The MGMA AAA mission is to promote excellence in

healthcare delivery and anesthesia practice management

through sound business practices. We support this goal

by developing and maintaining a forum for the collection,

analysis and distribution of information pertaining to the

administration of anesthesia practices.

Executive committee members:

o Marie Walton, CMPE, vice president, client services,

iMed Group, Houston*

o Stephen E. Comess, MHSA, executive director, United

Anesthesia Services PC, Bryn Mawr, Pa.*

o Susan K. Firestone, administrator, Department

of Anesthesiology, New York University School of

Medicine*

o Cynthia M. Roehr, CPA, chief administrative officer,

Linn County Anesthesiologists, Cedar Rapids, Iowa*

o Edward J. Myslik, CPA, MBA, CMPE, director of

finance, Capitol Anesthesia Association,

Austin, Texas

o Franc M. Galinanes, senior director, marketing &

client operations, NAPA Management Services

Corporation, Melville, NY

o Cathy Bartell, MHA, practice administrator,

New Britain Anesthesia, Wethersfield, Conn.

*Indicates program planning committee participation

Conference site:Located in Harbor East, Baltimore’s premier neighborhood, the Baltimore Marriott Waterfront sits on the water’s edge. You’ll enjoy the spectacular views of the Baltimore Harbor, as well as easy access to the city’s finest shopping and restaurants. Choose from over 50 dining options within a few blocks of the hotel or explore the National Aquarium, the Maryland Science Center and more.

MGMA members – bring your team and save!Physicians registering with an MGMA member pay the member price.

When two or more colleagues from the same practice register for this conference, the second and subsequent team member(s) receive(s) $100 off his/her registration fee.

Teams must register by calling MGMA toll-free at 877.275.6462, ext. 1888. Team members are encouraged to register at the same time.


Pain Practice ManagementPreconference

*Additional programming fees apply for the Pain Practice Management Preconference

7:30 am-6:30 pmConference registration open

7:30-8:15 amContinental breakfast

7:30-11:45 amTime with exhibitors

8:15-9:25 amGeneral session: Optimizing Your Pain Practice by Utilizing Nonphysician Providers

9:25-9:45 amNetworking break

9:45-10:45 amGeneral session: Marketing – An Essential Aspect of Pain Practice Success

10:45-11:45 amGeneral session: Evaluation and Management Services: Risks and Rewards

11:45 am-12:45 pmNetworking luncheon

12:45-4:30 pmTime with exhibitors

12:45-1:30 pmGeneral session: Legal Issues Regarding Difficult Pain Patients

1:30-1:45 pm Networking break

1:45-2:45 pmGeneral session: Using An EMR in Your Pain Practice to Become More Profitable and Compliant

2:45-2:50 pmNetworking break

2:50-4:30 pmGeneral session: Review of Spinal Anatomy and Overview of Pain Management Procedures

Schedule at a glance, Sunday, March 20


Sunday, March 20

Sunday, March 20, 2011 *Additional programming fees apply for the Pain Practice Management Preconference

CEU credits: ACMPE 6.5 CME 6.5 CPE 7.5

7:30 am-6:30 pm

Conference registration open

7:30-8:15 am

Continental breakfast

7:30-11:45 am

Time with exhibitors

8:15-9:25 am

General session: Optimizing Your Pain Practice by Utilizing Nonphysician ProvidersTodd Evenson, MBA, assistant director, survey operations, Medical Group Management Association, Englewood, Colo.

Nonphysician providers can provide meaningful value in a pain practice. Integrating them into your practice appropriately can improve efficiency, revenue and productivity. But, at what cost do they impact your services and the bottom line? This session will discuss strategies a pain practice can use to employ nonphysician providers, as well as explore financial and productivity metrics you can use to assess practice and provider performance.

This session will provide you with the knowledge to:n Describe how nonphysician providers affect the economic

performance of a medical group

n Discuss the services nonphysician providers can offer in a pain practice

n Identify the cultural barriers to adding a “new layer” of staff

n Examine the return on investment

9:25-9:45 am

Networking break

9:45-10:45 am

General session: Marketing – An Essential Aspect of Pain Practice SuccessAndrea T. Eliscu, RN, president, Medical Marketing Inc., Orlando, Fla.

Marketing a pain practice presents a variety of unique challenges and opportunities. Attend this session to learn how to accurately assess the referral base in your market, create relationships with the doctors in your community and use new technologies and techniques to build your practice through referrals.

This session will provide you with the knowledge to:n Examine tactics to build volume in your pain practice with

your physician relations program

n Identify market data to target practices that will help you grow

n Discuss how using new technologies and social media can differentiate your physicians from the competition

10:45-11:45 am

General session: Evaluation and Management Services: Risks and RewardsDevona Slater, CHC, CMCP, president, Auditing for Compliance & Education, Inc., Leawood, Kan.

The proper documentation elements for evaluation and management services in your practice are essential for proper payment. Slater will discuss Office of Inspector General (OIG) reports on visit codes and will assist you in setting up an audit schedule for your own practice. Also, the session will address billing for nonphysician providers who work either independently or under a physician plan of care.

This session will provide you with the knowledge to:n Identify the documentation elements necessary for

evaluation and management coding in the pain clinic

n Discuss documentation hints in billing for services performed under incident-to rules

n Identify risk areas regarding evaluation and management programs and setting up auditing criteria for the pain practice

11:45 am-12:45 pm

Networking luncheon

12:45-4:30 pm

Time with exhibitors

MGMA 2011 Pain Practice Management Preconference


Sunday, March 20

12:45-1:30 pm

General session: Legal Issues Regarding Difficult PatientsAbby Pendleton, attorney and founding partner, The Health Law

Partners, P.C., Southfield, Mich.

Pain practices face many legal and regulatory issues when prescribing controlled substances and addressing non-compliant and problematic pain patients. Pendleton will discuss the legal landscape and explore past cases, documentation issues, drug testing, termination of patient relationships, patient abandonment and more. You will walk away with practical action steps and risk-reduction strategies.

This session will provide you with the knowledge to:n Discuss the legal landscape applicable to pain physicians

as it relates to problematic patients and noncompliant behavior

n Evaluate important issues in the area of controlled substances, drug testing, termination of patient relationships and other risk issues arising with non-compliant patients

n Discover practical tips for navigating the legal landscape and reducing risk

1:30-1:45 pm

Networking break

1:45-2:45 pm

General session: Using An EMR in Your Pain Practice to Become More Profitable and CompliantCathy Hardesty, operations manager, The Pain Center of Arizona, Peoria, Ariz.

Electronic medical records (EMR) offer plenty of benefits for your practice. However, realizing the benefits requires getting the answers to plenty of questions: What are EMR and Meaningful Use requirements? How do you best use an EMR system in a pain practice? Are you confused about staying compliant while using an e-prescribing system in a pain practice? In this session you will learn the challenges and benefits that Meaningful Use, EMRs and e-prescribing can offer your practice.

This session will provide you with the knowledge to:n Identify EMR systems certified to meet Meaningful Use

requirements

n Discuss the use of EMR to capture Physician Quality Reporting Initiative (PQRI) reporting measures

n Identify challenges of e-prescribing in the pain practice

2:45-2:50 pm

Networking break

2:50-4:30 pm

General session: Review of Spinal Anatomy and Overview of Pain Management ProceduresThelma Wright, MD, director, Pain Management Program, Department of Anesthesiology, University of Maryland, Baltimore

Do you want a better understanding of the procedures being performed in your pain clinic? Dr. Wright will review the anatomy of the spine and relate it to a variety of pain management procedures and codes. You will walk away with information on the various nerves, levels of the spine and associated approaches to pain management.

This session will provide you with the knowledge to:n Discuss the anatomy of the spine and peripheral nervous

system

n Identify the differences between common pain management procedures

n Review the common diagnoses seen in pain clinics

2011 will be my 20th AAA conference!! I was

fortunate to happen upon a AAA brochure within

my first three months as a new anesthesia

practice administrator. The networking and

education that I garnered from my first AAA

conference replaced what would have taken years

for me to have learned on my own. AAA is THE

premier anesthesia conference and I have never

missed the opportunity to get together with

my AAA friends since the first one I attended in

1991. And the best part is that I still learn many

new things at each AAA conference I attend ...I

am sure that #20 in Baltimore will not be any

different ... I am looking forward to it.

Shena Scott, executive director,

Brevard Anesthesia Services,

Melbourne, Fla.


AAA Schedule at a glance

Sunday, March 207:30 am-6:30 pm


4:30-6:00 pmExhibit Hall open

4:30-5:00 pmFirst-time attendee/new to anesthesia reception

5:00-6:00 pmOpening reception – Smartphone application exchange

Monday, March 217:30 am-5:00 pm



8:00-9:45 amGeneral session: Evidence-Based Management – Setting the Stage

9:30-11:45 amExhibit Hall open


10:30-11:45 amConcurrent sessions – 100 series

11:45 am -1:15 pmBusiness luncheon


1:15-2:30 pmConcurrent sessions – 200 series


3:30-5:00 pmGeneral session: Payments in the Future

5:00-6:00 pmNetworking reception

Tuesday, March 227:30 am-5:00 pm



8:00-9:00 amGeneral session: Negotiating Skills for Anesthesia Practice Executives

9:00 am-12:30 pmExhibit Hall open


10:00-11:15 amGeneral session: American Society of Anesthesiologists (ASA) Update

11:15 am-12:30 pmConcurrent sessions – 300 series

12:30-1:45 pmNetworking luncheon


1:45-3:00 pmRound-Table sessions


3:45-5:00 PMConcurrent sessions – 400 series

Wednesday, March 237:30 am-12:30 pm



8:00-9:00 amGeneral session: Engage Physicians – The Key to Evolving Your Group


9:15-10:30 amConcurrent sessions – 500 series

10:30 am-12:00 pmGeneral session: Ask the Experts About Practice Strategies for a Reformed Market


Sunday, March 207:30 am-6:30 pm


4:30-6:00 pm

Exhibit Hall open

4:30-5:00 pm

First-time attendee/new to anesthesia receptionWelcome to the MGMA AAA community. All preconference attendees, first-time AAA conference attendees and those who are new to anesthesia are invited to join us for this informal reception. This is a great opportunity to visit with both newcomers and MGMA AAA veterans. Discover more about MGMA AAA and build your network!

5:00-6:00 pm

Opening reception – Smartphone application exchangeSmartphone applications are increasingly coming into daily use at work and play. Did you know the Apple iPhone already has 61 apps dedicated to anesthesia, including apps for coding and revenue cycle management? Find out what new Smartphone apps your peers are using, and be prepared to share your favorite Smartphone applications with your fellow conference attendees at this networking reception.

Join your colleagues and the vendors who have made this conference possible. The reception is open exclusively to MGMA AAA Conference attendees, as well as paid spouses/significant others.

Monday, March 217:30 am-5:00 pm


7:30-8:00 am


8:00-9:45 am

General session: Evidence-Based Management – Setting the Stage Frank Cohen, MPA, MBB, principal and senior analyst, Frank Cohen Group LLC, Clearwater, Fla.

The difference between anecdote and antidote is more than just a story line; it can be the deciding factor between business success and failure. Evidence-based management (EBM) is about antidotes: finding and fixing problems and improving processes. In this session, we will discuss the basic concepts behind EBM in general and its specific application to the business side of the anesthesia and pain management practice and other healthcare organizations.

This session will provide you with the knowledge to:n Understand the basic concepts of EBM

n Recognize how EBM applies to healthcare organizations

n Realize how to tell the difference between anecdote and antidote

Frank Cohen, MPA, MBB, is the senior analyst for MIT Solutions, Inc., developers of analytical and decision-support tools and systems for healthcare organizations. He is a certified Six Sigma Black Belt and Lean instructor. His areas of expertise

include data mining and analysis, applied statistics and decision support. For the past 30 years, he has worked as a healthcare data analyst, knowledge engineer and consultant. His consulting experience includes hospitals, large and small medical practices, medical and professional associations, legal and accounting professionals, government agencies and other healthcare professionals.

Mr. Cohen is the author of numerous healthcare management books, including A Practical Guide to Reengineering the Medical Practice, The Physician CEO, Coding for the Noncoder, Mastering RBRVS, The Complete Guide to E/M Utilization and Total Practice Improvement: A Lean Approach for Medical Practices.

Conference schedule


9:30-11:45 am

Exhibit Hall open

9:45-10:30 am

Networking break

10:30-11:45 am

Concurrent sessions – 100 series

101. Compensation and Benefits Exchange Café for Pain and AnesthesiologyFacilitators: To be announced

Participate in the Exchange Café to see how others view and approach selected issues and share your insights.

During the Exchange Café, you and your colleagues will select tables with preassigned compensation and benefits topics that are most relevant to you. A facilitator will guide each group’s discussion, as attendees share their insights and discover solutions. During the session, you can stay at the same table and dig deeper or move on to different tables and topics and meet new people.

This session will provide you with the knowledge to:n Describe two compensation and benefits issues important

to anesthesia and pain management practices

102. Data into Dollars: Update from the Anesthesia Quality Institute Richard P. Dutton, MD, MBA, executive director, Anesthesia Quality Institute, American Society of Anesthesiologists (ASA), Park Ridge, Ill.

The Anesthesia Quality Institute (AQI) was founded in 2009 to create the National Anesthesia Clinical Outcomes Registry (NACOR). NACOR is based on the ongoing passive collection of case-specific data from clinical care. Dutton will discuss how data is collected from participating groups and describe how you can use the NACOR reports to improve patient safety, satisfaction and financial returns.

This session will provide you with the knowledge to:n Explain why the AQI was created

n Discuss how the AQI collects data

n Review how AQI data can benefit a practice group

103. Manage Insurance Staff to Maximize RevenueSarah Holt, PhD, FACMPE, practice administrator, Cape Girardeau Surgical Clinic Inc., Cape Girardeau, Mo.

Insurance staff plays a critical role in the revenue cycle in healthcare organizations. This session will help you maximize revenue by gaining a better understanding of the insurance staff. Holt will demonstrate how to assess staff for effectiveness, hire for characteristics that produce success and manage staff for accountability. You will receive and review tools to assess successful medical office insurance staff behavioral characteris-tics and gain knowledge of anesthesia billing.

This session will provide you with the knowledge to:n Recognize the complexities faced by medical office

insurance staff

n Review tools to identify, assess and hire effective insurance staff members

n Discuss how creating a culture of accountability will improve insurance staff efficiency

11:45 am -1:15 pm

Business luncheon

1:15-3:30 pm

Exhibit Hall open

1:15-2:30 pm


201. Why People Do What They DoTracey Spears, director, Association Business Development, Transworld Systems Inc., Tulsa, Okla.

Do your staff members have trouble working well together or do you have difficult employees who don’t take your direction well? In this interactive workshop, you will be introduced to the different personality styles using the language of color. You will gain an understanding of your own needs, strengths and motivators, while also learning to value the differences among the people around you. Additionally, you will learn the key components for achieving optimal success: an awareness, appreciation and development of self and others.

This session will provide you with the knowledge to:n Describe the meaning and benefits of an effective team

n Discuss your personal management style profile and what factors influence the management style of others

n Explain personality styles using the language of color, and how people of different temperaments can better work together and understand each other

Monday, March 21


Conference schedule

202. Decisions and Development of an Office-Based or Ambulatory Surgery Center Facility Pain Practice

Amy G. Mowles, president and chief executive officer, Mowles Medical Practice LLC, Edgewater, Md.

Opening a pain management facility can generate additional income for your anesthesiology practice, but it can also demand more time and overhead. In this session you will learn, when deciding whether to venture into pain management, how to look beyond potential revenue and view it in a realistic context. You will learn that the payoff can be big, but only if you do it correctly.

This session will provide you with the knowledge to:n Examine the benefits and challenges of opening an

ambulatory surgery center (ASC) for your pain practice

n Identify what factors to consider when evaluating an ASC opportunity

n Review a list of considerations for developing your own ASC

203. Evidence-Based Decision Making in Your PracticeFrank Cohen, MPA, MBB, principal and senior analyst, Frank Cohen Group LLC, Clearwater, Fla.

While good decisions don’t always result in good outcomes and bad decisions don’t always result in bad outcomes, understanding the dynamics involved in decision making can significantly mitigate the risk of failure. What most of us learned about decision theory applies to simple linear systems. Healthcare is a non-linear complex system and, as such, it requires a different approach. In this session, you will explore through in-depth discussions how to apply decision models to the anesthesia and pain management practice to realize better outcomes and become a better problem solver.

This session will provide you with the knowledge to:n Understand the basic concepts of decision theory

n Know the difference between simple and complex systems

n Learn how to become a better decision maker and problem solver

204. Origins of Anesthesia’s 33 percent “problem” Alexander Hannenberg, MD, past-president president, American Society of Anesthesiologists, Washington D.C.

Are you aware of how Medicare’s anesthesia payment rates were first determined? This has impacted commercial payment rates for anesthesiology since the inception of the resource-based relative value scale (RBRVS). Dr. Hannenberg will demonstrate how the original Medicare payment rate methodology from 1992 has impacted your current commercial payment rates. Hannenberg will review the initiatives and results to fix the problem. You will be able to use the knowledge from this session to negotiate better rates with commercial insurers and to join advocacy efforts to influence Medicare’s rates.

This session will provide you with the knowledge to:n Discuss the rationale Medicare used to initially set the

anesthesia rate when RBRVS was implemented

n Review the arguments supporting anesthesia commercial fee schedules not being based on Medicare rates

n Outline the current efforts that are underway to improve Medicare’s anesthesia payment rates

2:30-3:30 pm

Networking break

In a time when we have more work, less time,

a competitive employment market and fiscal

cut-backs, it is more important than ever to

make the best conference selection decisions. If

you are in anesthesiology, you can count on the

valuable learning opportunities provided at this

conference. MGMA AAA doesn’t settle for just

pumping you full of the latest and greatest in our

field but realizes the importance of networking

and vendor selections as key components of the

conference. This is a specialty-specific conference

and has something for all types of anesthesiology

practices, from academic-specific issues to

reporting and revenue enhancement breakouts

for all.

Kimberly Flayhart

Associate Administrator

University of Maryland Anesthesiology Associates, P.A.

Baltimore


3:30-5:00 pm

General session: Healthcare Reform: How Will We be Paid in the Future?Stan Stead, MD, MBA, president and chief executive officer, Stead Health Group Inc., Encino, Calif.

Will changes to the delivery system result in reduced costs? Accountable care organizations, the medical home, bundled payments, value-based purchasing and comparative effectiveness are important concepts. Proof that they will reduce costs and improve care is yet to be determined. In this session you will examine the impact of the alignment of physicians, hospitals and long-term care providers into local integrated delivery systems. Additionally, you will discuss whether a shift from volume to outcomes-based payments and adoption of a national standard of care based on evidence will provide the platform to bend the curve. Also, the speaker will discuss the role of anesthesiology and how anesthesiologists will be reimbursed in the new healthcare Value Chain.

This session will provide you with the knowledge to:n Evaluate the impact of new regulations on anesthesia

economics

n Review the anticipated timeline of new regulations

n Discuss strategies for meeting both the clinical and economic needs

n Discover how to insert anesthesiology into the healthcare Value Chain

5:00-6:00 pm

Networking reception

Monday, March 21

Stanley W. Stead, MD, MBA, is president of the Stead Health Group (SHG), a small consultancy focused on improving strategic, operational and financial performance in healthcare. SHG works with physician practices, hospitals, private and academic medical centers, third-party payers and corporate clients on increasing quality patient care, reducing costs, improving patient safety and implementing information technology throughout the continuum of healthcare.

Dr. Stead is a national leader in healthcare economics. He has intimate knowledge of the coding and payment systems for health services, as well as information technology and quality healthcare. He continues to serve on key national standard committees in codifying and valuing physician services, and is involved in ongoing national healthcare reform.

Dr. Stead has applied his experiences as a funded investigator, clinician, medical board examiner, university professor, physician leader and senior executive in academic medical centers and corporate environments to improve healthcare for more than 29 years. He is a thoughtful and analytical author of more than 80 publications, and most recently authored Physician’s Guide to Implementing Medicare’s Physician Quality Reporting Initiative, An Insider’s View, 2008.

Dr. Stead received his medical degree from the David Geffen School of Medicine at the University of California Los Angeles (UCLA), completed an anesthesiology residency at UCLA and a fellowship in cardiac anesthesiology at Baylor University. He received his MBA from UCLA.


Conference schedule

Tuesday, March 227:30 am-5:00 pm


7:30-8:00 am


8:00-9:00 am

General session: Negotiating Skills for Anesthesia Practice ExecutivesRandy Cook, MPH, FACMPE, senior medical practice consultant, State Volunteer Mutual Insurance Co., Brentwood, Tenn.

Negotiation is a skill required of every successful medical practice professional, yet few have any formal training. During this session, you will learn how to recognize the types of negotiation environments, how to prepare properly and how to determine and apply the right tactic at the right moment. You will leave with the tools you need to improve your negotiation results.

This session will provide you with the knowledge to:n Identify the different negotiating environments

n Apply negotiation tactics in different negotiating environments

n Review the various signals that you and others send through body language

Randy Cook, MPH, FACMPE, is a senior medical practice consultant at State Volunteer Mutual Insurance Company (SVMIC). With a focus on managed care, Cook continues his career-long desire to help physicians navigate the healthcare marketplace. Cook is formerly the chief executive officer of Meritus, LLC. He

began his healthcare career as a mental health counselor. He made the shift from provider to management when he began working for John Deere Health Care in 1985, managing HMO operations. Cook was with John Deere for more than 12 years, managing 13 different independent physician associations and health maintenance organization operation sites. He spent two years as vice president of managed care for the Kentucky Division of Columbia/HCA. He left Columbia to join a start-up physician practice management company, UniPhy, as a founder. During his tenure at UniPhy, Cook led the development of several innovative analytical tools used by physician practices to improve payer reimbursements and contracting. These skills and experience are accessible today through his role at SVMIC. He lives in the Nashville area. Cook has a master’s degree in public health from the University of Tennessee. He is a Certified Medical Practice Executive and a Fellow in the American College of Medical Practice Executives.

9:00 am-12:30 pm

Exhibit Hall open

9:15-10:00 am

Networking break

10:00-11:15 am

General session: American Society of Anesthesiologists (ASA) UpdateMark Warner, MD, president, American Society of Anesthesiologists, Washington, D.C. and Todd Dorman, M.D., FCCM associate dean and director, continuing medical education professor and vice chair Critical Care Department of Anesthesiology and Critical Care Medicine Johns Hopkins University School of Medicine

During this session, you will learn more about the strategic efforts of the American Society of Anesthesiologists (ASA), along with the opportunities and pitfalls present in this time of radical change in medical practice. The session will address key health policy, payment and practice management issues of concern to the ASA and its members. This session will provide you with the knowledge to:

n Recognize the potential synergy between physicians and administrators in managing these necessary transitions

n Explore the facets of the ongoing market reform that will impact you

n Identify how ASA is positioned to assist you in these extraordinary times of change

Mark Warner, MD, has dedicated his career to improving patient health and safety through the advancement of anesthesia medical care. He has published numerous articles that focus on outcomes research, covering such topics as perioperative pulmonary

aspiration, blindness and neuropathy.

After receiving his undergraduate education at Miami University in Ohio, Dr. Warner graduated from the Medical College of Ohio and completed his residency at Mayo Clinic. Dr. Warner is the current president of the American Society of Anesthesiologists and has been involved with the organization for many years.

Dr. Warner and his wife, Mary Ellen, also a Mayo Clinic anesthesiologist and president of the Wood Library Museum of Anesthesiology, live in Rochester, N.Y. and have four sons and one grandchild.


11:15 am-12:30 pm


301. Federal Scrutiny of Pain HEATs UpLinda Van Horn, MBA, chief executive officer, 21st Century Edge, Kansas City, Mo.

There are forces that are affecting pain management practices including how government entities are stepping up fraud prevention, detection, and prosecution of pain practices. Van Horn will help you decipher the alphabet soup of rules and regulations used by payers to determine “proper” payments and the potential legal and financial implications these have for your practice. Plus, the speaker will identify steps that can be taken help reduce expose to the HEAT (Healthcare Fraud Prevention and Enforcement Action Team).

This session will provide you with the knowledge to:n Identify steps that can be taken to help ensure compliance

in your pain practice; and

n Discuss government agencies efforts to prevent, detect, and prosecute fraud in pain practices

302. MGMA Washington OutlookAnders Gilberg, MGA, vice president, government affairs, Medical Group Management Association, Washington, D.C.

With a new Congress settling in, this session will provide a timely outlook on pertinent healthcare issues under consideration. You will learn about recent legislative and regulatory developments and gain a deeper understanding of how proposed changes may impact the day-to-day activities of your medical group practice. The discussion will include background information and a progress report on key Medicare payment initiatives enacted as part of healthcare reform legislation. These will include accountable care organizations, bundled payment pilots and the new value-based payment modifier.

This session will provide you with the knowledge to:n Identify how relevant legislative and regulatory initiatives

may impact group practices

n Identify when to expect implementation of significant healthcare reform provisions

n Recognize the key elements of pending Medicare payment models

303. Getting More Done With the Same Resources in the Operating Room (OR) — How Other Hospitals Have Improved OR Efficiency and ProductivityRandy Heiser, AB, MA, president and chief executive officer, Sullivan Healthcare Consulting, Inc., Ann Arbor, Mich.

The best operating rooms (ORs) in the world are also the most productive. Using case studies that document best practices, you will examine how typical ORs can increase volume by 5 percent to 30 percent while using the same anesthesiology and nursing resources. These examples will demonstrate how to achieve improvement in case times, reduce unused time, eliminate first case delays and improved parallel processing

This session will provide you with the knowledge to:n Identify the root causes of less-than-desired OR

productivity

n Examine how ORs have increased case volume without increasing anesthesiology or nursing resources

n Articulate how anesthesiology can lead the charge for better productivity for all key groups in the perioperative environment

304. Utilize Benchmarking to Maximize ProfitsTodd Evenson, MBA, assistant director, survey operations, Medical Group Management Association, Englewood, Colo.

Executives from the most profitable anesthesia practices understand how productivity, operating costs and revenue interact to determine a practice’s profit. This knowledge allows them to focus their attention on maximizing profit for their organizations. This session will describe how to measure your practice’s performance in multiple dimensions and to use process benchmarking, the concept of learning from the best, to improve your practice’s bottom line.

This session will provide you with the knowledge to:n Recognize how the dynamic relationship of productivity,

revenue and operating costs affects a medical group’s, profitability

n Discuss how to use process benchmarking to model the practices of successful medical groups

n Compare practice staffing, productivity, expenses and profits to other medical groups and to better-performing practices

12:30-1:45 pm

Networking luncheon

1:45-3:30 pm

Exhibit Hall open

Tuesday, March 22


Conference schedule

1:45-3:00 pm

Round-Table sessionsAddressing the specialty-relevant issues in both academic and private practice, these interactive sessions focus on anesthesia and pain management administrators’ practice management challenges. Each round table will be hosted by a moderator who will facilitate the discussion. You are encouraged to bring specific questions and concerns to share during peer dialogue. Presentation materials will not be available as the content will be based on the peer dialogue.

These sessions will provide you with the knowledge to:n Identify and discuss pertinent management issues

critical to the anesthesia and pain management practice administrator

Hot TopicsModerator: Cynthia M. Roehr, CPA, chief administrative officer, Linn County Anesthesiologists PC, Cedar Rapids, Iowa

Academics Round TableModerator: Brenda M. Dorman, MBA, administrator, Medical University of South Carolina, Charleston

Accountable Care Organizations (ACO) Round TableModerator: Mark Meisel, MBA, vice president and chief operating officer, Anesthesia Associates of Kansas City, Kansas City, Mo.

Physician Quality Reporting Initiative (PQRI) Round TableModerator: Maureen Baker, RN, CCS, CPC, director of coding, iMed Group, Houston

Pain Management Round TableModerator: Franc Galinanes, senior director, North American Partners in Anesthesia, Melville, NY

3:00-3:45 pm

Networking break

3:45-5:00 pm


401. Stipends: The Current State of AffairsJudith Jurin Semo, J.D., principal, Judith Jurin Semo PLLC, Washington, D.C.

In this session, the speaker will review the current status of hospital stipend arrangements. Jurin Semo will discuss the nature of performance standards and incentive metrics that hospitals use to condition payment of some portion of compensation. Additionally, you will examine factors that may lead hospitals to seek proposals for services from other sources and/or terminate the existing anesthesiology group. You will hear about the nature of competition for anesthesiology service agreements and strategy considerations for groups negotiating compensation arrangements with hospitals.

This session will provide you with the knowledge to:n Identify situations in which hospitals agree to pay stipends

and analyze proposed performance standards and incentive metrics

n Recognize circumstances that will lead hospitals to seek competitive bids from other sources or to terminate the existing group

n Discuss strategies for negotiating compensation arrangements with hospitals

402. Anesthesia Coding, Billing and ComplianceKelly D. Dennis, MBA, president, Perfect Office Solutions, Leesburg, Fla.

It’s imperative to remain current with anesthesia coding changes, pertinent billing changes, payment issues and compliance. This session will discuss common coding and documentation pitfalls and address anesthesia specific coding changes. Also, you will review the importance of proper documentation and accurate reporting.

This session will provide you with the knowledge to:n Discuss anesthesia coding changes

n Review pertinent anesthesia billing issues

n Explain compliance as related to anesthesia billing and coding


Tuesday, March 22Wednesday, March 23

403. Creating Workable Solutions for Providers Who Want to Cut BackShena J. Scott, MBA, FACMPE, executive director, Brevard Anesthesia Services, P.A., Melbourne, Fla.

Changing provider demographics and the increasing demand for anesthesiology services are forcing practices to consider flexible work schedules in order to retain providers. The unpredictable world of anesthesia makes flexible provider schedules even more difficult to implement. In this session, you will learn how to create part-time work opportunities that serve the needs of individual providers while providing flexibility for practices to meet the changing demands of facility administrators. Also, you will learn how to smoothly transition providers into retirement.

This session will provide you with the knowledge to:n Review the considerations in structuring part-time work

programs for physicians and certified registered nurse anesthetists

n Describe how to create workable compensation models for part-time providers

n Discuss how to effectively coach someone who needs to cut back but does not recognize it

404. Centers for Medicare & Medicaid Services Update To be announced

Medicare and the Centers for Medicare & Medicaid Services (CMS) are at the center of many of the health reform initiatives. This session will provide the opportunity to listen and speak to a CMS ombudsman about various aspects of The Patient Protection and Affordable Care Act.

This session will provide you with the knowledge to:n Discuss the challenge of bringing healthcare costs down to

sustainable levels

n Review ways to make the Medicare program a better business partner to physicians and other clinicians

n Explain the various aspects of the affordable care act of interest to physicians

Wednesday, March 237:30 am-12:30 pm


7:30-8:00 am


8:00-9:00 am

General Session: Engage Physicians – The Key to Evolving Your GroupJack Silversin, DMD, DrPH, president, AMICUS, Cambridge, Mass.

Healthcare delivery must evolve rapidly if it is to meet the changing market forces successfully. Anesthesia and pain management groups need to respond to these same market forces. While group administrators can see the challenge and strategize how to respond, busy anesthesiologists may not be as tuned in. They may question why the calls for “change” are so loud and persistent. Their belief that it’s good enough to continue to conduct business as usual can keep groups stuck and prevent them from growing. To avoid getting stuck, groups need to pursue new imperatives, such as helping hospitals respond to the pressures of healthcare reform, redesigning their own processes for greater efficiency and competing for doctors and other providers who have more choice in terms of working opportunities.

This session will provide you with the knowledge to:n Discuss how to address the emotional component

associated with many of the changes anesthesiologists are being asked to make

n Describe leadership actions that promote the active engagement of physicians

n Explain how to leverage the power of shared vision and aligned expectations (a new compact) to help a group evolve

Jack Silversin, DMD, DrPH, is president of AMICUS, a healthcare consulting firm based in Cambridge, Mass. For more than 25 years he has helped executives of physician organizations, hospitals and health systems develop a

shared organizational vision, as well as strong leadership and governance to accelerate the implementation of change. He is a highly regarded speaker and regular presenter at national conferences. A graduate of the Harvard University School of Dental Medicine, Silversin also holds a doctorate in public health from Harvard University, where he serves as a member of the faculty of medicine.

9:00-9:15 am

Networking break


Conference schedule

9:15-10:30 am


501. Surviving a CMS and a State AuditZeev Kain, MD, chair, Department of Anesthesiology & Perioperative Care; Associate Dean for Clinical Operations, University of California, Irvine, Calif.

Does the thought of a government investigation of your practice keep you up at night? In this session, Dr. Kain will discuss what transpired when government investigators arrived at his doorstep. He will outline the specific steps they took to resolve the various allegations and discuss how their response to the earlier investigation prepared them for a separate JCAHO visit in 2010.

This session will provide you with the knowledge to:n Explain the dynamics of a Centers for Medicare & Medicaid

Services (CMS) and a state audit

n Review practical applications of a compliance program as a result of a CMS visit

n Discuss the steps a practice must take if it wishes to survive a CMS audit

n Explain the new CMS conditions of participations involving anesthesia and sedation

502. Employee Misbehavior – Why You Need to Prevent It and How to Do SoMargaret “Peggy” A. McCausland, Esq., principal, McCausland & McCausland LLC, Conshohocken, Pa.

Disruptive employees are extremely costly to employers in numerous ways: dollars spent on attorneys’ fees and litigation, management resources devoted to dealing with the problems disruptive employees create, the negative impact on productivity of other workers, and the loss of good employees who leave in frustration. Using real-life examples, this session will help employers recognize what constitutes problem behavior and understand the importance of dealing with it promptly. McCausland will provide sample disciplinary policies designed to prevent such behavior and how to deal with it effectively when it arises despite best efforts to prevent it.

This session will provide you with the knowledge to:n Explain what constitutes problem behavior in today’s

workplace

n Discuss the importance of dealing effectively with such behavior

n Review the steps to prevent problem behavior and how to deal with it when it does happen

503. Pre-Op clinicsTeresa Hayes O’Flynn, MD, anesthesiologist, United Anesthesia Services P.C., Bryn Mawr, Pa.

The operating room (OR), like any other organization, requires attention to the details to run efficiently. Pre-operative clinics can be a key to driving OR efficiency and customer satisfaction. This session will focus on the establishment of a pre-operative clinic setting that seeks to maximize efficiency of the OR screening protocol process, as well as one that finds effective solutions to address the needs of the patient.

This session will provide you with the knowledge to:n Understand the pre-op clinic process

n Identify effective solutions to maximize OR efficiency

n Identify the areas where you can make the most impact on customer satisfaction with the pre-operative process

10:30 am-12:00 pm

General session panel presentation: Ask the Experts About Practice Strategies for a Reformed MarketJack Silversin, DMD, DrPH, president, AMICUS, Cambridge, Mass.; Judith Jurin Semo, JD, principal, Judith Jurin Semo PLLC, Washington, D.C.; Linda Van Horn, MBA, chief executive officer, 21st Century Edge, Kansas City, Mo.; Jason Byrd, JD, director, Practice Management, Quality and Regulatory Affairs, American Society of Anesthesiologists, Washington, D.C.

With all that is going on in the world of heathcare today, sometimes it’s best to ask trusted colleagues what they think. Traditional anesthesia and pain management practices as we have known them may change significantly. With moderator Judith Jurin Semo, Esq., you will be able to listen and interact with panel members as they identify some of the current market forces that anesthesia practices face. Panel members will discuss strategies available to practices as they adapt to this market. You will leave with the recognition that there are opportunities in any major market shift if you are prepared to take advantage of them. *presentation materials will not be available as the content will be based

on peer dialogue

This session will provide you with the knowledge to:n Determine the potential of major market reform and the

impact it might have on your practice

n Identify options that can make you a market leader in this time of extraordinary change

n Identify and discuss critical management issues of today’s anesthesia practice


You come in search of solutions.You’ll leave with knowledge about an array of products and services to meet your needs.

The MGMA 2011 AAA Conference Exhibit Hall is your

source for information about products and services to help

your group practice succeed. Dedicate time during the

conference to visit the Exhibit Hall, find answers to your

challenges and build important relationships. What you

learn from the product and service experts will enable you

to make informed decisions about your practice’s current

and future needs.

Exhibit Hall hours Sunday, March 204:30-6:00 pm

Monday, March 21 9:30-11:45 am 1:15-3:30 pm

Tuesday, March 22 9:00 am-12:30 pm 1:45-3:45 pm

Wednesday, March 23 Closed

Exhibitors


Hotel and conference siteBaltimore Marriott Waterfront 700 Aliceanna St. Baltimore, MD 21202 Phone: 410.385.3000 http://www.marriott.com/hotels/travel/bwiwf-baltimore-marriott-waterfront

Room rate: Standard guest rooms are $229 per night for single or double occupancy, plus 13.5 percent to cover state and local taxes, as well as occupancy tax (subject to change).

Please note: You must be a registered attendee to make your hotel reservations. Upon booking your registration for the conference you will receive a confirmation via e-mail with your hotel booking instructions to receive the discounted group rate within 30 minutes. If you do not receive your hotel booking information within this allotted timeframe, please contact HYPERLINK “mailto:[email protected]”[email protected]. Please make sure MGMA has your valid e-mail address on file.

MGMA has reserved a block of rooms until Friday, February 25, 2011. After this date, reservations at the group rate will be accepted on a space-available basis only. Please note, if the room block fills prior to the cut-off date, MGMA may or may not be able to procure more rooms at the group rate.

Air transportationMGMA recommends flying into the Baltimore/Washington International Thurgood Marshall Airport (BWI) located approximately 25 minutes from the hotel. Taxi rates start at $30 from the airport to the hotel property.

Program registration feeThe registration fee includes tuition, program education materials, continental breakfasts, networking breaks, luncheons and receptions. Please see the registration page for additional information and pricing.

Register online at mgma.com. Registering online is easy and secure.

Your conference registration must be received or postmarked by Friday, Feb. 18, 2011, to be eligible for the early registration discounted pricing and to ensure that your name appears on the conference attendee roster. Names of any conference registrants received after this date (whether by phone, fax, mail or online) may not appear on the final roster.

Within 30 minutes of MGMA confirming your conference registration, you will receive your hotel booking information via e-mail. You must be a registered attendee/participant to book hotel reservations. Please make sure MGMA has a valid e-mail address on file.

Please note, all registrations mailed and faxed in will be processed as quickly as possible; however, please allow at least 10 business days for processing mailed registrations and three business days for faxed reservations. MGMA recommends booking your registration online for the fastest service. Please contact [email protected] with any questions regarding conference hotel reservations.

AttireBusiness casual attire is appropriate for all conference functions, including the receptions. Meeting room temperatures vary. We recommend wearing layers and bringing a light sweater or jacket for your comfort.

FacultyMGMA reserves the right to change faculty or modify program content.

Note to those with special needsWe wish to take steps to ensure that no individual with a disability is excluded, denied services, segregated or otherwise treated differently than other individuals because of the absence of auxiliary aids or services. If you need any auxiliary aids or services identified in the Americans with Disabilities Act, call the MGMA Meetings and Conferences Department toll-free at 877. 275.6462, ext. 1875, prior

to your arrival.

Conference cancellation policy All conference registration cancellations must be received in writing to the MGMA Service Center, 104 Inverness Terrace East, Englewood, CO 80112-5306, or fax to 303.643.4439 no later than Thursday, March 16, 2011, and are subject to a $150 processing fee. NO REFUNDS OR CREDITS will be issued after Thursday, March 16, 2011. Cancellations by telephone will not be accepted. All hotel cancellations must be made directly with the hotel. Your hotel reservation confirmation will provide details on making changes or canceling your lodging reservation.

If for any reason MGMA must cancel one of its programs or turn you away due to limited attendance at the conference, your registration fee will be refunded in full. However, you are responsible for your own airline and hotel reservations. MGMA cannot be held accountable for any cancellation charges caused by program cancellation or attendance limitations.

Call the MGMA Service Center toll-free 877.ASK.MGMA (275.6462) if you are going to send a substitute. If the substitute has a different MGMA status, we will adjust the fee accordingly.

Continuing-education credit hours including ACMPE

ACMPE® creditThe American College of Medical Practice Executives (ACMPE) is MGMA’s standard-setting and certification body and promotes

the professional growth of leaders. By developing the Body of Knowledge for Medical Practice Management, ACMPE provides a central framework for MGMA resources. This program is approved to receive a maximum of 15.25 credit hours as assigned by the ACMPE.

CME creditThe Medical Group Management Association (MGMA) is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education (CME) for physicians. MGMA takes responsibility for the content, quality and scientific integrity of this CME activity. MGMA designates this CME activity for a maximum of 15.5 credit hours in Category 1 of the Physician’s Recognition Award of the American Medical Association.

CPE creditMGMA designates this continuing professional education (CPE) activity up to the maximum number of 18 contact hours of credit in the Specialized Knowledge and

Applications Field of Study. MGMA is registered with the National Association of State Boards of Accountability (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be addressed to the National Registry of CPE Sponsors, 150 Fourth Avenue North, Suite 700, Nashville, Tenn. 37219-2417. Web site: nasba.org. For more information regarding administrative policies such as complaint and refund, please contact MGMA toll-free 877.275.6462, ext. 1875.

General information


Register

Method of payment (payment must accompany registration):

) Mail Check enclosed Charge my credit card: VISA MasterCard American Express

Mail the program registration form(s) Card number Exp. date

with your check made payable to MGMA, Cardholder’s name

to the following lockbox address: Cardholder’s signature Date

Medical Group Management Association

P.O. Box 17603, Denver, CO 80217-0603

% Toll-free 877.ASK.MGMA (275.6462)

Fax: 303.784.6110

Registration must be received on or before Friday, Feb. 18, 2011, to receive the early-registration discount. All registrations received after Friday, Feb.18, 2011, will be processed at the standard fee category. Member rates are a privilege of MGMA membership. You must be a member at the time of registration.We are not responsible for faxes not received. Cancellation of preregistration must be postmarked no later than Thursday, March 16, 2011, and is subject to a $150 processing fee. No partial or full refund or credit will be made after this date or for failure to attend. See “Conference cancellation policy” in this brochure for the full policies regarding cancellations and substitutions.

MGMA 2011 Anesthesia Administration Assembly (AAA) Practice Management ConferenceMeeting code: AAA11March 20-23, 2011

(Check here if this is a new address) MGMA member #

Full name

Title Preferred name for badge

Organization

Address

City State ZIP Code

Phone Fax E-mail

Year started in medical group management: Is this your first time attending? Yes No

Special note to the disabled: Please call MGMA’s Meetings and Conferences Department toll-free 877.275.6462, ext. 1875, prior to your arrival if you have a special need and require accommodation to participate in this activity.

REGISTER EARLY … SEATING IS LIMITED!

Registration Fees Postmarked on or before Feb. 18, 2011 Postmarked after Feb. 18, 2011

National MGMA member $685 $785

Affiliate $835 $935

Nonmember $895 $995

Preconference registration Meeting code: AAAPR11 Postmarked on or before Feb. 18, 2011 Postmarked after Feb. 18, 2011

National MGMA member $205 $255

Affiliate $255 $305

Nonmember $275 $325

Members: Bring your team and take advantage of these special offers!• Physicians attending with a member pay the member price• When two or more colleagues from the same practice register, the second and subsquent team member(s) receives $100 off his/her registration fee.

Team must register via phone. Call MGMA toll-free 877.275.6462, ext. 1888. Team members are encouraged to register at the same time.

TOTAL DUE FOR REGISTRATION $

If you’d prefer not to receive updates and promotional material from our exhibitors and sponsors, please send an e-mail to [email protected] with “AAA 2011 no third-party promotions” in the subject line.

104 Inverness Terrace EastEnglewood, CO 80112

PRSRT First-ClassU.S. POSTAGE

PAIDDENVER, CO

PERMIT NO 1105

MGMA 2011 Anesthesia Administration Assembly (AAA) Practice

Management ConferenceMarch 20-23, 2011

and

MGMA 2011 Pain Practice Management Preconference

March 20, 2011

Baltimore Marriott Waterfront

Position your anesthesia/pain management practice and your career to thrive in the new healthcare environment

anesthesia administration assembly conferencebrochure - mgma

Documents