For Physicians, Nurses, Office Managers, Billers, and Hospitals - Tuesday, Dec. 5, 2023
Conference Acronyms
ACIP — Advisory Committee on Immunization Practices
AFMC — Arkansas Foundation for Medical Care
ALS — Advanced Life Support
ARHOME — Arkansas Health Opportunity for Me
BH — Behavioral Health
CAC — Consumer Advisory Council
CAH — Critical Access Hospital
CC — Care Coordinator
CGM — Continuous Glucose Monitoring
CMS — Centers for Medicare and Medicaid Services
CSU — Crisis Stabilization Unit
DBA — Doing Business As
DDDS — Division of Developmental Disabilities Services
DEA — Drug Enforcement Administration
DHS — Arkansas Department of Human Services
DMS — Division of Medical Services
DOS — Date of Service
ED — Emergency Department
EFT — Electronic Funds Transfer
EOB — Extension of Benefits
EPSDT — Early Periodic Screening, Diagnosis, and Treatment
ET3 — Emergency Triage, Treat, and Transport
EVV — Electronic Visit Verification
FEIN — Federal Employer Identification Number (Federal Tax Identification Number)
FQHC — Federally Qualified Health Center
HCBS — Home and Community-Based Services
HIPAA — Health Insurance Portability and Accountability Act
IA — Independent Assessment
Inpatient Retro — Inpatient Retrospective Review
LARC — Long-Acting Reversible Contraception
MMIS —Medicaid Management Information System
MUMP — Medicaid Utilization Management Program
NET — Non-Emergency Transportation
NICU — Neonatal Intensive Care Unit
OLTP — Online Transaction Processor
OSAMH — Office of Substance Abuse and Mental Health
PA — Physician Assistant
PASSE — Provider-Led Arkansas Shared Savings Entity
PCMH — Patient-Centered Medical Home
PCAP — Patient-Centered Action Plan
PCP — Primary Care Physician
PCSP — Patient-Centered Service Plan
PHE — Public Health Emergency
PMPM — Per Member Per Month
QHP — Qualified Health Plan
RA — Remittance Advice
REH — Rural Emergency Hospital
RTP — Return to Provider
SDOH — Social Determinants of Health
SMI — Serious Mental Illness
SUD — Substance Use Disorder
TEFRA — Tax Equity and Fiscal Responsibility Act
VRS — Voice Response System
Agenda
Agenda
Click the title of each session to download the PDF version of the presentation.
9:00-9:15 | WELCOME
Tabitha Kinggard, RN
Manager, Outreach Services, AFMC
John Selig, MPA
President and CEO, AFMC
9:15-9:30 | STATE OF STATE
Kristi Putnam, MS, I/O Psychology
Secretary, DHS
9:30-10:15 | ARKANSAS MEDICAID UPDATES
Elizabeth Pitman, JD
Director, DMS, DHS
10:15-10:30 | BREAK
10:30-11:00 | ARKANSAS PROVIDER-LED SHARED SAVINGS ENTITY UPDATES
Melissa Weatherton, JD
Director of the Division of Developmental Disabilities Services, DHS
11:00-11:45 | BEHAVIORAL HEALTH
Melissa Weatherton, JD
Director of the Division of Developmental Disabilities Services, DHS
Paula Stone, LCSW
Director of the Office of Substance Abuse and Mental Health, DMS, DHS
11:45-1:00 | LUNCH — GUEST SPEAKER: SHOW UP FOR SUCCESS
Jessie Wilson
VP Client Engagement, Howard, Franks, Wilson, and Associates
1:00-1:45 | PATIENT CENTERED MEDICAL HOME
Larry David Ballard
Business Operations Manager, DMS, DHS
Rhelinda McFadden, BSN, RN, CPHIMS, PCMH-CCE
Manager, Practice Transformation, AFMC
Download the Antibiotic Usage Dashboard handout.
1:45-2:30 | EMERGENCY DEPARTMENT SERVICE OPTIONS
Kellie Cornelius, CPHIMS
Supervisor, Outreach Services, AFMC
EMERGENCY DEPARTMENT RETROSPECTIVE REVIEW AND RECOUPMENT
EXTENSION OF BENEFITS AND PRIOR AUTHORIZATIONS
Ami Winters, BSHM
Assistant Director, Clinical Services, AFMC
2:30-2:45 | BREAK
2:45-3:15 | PROVIDER ENROLLMENT
Tyler Brickey
Manager of Provider Enrollment, Gainwell Technologies
3:15-3:45 | LIFE360
Nell Smith, MA, MPH
Deputy Director, Plan Partnerships, DMS, DHS
3:45-4:00 | CLOSING REMARKS
Tabitha Kinggard, RN
Manager, Outreach Services, AFMC
