Behavioral Health SWAT
June 7, 2012
Doubletree Hotel, Tarrytown
455 South Broadway, Tarrytown NY 10591
This meeting is for HANYS' members only.
On June 7, 2012 HANYS will host an intensive one-day program that gives you the Strategies, Weapons, And Tactics (SWAT) you need to compete within the behavioral health managed care environment.
New York’s Medicaid program has announced its plan to shift behavioral health patients over the next few years into managed health care programs. This decision makes it even more imperative for behavioral health providers throughout the state to be more fully prepared for an increasingly managed environment, both clinically and financially.
HANYS’ Behavioral Health SWAT Program is designed to give behavioral health and financial staff the tools to survive in a tightly managed environment, including legal rights, contracting and relationship strategies, revenue cycle management, and denial management. SWAT will also provide a case study example of a health plan and a behavioral health provider working collaboratively to manage their shared behavioral health population.
9:00 - 9:30 a.m.
Breakfast and Registration
9:30 - 9:45 a.m.
Introduction to Behavioral Health SWAT
Senior Director, Behavioral Health, HANYS
9:45 - 10:45 a.m.
Provider Legal Rights in Managed Care
Jeffrey Gold, Esq.
Vice President, Managed Care and Special Counsel, HANYS
Over the past several years, HANYS has drafted, negotiated, and worked to support enactment of key managed care reforms, which attempt to level the playing field for providers as they negotiate and conduct business with managed care organizations. Among these laws and regulations include:
- prompt pay timeframes;
- claim submission timeframes;
- coverage for emergency services;
- coordination of benefits; and
- external appeals.
Jeffrey Gold will provide guidance on the application of these protections as you navigate the managed care environment.
10:15 - 11:00 a.m.
11:00 a.m. - 12:30 p.m.
Managed Care Contracting for Behavioral Health Providers
Robin Johnson, Esq.
Health Law Group
Robin Johnson will present practical tools and strategies a hospital can use when negotiating managed care and insurance contracts for behavioral health services. Ms. Johnson’s presentation will reference various statutes and regulations, specifically the Mental Health Parity Act. Ms. Johnson will refect on the experiences of behavioral health providers during the last several years and how to anticipate future managed care contracting issues.
12:30 - 1:30 p.m.
1:30 - 2:15 p.m.
Behavioral Health Revenue Cycle Management
A representative from Relay Health
Internal revenue cycle management is a crucial component to remaining competitive in a managed care environment. Susan Graveswill cover some specific areas of revenue cycle management for behavioral health services, including:
- underpayment analysis
- denial management
- missed billing opportunities
2:15 - 2:30 p.m.
2:30 - 3:15 p.m.
Case Study: Building Collaborative Relationships between Behavioral Health Providers and Health Plans
Robert Holtz, M.A., M.B.A., L.M.H.C.
Vice President, Behavioral Health Services
Capital District Physicians Health Plan (CDPHP)
Scarlet Clement-Buffoline, M.S.
Assistant Vice President, Behavioral Health
Samaritan Hospital Troy, NY
Robert Holtz and Scarlet Clement-Buffoline will discuss the collaborative relationship they have developed for serving their shared behavioral health population.
3:15 - 3:30 p.m.
Conclusion and Next Steps
Jeffrey Gold, Esq.
Who should attend?
- Behavioral Health Directors
- Chief Financial Officers
- Directors of Managed Care
- Directors of Reimbursement
- Directors of Patient Accounts
- Legal Counsel
Continuing Education Credits
There are no continuing education credits being offered with this program.
The deadline to register for this program is June 4. If you have questions about registration, contact Christopher Guyon, Webconference and Events Assistant, at (518) 431-7834 or at firstname.lastname@example.org.
Room registration and event registration are separate.
There is a HANYS room block at the Doubletree Hotel, $134 per night, call (315) 432-0200 by May 21st and use the Password: HCA
Registrations cancelled after May 30 are subject to a $50 administrative charge. Registration fees for those canceling on the day of the program or failing to attend are forfeited. Substitutions are permitted and encouraged, but should be indicated either before or at the Conference.