August 1st, 2024
When: Wednesday November 20th, 12:00pm – 1:00pm
This round table presentation will be hosted by Casey Crotty & Racquel Johnson
Contract Reimbursement: How to Calculate an Allowable
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This presentation will be held via ZOOM.
RSVP by emailing kgonzales@sanjuanipa.com to get the link directly
August 1st, 2024
Cancelled
The 3rd Quarter 2024 Round Table Meeting was to be held August 21, 2024 at the Civic Center has been cancelled.
April 15th, 2024
CANCELLED
The 2nd Quarter 2024 Round Table will be held on Wednesday May 15th, 12:00pm – 1:00pm at the Farmington Civic Center.
This round table presentation will be hosted by Western Sky on:
Topics for Risk Adjustment
RAF/HCC performance
COC agenda incentive program
And clinical documentation webinar schedule.
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There is no charge for this presentation, but please RSVP. Lunch will be provided, and we want to be sure to have enough food.
RSVP with Kayli Gonzales at kgonzales@sanjuanipa.com
Cant make it in person? Send us an email to receive a virtual ZOOM invite!
February 15th, 2024
The 1st Quarter 2024 Round Table will be held on Wednesday February 21, 12:00pm – 1:00pm at the Farmington Civic Center.
This round table presentation will be hosted by Steven Christensen, CFP and Karen Herhahn, M.S.Ed, MPA with Northwestern Mutual.
They will be covering useful topics surrounding Financial Planning for Medical Professionals including:
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There is no charge for this presentation, but please RSVP. Lunch will be provided, and we want to be sure to have enough food.
RSVP with Kayli Gonzales at kgonzales@sanjuanipa.com
Can’t make it in person? This presentation will also be available via ZOOM:
https://us02web.zoom.us/j/86098601780?pwd=OGFVYmdrMzVuRE1icEhXK1owYmNvZz09
June 22nd, 2023
The 3rd Quarterly Round Table of 2023 will be held August 16th, 12:00pm – 1:00pm Meeting will be hosted ONLINE ONLY.
The link will be provided in the upcoming alerts.
Presentation provided by: United Healthcare
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Topics:
-UHC Provider Portal Review
-Network News
-Smart Edits
-CME Credit Courses & Educational Purposes
-Commercial Claim Letters Going Paperless
-Reconsideration process
Please RSVP with Kayli Gonzales at kgonzales@sanjuanipa.com
January 12th, 2023
Attention: All San Juan IPA Members and Staff
The 1st Quarterly Round Table of 2023 will be held February 22, 12:00pm – 1:00pm at the Civic Center.
Please RSVP, lunch will be provided and we want to be sure to have plenty of food
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Presentation provided by: Casey Crotty, Interim CEO
Topic:
How To Read, Understand, and Negotiate Your Ballot
Please RSVP with Heather at heatherd@sanjuanipa.com or Margie at margie@sanjuanipa.com
October 4th, 2022
On November 16, 2022 San Juan IPA will be hosting a virtual 4th Quarter Round Table Meeting from 12-1pm:
Our guest speaker will be: Tiffany Corona, Presbyterian Health Plan, Provider Relationship Associate
Topics: Information regarding the Provider Portal, Authorizations, Provider Directive, Appeals and
Grievances, ePayment Center, Provider Education Conference, NM Provider Enrollment, and Credentialing/Re-Credentialing
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Details for the Zoom meeting will be forthcoming.
RSVP to: margie@sanjuanipa.com or heatherd@sanjuanipa.com
August 9th, 2022
3rd Quarter Round Table Meeting 2022
The 3rd Quarterly Round Table of 2022 will be held August 17, 12pm-1:00pm a virtual meeting. There has been a recent change in Topic and Presenter.
Seminar Topic: Molina Provider Training 2022
“General overview of Molina NM processes for Marketplace and Medicare, including claims filing, appeals, and the Availity website for Molina.”
Presenter: Jennifer Carlson, Senior Representative Provider Services
Please RSVP with Heather at heatherd@sanjuanipa.com or Margie at margie@sanjuanipa.com.
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June 7th, 2022
The May 18, 2022 Quarterly Round Table video “Strategies for Effective Reimbursement Negotiations” is still available for purchase at $149 for members / $199 for non-members. Payment by credit card can be made on our website at Pay Bill (cardpoint.com). Be sure to notate Round Table Meeting. Once payment is received we will send you the recording on a thumb drive. You may also contact heatherd@sanjuanipa.com or call 505-564-7980 option 1 to order.
April 7th, 2022
The 2nd Quarterly Round Table of 2022 will be held May 18, 11am – 1:30pm for a live and streaming meeting.
Seminar Topic: Strategies for Effective Reimbursement Negotiations
Location: Farmington Civic Center and Streaming
Providers routinely leave thousands, if not tens of thousands, of dollars on the table each year because their chargemaster isn’t set appropriately or because they’re not getting what they should be getting in reimbursements. Effective negotiations cannot happen if you don’t have an accurate baseline and data to support your position! If you’re responsible for setting your practice’s chargemaster, analyzing fee schedules, negotiating with payers, or signing off on negotiations, this special 2-hour seminar is for you!
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We will cover:
– Setting your chargemaster and analysis: are you setting your chargemaster appropriately?
– Fee schedule analysis part one: reports to pull, how to set up your fee schedules, chargemasters, and CMS schedules in Excel for an at-a-glance look at performance, and how to avoid the dreaded “lesser than” clause.
– Fee schedule analysis part two: deep dive into a single payer using utilization and break-even analysis to look for strengths and weaknesses in a payer’s offer, and how to counteroffer.
– Part three: formulating your plan for negotiations: You have the data, but you need to know what to do with it!
Cost for the seminar, including lunch: $149pp
Seminar participants will receive a gift to help organize and review your data prior to beginning negotiations!
Please RSVP so we can get an accurate count for lunch!!
Contact margie@sanjuanipa.com
Payments can be made to San Juan IPA
