Conference Speakers

Keynote Speaker

Joel Hochberger

Website:  http://www.effectivepresentationskills.com/
 

Who needs presentation skills? Everybody who presents ideas to others - including those that work with doctors and other healthcare providers. Regardless of 

whether you're trying to persuade an important client to accept your product or service, or trying to persuade a friend to join you on a trip to Las Vegas, or trying to convince your boss to accept an idea - you'll need to present your idea in an effective manner - and this presentation skills training program will give you the tools to do it!

 

Few people (if any) are "born presenters." Some, of course, have the "gift of gab" but that gift doesn't substitute for presentation skills training. Joel Hochberger has

been a professional trainer and speaker for over 25 years.

He has conducted Presentation Skills Workshops in 39 countries and has trained over 22,000 individuals. Graduates of his workshops have ranged from CEO’s (including the president of Tribune Company, president of Abbott Labs, president of Leo Burnett, president of Oppenheimer Funds, president of Miller Brewing, president of Eli Lilly, and president of Kellogg’s) to recent college graduates interviewing for their first jobs. He has trained sales representatives of all levels from beginners to 30 year veterans, and has successfully coached political candidates and dignitaries.

His “real world” approach to the important area of Presentation Skills enables participants to develop their own skills which they can immediately use to communicate their ideas to clients and others quickly and easily in a concise and persuasive manner.

 

Keynote Speaker

 

 

Robert W. Liles, Esq.

Website:  http://www.lilesparker.com
Mr. Liles focuses his practice on fraud defense, internal audits / investigations, compliance and regulatory matters. Mr. Liles has represented a wide variety of clients in civil and criminal proceedings, complex civil litigation, and in connection with reviews conducted under non-profit and Sarbanes-Oxley compliance requirements.

Before entering private practice, Mr. Liles served as Deputy Director for Legal Programs at the United States Department of Justice (DOJ), Executive Office for United States Attorneys (EOUSA). Prior to serving in Washington, D.C., he worked as an Assistant United States Attorney in the Southern District of Texas, Houston office, where he primarily handled False Claims Act matters and cases.

Mr. Liles was subsequently appointed as Chief of the Financial Litigation Unit for the Southern District of Texas. Working in this capacity, he was responsible for managing a substantial accounts receivable portfolio, representing hundreds of millions of dollars in collections amounts owned to the government by individuals and corporations. Mr. Liles managed a staff of attorneys and support personnel tasked with collecting sums owed to DOJ and its client agencies.

In 1997, he was detailed to the EOUSA in Washington, D.C. as its first National Health Care Fraud Coordinator. In this capacity, he advised Assistant United States Attorneys around the country on civil and criminal health fraud statutes, schemes, investigative tools, privacy concerns, and compliance issues.

Mr. Liles was instrumental in implementing DOJ guidance on the judicious use of the False Claims Act.  Mr. Liles has taught and lectured at more than 50 national conferences and seminars to DOJ prosecutors, investigators, auditors, and industry representatives on a variety of civil and criminal fraud and regulatory issues. He serves as faculty for the Georgetown University / National Institute of Trial Advocacy.

In 1999, Mr. Liles received a Director's Award (Executive Office for United States Attorney's highest award). Mr. Liles' management background provides a firm understanding of the real-life operational and regulatory problems faced by corporations. Mr. Liles serves as the official Outside General Compliance Counsel for the American Medical Billing Association and works with other associations and groups within the industry.

 

The RAC demonstration program has proven to be very successful in returning dollars to the Medicare Trust Funds and identifying monies that need to be returned to Medicare. It has provided CMS with a new mechanism for detecting improper payments made in the past, and has also given CMS a valuable new tool for preventing future payments.

Mr. Liles will provide the latest information on Recovery Audit Contractors (RACs) and the new Zone Program Integrity Contractors (ZPICS).  As you will recall, ZPICs have now replaced Program Safeguard Contractors (PSCs) around the country. Get first-hand information on how to effectively respond when confronted with a RAC audit. You will also obtain a solid understanding of the appeals process and how to best deal with a RAC audit of your provider. 

 

 

Keith Pendleton, JD

Website: http://providerpro.net

Keith is Pennsylvania-licensed attorney and graduate of the Wake Forest University School of Law.  Since graduating, he has dedicated his career to helping providers on payment issues, largely through educational means.  In 1995, he spent 3 years as the operations director of a health care clinic where he gained hands-on experience with accounts management workflow and techniques.  Since 1998, he has given over a 1000 educational seminars to health care providers nationwide.  The seminars have gained recognition as some of the most unprecedented and immediately-useful reimbursement programs offered anywhere in the country.

Keith will be presenting on "How to Get Paid When Insurance Misrepresents Benefit Coverage." We've all been there. You call the carrier to verify benefits only to have your claim denied upon filing it. Learn how to get carriers to pay your claims based on specific criteria you verify up front. You'll learn exactly what information you need to ask and how to document it so that you can legally force carriers to pay your pre-verified claims.

 

Jill Harrington, MHA, CPC, CPC-P, CPC-I, CCS-P, MHP
Website: http://www.complycode.com

Ms. Harrington serves as President & CEO of ComplyCode, a health care compliance consulting firm based in Binghamton, NY, and has more than 16 years of experience in the health care profession.  She is the former chief compliance officer and chief privacy official of a large academic medical center, and also has extensive background in both the professional and technical components of CPT/HCPCS and ICD-9-CM coding. She teaches CPT coding and is an approved instructor of the Professional Medical Coding Curriculum, awarded by the American Academy of Professional Coders. She has spoken frequently on health care compliance and health information management issues at regional and national professional conferences.

Are you taking advantage of the potential 4% incentive payments for Physician PQRI and E-Prescribing?  If not, are you interested?  During this session, we’ll learn the basics of this Value-Based Purchasing program, the Physician Quality Reporting Initiative, and E-Prescribing Incentive Program.  We’ll also talk about who is eligible for the incentive payments, how to submit claims under these programs, and how you (or your providers) can take advantage of these incentive programs.

 

Paul Cohen, Director of Healthcare Services       
Website: http://www.revmansolutions.com

Paul has been working in the healthcare industry since 1979. He spent his first 15 years in healthcare working for Aetna Life & Casualty, all in the large group medical claims environment. In 1987, Paul was one of three Aetna people chosen to work with an outside vendor to help increase Aetna's EDI percentages. The opportunity was so successful, a full-time position was created for him back in Middletown, CT and Paul spent his last 7 Aetna years focused on various EDI initiatives for Aetna. After leaving Aetna in 1994, Paul remained immersed in healthcare, marketing technologies that focused on automating many of the labor intensive, administrative tasks of healthcare. For the past seven years Paul has devoted his energies exclusively to revenue management opportunities. He has worked with a number of banks, national, regional and community banks, to help promote the advent of medical banking. Paul attributes a lot of his success to the belief "that if you are not servicing the customer, you better be working with someone who is." Mr. Cohen is a graduate of Loyola University, Chicago, IL.

Paul's presentation will focus specifically on saving time, eliminating key-strokes and utilizing technologies available to billers and doctor's offices. Technology exists that allows billers to eliminate upwards of 90%+ of all manual keying done today by the typical biller. By using claim and remittance data specific to each provider, billers can much more efficiently and effectively serve their providers. This presentation solely focuses on the value proposition of utilizing EDI services and the significant ROI tied to it. Saving key strokes, reducing DSO, and refocusing efforts on denied claims is at the heart of this presentation. Paul will also discuss the value proposition of bringing all aforementioned stakeholders in healthcare together to better serve the providers we all work with.

 

Keynote Speaker

 

Trish Bukauskas, CMM, CPC, CMSCS, CMPA

Website:  http://www.tbconsults.net


Ms. Bukauskas has over 20 years in the medical field.  She currently is the owner of T.B. Consulting & Billing, a firm that specializes in medical billing, education, consulting, auditing, compliance and initial start up of medical offices and clinics.  Her education in business management and vast experience in the operations of medical practices provide her with the “edge” in keeping medical practices profitable and compliant while staying abreast of the constant changes in the medical industry.

Ms. Bukauskas is a Certified Medical Manager through the Professional Association of Health Care Office Managers (PAHCOM) and a Certified Professional Coder, (CPC) with the American Academy of Professional Coders (AAPC), and Professional Association of Healthcare Coding Specialists (PAHCS). She is extremely active in all the organizations, serving on numerous committees and providing lectures for various functions.
 
Ms. Bukauskas provides educational seminars across the country for insurance, national pharmaceutical and other organizations.  She teaches and has published manuals for the following medical specialties:  OB/GYN, Urology, Family Practice, Pain Management, Anesthesia, Emergency Medicine, Orthopedics, Oncology and Radiology, DMERC and Coding and Compliance. She has held several national teleconferences on coding / reimbursement topics and was the editor for the Coding Institute’s “Anesthesiology and Pain Management Coding Alert.”       
 
Ms. Bukauskas’ expertise in auditing, compliance and billing is vital in the always changing medical industry.  From a compliance viewpoint, her knowledge could save money from costly audits. Compliance programs are essential and her company maintains the proper billing and documentation guidelines for each client so they are consistently following all federal guideline
s. She will present Upcoming Coding Changes – How to be ready and Hospice & Nursing Homes and Lost Revenue from Care Plan Oversight billing as breakout sessions.

 

 

 

Barbara J. Cobuzzi, MBA, CPC, CENTC, CPC-H, CPC-P, CPC-I, CHCC

Website:  http://www.crnhealthcare.com/

 

Barbara Cobuzzi is President of CRN Healthcare Solutions in Tinton Falls, NJ. She holds a BS in Industrial Engineering from Rensselaer Polytechnic Institute and an MBA from New York University. She holds certifications from the American Academy of Professional Coders as a Certified Professional Coder (CPC) and a Certified Professional Coder for Hospital Outpatient (CPC-H). Prior to joining the healthcare industry, Ms. Cobuzzi worked in the Pharmaceutical Manufacturing Industry. She is frequently quoted and has written for multiple coding and billing publications. Additionally, Barbara is a speaker for McVey Seminars and does consulting nationally on practice process, operations, billing, coding, reimbursement, compliance and HIPAA. She also provides physician and staff education on these topics. Barbara Cobuzzi is also the Consulting Editor of Otolaryngology Coding Alert and The Coding Corner of Part B Insider, as well as on many of the Editorial Advisory Boards of other coding publications. Ms. Cobuzzi is also a speaker at national and local conferences and is a member of the AMBA.

One fear practice managers live with is the FBI entering their offices, asking all staff to step away from their desks and seizing the computers and all the practice records. What usually follows is a fraud indictment with a fight for the practice’s and your physicians’ lives. This does not happen only to criminals, it can happen to honest, upstanding physicians. This session will look at a real life set of scenarios where physicians have found themselves in this situation, what took place, what could have been done differently, before, during and afterward, and the outcome of defending against fraud charges. Success does not only rest on documentation, proper and compliant operations, but putting together the right defense team. Learn how to deal with the FBI or a US Attorney, how to build a defense team and what the costs of acquittal are.

Do you ever wish that you had a simple effective way to “WOW” your clients with your expertise and the value of your services? Barbara will present Susan Fuller's  presentation, "Using RVU’s to 'WOW' your Clients" and will give you the tools to do just that. Using relative value units to determine a practice’s break-even point on all their CPT codes and the profitability of their insurance contracts is easy once you know how and it's guaranteed to impress anyone you perform this analysis for. Attendees will leave with enough knowledge to perform this analysis, using the provided Excel template, and be able to present it.

 

 

 

Rey Stafford, CPC, CMRS

Website:   

 

Rey is the owner of Medical Billing Solutions and is active in her local AMBA chapter. She has been in the medical billing and coding industry for nearly 10 years. Her company is dedicated to providing professional and courteous service. She is a consultant providing auditing, coding and practice management related services to healthcare providers. Rey teaches Medical Coding and Medical Insurance Billing classes at Victoria College and online through East Arkansas Community College. She is a certified coder through the American Academy of Professional Coders is certified as a CMRS through the AMBA. Rey is a member of the AMBA National Advisory Board. She will present a breakout session on "Why Your Office Should Be Conducting Random Audits." This session will focus on the necessity of conducting random audits in medical facilities, how to conduct them how often they should be conducted and who can perform them. You will learn what a prospective audit is, what a retrospective audit is and how random audits can reduce fines assessed by CMS and more. This session is suitable for all skill levels.

 

 

Jennifer Brisse' CMRS

Website: http://www.kndbilling.com

 

Jennifer Brisse’ is the CEO of KND Medical Billing Service in Littleton, CO. She has been doing medical billing for over 24 years and has billed for a varied range of healthcare providers including Radiology, Ophthalmology/Optometry, Sleep Study, Internal Medicine/Family Medicine, Geriatric and EMS/Ambulance. She is a CMRS through the AMBA and is her local AMBA chapter treasurer. She is a member of the NAAC (National Academy of Ambulance Coding) and is preparing to take the CAC (Certified Ambulance Coder) exam. Jennifer has worked in the front office, back office and as an assistant office manager for physicians. She has worked for large billing services and has provided sub-contract work for a smaller billing service. Seeing all of this and some of the poor work/service being done is what made her decide to start her own company -- that and being the mother of triplets!! She saw how easy it was for some large billing companies to lose control of their provider accounts when they were not paying close attention to what was happening and that is why she decided to be carefully selective in which providers she would work with from the onset. Jennifer is a hands-on person and like to know everything about her client's accounts so she is never in the position of not knowing what's going on.

 

Jennifer's presentation is geared for independent medical billers. It will help prepare and give them the information needed for marketing their services to EMS and Ambulance providers. There are several pieces to the puzzle of EMS billing you need to know before approaching these providers. You also need to know which HCPCS codes are used in this billing and which ICD-9 codes are used. You'll need to know how to read a PCR (patient care report or trip report) and how Red Flag rules apply to EMS providers and EMS billers. You'll learn what Medicare and Medicaid allows and how to use an ABN in the ambulance field and when you should or should not get one. If you're looking to add new providers to your billing service, this is one session you must attend!

 

 

Bonnie J. Flom

Website: http://www.billingbuddies.com

 

Bonnie J. Flom began her healthcare career by working in the accounts receivables department at St. Joseph’s Medical Center on February 13, 1984. While working there, she served on the Blue Shield EDI committee, United Way Committee and Benedictine Mission Committee. After starting her billing agency, Rapid Return Medical Billing in 1994, Bonnie became a billing software vendor in 1995. Her billing agency grew quickly and employed up to 17 people at one time.  In 2000. Rapid Return Medical Billing and Bonnie J. Flom served Blue Cross Blue Shield of Minnesota in testing their Optical Character Reader (OCR) which automatically converted paper claims to NSF files. In 2001, Bonnie began serving on the Medicare Advisory committee for the State of Minnesota (PCOM) and in 2001, Rapid Return Medical Billing won the Medisoft contest for setting up the first 100 clinics to transmit electronically and was flown first class to Dallas, TX to accept an award and check for $23,500. In 2002, Rapid Return Medical Billing and Bonnie J. Flom joined the HBMA (Healthcare Billing and Management Association). In 2004. Blue Cross Blue Shield of Minnesota EDI company, Clear Connect, asked Rapid Return Medical Billing to be their sole referral source for billing services. Then, in 2006, Bonnie J. Flom sold her shares of the billing service, Rapid Return Medical Billing, and began focusing solely on MediSoft by starting a separate company called Billing Buddies.  Finally, in late 2008, medical billing was introduced into Billing Buddies and a unique concept was born that allowed clinics and billers to become “buddies” in the billing processes. Bonnie is the Author of Mastering MediSoft, which is used in medical billing colleges.

No matter what type of practice management software an office uses, there are daily tasks that need to be accomplished. Many offices do not have a full understanding of these daily tasks. This presentation will clearly define the everyday jobs that should be performed daily to keep a practice running smoothly and have the attendee identify and create a policy manual for their office.

 

 

 

Cyndee Weston, CMRS

Website:  http://www.ambanet.net/AMBA.htm


Cyndee Weston has been in the medical field for 30 years and is the Director of the American Medical Billing Association in Davis, Oklahoma.
She is a member of the American Academy of Professional Coders,  and the National Association of Professional Women. Weston is a medical consultant specializing in compliance. She is a frequent webinar speaker for the AMBA and other organizations focused on compliance issues that affect healthcare providers and medical billers. Most importantly,  Weston has a passion for the medical billing industry and enjoys the reward associated with assisting the growth of billers. 

Weston will be presenting a breakout session on New HIPAA Requirements for Business Associates - Information You Cannot Afford to Ignore. The Economic Stimulus Plan included some major changes for Covered Entities as well as Business Associates. Weston will talk about the heightened enforcement details as well as what Covered Entities need to do to meet the new changes and she will detail new provisions affecting Business Associates.

 

Keynote Speaker

 

AMBA is bringing together several esteemed special Guest Panelists with well over 100 combined years of experience to discuss the challenging issues that affect you the most. With a diverse range of credentials, our Panelists offer their insights into today's -- and tomorrow's -- most pressing concerns for medical billers.

Attendees will be able to ask questions and more importantly, to obtain an immediate response from experts you can trust. Come armed with questions that can be asked in a constructive, learning environment.

 

 

 

Mike Edmonds, CHBME

Website: http://www.physmgmt.com

 

Mike Edmonds started his medical accounts receivable management and billing company in 1983 as a one-person office and now has 15 full-time and 9 part-time employees. His company provides comprehensive outsourcing services aimed at improving reimbursement and financial performance for their hundreds of physicians in several medical practices located in several states. Mike's business processes millions of dollars in patient charges and payments and they send out thousands of patient statements each month. He works with 152 providers in 32 practices.

Mike has twenty six 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) and has recently obtained his Healthcare Billing & Management Executive certification (CHBME).

Brice Duffie, CMRS

Website: http://www.rmsnetwork.com

 

Brice Duffie is Vice President of Reimbursement for Medical Services, Incorporated, in 1999 and has been involved in medical billing since that time. RMS provides full service medical billing and consulting. Client specialties include but are not limited to Family Practice, Internal Medicine, OB/Gyn, Urgent Care, Vascular Surgery, PT, OT, SLP, and Audiology. RMS provides externships to several local adult education programs and community colleges and speaks for several medical organizations and several local hospital resident programs. Brice is one of the main organizers of the Central Ohio AMBA Chapter and is currently serving as President of the chapter. He is a CMRS through the AMBA and is a National Advisory Board member.

 


 

Jackie Zube, CMRS

Website: http://thebillingofficeinc.com

Jackie has nearly two decades of experience in the medical field. She began working in Physical Therapy as both Office Manager and Billing Manager. Because of her work ethic and high collections ratios, she was soon promoted to District Manager for clinics in four Mid-western states. She then managed a Podiatry office and worked for a billing service where she gained experience in OB/Gyn, Pediatrics, Internal Medicine, Orthopedics, and Family Practice. Jackie started The Billing Office, Inc., in 1998 and has worked diligently to build a reputable and quality conscious firm. She has assembled a competent and knowledgeable billing staff with extensive experience in other medical disciplines such as Urgent Care, Third Party Collections and other specialties.

Jill Harrington, MHA, CPC, CPC-P, CPC-I, CCS-P, MHP
Website: http://www.complycode.com

Ms. Harrington serves as President & CEO of ComplyCode, a health care compliance consulting firm based in Binghamton, NY, and has more than 16 years of experience in the health care profession.  She is the former chief compliance officer and chief privacy official of a large academic medical center, and also has extensive background in both the professional and technical components of CPT/HCPCS and ICD-9-CM coding. She teaches CPT coding and is an approved instructor of the Professional Medical Coding Curriculum, awarded by the American Academy of Professional Coders. She has spoken frequently on health care compliance and health information management issues at regional and national professional conferences.

Trish Bukauskas, CMM, CPC, CMSCS, CMPA

Website:  http://www.tbconsults.net


Ms. Bukauskas has over 20 years in the medical field.  She currently is the owner of T.B. Consulting & Billing, a firm that specializes in medical billing, education, consulting, auditing, compliance and initial start up of medical offices and clinics.  Her education in business management and vast experience in the operations of medical practices provide her with the “edge” in keeping medical practices profitable and compliant while staying abreast of the constant changes in the medical industry.

Ms. Bukauskas is a Certified Medical Manager through the Professional Association of Health Care Office Managers (PAHCOM) and a Certified Professional Coder, (CPC) with the American Academy of Professional Coders (AAPC), and Professional Association of Healthcare Coding Specialists (PAHCS). She is extremely active in all the organizations, serving on numerous committees and providing lectures for various functions.
 

 

Keith Pendleton, JD

Website: http://providerpro.net

Keith is Pennsylvania-licensed attorney and graduate of the Wake Forest University School of Law.  Since graduating, he has dedicated his career to helping providers on payment issues, largely through educational means.  In 1995, he spent 3 years as the operations director of a health care clinic where he gained hands-on experience with accounts management workflow and techniques.  Since 1998, he has given over a 1000 educational seminars to health care providers nationwide.  The seminars have gained recognition as some of the most unprecedented and immediately-useful reimbursement programs offered anywhere in the country.

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