OR MGMA Webinars
January 22, 2025
12:00-1:00pm MST
Leveraging Price Transparency Data for Provider Organizations
Join us for an insightful webinar that delves into the evolving landscape of health plan price transparency. This session will provide attendees with a comprehensive understanding of how provider organizations can leverage price transparency files for guidance to help with payer negotiations for payer relations teams, benchmark fair market value compensation for improved market positioning, and develop preferred provider networks for value-based care arrangements. We will explore how healthcare price transparency data empowers provider organizations to optimize pricing strategies, improve financial performance, and navigate regulatory challenges effectively in an increasingly competitive healthcare landscape.
In addition, we will address the challenges associated with utilizing this data. Attendees will also gain a sneak peek at the future of price transparency regulations. Don't miss this opportunity to stay informed on this data and navigate the rapidly shifting transparency landscape.
Key Takeaways:
- Understand the price transparency regulations.
- Gain insights that can be obtained from price transparency files.
- Explore the challenges related to the availability of price transparency data.
Speaker: Maria Nikol, MJ
February 12, 2025
12:00-1:00pm MST
How a Successful Compliance Program Collaborates with other Departments in Your Organization
This program describes the purpose and function of a compliance program, the seven foundational elements of a successful compliance program (HHS OIG), how these functions overlap with other departments, and how to use that overlap to build a culture of compliance that protects your organization from risk.
Key Takeaways:
- The purpose, function, and foundation of successful compliance programs
- How other departments overlap the Seven Elements of Compliance
- How to build and/or maintain a successful culture of compliance collaboration
Exploring Medicare’s Chronic Disease Management Programs: Financial Opportunities and Implementation
This 3-part webinar series provides an opportunity to learn about Medicare's chronic disease management programs that have seen widespread adoption over the past couple of years. Their unique ability to provide better care at a lower cost, combined with the large financial opportunity for providers has lead to an explosion in interest. We will discuss Remote Patient Monitoring (RPM), Chronic Care Management (CCM), Remote Therapeutic Monitoring (RTM), and Principal Care Management (PCM) with a focus on RPM.
Key Takeaways:
- Understand what is driving the large scale adoption of RPM, CCM, PCM, and RTM.
- Quantify both the clinical and financial outcomes of these programs.
- Master the CPT codes and eligibility requirements, as well as how providers are combining various programs to maximize patient outcomes and financial returns.
- Identify which of the newly available medical devices work best in your patients home setting, whether that is a house, rural community, independent living, assisted living, or SNF.
- See real world examples of what continues to lead to success when implementing such programs.
Part 1 – February 26, 2025
12:00-12:30pm MST
We'll look at a combination of factors that are driving rapid adoption of these programs by payers, providers, and patients. We will dive into CPT codes, who can and cannot bill for services, and the different ways groups are implementing them.
Part 2 – March 12, 2025
12:00-12:30pm MST
Just as payer support has rapidly exploded over the past few years, so has the available technology to make it easier than ever to implement this enormous opportunity. In this section we'll dive into the medical device options available to groups implementing RPM and compare the pros and cons of different equipment. We'll look at 4G cellular blood pressure monitors, weight scales, glucose monitors, thermometers, CGMs, wearables, radar-based contactless monitoring devices, and Bluetooth.
Part 3 – March 26, 2025
12:00-12:30pm MST
In this session we’ll tie it all together with real world examples of what to keep in mind when looking to implement a successful RPM program, EHR integrations, general vs. direct supervision, at home v. facility-based programs. We'll also touch on the future of these programs and where we see it all headed.
Speaker: Alex Wheeler
June 18, 2025
12:00-1:00pm MST
Compliance Simplified: Practical Tips to Achieve Compliance and Reduce Risk
Gain a practical understanding of the 7 essential elements of a successful compliance program as outlined in the Office of Inspector General’s (OIG) program guidance. This expert-led session delivers actionable tips and simple, effective strategies to overcome common barriers, strengthen your compliance efforts, reduce risks, and foster accountability—no matter the size of your clinic.
Speaker: Amanda L. Wilson, CHC, CHPC, Founder, Principal Consultant, Cultured Compliance Co, LLC