ISMA e-Reports, Special Alert, June 20, 2007
Check out this upcoming CME program ...
Pay for Performance: A Business and Operations Perspective
Friday, Sept. 28, 9 am-Noon, $69 for members or $119 for non-members
Pay for performance (P4P) generates many questions, but defining it is an important first step in any P4P discussion. Is pay for performance:
- A new insurance product?
- A reimbursement method?
- A cost-reduction program for insurance companies?
- An additional non-reimbursed administrative hassle for physicians?
This interactive seminar designed for all practicing physicians will define pay for performance and answer many questions. Basically, P4P represents payers' efforts to improve quality of care while reducing or controlling cost. In such programs, physicians who provide quality care at a low cost are recognized by insurers.
Nationwide, insurance companies are using several forms of P4P, some referred to as tiered or narrow networks. Medicare has begun a P4P initiative called the Physician Quality Reporting Initiative (PQRI).
This seminar will explain these programs and review their histories. It will include suggestions for physicians on how to be proactive in meeting this new challenge. At the end of this program, participants should be able to:
- Recognize the type of program an insurance company may introduce
- Make an informed decision regarding reporting quality codes to Medicare
- Analyze insurance company data and options for correcting errors
Dan Kelsey, MS, has worked in a variety of capacities in health care. Prior to joining the ISMA, he was a pharmacy tech, a hospital billing specialist and a representative for the Indiana Medicaid program. For three years he was a health care consultant with a CPA firm. Currently, as director of Practice Advisory Group and Membership Development, he is responsible for member recruitment, retention and development of ISMA services to enhance physician involvement.
Kelsey also is the primary HIPAA contact for ISMA members. He served as the privacy chair and chair for the Indiana HIPAA Work Group, assisting more than 30 practices with HIPAA compliance. He has a bachelor's degree and a master's in Media Arts and Science from Indiana University at Indianapolis.
The Indiana State Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The Indiana State Medical Association designates this educational activity for a maximum of 3 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
In accordance with the Accreditation Council for Continuing Medical Education (ACCME) Standards for Commercial Support, educational programs sponsored by the Indiana State Medical ssociation must demonstrate balance, independence, objectivity and scientific rigor. All faculty, authors, editors and planning committee members participating in an ISMA-sponsored activity are required to disclose any relevant financial interest or other relationship with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services that are discussed in an educational activity.
While offering the CME credit hours above, this activity is not intended to provide extensive training in the field.
For a more detailed sitemap click here.