healthcare payments processing & compliance summit

Hear from payers, providers, and

financial institutions!Healthcare Education Associates and RISE (The Risk Adjustment Initiative and Society for Education) Proudly Present

The

Healthcare Payments Processing & Compliance

SummitUtilizing Automation to Maximize Cost Savings and Efficiency in Healthcare

Revenue Cycle Management

To Register: Call 866-676-7689 or visit us at www.healthcare-conferences.com

Topics at a Glance• The Future of Healthcare Payments and Automation• Preparing for the ERA/EFT Mandate• Providers and Payments - Stepping Into the Digital Age• The Advantages – and Drawbacks – of Virtual Credit Cards, Pre-Paid

Cards, and Benefit Debit Cards• Efficient Collection of Patient Payments• Healthcare and the Financial Industry – The Next Frontier in Banking• The Effects of HIPAA, HITECH, and ICD-10 on Healthcare Payment

Processing• Data Protection and Security Measures• Sending, Receiving, and Facilitating Electronic Payments• Payment Strategies for the HIX (Health Insurance Exchange) Population• And more!

October 14 - 15, 2013Renaissance Las Vegas

Las Vegas, NV

Get up-to-date on the latest standards, trends, and innovations in healthcare payment automation –

including best practices and regulatory guidelines!

Stay on the cutting edge of healthcare payment regulations, innovations, and

advancements!From regulatory and compliance obstacles to advancements in automated payments and changing revenue streams, the healthcare industry is struggling to keep up with the rapid changes in the healthcare payments landscape. Players across the payments spectrum, from payers and providers to financial institutions, are being affected by these changes, yet each one has unique challenges to master. Do you know what your organization must do to stay up to speed and in the automated frontier?

Attend this premier event and discover the measures payers, providers, and financial institutions must take to comply with new HIPAA Rules and ACA mandates and define best practices in automated and electronic payment processing. Hear from experts from along the entire payment chain.

Plans/Payers – Hear best practices for complying with the EFT/ERA Mandate and CORE CAQH Rules.

Physicians and providers – Find out how to streamline your payments process to reduce administrative costs.

Financial Institutions – Get prepared for the new HIPAA rules and learn how to build your value proposition to the provider/payer community.

Register today! Call 866-676-7689 or register online at www.healthcare-conferences.com.

Sincerely,

Christine MarezChristine Marez, Conference DirectorHEALTHCARE EDUCATION ASSOCIATES

P.S. Health plans and providers receive $400 off the standard admission price!

P.P.S. This program is eligible for 11 CPE Credits


The Conference SponsorsHealthcare Education Associates is a division of Financial Research Associates, LLC. HEA is a resource for the healthcare and pharmaceutical communities to improve their businesses by providing access to timely and focused business information

and networking opportunities in topical areas. Offering highly targeted conferences, Healthcare Education Associates positions itself as a preferred resource for executives and managers seeking cutting-edge information on the next wave of business opportunities. Backed with over 26 years of combined conference industry experience, the producers of HEA conferences assist healthcare professionals, actuaries, attorneys, consultants, researchers and government representatives in their professional endeavors. See www.healthcare-conferences.com for more information on upcoming events.

RISE began as the first national association totally dedicated to enabling healthcare professionals to meet the challenges of risk

adjustment. Now, RISE has expanded its focus in recognition of the fact that risk adjustment, quality, revenue management and Star ratings are inexorably linked and that education in each of these areas is essential for plan and provider success. We strive to serve our members on three fronts: networking, education and industry intelligence. Through meaningful networking opportunities, roundtables, cutting- edge conferences and webcast presentations, RISE brings together multiple perspectives and facilitates highly interactive discussion between professionals and provides our members with the crucial information they need to stay ahead of the curve. To learn more about RISE, or to join, visit us online: www.rasociety.org

Who Should Attend?This conference is designed for:Health Plans/Payers in:• Operations • Revenue/revenue Cycle• VP of Finance • Chief Financial Officer• Payments • Provider Networks/Relations/Communications• Network Management • E-CommerceFinancial Institutions in:• HealthcareProvider Organizations including hospitals and ACOs • Chief Financial Officer • Patient services• Accounts Receivable • Revenue/revenue Cycle• Payments • Operations• Finance/Financial Operations

Top Reasons to Attend• Find out how new ACA and HIPAA Rules will affect your organization• Establish a game plan for accepting payments from the unbanked/underbanked• Discover what steps you can take to avoid a data breach • Assess your risks and establish appropriate security measures• Evaluate the role of banks and FIs in the healthcare payments landscape• Get tips to face the challenge of increased patient liability • Examine what transaction fees and hidden costs are associated with electronic payment methods• Find out how you can slash your use of paper and streamline your admin process • Establish business process outsourcing best practices• Find out how automation and electronic payments can significantly reduce administrative costs

Our Renowned Speaking FacultySharon Potter, SUNTRUST BANKS, INC.Rose Wojciechowski, BNY MELLON TREASURY SERVICESPriscilla C. Holland, NACHA, THE ELECTRONIC PAYMENTS ASSOCIATIONStuart Hanson, CITI GLOBAL ENTERPRISE PAYMENTSIrfan Ahmad, THE CLEARING HOUSEElvis Wright, F&M BANK & TRUST COMPANYMerri-Lee Stine, AETNA Erik Pupo, DELOITTE CONSULTINGLee Barrett, EHNAC Greg Wojtal, BANNER HEALTHCheri Hill, EXCELLUS HEALTH PLANJanet Jackson, BLUE CROSS BLUE SHIELD OF NORTH CAROLINARobert Poiesz, AMERICAN MEDICAL ASSOCIATIONWendy Ferenc, BLUE CROSS BLUE SHIELD OF VERMONTGwendolyn Lohse, CAQH (Invited)

Rave Reviews from Past Healthcare Education Associates Conferences:

“Great learning experience. Information provided was beneficial in highlighting opportunities, challenges, and strategies.” – Shanell Gray, INOVALON

“Good quality speakers, well organized, good networking” – Samuel Halpern, SENIOR MARKET SALES

“Topic so timely. Good breadth of perspectives/content.” – Audrey Shelto, BCBSMA

“Very knowledgeable faculty – very enthusiastic and passionate which made the content resonate more.” – Dawn Carter, VERISK HEALTH

Sponsorship and Exhibit OpportunitiesEnhanceyourmarketingeffortsthroughsponsoringaspecialeventorexhibitingyourproductatthisevent.Wecandesigncustomsponsorshippackagestailoredtoyourmarketingneeds,suchasacocktailreceptionoracustom-designednetworkingevent.To learn more about sponsorship opportunities, please contact Kevin Weigel at 704-341-2448 or email [email protected]

To learn more about sponsorship opportunities, please contact Kevin Weigel at 704-341-2448 or email [email protected]

Healthcare Payments Processing & Compliance Summit

DAY ONE: Monday, October 14, 20138:00 – 8:45 Exhibits Set-Up, Registration & Continental Breakfast

8:45 – 9:00 Chairs’ Opening Remarks:ChairpersonTBD

9:00 – 10:00The Future of Healthcare Payments and Automation • Examining the modernization of healthcare payment practices• Getting up to speed on automated services - Check processing - Digital checks - Image capture - Medical lockbox with HRCM - Virtual lockbox offerings• Automating the remittance process• Electronic EOB conversion• Is there a standardized enrollment process for electronic payments in the works?• Business process outsourcing – what’s out there?

Sharon Potter, First Vice President, Treasury & Payment SolutionsSUNTRUST BANKS, INC.

10:00 – 11:00Preparing for the ERA/EFT Mandate • Understanding the ERA/EFT operating rules• What these rules means for payers, providers, financial institutions• Complying with the CAQH CORE Phase III Rules - 1104 payer compliance rules• Defining the difference between an EFT and an ERA• Coordination of payment and remittance - Will remittance information be delayed?

Rose Wojciechowski, VP, CTP, Healthcare SolutionsBNY MELLON TREASURY SERVICESJanet Jackson, Director, Document Operations and Electronic SolutionsBLUE CROSS BLUE SHIELD OF NORTH CAROLINA Gwendolyn Lohse, DirectorCAQH (Invited)

11:00 –11:15 Morning Break

11:15 – 12:15Providers and Payments - Stepping Into the Digital Age • Digital imaging, cloud technology, and HIE - getting your staff to embrace technology• Moving to a paper-less (or less paper) environment• Streamlining the adjudication process through automation• How paperless checks and EFTs reduce administrative costs • Where you can cut paper – and where you can’t• Automating accounts payable

Cheri Hill, Manager, eCommerceEXCELLUS HEALTH PLAN

Erik Pupo, Specialist Leader, Federal HealthDELOITTE CONSULTING

12:15 – 1:30 Networking Luncheon

1:30 – 2:30Session TBD

2:30 – 3:30The Advantages – and Drawbacks – of Virtual Credit Cards, Pre-Paid Cards, and Benefit Debit Cards • Why are these payment types gaining in popularity?• Comparing EFT payment options• Pros and cons of payment cards• Transaction fees• Hidden costs – behind the scenes in the provider’s office• Virtual payment cards, interchange fees, and large ticket payments

Priscilla C. Holland, AAP, CCM, Senior Director, Healthcare PaymentsNACHA, THE ELECTRONIC PAYMENTS ASSOCIATION

Robert Poiesz, Principal Policy AnalystAMERICAN MEDICAL ASSOCIATION

3:30 – 3:45 Afternoon Break

3:45 – 4:45Efficient Collection of Patient Payments • Facing the challenges presented by increased patient liability - “Retail-izing” payment functions• Meeting patient payment expectations• Offering convenient, consumer-friendly, payment options• Streamlining post-POS payments to reduce defaults• Managing delinquent and default payments

Stuart Hanson, Director, Healthcare Provider Solutions ExecutiveCITI GLOBAL ENTERPRISE PAYMENTS

4:45 End of Day One

4:45 – 5:45Cocktail Reception Immediately Following To sponsor the cocktail reception please contact Kevin Weigel at 740-341-2448

Get Answers to these Pressing Questions• What forces are working to modernize healthcare payment practices• How will the EFT/ERA Mandate effect your organization?• What can you do to ensure proper compliance with the CAQH CORE

Phase III Rules?• Where should you be on the road to a paperless process?• How do you get provider administration to embrace automation?• What are the advantages – and drawbacks – of payment cards?• What steps can you take to create a consumer-friendly payment process?• What role do financial institutions play in the healthcare payments

process?• How will HIPPA and IDC-10 effect your organization?• Where are you most at risk for data breaches?



DAY TWO: Tuesday, October 15, 2013

8:00-8:45 Continental Breakfast

8:45 – 9:00

Recap of Day One

9:00 – 9:45Healthcare and the Financial Industry – The Next Frontier in Banking• The role financial institutions can play in the healthcare payment landscape• Making the value proposition to payers and providers• How FIs can support payers and providers in making the successful transition to automation• Providing innovative patient payment solutions• How to become an invaluable asset to the healthcare industry by offering support in implementing new reform mandates and regulations

Irfan Ahmad, Product Development & Strategy - Healthcare PaymentsTHE CLEARING HOUSE

Elvis Wright, SVP/Product & Operations Group ManagerF&M BANK & TRUST COMPANY

Sharon Potter, First Vice President, Treasury & Payment SolutionsSUNTRUST BANKS, INC.

9:45 – 10:30The Effects of HIPAA, HITECH, and ICD-10 on Healthcare Payment Processing• Considerations for financial institutions regarding HIPAA, HITECH, and Omnibus Rule compliance• Key terms and requirements• What payers and providers need to know• Office for Civil Rights (OCR) HIPAA Enforcement

Lee Barrett, Executive DirectorEHNAC

10:30 – 10:45 Morning Break

10:45 – 11:30Data Protection and Security Measures• Avoiding a data breach – and what to do if one occurs• The vulnerability of payment cards and how to ensure security• Security in the cloud• Security concerns with mobile device payments• Assessing your risk and the need for third party review

Speaker TBD

11:30 – 12:15ERA Business Issues for Providers• Prior authorization rejections • Payment validation and fee schedules • Overpayment recovery and automation • The role of the vendor - automation

Robert Poiesz, Principal Policy AnalystAMERICAN MEDICAL ASSOCIATION

12:15-1:30 Networking Luncheon

1:30 – 2:15Sending, Receiving, and Facilitating Electronic Payments• Electronic payments and NACHA Rules• EFTs and the ACH Network• Eliminating the paper check system – making the transition• ACH ODFI and RDFI services and responsibilities • Re-association of the EFT and ERA• Fees and costs associated with e-payments

Priscilla C. Holland, AAP, CCM, Senior Director, Healthcare PaymentsNACHA, THE ELECTRONIC PAYMENTS ASSOCIATION

Irfan Ahmad, Product Development & Strategy - Healthcare PaymentsTHE CLEARING HOUSE

2:15 –3:00Payment Strategies for the HIX (Health Insurance Exchange) Population • Characteristics of an exchange, including federal subsidies - Reconciling subsidy payments and member liability payments • Who are the HIX members and how will they pay?• Establishing payment methods for the un-banked and under-banked• Working with financial institutions to provide an exceptional payment experience for new members and patients

Greg Wojtal, CFO, AZ West RegionBANNER HEALTH

Wendy Ferenc, Business Analyst and Project ManagerBLUE CROSS BLUE SHIELD OF VERMONT

3:00 End of the Summit

Important Information

To Register:Fax: 704-341-2640Mail: Healthcare Education Associates 18705 NE Cedar Drive Battle Ground, WA 98604Phone: 866-676-7689Online: www.healthcare-conferences.com

Renaissance Las Vegas3400 Paradise RoadLas Vegas, NV 89169p: 702-784-5700f: 702-784-5782There is a block of rooms reserved with the Renaissance Las Vegas at a rate of $159 per night. To secure a room at the negotiated group rate mention the “Healthcare Payments Summit” when placing your reservation. The negotiated rate expires on 9/13/2013. Book early. The block is expected to sell out prior to the cut off date!

Fees and Payments:The fee for attendance at Healthcare Payments Processing & Compliance Summit is: Standard: $1895Plan/providers: $1495Gov’t/non-profit: $995

Please make checks payable to Healthcare Education Associates, and write code H189 on your check. You may also pay by Visa, MasterCard, Discover, or American Express. Purchase orders are also accepted. Payments must be received no later than October 7, 2013.

Team Discounts:• Three people will receive 10% off.• Four people will receive 15% off.• Five people or more will receive 20% off.In order to secure a group discount, all delegates must place their registrations at the same time. Group discounts cannot be issued retroactively. For more information, please call Theresa Powers at 704-341-2437.

Cancellations:If we receive your request to cancel 30 days or more prior to the conference start date, your registration fee will be refunded minus a $250.00 administrative fee. Cancellations occurring between 29 days and the first day of the conference receive either a 1) $200 refund; or 2) a credit voucher for the amount of the original registration fee, less a $250.00 administrative fee. No refunds or credits will be granted for cancellations received after a conference begins or for no-shows. Credit vouchers are valid for 12 months from the date of issue and can be used by either the person named on the voucher or a colleague from the same company.

Please Note: For reasons beyond our control it is occasionally necessary to alter the content and timing of the program or to substitute speakers. Thus, the speakers and agenda are subject to change without notice. In the event of a speaker cancellation, every effort to find a replacement speaker will be made.


To learn more about sponsorship opportunities, please contact Kevin Weigel at 704-341-2448 or email [email protected]

Renaissance Las Vegas HotelDiscover a dramatic departure from your standard Las Vegas hotel experience when you stay in the boutique luxury of the Renaissance Las Vegas Hotel. A fresh idea in deluxe accommodations, our contemporary lodging is the

largest smoke-free, non-gaming hotel in the area, making it the perfect choice for business and leisure travelers alike. Sleek and stylish, our hotel delivers a new level of sophistication with modern design and innovative technological enhancements. Enjoy distinctive private spaces and relax in our social venues, including the delectable dining’s experience at the trendy ENVY Steakhouse, an award-winning Las Vegas restaurant located right inside our hotel.

Experience all the excitement of Las Vegas lodging by the Strip, and have a peaceful retreat at the end of the day when you stay at our incredible hotel, a cutting-edge space to aid in your escape to Sin City, the Entertainment Capital of the World.

The hotel will sell out, so make your reservations now by calling 702-784-5700

CPE CREDITSFinancial Research Associates is registered with the National Associates of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be addressed to the National Registry of

CPE Sponsors, 150 Fourth Ave. North, Suite 700, Nashville, TN 37219-2417. Web site: www.nasba.org.

Sponsored learning activities are measured by program length, with one 50-minute period equal to one CPE credit. One-half CPE credit increments (equal to 25 minutes) are permitted after the first credit has been earned in a given learning activity. Please note that not all state boards adopted this rule. Some participants may not be able to use one-half credit increments. This course is offered as a group-live course and does not require prerequisites or advance preparation. It is an intermediate level course. The recommended CPE credit for this course is 11 credits in Management Advisory Services. For more information regarding administrative policies such as complaint and refund, please contact our offices at 800-280-8440.

Financial Research Associates offers programs at an advanced level of continuing education. Although no prerequisite courses, experience, or advance preparation is required to participate in this program, working knowledge of Finance is required, as well as, prior knowledge of the program topic.

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Hear from payers, providers, and

financial institutions!Healthcare Education Associates and RISE (The Risk Adjustment Initiative and Society for Education) Proudly Present

The

Healthcare Payments Processing & Compliance

SummitUtilizing Automation to Maximize Cost Savings and Efficiency in Healthcare

Revenue Cycle Management

October 14 - 15, 2013Renaissance Las Vegas Las Vegas, NV

Get up-to-date on the latest standards, trends, and innovations in healthcare payment automation –

including best practices and regulatory guidelines!


healthcare payments processing & compliance summit

Business

healthcare industry

future of healthcare

healthcare payments

healthcare professionals

healthcare payment automation

automated payments

financial industry

payments spectrum