May Town Hall PAHCOM

May Town Hall
May 20th, 2014
PAHCOM
Association Overview:
ICD-10:
Certification:
EHR:
Karen Blanchette, MBA
Diana Brijbag, CMM, CPC, CCP, CMSCS, HITCM-PP
Carol Aiken, CMM, CPAR
Sue Zumwalt, CMM, CPEDCS, HITCM-PP
Introduction to PAHCOM
Karen Blanchette, MBA
Professional Association of Health Care
Office Management
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PAHCOM National Office
Association Director
800-451-9311
[email protected]
•
National Association for Managers of Physician Practices
•
Founded in 1988 (Celebrating 26 years of Sharing Knowledge)
•
Provides resources and networks including professional certification
•
Partners with industry leaders to effect positive change and awareness
ICD-10
Diana Brijbag, CMM, CPC, CCP, CMSCS, HITCM-PP
International Classification
of Diseases, 10th revision
Springs Family Medical Center
Practice Manager
352-597-1960
[email protected]
Transition: October 1, 2015
• ICD 10 is not going to blow away; it is here to stay, so
we need to prepare our practices!
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ICD-10
Managers Take Action!
• Go to Training
– Seminars
– Webinars
– Books
• Provide Training
– Provider activities plan
– Staff Training
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ICD-10
Role Definition
• Clearly define staff responsibilities & timelines
– Biller
– Medical Assistant
– Front Office Staff
– Office Manager
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ICD-10
Engage Partners
• Clearinghouse
• EHR Support
• Practice Management System
http://www.cms.gov/Regulatio
ns-and-Guidance/HIPAAAdministrativeSimplification/Affordable-CareAct/Downloads/SmallProvider
HighLevelChecklistV9.zip
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ICD-10
Use Quality Networks
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•
Networking will help us achieve anything, so just do it and be ready. Let’s better
ourselves by attending conferences and webinars focused on small practice
management. Network, share, and most of all, ask questions/generate
conversation about these issues.
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Everyone is there to help you and learn from you. I know for sure, because
without my networks and continued education, I would never be the successful
practice manager I am today.
•
My doctors are full of praise. If they have a concern and I am not sure, they look
at me and say, “Go ask PAHCOM”. Now that is a good feeling!
CMM
Carol Aiken, CMM, CPAR HH Health System
Physician Compliance Officer
Physician / Professional Managed Care Contracting
256-265-9639
[email protected]
Certified Medical Manager
•
PAHCOM Certification Board Member
Does your practice need a CMM?
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•
Ahhh...the good old days......the early
years of practice management - look
where we are now.
•
We have evolved now to - "Oh
No"....what to do - where to turn.
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Competent professional managers are
now a MUST!
CMM
What is Certification?
Human Resources Management
Insurance/Managed Health Care Plans
Overview
Coding Analysis
Conflict Management
Billing and Collections
Managed Care
Communication
Meetings
Risk Management
Interpersonal
Overview
Compliance
Administrative Objectives
Managing and Leading
Finance
Time Management
Employment and Payroll
Financial Planning
Practice Accounting
Contract Management
Health Care Contracts
Marketing
Patient Education & Practice Marketing
Corporate Contracts
Data Management
Systems Analysis and Design
Clinical Knowledge Administration
Health Care Law
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CMM
What is a CMM?
PAHCOM is nationally recognized as the leader
in health care management certification for
administrative professionals working in
physician practices and in various ambulatory
service centers. This Certification validates the
professional competency and relevance that
Certified Medical Managers bring to the
workplace. Operational efficiency, regulatory
compliance, and financial performance are
strengthened when PAHCOM-certified
professionals are in place.
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CMM
Why is Certification Important?
 Validation of having earned this certification through education and
performance on the exam.
 Indication of high level competence & professional status as a leader in practice
management to employers, patients, staff and the community.
 Provides recognition of those physician practices that are managed by a CMM to
show the importance of having skilled professionals leading their offices &
safeguarding the needs of both the practice and the patients.
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CMM
How can my office manager get certified?
•Qualifications
• Three years experience in a patient care environment
• 12 college credit hours in business/healthcare (or commensurate
experience)
• PAHCOM membership
See full information and Certification Applications at: PAHCOM.com > CMM
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HITCM-PP / EHR & MU
Sue Zumwalt, CMM, CPEDCS, HITCM-PP
Pediatric Associates of Stockton
Practice Administrator
209-870-2724
[email protected]
Health Information Technology Certified
Manager for Physician Practice
•
HITCM-PP
What is that ???
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PAHCOM National Advisory Board Member
HITCM-PP
• What does a 2014 Physician’s Practice
need in the way of staff?
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HITCM-PP
• What is the one skill that each of those staff
members need to bring to the job
every day in order to
work in a medical
practice today?
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HITCM-PP
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Each office will need a leader, a ring leader, a champion so to speak who can
lead your team. That person is a:
HITCM-PP
Health Information Technology Certified Manager for Physician Practice
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A staff member who is certified to have the knowledge regarding EHR evaluation
and selection, EHR implementation and incentives, privacy and security
regulations, HIT opportunities, HIPAA and HITECH regulations, as well as
technology standards and its components.
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A HITCM-PP must take a 200 question test and then continue their education by
way of CEUs to maintain their certification.
EHR & MU
Electronic Health Records & Meaningful Use
• When a practice manager first
starts thinking about an EHR, the
thought process is pretty
intimidating and intense.
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EHR & MU
• Really, do we need this, whatever “this” is.
vs.
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EHR & MU
• How can I possibly
take on another
responsibility?
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EHR & MU
• There is no way the doctor is going
pay for an EHR!
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EHR & MU
• Oh great, all the office procedures
are going to have to change.
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PAHCOM Resources
•
•
•
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ICD-10
–
Free ICD-10 focused PAHCOM - CMS Webinars on YouTube
–
Host of links for small practice providers and managers to CMS resources specific to ICD-10
Professional Certification
–
Certified Medical Manager (CMM)
–
Health Information Management Certified Manager for Physician Practice (HITCM-PP)
EHR/MU
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Free EHR & MU focused PAHCOM – CMS Webinars on YouTube
–
Host of links for small practice providers and managers to CMS resources specific to EHR & Meaningful Use
•
Member Resources include PAHCOM ListServ, Member Library, The PAHCOM Journal, and various other forums that
support open sharing of knowledge around operational practice management solutions.
•
The 26th Annual PAHCOM Conference includes Certification Exams and these sessions relevant to today’s material:
–
Successful Transition to ICD-10
–
CMS Presents: ICD-10 - Latest Updates and The Course for Success
–
Practice Survival by Minimizing Audit Risks for Electronic Medical Records
–
Who Can Enter Orders into the EHR? What Managers Need to Know
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Today’s EHR Sent Home: Why and What’s Next?
Q&A
Do you have questions?
We have answers!
Professional Association of Health Care Office Management
PAHCOM Shares Knowledge - Since 1988
www.pahcom.com
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PAHCOM Resources
•
ICD-10
–
–
•
Professional Certification
–
–
•
Certified Medical Manager (CMM)
Health Information Management Certified Manager for Physician Practice (HITCM-PP)
EHR/MU
–
–
Free EHR & MU focused PAHCOM – CMS Webinars on YouTube
Host of links for small practice providers and managers to CMS resources specific to EHR & Meaningful Use
•
Member Resources include PAHCOM ListServ, Member Library, The PAHCOM Journal, and various other
forums that support open sharing of knowledge around operational practice management solutions.
•
The 26th Annual PAHCOM Conference includes Certification Exams and these sessions
relevant to today’s material:
–
–
–
–
–
24
Free ICD-10 focused PAHCOM - CMS Webinars on YouTube
Host of links for small practice providers and managers to CMS resources specific to ICD-10
Successful Transition to ICD-10
CMS Presents: ICD-10 - Latest Updates and The Course for Success
Practice Survival by Minimizing Audit Risks for Electronic Medical Records
Who Can Enter Orders into the EHR? What Managers Need to Know
Today’s EHR Sent Home: Why and What’s Next?