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REVCON Virtual 2023

Conference 2023 REVCON Virtual Conference

Mastering the Revenue Cycle.

A revenue cycle has so many moving parts, so many variables, and so much potential for costly errors. And that’s just the internal part. Managing it with so many regulatory updates and changes throughout the year can feel like trying to hit a moving dart board from a moving car.

Join us from the comforts of home for this virtual-only conference — a deep dive through all things revenue cycle. Whether you’re working in the trenches or managing the process, REVCON Virtual offers two tracks, each tailored to ensure you leave with practical strategies and practices designed to optimize your organization’s revenue cycle:

Biller/Coder Track
This track provides in-depth information on the steps for AR management, resolving denials, preventing revenue leaks, applying payer policies, and effective communication with payers. We even have actual payers presenting.

Manager/Administrator Track
Keeping your team on track requires advanced analytical skills. For this track, seasoned experts will demonstrate how to effectively implement and manage your denial management efforts, data analytics, contract negotiations, payer insights, and revenue cycle audits.

Register today for just $695

Tuesday, February 7, 2023

General Session

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9:00 AM - 10:00 AM, MT | 1.00 CEUs COC, CPC, CPC-P, CPB, CPPM

GS1: Remote Work: Employer and Employee | Panel

Noelle A Elliott, CPC, CPCO, CPMA, COPC; Ann M Bina, COC, CPC, CDEO, CPB, CPC-I, COPC; Rhonda Buckholtz, CPC, CDEO, CPMA, CRC, CENTC, CGSC, COBGC, COPC, CPEDC, Approved-Instructor; Tiffany Bastian, CPC-A; Amber Walter, COPC

Breakout Session 1

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10:15 AM - 11:30 AM, MT | 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM

1A: Top Denials, How to Work Them Effectively, and How to Prevent Them

Jennifer R Swindle, CPC, CIC, CPMA, CEMC, CFPC

This session will cover the reviewing some of the most common denials and how to effectively work them. Understanding the common denial codes and reason codes will be reviewed as well as how to effectively make efforts to reduce common denials from occurring. Recognizing the challenge of payers not consistently utilizing denial codes and payer rules variance’s impact on their specific denials.

10:15 AM - 11:30 AM, MT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

1B: Revenue Cycle Auditing

Ann M Bina, COC, CPC, CDEO, CPB, CPC-I, COPC

In this session, we will discuss the purpose and desired outcomes of a revenue cycle audit, relevant audit criteria, sources and mechanisms to gather data, interpretation of data results, and creating and presenting process improvement plans for decision makers.

Breakout Session 2

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12:30 PM - 1:45 PM, MT | 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM

2A: Best Practices for Working AR

Sharon Turner, CPC

Having high-quality, trained staff working in the revenue cycle is crucial for health organizations that want to capture all the revenue they are entitled to for health services provided. In this session, you will learn to stop wasting time by continuously reworking claims and find the source of denials to stop them before they occur. Being properly proactive and reactive with your claims can lead to a dramatic increase in practice revenue. Attendees will leave this session having learned to increase the competency of their staff; increase their quality and productivity; build a strong team; promote ongoing education and training; and reduce their practice’s exposure to fraud and abuse.

12:30 PM - 1:45 PM, MT | 1.25 CEUs COC, CPC, CPC-P, CDEO, CPB, CPPM

2B: Healthcare Revenue Cycle Analytics Why it Matters

Jordan Goldberger; MariaRita Genovese, CPC

This session will teach participants to identify the revenue cycle KPIs/data elements appropriate for their organization, identify the most appropriate data sources, and interpret the data for revenue cycle process creation and improvement.

Breakout Session 3

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2:15 PM - 3:30 PM, MT | 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM

3A: Finding and Interpreting Payer Policy

Rhonda Buckholtz, CPC, CDEO, CPMA, CRC, CENTC, CGSC, COBGC, COPC, CPEDC, Approved-Instructor

In this session, we will cover key changes in payer policies over the years and current changes that directly impact your bottom line. Understanding your policies and payer contracts is key to financial stability. Attendees will walk away knowing how to recognize the key details included in payer policies that affect day-to-day operations, how payers are using this information to pay you less without your knowledge, and how to build the best line of defense for success.

2:15 PM - 3:30 PM, MT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

3B: Contract Negotiations: The Good, the Bad, and the Ugly

Stephanie Ann Thebarge, CPC, CPCO, CPB, CPMA, CPPM, CEMC, CHONC

Boost your revenue and get paid faster with better payer contracts. Before you can initiate negotiations with a payer, you need to review your payer health and contract portfolio. In this session, I will show you how to get started, best practices, what you should be looking for, and how to craft your practice’s position. Come learn about good contracts, bad contracts, and downright ugly contracts, including how to ensure your practice doesn’t fall prey to a bad contract that jeopardizes your payer health.

Breakout Session 4

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4:00 PM - 5:15 PM, MT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CPB, CPCO, CPPM

4A: How to Interpret EOBs

Yvonne D Dailey, CPC, CPB, CPC-I

In this session, you will learn about the key sections and purpose of an explanation of benefits (EOB). I will cover best practices concerning how to interpret an EOB, what to do with it, how to find errors, and how to translate payer recoupments.

4:00 PM - 5:15 PM, MT | 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM

4B: How to Create a Denials Management Program – Trending Reports

Christine Hall, CPC, CPB, CPMA, CRC, CPC-I, CEMC

Participants will leave this session with an understanding of how to identify and correct denial issues, how to design a standard workflow specific to denial resolution, how to monitor the work of denial management, and how to prevent future denials.

Wednesday, February 8, 2023

General Session

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9:00 AM - 10:15 AM, MT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

GS2: No Surprise Billing

Stacy Nicole Harper , JD, MHSA, CPC

This presentation will focus on the initial requirements of the No Surprises Act and its impact on healthcare providers and facilities. Additionally, we will review the notice requirements for uninsured and out-of-network patients, develop strategies for provision of the good faith estimate, and analyze the notice and consent process for out-of-network services. We will also identify additional requirements that are coming later in 2022, talk about things that every provider needs to know, and go over best practices for compliance.

Breakout Session 5

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10:30 AM - 11:45 AM, MT | 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM

5A: Best Practices for Payer Communication

Stephanie M Sjogren, COC, CPC, CDEO, CPMA, CPC-I

We will learn the cost of bad communication, how to collaborate successfully, why payer-provider alignment improves cost containment – on both sides, identifying quality metrics you are being measured against – it’s importance to your revenue, how the happiness of your patients with their health plan depends on your relationship with their health plan. What can you do to strengthen this relationship?

10:30 AM - 11:45 AM, MT | 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM

5B: How to Monitor a Denial Management Program

Kimberly M Jolivette Williams, CPC, CPB, CPMA, CPC-I, CANPC, CCC, CEMC

In this session, attendees will learn about the importance of analyzing payer denials, as well as the difference between hard and soft denials. We will cover familiar challenges that come with managing common denials and the key steps to monitor processed and/or appealed claim denials.

General

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11:45 AM - 12:45 PM, MT | 1.00 CEUs COC, CPC, CPC-P, CPB, CPPM

GS3: Networking Lunch

Breakout Session 6

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12:45 PM - 2:00 PM, MT | 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM

6A: Unlisted Codes and the Loss of Revenue

Rhonda Buckholtz, CPC, CDEO, CPMA, CRC, CENTC, CGSC, COBGC, COPC, CPEDC, Approved-Instructor

We will learn what is the definition of an unlisted CPT code and in what circumstances are unlisted codes reported on a claim? We will also learn documenting unlisted CPT codes, importance of determining a like kind code for unlisted CPTs, understanding how unlisted CPT codes are paid, preventing claim denials and how to refine CDI programs to address inappropriate use of unspecified codes.

12:45 PM - 2:00 PM, MT | 1.25 CEUs COC, CPC, CPC-P, CDEO, CPB, CPPM

6B: Claims Data - How is it Used?

Catherine Ann Butterfield, CPC, CRC

Will learn some of the common trends in data that health plans look at and how they use that data, what role data analytics play in health plans and how it affects you. We will also learn the importance of analytics in value-based care and quality, how to partner with health plans and how to utilize their data to better treat at risk populations and improve health interventions and outcomes.

Breakout Session 7

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2:30 PM - 3:45 PM, MT | 1.25 CEUs COC, CPC, CPC-P, CDEI, CIC, CPB, CPPM

7A: Building a Revenue Integrity Program

Jeffrey Stuart Newsome, CPCO

This Session will provide the attendee to understand what Revenue Integrity is and that it will mean something different to each organization. Revenue Integrity programs require a unique skillset that ensures the are charges clinically appropriate, maximized and supported. This session will provide some tips on building a program but how it is the job of the entire organization to assist with driving accountability.

2:30 PM - 3:45 PM, MT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

7B: The Credentialing Challenge

Stephanie Ann Thebarge, CPC, CPCO, CPB, CPMA, CPPM, CEMC, CHONC

Credentialing a new provider can seem like a daunting task, but with the right tools and workflows, anyone can master it. In this session, I will talk about why credentialing is so important and break down the fundamentals of credentialing. I will share best practices, review payer requirements, and explain how the role of credentialing specialist has evolved.

Amber Walter, COPC

Amber Walter, COPC

Over the past 10 years, Amber Walter, COPC, has held a variety of billing, accounts receivable, and insurance positions, working, at times, in multiple systems and states on the same day. Walter is employed at Claris Vision, a Massachusetts-based multispecialty practice as a billing specialist. Over the past five years, Walter has worked remotely from her Wisconsin home, leveraging technology to assist practices with their revenue cycle work. She obtained her COPC® in 2019 and is working toward obtaining her CPB™.

Ann Bina, COC, CPC, CDEO, CPB, CPC-I, COPC

Ann Bina, COC, CPC, CDEO, CPB, CPC-I, COPC

With more than 20 years of experience in the healthcare field, Ann Bina, COC, CPC, CDEO, CPB, CPC-I, COPC, has held a variety of positions throughout the revenue cycle. She holds a business master’s from Viterbo University and is certified in healthcare compliance (CHC) through the Health Care Compliance Association. Bina has served as an officer on the AAPC National Advisory Board and was on the committee that wrote the COPC® exam and study guide. Bina currently serves as the Chief Operations and Chief Compliance Officer at Century Vision Global. Prior to joining the company, Bina worked for a health system in western Wisconsin, serving in multiple positions throughout the revenue cycle.

Catherine Butterfield, CPC, CRC

Catherine Butterfield, CPC, CRC

Catherine Butterfield, CPC, CRC, has over 28 years of business and operations management experience in multiple medical office settings and specialties, including community grant and levy-funded healthcare agencies, nonprofit, federally qualified health centers, and for-profit medical organizations. Her fields of knowledge include public health programs, primary care, internal medicine, specialty care, mental health, home health, hospice, and the insurance industry. Butterfield has successfully implemented and managed numerous healthcare programs and initiatives, quality improvement and HEDIS metrics, risk adjustment measures, and provider value-based incentive expectations. She currently works for a large insurance organization in Jacksonville, Fla., managing a national Medicare Advantage program, improving STAR scores, ensuring appropriate risk adjustment, and increasing member effectiveness for retired in-state residents who are insured under out-of-state plans. Butterfield graduated with a Bachelor of Applied Science in supervision and management from Florida State College at Jacksonville and later attended Western Governor’s University, where she received her Master of Business Administration in healthcare management. Butterfield enjoys spending time with her husband, her son and daughter, and many family members, who also now live in the Jacksonville area.

Christine Hall, CPC, CPB, CPMA, CRC, CEMC, AAPC Approved Instructor

Christine Hall, CPC, CPB, CPMA, CRC, CEMC, AAPC Approved Instructor

Christine Hall, CPC, CPB, CPMA, CRC, CEMC, AAPC Approved Instructor, is the CEO and senior consultant for Stirling Global Solutions, LLC. She has a degree in health information management and sociology, along with more than 30 years of healthcare administration and information management experience. She is chairwoman of AAPC’s Billing Advisory Committee, a skilled educator, and a national public speaker. Hall has a strong core in compliance, ethics and regulatory affairs, revenue cycle management, coding, credentialing, and practice management. She is a subject matter expert in specialty coding, risk adjustment, telehealth, and reimbursement. Hall has had the pleasure of working with many of the gold star standard organizations in healthcare such as AAPC, AHIMA, and various national medical associations and societies. She serves as the education officer of the Palm Beach, Fla., local chapter.

Jennifer Swindle, CPC, CIC, CPMA, CEMC, CFPC, AAPC Fellow

Jennifer Swindle, CPC, CIC, CPMA, CEMC, CFPC, AAPC Fellow

Jennifer Swindle, CPC, CIC, CPMA, CEMC, CFPC, AAPC Fellow, has more than 40 years of experience in the healthcare industry. She is currently responsible for physician and staff education, designing and implementing multi-training platforms. Swindle has also taught coding and billing at local colleges and holds multiple credentials through AAPC and AHIMA, as well as the CICA from HFMA. Assisting with clients, providers, and coders to achieve accuracy and high performance is her passion.

Jordan Goldberger, MBA

Jordan Goldberger, MBA

Jordan Goldberger, MBA, has worked in healthcare for more than 10 years in various roles. He is currently the director of financial operations for MD Anderson Cancer Center at Cooper. As a member of the executive leadership team, he oversees the operating and capital budget and physician compensation and contracting. Goldberger is an integral member of the strategic planning and business development team and the marketing strategy team. He received his master’s in business administration from the Fox School of Business at Temple University, in Philadelphia, Pa. Jordan is married, has a one-year-old son Brody, and lives in Mount Laurel, N.J.

Kimberly Jolivette Williams, CPC, CPB, CPMA, CPC-I, CANPC, CCC, CEMC

Kimberly Jolivette Williams, CPC, CPB, CPMA, CPC-I, CANPC, CCC, CEMC

Kimberly Jolivette Williams, CPC, CPB, CPMA, CPC-I, CANPC, CCC, CEMC, has over 20 years of medical auditing, coding, and billing expertise in the healthcare industry. She has more than 10 years of upper management experience and has spent more than seven years as a medical healthcare educator with Dallas County Community College and AAPC. In 2020, Williams delved into the compliance arena. During her distinguished career, Williams has played a pivotal role in the training and coaching of staff and medical providers in medical coding, compliance, billing, and auditing services. Currently, Williams is employed as a compliance, coding, and billing analyst at Texas Health Physicians Group-THPG and an adjunct instructor for Purpose Medical Institute and the AAPC Virtual Instructor Learning Training (VILT) program. Williams is a current member of AAPC's Billing (CPB) Advisory Committee and the 2022 president of the Richardson, Tx., local chapter.

MariaRita Genovese, CPC

MariaRita Genovese, CPC

MariaRita Genovese, CPC, is the director of revenue cycle and business operations for MD Anderson Cancer Center at Cooper. She has over 30 years of experience in billing and practice management, most recently in the areas of family medicine and medical oncology. She is active in educating the physicians and staff in medical coding and compliance regulations. Genovese currently serves as president of the Greater Philadelphia, Pa., local chapter, after serving as chapter president and vice president in previous years. She is a former member of AAPC’s National Advisory Board and a former member of the 2015-2018 AAPC Chapter Association Board of Directors, serving on its executive board in 2016 and receiving the 2019 chapter officer of the year award. She has contributed articles to Healthcare Business Monthly, as well as the popular AAPC Knowledge Center blog. Genovese is a frequent speaker at AAPC national and regional conferences.

Noelle Elliott, CPC, CPCO, CPMA, COPC

Noelle Elliott, CPC, CPCO, CPMA, COPC

Noelle Elliott, CPC, CPCO, CPMA, COPC, is a well-rounded revenue cycle guru who also has a background in auditing and compliance. She has experience with dozens of practice management systems, and digging into analytics is one of her favorite things to do. Elliott has made a career of implementing systems and processes, managing teams with her more than 20 years of ophthalmology experience.

Rhonda Buckholtz, CPC, CDEO, CPMA, CRC, CENTC, CGSC, COBGC, COPC, CPEDC, AAPC Approved Instructor

Rhonda Buckholtz, CPC, CDEO, CPMA, CRC, CENTC, CGSC, COBGC, COPC, CPEDC, AAPC Approved Instructor

Rhonda Buckholtz, CPC, CDEO, CPMA, CRC, CENTC, CGSC, COBGC, COPC, CPEDC, AAPC Approved Instructor, has more than 30 years of experience in healthcare, working in the management, reimbursement, billing, and coding sectors, in addition to being an instructor. She was responsible for all ICD-10 training and curriculum at AAPC. Buckholtz has authored numerous articles for healthcare publications and has spoken at numerous national conferences for AAPC, AMA, HIMSS, AAO-HNS, AGA, and ASOA.

Sharon Turner, EdD, ABD, MS, CPC, CMC, CMIS, CHI, CEHRS, CBCS, CMAA, AHIMA-Approved ICD-10-CM/PCS Trainer, AHIMA-Approved CDI Trainer

Sharon Turner, EdD, ABD, MS, CPC, CMC, CMIS, CHI, CEHRS, CBCS, CMAA, AHIMA-Approved ICD-10-CM/PCS Trainer, AHIMA-Approved CDI Trainer

Sharon Turner, EdD, ABD, MS, CPC, CMC, CMIS, CHI, CEHRS, CBCS, CMAA, AHIMA-Approved ICD-10-CM/PCS Trainer, AHIMA-Approved CDI Trainer, is a revenue cycle professional with more than 20 years of experience. She has a long history of cultivating strong working relationships with providers, ancillary staff, and senior executives. Turner concentrates her efforts on working with independent and hospital-based physician groups to improve revenue by increasing productivity and office efficiency, as well as billing and coding compliance. She has over 12 years of supervisor experience in ob-gyn, general surgery, anesthesia, family practice medicine, dermatology, vein and vascular, and orthopedics surgery specialties. Turner enjoys the challenge of reorganizing practices with a history of ineffective processes and helping them achieve gold standard levels of performance, increasing insurance collections by as much as 39 percent. Turner is also an enthusiastic educator who teaches online allied healthcare courses at ProTrain, LLC, Practice Management Institute, Lone Star College, Purpose Medical Institute, and Collin College, and she is a member of the Texas Community College Association. Turner has received awards and recognition for outstanding achievement in teaching, leadership, and community involvement and is effective in developing curricula, providing quality instruction, and promoting a positive and engaging learning environment. Turner is the 2022-2023 vice president of the Richardson, Tx., local chapter and previously served as secretary. She is a member of the Digital Faculty Consultant team at McGraw-Hill Education and is on the advisory board at the National Health Career Association (NHA) as a subject matter expert in allied healthcare. Turner is also a member of the Honor Society at Abilene Christian University, where she is currently pursuing an EdD in organization leadership.

Stacy Harper, JD, MHSA, CPC

Stacy Harper, JD, MHSA, CPC

Stacy Harper, JD, MHSA, CPC, counsels healthcare organizations on regulatory compliance reimbursement and data security issues. She provides clients first-hand knowledge of the legal and practical reimbursement structures for government and private payers and aids clients in the navigation of medical billing and coding standards, as well as Stark Anti-kickback and other state and federal reimbursement laws. Harper assesses risks and develops plans for healthcare providers and other businesses to address data privacy, data security, and data breach response in accordance with HIPAA, HITECH, and state data laws.

Stephanie Sjogren, CPC, COC, CDEO, CPMA, CPC-I, CCS, HCAFA

Stephanie Sjogren, CPC, COC, CDEO, CPMA, CPC-I, CCS, HCAFA

Stephanie Sjogren, CPC, COC, CDEO, CPMA, CPC-I, CCS, HCAFA, is a director of coding and provider reimbursement, working with payment integrity to ensure proper claims adjudication and to prevent fraud, waste, and abuse. Prior to joining Connecticare/EmblemHealth, she performed provider audits and education at a women’s healthcare group. Sjogren has also worked with physicians and staff to integrate and use electronic health record systems effectively and to stay in compliance with the Centers for Medicare & Medicaid Services’ rules and regulations. Her areas of specialty are E/M, auditing, and clinical documentation improvement. Sjogren previously served as an officer for the Hartford, Conn., local chapter.

Stephanie Thebarge, CPC, CPCO, CPB, CPMA, CPPM, CEMC, CHONC

Stephanie Thebarge, CPC, CPCO, CPB, CPMA, CPPM, CEMC, CHONC

Stephanie Thebarge, CPC, CPCO, CPB, CPMA, CPPM, CEMC, CHONC, has 20 years of experience in healthcare working in oncology coding, evaluation and management auditing, education, compliance, payer contracting, credentialing, and revenue cycle management. She is the owner of Seacoast Health Compliance Consultation LLC, which audits and educates physician practices. Thebarge currently serves as the Member Relations Officer on AAPC’s National Advisory Board and, in 2023, will serve again as an officer for the Portland, Me., local chapter.

Stuart Newsome, CPCO

Stuart Newsome, CPCO

Stuart Newsome, CPCO, has been a healthcare industry leader for over 25 years and collaborates with HIT experts, physicians, and administrators to improve navigation of today’s strict revenue cycle management environment. In addition to improving revenue integrity for his clients, Newsome uses his experience to educate thousands of healthcare professionals annually via coding webinars.

Leonta 'Lee' Williams, MBA, RHIA, CPC, CPCO, CRC, CEMC, CHONC, CCS, CCDS

Yvonne Dailey, CPC, CPB, CPC-I

Yvonne Dailey, CPC, CPB, CPC-I, has over 19 years of experience in the medical billing and coding field. As she saw the need for internet technology in the physician office setting, Dailey decided to create her own billing, coding, consulting, and training agency. She specializes in infectious disease, family practice, endocrinology, interventional radiology, internal medicine, ob-gyn, chiropractic, mental health, podiatry, substance abuse, oncology, hematology, ophthalmology, medical dentistry, and podiatry. As a Certified Professional Coder, she is able to educate her clients on the key role of correct coding and documentation in the reimbursement process. Dailey is a PMCC instructor and provides seminars for physicians, their staff, and new coders entering the field and offers coding classes through her agency. She also has experience as an adjunct instructor for business schools in her area, an AAPC ICD-10 trainer, and an AAPC workshop presenter. Daily also served on the 2013-2015 National Advisory Board.

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