From Surgeon to Coding and Compliance Author/Consultant, Dr. Tray Dunaway knows first-hand of the coding and documentation rules and regulations nightmare that hinders insurance claims collections. Based on his own experiences and with some encouragement from his collegues, Dr. Dunaway developed a unique approach to coding and documentation that limited his audit risk. Dr. Dunaway has provided his time-proven methods to many doctors and associations so they, too could learn his easy to use and comprehend "Risk Based Coding Algorithm" System. Dr. Dunaway promises to deliver a high-paced, super-charged and highly entertaining presentation along with an added workshop. Be sure to attend the pre-conference meet and greet session so you can meet Dr. Dunaway before the conference!
Kepa Zubeldia, President and CEO of Claredi Corporation is the nation's first commercial provider of HIPAA EDI compliance testing and certification services for payers, clearinghouses, vendors and providers. Dr. Zubeldia founded Claredi in October of 2000 to create a trusted healthcare testing and certification service which would expedite the broad acceptance of EDI standards for the benefit of the entire healthcare industry. Until 2000, Dr. Zubeldia was VP of Technology for ENVOY Corporation, the largest healthcare EDI clearinghouse.
Dr. Zubeldia has been intimately involved with healthcare EDI for the past
22 years, and has participated in a number of industry bodies. His current responsibilities include Co-Chair of the Security Policy Advisory Group of the Workgroup for Electronic Data Interchange (WEDI), and immediate Past-Chair of the Association for Electronic Healthcare Transactions (AFEHCT). In 1999, Dr. Zubeldia led the Internet Security Interoperability Pilot, sponsored by WEDI and AFEHCT. In 2002 Dr. Zubeldia received the Ed Guilbert E-Commerce Professional Award, and the Leadership in Technology WEDI Award.
Dr. Zubeldia will speak to members about HIPAA Transaction Compliance and testing transactions for compliance.
Prior to starting CRN in 1999, Laureen ran a successful rehab (OT, PT, SLP) practice in New Jersey that at it's zenith served over 17 long term care facilities with 26 therapists, aides and support staff. Her company was approved by Medicare and billed over 1.6 Million with less than a .06% rejection rate -- unheard of in the rehab industry. The reason for this success was making sure her company billed based on source documentation and to provide ongoing training to her therapists regarding proper coding.
Laureen also has a love of computers and most especially internet technology and created an online community where medical billers and coders could network with each other. When she saw a need for quality online medical billing and coding training she took her classroom course offerings and put them on the internet under the CRN Institute name. Laureen teaches AAPC Certified Coding Preparation and Medical Billing telecourses and online courses. She will teach members how to use Modifiers properly for increased revenue and will host a CPC Preparation workshop.
Sarah Lott
Texas Star Medical Billing
Vidor, TX
Back by popular demand, Sarah will be teaching a Durable Medical Equipment (DME) Billing educational breakout training session.
Sarah Lott, President of Texas Star Medical Billing, Inc., entered the field of DME in 1990, as a one-person office for a new local company and left eight years later as general manager with a staff of twelve and a growing prosperous company, which was sold to a large corporation. Sarah has helped other successful DME startup companies as well. She holds multiple certifications in DME billing, Medicare compliance, DME business organization, HIPAA and OIG compliance and is a member of AMBA as well as the Co-Chairperson of AMBA's DME Committee. Additionally, Sarah is an associate member of MESA, the Medical Equipment Suppliers Association, for the states of Texas, Louisiana, Arkansas, and Oklahoma
Robin L. Roach
Health Data Solutions
CEO, Intelleware, Inc.
Charleston, WV
Robin L. Roach, President, Health Data Solutions, will teach a one hour breakout session on Trade Show Marketing - Leveraging Your Opportunity for Growth and Profit. Robin has previously managed two very successful medical billing companies utilizing her education and experience from her previous career in marketing with United Parcel Service. She managed to sign on a maximum capacity of providers for her billing service in less than 12 months.
Robin will be speaking on how to determine which trade shows to work with, setting up a cost-effective display and the multitude of things a person can do to ensure they get their money’s worth from participating in the trade show. She'll also show you how to effectively followup with interested parties and how you can develop partnerships with provider organizations. Often the trade show is the first marketing opportunity billing company has with an organization, but it need not be the last. Robin's expertise and enthusiasm will provide the help and motivation you need to sign up new accounts immediately after the conference!
Don has been a nationally known seminar leader, consultant and author on reimbursement issues for physician offices for the past 17 years. He routinely teaches more than 40 seminars a year to thousands of physicians, billers, coders and office staff. His coding and reimbursement advice has helped thousands of physicians increase their income, avoid audit problems and simplified the duties of the staff. His ideas to the billing agencies and services not only increases the income of the physicians, but also results in greatly increased income to the billing services and agencies that are part of AMBA.
Don will teach you the knowledge for increasing income through coding tips, charge reviews, utilization of modifiers, recognizing under and over utilization of coding, documentation tips and more. Attendees not only will gain the training necessary, but will also receive humor and entertainment by attending his exciting breakout session.
Mike Edmonds started his medical accounts receivable management &billing company in 1983 as a one-person office and now he has 15 full-time and 9 part-time employees. His company is providing comprehensive outsourcing services aimed at improving reimbursement and financial performance for their 81 physicians in 15 medical practices located in 4 States. They are processing monthly 2 million dollars in patient charges, 1 million dollars in payments , 9 thousand insurance claims forms and sending out 5 thousand patient statements.
Mike has twenty-one years of experience in healthcare management and his expertise include medical reimbursement, coding, insurance/patient billing, fees, statistical analysis, revenue cycle management, insurance contracting, physician credentialing, management information system reporting and business consulting. He is a current member of Medical Group Management Association (MGMA) and the American Medical Billing Association (AMBA) and past member of Healthcare Billing &Management Association (HBMA).
Mike will be teaching two breakout sessions. The first is, "Revenue Cycle Management: Managing for Superior Performance." This breakout session will focus on the basics of medical billing and turning revenue opportunities into cash. The second breakout session Mike will teach is, "The Road Map to Success: Denial Management &Plugging Revenue Leaks." The participant will learn how to develop a usable map that will improve their efficiency in managing insurance claim denials. Also, the participant will take away with the tools for collecting key billing data to be used in dashboard reporting for identification of improvement opportunities.
Kenneth G. Hagans has over two decades of healthcare and information technology experience. He provides medical billing and collection tools, business continuity &disaster planning, technology consulting &IT outsourcing services to healthcare providers, billers and consultants. Ken will show you how to easily prepare for and meet HIPAA Security requirements in a breakout session.
Mr. Eli Grinvald is the principal creator of the Paperless Medical Billing software. He is the President of Secure Data Assets Corporation; the company that offers Internet based Data Safe Deposits. Grinvald has over 20 years of experience turning software solutions into a business advantage. Over the last 12 years, he has been designing/overseeing imaging, workflow and Straight Through Paperless Processing applications in large insurance and financial institutions at various capacities. Mr. Grinvald will present The Paperless Office, a Practical Guide for the Medical Billing Professional.
