AAA Brochure Final

8/8/2019 AAA Brochure Final

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Position your anesthesia/pain management practice andyour 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 AdministrationAssembly (AAA) Practice Management ConferenceMarch 20-23, 2011

MGMA 2011 Pain Practice Management PreconferenceMarch 20, 2011

Baltimore Marriott Waterfront

Medical Group Management Association


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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. Youll have plenty

of opportunities to catch up with old friends and

connect with new ones

Exchange Caf 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 inanesthesiology 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 todays 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, thesecond 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), MGMAs 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 theeight domains in the Body of Knowledge:

Business Operations

Financial Management

Human Resource Management

Information Management

Organizational Governance

Patient Care Systems

Quality Management

Risk ManagementThe domains form the framework of MGMAs

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 MGMAs preeminentconference for anesthesia and pain management

practice administration.


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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 inhealthcare 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 ServicesCorporation, Melville, NY

o Cathy Bartell, MHA, practice administrator,

New Britain Anesthesia, Wethersfield, Conn.

*Indicates program planning committee participation

Conference site:Located in Harbor East, Baltimores premier neighborhood,the Baltimore Marriott Waterfront sits on the watersedge. Youll enjoy the spectacular views of the Baltimore

Harbor, as well as easy access to the citys finest shoppingand restaurants. Choose from over 50 dining optionswithin a few blocks of the hotel or explore the National

Aquarium, the Maryland Science Center and more.

MGMA members bringyour team and save!Physicians registering with an MGMA memberpay the member price.

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

Teams must register by calling MGMA toll-free at877.275.6462, ext. 1888. Team members areencouraged to register at the same time.


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Pain Practice Management

Preconference

*Additional programming fees apply for the Pain PracticeManagement 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 byUtilizing Nonphysician Providers

9:25-9:45 am

Networking break9:45-10:45 am

General session: Marketing An Essential Aspect of PainPractice 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 PainPatients

1:30-1:45 pmNetworking break

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


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

Schedule at a glance, Sunday, March 20


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Sunday, March 20

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

CEU credits:ACMPE 6.5

CME 6.5CPE 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 PainPractice by Utilizing Nonphysician Providers

Todd Evenson, MBA, assistant director, survey operations, Medical

Group Management Association, Englewood, Colo.

Nonphysician providers can provide meaningful value in a painpractice. 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 EssentialAspect of Pain Practice Success

Andrea 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 programn 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 andManagement Services: Risks and Rewards

Devona Slater, CHC, CMCP, president, Auditing for Compliance &

Education, Inc., Leawood, Kan.

The proper documentation elements for evaluation andmanagement 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


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Sunday, March 20

12:45-1:30 pm

General session: Legal Issues RegardingDifcult Patients

Abby 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

behaviorn 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 PainPractice to Become More Protable andCompliant

Cathy 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 ande-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 Anatomyand Overview of Pain ManagementProcedures

Thelma 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 withinmy 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.


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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 Settingthe Stage

9:30-11:45 amExhibit Hall open

9:45-10:30 amNetworking break

10:30-11:45 am

Concurrent sessions 100 series11:45 am -1:15 pm

Business luncheon


1:15-2:30 pmConcurrent sessions 200 series


3:30-5:00 pm

General session: Payments in the Future5:00-6:00 pm

Networking reception

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



8:00-9:00 amGeneral session: Negotiation Skills for the PracticeManager

9:00 am-12:30 pmExhibit Hall open


10:00-11:15 amGeneral session: American Society of Anesthesiologists

(ASA) Update11:15 am-12:30 pm

Concurrent sessions 300 series

12:30-1:45 pmNetworking luncheon


1:45-3:00 pmRound-Table sessions

3:00-3:45 pm

Networking break3:45-5:00 PM


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



8:00-9:00 amGeneral session: Engage Physicians The Key to EvolvingYour Group


9:15-10:30 amConcurrent sessions 500 series

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


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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 AA A 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 applicationexchangeSmartphone 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 Smartphoneapps 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



8:00-9:45 am

General session: Evidence-BasedManagement 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: f inding 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 thesenior analyst for MIT Solutions,Inc., developers of analytical anddecision-support tools and systemsfor healthcare organizations. He isa certied Six Sigma Black Belt andLean instructor. His areas of expertise

include data mining and analysis, applied statistics anddecision support. For the past 30 years, he has worked as ahealthcare data analyst, knowledge engineer and consultant.His consulting experience includes hospitals, large and smallmedical practices, medical and professional associations, legaland accounting professionals, government agencies and otherhealthcare professionals.

Mr. Cohen is the author of numerous healthcare managementbooks, includingA Practical Guide to Reengineering theMedical Practice, The Physician CEO, Coding for the Noncoder,Mastering RBRVS, The Complete Guide to E/M Utilization andTotal Practice Improvement: A Lean Approach for MedicalPractices.

Conference schedule


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9:30-11:45 am

Exhibit Hall open

9:45-10:30 am

Networking break

10:30-11:45 am


101. Compensation and Benefits Exchange Caffor pain and anesthesiology

Moderators: To be announced

Participate in the Exchange Caf to see how others view and

approach selected issues and share your insights.

During the Exchange Caf, you and your colleagues will select

tables with preassigned compensation and benefits topics thatare most relevant to you. A facilitator will guide each groups

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 AnesthesiaQuality 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 createdn Discuss how the AQI collects data

n Review how AQI data can benefit a practice group

103. Manage Insurance Staff to Maximize Revenue

Sarah 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 willimprove 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 Do

Tracey 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 dont 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


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Conference schedule

202. Decisions and Development of anOffice-Based or Ambulatory Surgery Center FacilityPain 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

opportunityn Review a list of considerations for developing your own

ASC

203. Evidence-Based Decision Making in YourPractice

Frank Cohen, MPA, MBB, principal and senior analyst, Frank Cohen

Group LLC, Clearwater, Fla.

While good decisions dont always result in good outcomes and

bad decisions dont 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. Getting More Done With the Same Resourcesin the Operating Room (OR) How OtherHospitals Have Improved OR Efficiency andProductivity

Randy 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 withoutincreasing anesthesiology or nursing resources

n Articulate how anesthesiology can lead the charge for

better productivity for all key groups in the perioperative

environment

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 doesnt 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


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3:30-5:00 pm

General session: Healthcare Reform: HowWill 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 healthcareValue 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 focusedon improving strategic, operational and nancial performance in healthcare. SHG works with physicianpractices, hospitals, private and academic medical centers, third-party payers and corporate clients onincreasing quality patient care, reducing costs, improving patient safety and implementing informationtechnology throughout the continuum of healthcare.

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

Dr. Stead has applied his experiences as a funded investigator, clinician, medical board examiner, university professor, physicianleader 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 Physicians Guide toImplementing Medicares Physician Quality Reporting Initiative, An Insiders 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. Hereceived his MBA from UCLA.


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Conference schedule

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


7:30-8:00 am


8:00-9:00 am

General session: Negotiating Skills forAnesthesia Practice Executives

Randy 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 negotiationenvironments, 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 seniormedical practice consultant at StateVolunteer Mutual Insurance Company(SVMIC). With a focus on managed care,Cook continues his career-long desire tohelp physicians navigate the healthcaremarketplace. Cook is formerly the chiefexecutive ofcer of Meritus, LLC. He

began his healthcare career as a mental health counselor.He made the shift from provider to management when hebegan working for John Deere Health Care in 1985, managingHMO operations. Cook was with John Deere for more than

12 years, managing 13 different independent physicianassociations and health maintenance organization operationsites. He spent two years as vice president of managed carefor the Kentucky Division of Columbia/HCA. He left Columbiato join a start-up physician practice management company,UniPhy, as a founder. During his tenure at UniPhy, Cook ledthe development of several innovative analytical tools usedby physician practices to improve payer reimbursements andcontracting. These skills and experience are accessible todaythrough his role at SVMIC. He lives in the Nashville area. Cookhas a masters degree in public health from the University ofTennessee. He is a Certied Medical Practice Executive and aFellow 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 ofAnesthesiologists (ASA) Update

Mark Warner, MD, president, American Society of

Anesthesiologists, Washington, D.C.

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 healthand safety through the advancementof anesthesia medical care. He haspublished numerous articles that focuson outcomes research, covering suchtopics as perioperative pulmonaryaspiration, blindness and neuropathy.

After receiving his undergraduate education at MiamiUniversity in Ohio, Dr. Warner graduated from the MedicalCollege of Ohio and completed his residency at MayoClinic. Dr. Warner is the current president of the AmericanSociety of Anesthesiologists and has been involved with theorganization for many years.

Dr. Warner and his wife, Mary Ellen, also a Mayo Clinicanesthesiologist and president of the Wood Library Museumof Anesthesiology, live in Rochester, N.Y. and have four sonsand one grandchild.


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11:15 am-12:30 pm


301. Federal Scrutiny of Pain HEATs Up

There are forces that are affecting pain management practicesincluding 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 Outlook

Anders 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 anda 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. Origins of Anesthesias 33 percent problem

Alexander Hannenberg, MD, past-president president, American

Society of Anesthesiologists, Washington D.C.

Are you aware of how Medicares 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 Medicares 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

Medicares anesthesia payment rates

304. Utilize Benchmarking to Maximize Profits

Todd 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 practices profit. This knowledge allows

them to focus their attention on maximizing profit for their

organizations. This session will describe how to measure yourpractices performance in multiple dimensions and to use process

benchmarking, the concept of learning from the best, to improve

your practices 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 groups,

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


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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 managementchallenges. 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 Topics

Moderator: 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 Affairs

Judith 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 Compliance

Kelly D. Dennis, MBA, president, Perfect Office Solutions, Leesburg,Fla.

Its 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 andcoding


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Tuesday, March 22Wednesday, March 23

403. Creating Workable Solutions for ProvidersWho Want to Cut Back

Shena 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 ServicesUpdate

William D. Rogers, MD, FACEP, director, Physicians Regulatory Issues

Team, Centers for Medicare & Medicaid Services, Washington, D.C.

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 TheKey to Evolving Your Group

Jack 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 its 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 workingopportunities.

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 presidentof AMICUS, a healthcare consultingrm based in Cambridge, Mass. Formore than 25 years he has helpedexecutives of physician organizations,hospitals and health systems develop a

shared organizational vision, as well as strong leadership andgovernance to accelerate the implementation of change. Heis a highly regarded speaker and regular presenter at nationalconferences. A graduate of the Harvard University School ofDental Medicine, Silversin also holds a doctorate in public

health from Harvard University, where he serves as a memberof the faculty of medicine.

9:00-9:15 am

Networking break


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Conference schedule

9:15-10:30 am


501. Surviving a CMS and a State Audit

Zeev 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 toPrevent It and How to Do So

Margaret 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 todays

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 clinics

Teresa Hayes OFlynn, 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 ef ficiently. Pre-operative clinics can

be a key to driving OR eff iciency 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 pmGeneral session panel presentation: Askthe Experts About Practice Strategies for aReformed Market

Jack 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 its 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 todays

anesthesia practice


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You come in search ofsolutions.Youll leave with knowledge about an arrayof products and services to meet your needs.

The MGMA 2011 AAA Conference Exhibit Hall is your

source for information about products and services to helpyour 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 practices current

and future needs.

Exhibit Hall hoursSunday, March 20

4:30-6:00 pm

Monday, March 21

9:30-11:45 am

1:15-3:30 pmTuesday, March 22

9:00 am-12:30 pm

1:45-3:30 pm

Wednesday, March 23

Closed

Exhibitors


18/20


Hotel and conference siteBaltimore Marriott Waterfront700 Aliceanna St.Baltimore, MD 21202Phone: 410.385.3000http://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 hotelreservations. Upon booking your registration for the conference

you will receive a conrmation via e-mail with your hotel bookinginstructions to receive the discounted group rate within 30 minutes.If you do not receive your hotel booking information within thisallotted timeframe, please contact HYPERLINK mailto:[email protected]@mgma.com. Please make sure MGMA has

your valid e-mail address on le.

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 lls priorto the cut-off date, MGMA may or may not be able to procure morerooms at the group rate.

Air transportationMGMA recommends ying into the Baltimore/WashingtonInternational Thurgood Marshall Airport (BWI) located approximately25 minutes from the hotel. Taxi rates start at $30 from the airport tothe hotel property.

Program registration feeThe registration fee includes tuition, program educationmaterials, continental breakfasts, networking breaks, luncheonsand receptions. Please see the registration page for additionalinformation and pricing.

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

Your conference registration must be received or postmarkedby Friday, Feb. 18, 2011, to be eligible for the early registrationdiscounted pricing and to ensure that your name appears on theconference attendee roster. Names of any conference registrantsreceived after this date (whether by phone, fax, mail or online) maynot appear on the nal roster.

Within 30 minutes of MGMA conrming your conferenceregistration, you will receive your hotel booking information viae-mail. You must be a registered attendee/participant to book hotelreservations. Please make sure MGMA has a valid e-mail addresson le.

Please note, all registrations mailed and faxed in will be processed asquickly as possible; however, please allow at least 10 business days

for processing mailed registrations and three business days for faxedreservations. MGMA recommends booking your registration onlinefor the fastest service. Please contact [email protected] withany questions regarding conference hotel reservations.

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

your comfort.

FacultyMGMA reserves the right to change faculty or modify programcontent.

Note to those with special needsWe wish to take steps to ensure that no individual with a disabilityis excluded, denied services, segregated or otherwise treateddifferently than other individuals because of the absence of auxiliaryaids or services. If you need any auxiliary aids or services identiedin the Americans with Disabilities Act, call the MGMA Meetings andConferences Department toll-free at 877. 275.6462, ext . 1875, prior

to your arrival.

Conference cancellation policyAll conference registration cancellations must be received inwriting to the MGMA Service Center, 104 Inverness Terrace East,Englewood, CO 80112-5306, or fax to 303.643.4439 no later thanThursday, 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 hotelcancellations must be made directly with the hotel. Your hotelreservation conrmation will provide details on making changes orcanceling your lodging reservation.

If for any reason MGMA must cancel one of its programs or turnyou away due to limited attendance at the conference, yourregistration fee will be refunded in full. However, you are responsible

for your own airline and hotel reservations. MGMA cannot beheld accountable for any cancellation charges caused by programcancellation 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 differentMGMA status, we will adjust the fee accordingly.

Continuing-education credit hours including ACMPE

ACMPE creditThe American College of Medical PracticeExecutives (ACMPE) is MGMAs standard-setting and certication body and promotes

the professional growth of leaders. By developing the Body ofKnowledge for Medical Practice Management, ACMPE provides acentral framework for MGMA resources. This program is approved to

receive a maximum of15.25 credit hours as assigned by the ACMPE.

CME creditThe Medical Group Management Association (MGMA) is accreditedby the Accreditation Council for Continuing Medical Educationto sponsor continuing medical education (CME) for physicians.MGMA takes responsibility for the content, quality and scienticintegrity of this CME activity. MGMA designates this CME activityfor a maximum of15.5 credit hours in Category 1 of the PhysiciansRecognition Award of the American Medical Association.

CPE creditMGMA designates this continuing professional education(CPE) activity up to the maximum number of18 contacthours of credit in the Specialized Knowledge and

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

General information


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Register

Method of payment(payment must accompany registration):

) Mail Check enclosed Charge my credit card: VISA MasterCard American ExpressMail the program registration form(s) Card number Exp. date

with your check made payable to MGMA, Cardholders name

to the following lockbox address: Cardholders signature Date

Medical Group Management Association

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

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

Fax: 303.643.4439

Registration must be received on or beforeFriday, Feb. 18, 2011, to receive the early-registration discount. All registrations received afterFriday, Feb.18, 2011, will be processed at thestandard 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 thanThursday, March 16, 2011, and is subject to a $150 processing fee. Nopartial 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 andsubstitutions.

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 rst time attending? Yes No

Special note to the disabled: Please call MGMAs 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

Afliate $835 $935

Nonmember $895 $995

Preconference registrationMeeting code: AAAPR11

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

National MGMA member $205 $255

Afliate $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 youd prefer not to receive updates and promotional material from our exhibitorsand sponsors, please send an e-mail to [email protected] with AAA 2011 nothird-party promotions in the subject line.


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104 Inverness Terrace EastEnglewood, CO 80112

First-Class PRSRT

U.S. POSTAGE

PAIDDENVER, CO

PERMIT NO 1105

MGMA 2011 Anesthesia AdministrationAssembly (AAA) Practice

Management Conference

March 20-23, 2011

and

MGMA 2011 Pain Practice

Management PreconferenceMarch 20, 2011

Baltimore Marriott Waterfront

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

AAA Brochure Final

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