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|2015 TPA University Schedule|
Schedule at a Glance
speakers and topics subject to change
Wednesday, July 15th, 2015
11:00am - 5:30pm - Registration - Zurich foyer
Being #1 On Purpose - How to be a Catalyst for the Winds of Opportunity
Every one of a TPA’s job descriptions can be summed up in a word… Tornadic! From the fact that so much of health care is still manual (We still rely on FAX MACHINES!) to customers and clients that stretch a TPA’s love for humanity to the people that a TPA works with – that have retired emotionally but their bodies keep coming in to work everyday…The tornado impacts attitudes and the quality of communication when it’s most critical. When the tornado rises that’s when TPA’s need to be a Master of the situation. Learning how the tornado of business impacts communication and the skill sets necessary to be an agent of influence can be a game changer in equipping and igniting a TPA to be the catalysts of progress in the winds of opportunity. In this interactive, eye opening and hilarious keynote session, Michael Hoffman will ignite our conference and ignite the skill sets that truly help us to be #1 On Purpose in our businesses.
3:15pm - 3:35pm - BREAK
Reviewing and Identifying Common Issues
The greatest resource at TPA University 2015 will be the hundreds of industry experts coming to Chicago to learn with and from each other. This networking/idea-and-best-practice-sharing/ brainstorming session will tap deep and deliberately into the wisdom, experience, and creative ideas of this one-of-a-kind group. This collaborative, multi-part working session will give every participant the opportunity to identify specific learning needs, seek real-time solutions, and create a personal action plan for dealing with highest-priority business challenges. The focus is on helping you get what you need from this multi-day learning event, and to come out turning ideas and inspiration into real-world action. You will draw on every presentation and discussion throughout the conference. In addition to a personal action plan, you will come away with dozens of ideas directly related to your priority business challenges, and receive after the conference a summary document with hundreds of ideas, recommendations and pieces of advice collected from your industry peers (related to our selected industry segments of Customer Service, Claims Practices, Technology, Account Management, and Leadership).
5:30pm - 7:00pm - Welcome Reception
Thursday, July 16th, 2015
7:30am - 5:30pm - Registration - Zurich Foyer
8:00am - 8:30am - Breakfast & Networking
8:30am - 8:45am - Welcome and Notices
8:45am - 10:15am - Keynote - Nancy Friedman of Telephone Doctor Customer Service
How to Excel in the Winds of Change
It seems as though, the only thing that is consistent is change. Handling change is critical to the TPA. In an ever changing industry, your role too as a TPA is ever changing. Knowing how to handle your communications for the best outcome – with your Clients, your co-workers, your family and even your Boss, are your top priority. Dealing with changing expectations has become one of the major challenges of your job.
- Learn the Eight Killer Words that distract, confuse, annoy and stop conversations – over the phone or in writing
- Learn how to send and receive messages that make the difference in service
- Learn the Five Forbidden Phrases that instantly turn people off
- Understand the logic of repetition and the importance of interpersonal skills
10:15am - 10:35am - BREAK
10:35am - 11:25am: Session - Bobby Ahrens, Director of Partner Solutions, Soluta Health
What We've Got Here, Is a Failure to Adjudicate! An Operational Discussion on the Processing of PBM Claims
This will be an operational discussion addressing the 2015 Maximum Out of Pocket legislative requirements and the impact on Pharmacy claims workflow and adjudication. We will also discuss the eligibility/accumulator exchanges with the PBM’s for point of sale accumulator/eligibility accuracy.
• Accumulator extracts and re-importation
Disaster Recovery Planning: Security Breach
Fortunately, not many of us have had to rebuild our operation after a fire, relocate after a flood or put a new roof on after a tornado, but what do you do when your data is stolen? In light of the ever increasing security breaches that corporations have been plagued with, how prepared are you to respond to your clients and the government if it happens to you? It’s time to face reality, it CAN happen, and when it does, how ready are we to respond?
12:00pm - 1:00pm - Lunch and HCAA Business Meeting and Membership Longevity Awards
1:00pm - 2:00pm: Session - Josh Sears, JD of Freestone Corporate Law
Bulldoggin' Beats Bull Ridin': Wrestling with ERISA's Legal Challenges & the Plans it Protects
Weathering ERISA challenges and ACA compliance mandates can feel like riding a bull: you are strapped to a dangerous animal, trying to hold on before you get stomped. But what if you had an effective bull riding strategy?
State of the Union for ERISA Preemption Protections:
You may think that you know everything about claim coding. You may think that you are all prepared for October and ICD-10? You can save your clients’ healthcare dollars by better understanding ICD-9, CPT, and HCPCS Coding Rules and Guidelines that enable you to identify erroneous and inappropriate medical care billing. We will take a look at the services that are commonly overpaid by TPAs due to lack of education on the continuous changes in the coding industry. Let’s review together the coding you are receiving!
Common Causes of HIPAA Disclosures and Lessons Learned
During this 25 minute session, Tim Callender, AmeriBen’s Corporate Counsel and HIPAA Privacy Officer will use real-world examples to demonstrate common causes of HIPAA disclosures and the subsequent “lessons learned,” which can lead to operational and procedural corrections being implemented in an organization.
3:35pm - 4:55pm - Collaboration for Operational Excellence Part Two - Brian McDermott & Gerry Sexton of GrowthWorks
Applying Learning to Real-Time Business Situations
In the second of three collaborative learning segments, you will meet in small groups prepared to:
4:55pm - 5:00pm: Thursday Summary
Friday, July 17th, 2015
7:30am - Noon - Registration - Zurich Foyer
8:00am - 8:30am - Breakfast & Networking
8:30am - 8:40am - Welcome and Notices
8:40am - 9:40am - Session - Trina Rich and Jeanne Noe of htms, an Emdeon company
Managing projects in our changing, fast-paced, world
Are you juggling multiple projects? Wondering how to manage yet another project due to regulatory changes? Trying to figure out how to get through the noise and determine the important items to focus on? If so, you’ll be interested in the session ‘Managing projects in our changing, fast-paced, world’. This session will provide practical, hands-on, advice related to managing multiple projects or multiple project tracks, engaging your resources, and keeping team members and stakeholders informed.
Attendees will learn:
10:00am - 11:30am - Collaboration for Operational Excellence Part Three - Brian McDermott & Gerry Sexton of GrowthWorks
Creating Personal Action Plans
In the final collaborative learning segment, you will:
11:30am - 11:50am - Prize Drawings (must be present to win)
11:50am - 12:00pm - Closing Remarks and Adjourn