Focus Conference 2023 Program

ABC Symmetric Lightweight

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Hello and welcome to

We’re so glad you’re here with us in beautiful Clearwater Beach, Florida!

This is a special group. Whenever people ask me about Essentially Women, my response is always the same: I get a big smile on my face, then proceed to explain how phenomenal this community is. We are so fortunate to have such compassionate, giving people who never hesitate to assist those in their community and others. Focus Conference is unique on so many levels. My greatest joy is when people share how excited they are to meet other EW members, exchange ideas, and take away some helpful nuggets to apply in their businesses.

This community and conference are here for you. Over the next couple of days, I encourage you to meet as many people as you can: fellow members, exhibitors, and speakers. Share with each other your greatest successes and those moments where you learned and grew from because it didn’t work out the way you’d hoped. The women’s health space is a tremendous opportunity, and there’s so much room for growth. Learning from each other and connecting is what the EW community is all about.

At this year’s Focus Conference, we have some great speakers who will provide you with education, new business ideas, updates for your business, and key points you should know about your payer contracts. There will also be networking opportunities to interact with fellow EW members. You may not all have the same business model, but the core of what you all do is the same: helping the patients in your community thrive in a dignified, confident, and respected manner. Your storefronts may all look different, but you’re all in the same business.

Be sure to join us for the new Exhibit Hall Grand Opening Sunday afternoon before the EW Sunset Soiree. We’ll enjoy cocktails and appetizers while mingling with our vendor partners. We greatly appreciate our vendor partners who exhibit at Focus. They are all committed to helping you build a successful business and offer the best products and services for your patients.

After the past few years, we’ve all become more grateful for these opportunities to gather together. We don’t take it for granted, and we’re so happy you chose to spend the next couple of days with us.

Nikki Jensen Vice President nicole.jensen@vgm.com

AGENDA AT-A-GLANCE

Friday, Feb. 3

8 to 5 p.m.

American Breast Care Pre-Conference Session (for pre-registered attendees only)

Saturday, Feb. 4

8 a.m. to 5 p.m.

American Breast Care Pre-Conference Session (for pre-registered attendees only)

11 a.m. to 1 p.m.

Registration Open in Lobby II

1 to 4 p.m.

Billing & Reimbursement Workshop Pre-Conference Session (for pre-registered attendees only)

3 to 5 p.m.

Registration Open in Lobby II 6 to 9 p.m.

American Breast Care Reception (for pre-registered attendees only)

Sunday, Feb. 5

7 to 8 a.m.

Registration and Breakfast

8 to 9:15 a.m.

Introductions, Ruth Addison Award Ceremony, and Keynote #1 9:30 a.m. to Noon

Education Sessions Noon to 1 p.m.

Noontime Networking

1:15 to 4:30 p.m.

Education Sessions

4:30 to 6 p.m.

Exhibit Hall Grand Opening

6 to 10 p.m.

EW Sunset Soiree

Monday, Feb. 6

7:30 to 9 a.m.

Breakfast in the Exhibit Hall and Monday Morning Mimosas

9:10 to 10:15 a.m. Keynote #2

10:30 to 11:30 a.m. Education Session

11:30 a.m. to 2 p.m.

Lunch in the Exhibit Hall 2:15 to 4:30 p.m. Education Sessions

SOCIAL EVENTS

Saturday, Feb. 4

AMERICAN BREAST CARE RECEPTION

6–9 p.m. • Gulf and Beach Room

Join American Breast Care and Focus Conference attendees for dinner and drinks! This attendee-only reception kicks off Focus Conference.

Sunday, Feb. 5

NOONTIME NETWORKING

Noon–1 p.m. • Outdoor Function Space near the Pool

Join us for this networking lunch to enjoy food and meet fellow EW members, speakers, and vendors. We’ll have plenty of icebreakers and discussion topics provided so you don’t have to worry about where to start the conversation.

EXHIBIT HALL GRAND OPENING

4:30–6 p.m. • Palm, Bay, & Island II Rooms

Join us for the opening of the Exhibit Hall! After education sessions, grab a drink and network with our vendor partners.

EW SUNSET SOIREE

6–10 p.m. • Outdoor Function Space on the Beach

Sponsored by VGM Insurance

Grab your best and boldest beach-chic attire. It’s time to unwind with an evening of refined taste full of friends, food, and fun. With the sound of the waves and the crisp ocean air, there’s no better way to close day one of Focus. Plan to bring a light jacket or sweater and appropriate shoes for this beach party. High heels are not recommended.

Monday, Feb. 6

MONDAY MORNING MIMOSAS IN THE EXHIBIT HALL

7:30–9 a.m. • Palm, Bay, & Island II Rooms

Back by popular demand, enjoy breakfast with a mimosa in hand in the Exhibit Hall. Spend some quality time checking out the hottest products offered by EW’s vendor partners.

Gentle in Every Little Way

Medline Remedy ®

Baby Lotion Shampoo & Body Wash

With expertise in skincare for all ages and levels of acuity, Remedy has formulated these new products for the gentlest care of delicate pediatric skin.

Contact your Medline Sales Representative for more details and product samples.

Medline Industries, Inc. Three Lakes Drive, Northfield, IL 60093 | 1-800-MEDLINE (633-5463) © 2020 Medline Industries, Inc. All rights reserved. Medline Remedy is a registered trademarks of Medline Industries, Inc. MKT19W1199293

CEU INFORMATION

Focus: The EW Conference sessions will be approved by the following accrediting bodies. Registration for continuing education units (CEUs) must be made when registering for the conference.

ABCOP - The American Board for Certification in Orthotics, Prosthetics and Pedorthics

Focus: The EW Conference has been approved by the American Board for Certification in Orthotics, Prosthetics and Pedorthics for continuing education credits for mastectomy fitters. Participants may earn up to 14.0 CEUs at Focus Conference, including up to 5.25 Scientific CEUs and 8.75 Business CEUs. Please refer to the speakers and sessions for CEU value per course.

BOC - Board of Certification/ Accreditation Certification

Focus: The EW Conference has been approved by BOC for mastectomy fitters. Participants can earn up to 19.0 CEUs, including up to 6.25 Scientific and 12.75 Business CEUs. Please refer to the speakers and sessions for CEU value per course.

BOC certificants are eligible to receive .25 Scientific CEUs for each exhibit visited at a conference, trade show, or symposium for a maximum of 5.0 CEUs (20 exhibitors) per year. Please see Guest Services at Focus Conference for the exhibit hall form.

Eligibility Requirements

It is the responsibility of the attendee to provide proof of attendance to their accrediting body. In order to receive proper credit for an education session, you must complete the following requirements:

• Provide certification number(s) to EW at registration.

• Scan in and out of each session.

• Be present for at least 90 percent of the session.

• Complete the online evaluation for each session you attend immediately following the session. Evaluation forms will be done electronically.

Credit will not be awarded if all of these requirements are not met.

If you need to provide your certification numbers after you have registered, contact Essentially Women at 800-988-4484 or essentiallywomen@vgm.com.

KEYNOTE SESSIONS

Sunday, Feb. 5

Dr. Peter W. Blumencranz, MD, FACS, and Agnes Jastrzebski, RN

Sponsored by American Breast Care

Dr. Peter W. Blumencranz has been a boardcertified surgeon for over 40 years. He is actively involved in research trials and new technologies in the treatment of breast cancer. Dr. Blumencranz has lectured across the United States and abroad, served on numerous expert panels, presented at major oncology conferences, and published articles and book chapters in peer-reviewed journals. He is a veteran of the United States Navy, diplomat of the American Board of Surgery, and Fellow of the American College of Surgeons, the Southeastern Surgical Congress, and the Society of Surgical Oncology.

Agnes Jastrzebski is a certified breast nurse navigator with BayCare Morton Plan Hospital. She specializes in providing free, individualized guidance to anyone who has been diagnosed or treated for breast cancer at Morton Plant Hospital. Her duties also include breast conference coordination and serving as a member of the Breast Program Leadership Committee. Agnes was born and raised in Poland and her parents moved to America to have better opportunities for their children. For Agnes, a better opportunity meant to become a nurse. She received her registered nurse degree in 1995 in New Jersey. She worked in hospitals, nursing homes, and in business settings with almost 30 years of professional experience in both nursing and business. She moved to Florida in 2009 and worked as a research nurse coordinator and data manager for TCC research Department at Morton Plant for 3.5 years. She then transitioned to nurse navigator role and has been in this position for over 9.5 years. Agnes is known as a loyal team player with a commitment to provide quality care. With an enthusiastic and genuinely friendly attitude, Agnes has a sincere passion in all that she does.

Brief Overview on Breast Cancer and Surgical Management and How a Breast Nurse Navigator Helps Ease the Journey

In this session, Dr. Blumencranz will review the history of breast cancer treatment, review surgical options in treatment including oncoplastic resection and reconstructive surgery, discuss the use of sentinel node biopsy, and provide highlights on systemic management, radiation therapy, and the use of genomics.

We will also hear from a Breast Nurse Navigator to gain an understanding of the patient journey and communication involved in ensuring the best outcome for the patient. We’ll hear suggestions on how mastectomy fitters can best work together with nurse navigators and provide resources for patients.

Learning Objectives:

• Understand the indications for breast conservation versus mastectomy.

• Learn about the management of the axilla to reduce the risk of lymphedema.

• Understand the importance of multidisciplinary treatment planning involving surgery radiation therapy and medical therapy.

• Understand the contribution of the nurse navigator role in patient care and how mastectomy fitters can take this information to their own local communities to strengthen their relationship with their nurse navigators.

CEUs: ABCOP: 1.25 Scientific | BOC: 1.25 Scientific

Monday, Feb. 6

Katelyn Carey, Clinical Nurse Educator, Author, and Speaker

Sponsored by American Breast Care

Katelyn Carey has worked in critical care medicine and healthcare education for over 20 years. She specializes in educational support around resiliency and recovery, as well as crisis communication and team/self-care. Katelyn has spent the last decade studying cognitive science and trauma-informed care principles. Her gift lies in taking these multifaceted, complex science concepts and turning them into accessible, easily processed recovery strategies for patients and caregivers. Katelyn is the author/founder of the Beauty After Breast Cancer book and project, an award-winning speaker, a full-time nurse, and a mastectomy patient. She is happy to be speaking at Focus Conference 2023, sharing her perspectives from both a medical and patient viewpoint.

Brain Hacks and Breasts: The Science of Compassion

Learn how compassion (instead of empathy) can guide us to protect and care for ourselves and our patients/clients. Understanding the science behind stress and trauma processing allows us to steer clients in the direction that will bring them to a place of joy and recovery. Using breast cancer patients as examples, this presentation will help you learn how to communicate effectively, hold a boundary of compassion, and ensure that you go home at the end of the day feeling fulfilled rather than exhausted. You will walk away with compassionbased communication tips and an emotional first-aid kit that you can use to improve your own well-being.

Learning Objectives:

• Analyze how initial interactions can profoundly affect client/patient experience.

• Review cognitive research on the ways that stress affects mental processing.

• Discuss different interventions and how they improve client/patient care and engagement.

• Build a toolbox of methods that support you as a caregiver.

CEUs: ABCOP: 1.0 Scientific | BOC: 1.25 Scientific

EDUCATION SCHEDULE

Saturday, Feb. 4

[Pre-Conference Session] Mission Possible: Women’s Health Reimbursement

Location: Gulf Room

1 - 4 p.m.

Ronda Buhrmester, VGM Government Relations

ABC: 3.0 Business | BOC: 3.0 Business

Sunday, Feb. 5

Introduction, Ruth Addison Award, and Keynote: Brief Overview on Breast Cancer and Surgical Management and How a Breast Nurse Navigator Helps Ease the Journey

89:15 a.m.

Location: Beach/Gulf Rooms

Peter W. Blumencranz, MD, FACS and Agnes Jastrzebski, RN

ABC: 1.25 Scientific | BOC: 1.25 Scientific

[Panel] Patient Perspective & Best Practices for Patient Experience

9:3010:30 a.m.

Location: Beach/Gulf Rooms

Moderator: Nikki Giamarino, American Breast Care ABC: 1.0 Scientific | BOC: 1.25 Scientific

Expanding in Women’s Health: Understanding the Maternity Market

10:4511:45 a.m.

Noon - 1 p.m.

Location: Beach/Gulf Rooms

Jason Ivey, Motif Medical

ABC: 1.0 Business | BOC: 1.25 Business

Noontime Networking

Location: Outdoor Function Space near the Pool

Moderator: Nikki Jensen, Essentially Women

ABC: 1.0 Business | BOC: 1.25 Business

Lifelong Diagnosis, Lifelong Customer: Growing Your Reach in Lymphedema Compression

1:152:15 p.m.

Location: Beach/Gulf Rooms

Bryan Groleau, medi USA

ABC: 1.0 Business | BOC: 1.25 Business

Sunday, Feb. 5 Continued

Staying Above the Standards

2:303:15 p.m.

Location: Beach/Gulf Rooms

Kelly Grahovac, The van Halem Group

ABC: 0.75 Business | BOC: 1.0 Business

1 Out of 2 Women Over the Age of 50 Has Pelvic Floor Dysfunction

Resulting in Urinary Incontinence: Can YOU Make a Difference?

3:304:30 p.m.

Location: Beach/Gulf Rooms

Gloria Kolb, Elidah, Inc.

ABC: 1.0 Scientific | BOC: 1.25 Scientific

Monday, Feb. 6

Brain Hacks and Breasts: The Science of Compassion

9:1010:15 a.m.

Location: Beach/Gulf Rooms

Katelyn Carey, Clinical Nurse Educator

ABC: 1.0 Scientific | BOC: 1.25 Scientific

Certification and Accreditation: What You Need to Know

Location: Beach/Gulf Rooms

10:3011:30 a.m.

Jim Lawson, American Board for Certification in Orthotics, Prosthetics and Pedorthics (ABC), and Matt Gruskin, Board of Certification/Accreditation

ABC: 1.0 Business | BOC: 1.25 Business

Maximizing Resources to Ensure Fair Payer Contracts

2:153:15 p.m.

Location: Beach/Gulf Rooms

Craig Douglas, VGM Government Relations

ABC: 1.0 Business | BOC: 1.25 Business

Medicare DME: External Breast Prostheses and Non-Implanted Pelvic Floor Electrical Stimulator

3:304:30 p.m.

Location: Beach/Gulf Rooms

Belinda Yandell, CGS Administrators, and Ruth Reese, Noridian Healthcare Solutions

ABC: 1.0 Business | BOC: 1.25 Business

EDUCATION SESSIONS

[Pre-Conference Session] Mission Possible: Women’s Health Reimbursement

1 – 4 p.m.

Location: Gulf Room

RONDA BUHRMESTER Sr. Director Payer Relations & Reimbursement,

VGM Government Relations

Providing medically necessary products to your clients is the reason you chose to be in this industry. The challenge is to understand the requirements coming from referrals to payers that will enable accurate and timely filing for these products in addition to servicing your clients timely. The mission, should you accept, is to also protect your business by ensuring timely payment for the products and services offered.

The mission is possible as long as you have an understanding of the home medical equipment industry process from intake to billing and the proper tools and resources to successfully complete the mission. You won’t have to climb the tallest building in the world or jump from building to building to complete the mission.

In this mission, you will be introduced to the variety of contractors hired by the Medicare program (and other payers) and identifying the payment categories. The session will go through steps for the complete intake process where the gathering of patient information is vital to proper claim submission. Highlights will also include recognizing a valid order and the documentation necessary prior to submitting a claim for payment. The last step of the mission is preparing for claim submission resulting in the payment.

It is time to accept this mission by registering for Mission Possible: Women’s Health Reimbursement.

Learning Objectives:

• Identify the different contractors for CMS Medicare and different payers.

• Review the key steps during the intake process.

• Evaluate documentation and order requirements as it relates to medical policies.

• Discuss the claims filing submission process from modifiers, timely filing, and working with a denial or rejection.

New Styles & Colors

EDUCATION SESSIONS

Sunday, Feb. 5

All sessions are located in the Beach and Gulf Rooms unless otherwise noted.

[Panel] Patient Perspectives and Best Practices for Patient Experience

8 – 9:15 a.m.

9:30 – 10:30 a.m.

NIKKI GIAMARINO Business Development Manager,

American Breast Care

In this session, Dr. Blumencranz will review the history of breast cancer treatment, review surgical options in treatment including oncoplastic resection and reconstructive surgery, discuss the use of sentinel node biopsy, and provide highlights on systemic management, radiation therapy, and the use of genomics.

We will also hear from a Breast Nurse Navigator to gain an understanding of the patient journey and communication involved in ensuring the best outcome for the patient. With the goal of the best patient outcome, hear suggestions on how mastectomy fitters can best work together with nurse navigators and provide resources for patients.

Learning Objectives:

• Understand the indications for breast conservation versus mastectomy.

• Learn about the management of the axilla to reduce the risk of lymphedema.

• Understand the importance of multidisciplinary treatment planning involving surgery radiation therapy and medical therapy.

• Understand the contribution of the nurse navigator role in patient care and how mastectomy fitters can take this information to their own local communities to strengthen their relationship with their nurse navigators.

CEUs: ABCOP: 1.25 Scientific | BOC: 1.25 Scientific

Whether you’ve been a mastectomy fitter for three weeks or 30 years, this session will provide an opportunity to reflect on the patient’s perspective as she’s coming to visit you for the first time. We’ll also share best practices in the fitting room and beyond. As mastectomy fitters, it’s not often we can come together with our peers to share these experiences and knowledge to help strengthen our business and provide the highest level of support for the women we serve in our communities.

Learning Objectives:

• Relate to the patient as they are coming to the mastectomy boutique, whether it’s after a new diagnosis, prior to surgery, or years later for their resupply items.

• Discuss how are patients are finding your mastectomy boutique, and identify opportunities to enhance your marketing exposure.

• Understand patients may not be feeling well or have anxieties about their appearance and may not verbalize their feelings.

• Identify best practices that will set your boutique apart to offer next-level care and service.

CEUs: ABCOP: 1.0 Scientific | BOC: 1.25 Scientific

Introductions, Ruth Addison Award of Excellence, and Brief Overview on Breast Cancer and Surgical Management and How a Breast Nurse Navigator Helps Ease the Journey

PETER W. BLUMENCRANZ, MD, FACS, Medical Director, BayCare Oncology Service Line, and AGNES JASTRZEBSKI, RN, Breast Nurse Navigator, BayCare Morton Plant Hospital

Expanding in Women’s Health: Understanding the Maternity Market

10:45 – 11:45 a.m.

JASON IVEY Account Manager, Motif

Medical

Since the Affordable Care Act passed in 2010, mom and baby has become one of the fastest-growing segments for medical equipment providers. Over time, this opportunity has grown as more products have become available to new/expecting moms through their insurance benefits. We’ll discuss how this market has evolved, what new and expecting moms are looking for today, and how to drive business through various marketing channels.

Learning Objectives:

• Understand the shift that has taken place in the U.S. breast pump market.

• Identify current market conditions and trends with reimbursement.

• Name three additional products that new and expecting moms seek to purchase.

• Discuss strategies for local marketing and awareness.

CEUs: ABCOP: 1.0 Business | BOC: 1.25 Business

Noontime Networking

Noon – 1 p.m.

Location: Grass Area by the Pool

NIKKI JENSEN

Vice President, Essentially Women

One of the greatest things we love about Focus Conference is the next-level networking. Join us for this networking lunch as we mix it up to give you a chance to enjoy some lunch and meet some fellow EW members, speakers, and vendors. We’ll have plenty of ice breakers and discussion topics provided so you don’t have to worry about where to start the conversation. Every year we hear from EW members how much they learn by interacting with peers at Focus Conference. Weather permitting, we plan to dine outside, so bring a sweater or a light jacket as we get an extra dose of Vitamin D.

Learning Objectives:

• Develop relationships with fellow EW members who share an interest in supporting women’s health in their community.

• Discuss and share business experiences with others at your table.

• Name three best practices that can be applied to your own business

CEUs: ABCOP: 1.0 Business | BOC: 1.25 Business

EDUCATION SESSIONS

Sunday, Feb. 5

All sessions are located in the Beach and Gulf Rooms unless otherwise noted.

Lifelong Diagnosis, Lifelong Customer: Growing Your Reach in Lymphedema Compression

1:15 – 2:15 p.m.

BRYAN GROLEAU

Director of Clinical Education, COTA/L, CLT-LANA, WCC, LLE, CLWT, medi USA

Awareness of lymphedema has grown exponentially, and with that, so has the number of those diagnosed yearly. But do patients with lymphedema know where to go to find compression? Do therapists know where to send patients when they are ready for compression? Most therapists and providers struggle when it comes to assisting their patients with compression and would welcome the opportunity to partner with local compression fitters. In this session, we will explore how lymphedema awareness has led to a growing number of patients needing compression more than ever. Don’t leave compression business on the table, but instead learn how to best care for patients and harness that business lifelong.

Learning Objectives:

• Understand three types of lymphedema and what you need to know to fit all sizes and shapes.

• Be in the know of where patients are going to get their product and how to capture that business.

• Learn ways to find new patients to grow your business.

• Understand the value of one patient and how to keep that patient returning annually.

CEUs: ABCOP: 1.0 Scientific | BOC: 1.25 Scientific

Staying Above the Standards

2:30 – 3:15 p.m.

KELLY GRAHOVAC

General Manager, The van Halem Group

In order to obtain and retain your Medicare billing privileges, every Medicare DMEPOS supplier must meet the Supplier Standards. Too often, extra attention is placed on these standards when a supplier initially enrolls in the program, only to put them in the rearview as time goes on. In addition to maintaining Medicare billing privileges, suppliers must also maintain compliance with licensure for payer contracts. In this session, Kelly will discuss the importance of meeting supplier standards, maintaining appropriate accreditation guidelines, and understanding the state licensure requirements. Time will also be spent addressing common risk areas suppliers may face when billing insurance.

Learning Objectives:

• Develop an understanding of the DMEPOS Supplier Standards.

• Learn about common mistakes suppliers make with their enrollment file that lead to a revocation of billing privileges.

• Discover common risk areas mastectomy providers encounter during claims audits.

CEUs: ABCOP: .75 Business | BOC: 1.0 Business

1 Out of 2 Women Over the Age 50 Has Pelvic Floor Dysfunction Resulting in Urinary Incontinence: Can YOU Make a Difference?

3:30 – 4:30 p.m.

GLORIA KOLB

Chief Executive Officer, Elidah, Inc.

You will gain facts and literature-based insights on why pelvic floor health is the next major disruptor in women’s health. You will uncover the role you can play in making a difference in the lives of women suffering from urinary incontinence. Learn who these women are and what they are going through personally, financially, and emotionally.

Learning Objectives:

• Gain a clear understanding of the demographic and diagnosis.

• Learn the emotional toll urinary incontinence is having on the lives of millions of women.

• Learn treatment options and the differences.

• Explain new advancements for treatment.

• Gain full understanding of the Elitone FDAcleared device and the role it can play in treating your patients.

CEUs: ABCOP: 1.0 Scientific | BOC: 1.25 Scientific

EDUCATION SESSIONS

Monday, Feb. 6

All sessions are located in the Beach and Gulf Rooms unless otherwise noted. F

Brain Hacks and Breasts: The Science of Compassion

9:10 – 10:15 a.m.

KATELYN CAREY

Clinical Nurse Educator, Author, Speaker

Learn how compassion (instead of empathy) can guide us to protect and care for ourselves and our patients/clients. Understanding the science behind stress and trauma processing allows us to steer clients in the direction that will bring them to a place of joy and recovery. Using breast cancer patients as examples, this presentation will help you learn how to communicate effectively, hold a boundary of compassion, and ensure that you go home at the end of the day feeling fulfilled rather than exhausted. You will walk away with compassionbased communication tips and an emotional first-aid kit that you can use to improve your own well-being.

Learning Objectives:

• Analyze how initial interactions can profoundly affect client/patient experience.

• Review cognitive research on the ways that stress affects mental processing.

• Discuss different interventions and how they improve client/patient care and engagement.

• Build a toolbox of methods that support you as a caregiver.

CEUs: ABCOP: 1.0 Scientific | BOC: 1.25 Scientific

Certification and Accreditation: What You Need to Know

10:30 – 11:30 a.m.

JIM LAWSON, Outreach Development Manager, American Board for Certification in Orthotics, Prosthetics and Pedorthics (ABC); and MATT GRUSKIN, MBA, BOCO, BOCPD, CDME, Chief Operating Officer, Board of Certification/ Accreditation (BOC)

This session will begin as a joint panel of the American Board of Certification for Orthotics & Prosthetics (ABC) and Board of Certification (BOC) representatives doing a Q&A session to address all your certified mastectomy fitter questions. From there we will divide the group for each organization to discuss facility accreditation updates on standards, renewal information, and resources available.

Learning Objectives:

• Use this opportunity to ask representatives from ABC and BOC questions you may have regarding the certified mastectomy fitter individual certification.

• Analyze updates on facility accreditation standards, and learn about supporting resources available through both ABC and BOC.

• Learn about supporting resources available through both ABC and BOC.

CEUs: ABCOP: 1.0 Business | BOC: 1.25 Business

Maximizing Resources to Ensure Fair Payer Contracts

2:15 – 3:15 p.m.

CRAIG DOUGLAS

Vice President, Payer and Member Relations, VGM Government Relations

Have you found yourself feeling somewhat powerless when negotiating the terms of your payer contracts? If so, are you tired of being in the dark when it comes to those negotiations? Reaching an agreement, especially one with fair reimbursement rates, has traditionally been a tedious process that can take an immense amount of time without much data available to assist you. Providers are often at the mercy of payers when it comes to determining fair terms during those “negotiations” as they often don’t have the same transparency into claims and other types of data that payers have at their disposal. Payers often utilize a take-it-or-leave-it approach, saying, “This is what we pay everyone else.” In this session, we will dive into some new tools that providers can utilize as they negotiate new or existing contracts with payers to achieve more long-term stability in their contracts.

Learning Objectives:

• Identify new tools that can aid in contract negotiations.

• Discuss comprehensive payer negotiating strategy tips.

• Describe methods to identify key referral sources in your market(s).

CEUs: ABCOP: 1.0 Business | BOC: 1.25 Business

Medicare DME: External Breast Prostheses and Non-Implanted Pelvic Floor Electrical Stimulator

3:30 – 4:30 p.m.

BELINDA YANDELL AND RUTH REESE CGS Administrators and Noridian Healthcare Solutions

We will discuss Medicare coverage criteria and documentation requirements for external breast prostheses. The National Coverage Determination for the new Non-Implantable Pelvic Floor Electrical Stimulator will also be discussed. Frequently asked questions will be covered, with time for questions following the presentation.

Learning Objectives:

• Understanding the coverage criteria for external breast prostheses and related supplies, including bras and other mastectomy garments.

• Understanding the modifiers needed, as well as the proper usage of upgrades and Advance Beneficiary Notice of Non-Coverage.

• Information on where to find Medicare resources regarding this policy.

CEUs: ABCOP: 1.0 Business | BOC: 1.25 Business

SPEAKERS

Ronda Buhrmester Sr. Director Payer Relations & Reimbursement, VGM Government Relations

As an employee-owner since 2012, Ronda specializes in the billing, reimbursement, and audit area as the senior director of payer relations and reimbursement. She managed a hospital-based DME in Illinois for 12 years and handled sales and marketing. Ronda is a respiratory therapist as well as a certified mastectomy fitter. With over 25 years of experience in the healthcare industry, she assists VGM and Essentially Women members with the review of claims and all types of audits and educates members on medical policies in respiratory and all other DME products. She serves on the Medicare council for all jurisdictions and is a member of the Provider Outreach and Education teams with the jurisdictions. She is also on the Great Lakes Home Medical Services Association Board of Directors, and a member of the National Supplier Clearinghouse Advisory Council. Ronda has presented at the VGM Heartland Conference, Medtrade East and West, Focus Conference, state association meetings, and has conducted many webinars and on-site education with VGM and Essentially Women members.

Jim Lawson

Outreach

Development, American Board for Certification in Orthotics, Prosthetics and Pedorthics (ABC)

As ABC’s outreach development manager, Jim devotes his time to helping business owners navigate the accreditation process and improve their businesses. Jim is a big part of ABC’s successful podcast and webinar series, providing additional best business practices and industry trends for the profession. With over 21 years of experience in partnership building, public outreach, and business development, Jim brings a unique perspective to O&P business owners.

Matt Gruskin

MBA, BOCO, BOCPD, CDME Chief Operating Officer, Board of Certification/Accreditation (BOC)

Matt Gruskin leads the direction, strategy, policies, and day-to-day operations of the business accreditation and professional certification programs at Board of Certification/ Accreditation (BOC). With a focus on credentialing program standards and the delivery of excellent customer service, Matt enjoys sharing his experience and expertise with audiences as both a speaker and an author. Prior to joining BOC, he spent 10 years in clinical practice, specializing in orthotics and prosthetics. Matt holds an MBA in healthcare from Florida International University, a post-graduate certificate in O&P from the University of Hartford, and a post-graduate certificate from the International School of Pedorthics.

SPEAKERS

Nikki Giamarino Business Development Manager, American Breast Care

Nikki M. Giamarino, CFm, business development manager, is an ABC Certified Fitter with over 20 years in the medical and breast care industry, including instructing education classes. She has a bachelor’s in health administration from Auburn University. Her personal experience, industry knowledge, and caring personality are the perfect combination for an exceptional learning experience. In her spare time, Nikki enjoys spending time with her husband, traveling, and riding her motorcycle.

Bryan Groleau

Director of Clinical Education, COTA/L, CLT-LANA, WCC, LLE, CLWT, medi USA

Bryan Groleau is the director of clinical education for medi USA. Since 2003, Bryan has treated all types of lymphedema in outpatient and home health settings with a focus on lower extremity lymphedema and wound care. He has initiated and managed multiple lymphedema and wound care programs and has treated patients with lymphatic filariasis in Léogâne, Haiti, with medi for help.

Jason

Ivey

Account Manager, Motif Medical

Jason is an account manager for Motif Medical, a North Carolina-based breast pump manufacturer. Over the past five years, he has helped DME suppliers across the country gain an understanding of the mom/baby market and make more products available to new and expecting moms through insurance.

Nikki Jensen Vice President, Essentially Women

Nikki is the vice president for Essentially Women and oversees the daily operation of the membership group. She started her career with the VGM Group in 1995 in the equipment finance division. Over the course of being with VGM from 1995-1999 and 2009-present, she’s had experience working in multiple divisions of VGM, including HOMELINK, VGM Insurance, National Sleep Services, and VGM & Associates. In addition to her VGM experience, Nikki spent six years working in pharmaceutical sales and four years in the insurance industry. One thing Nikki is passionate about is helping independent providers thrive and succeed. She understands how challenging it is to operate under the scrutiny of payer guidelines and wants EW to be a resource you can lean on as a community of likeminded people all working to serve patients in your own local communities.

Craig Douglas

Vice President, Payer and Member Relations, VGM Government Relations

Craig currently serves as vice president of payer and member relations for VGM Government Relations, where he focuses on helping providers navigate payer relationships. Craig helps address concerns that are impacting VGM’s broad membership from a payer perspective, including medical policies, adequacy of provider networks and reimbursement, and alternative payment models aimed at achieving better care, better outcomes, and lower overall healthcare costs. Craig has also previously served as vice president of provider relations for VGM’s HOMELINK division, where he built and fostered relationships with payers and providers across the country. Craig has been with VGM since 1999.

Kelly Grahovac

General

Manager, The van Halem Group

Kelly Grahovac serves as the general manager for The van Halem Group where she focuses on audits, appeals, education, and training across multiple lines of business and various specialties. Kelly is a well-known lecturer in the DME industry, speaking at national conferences, state associations, and for private events. Kelly has nearly 10 years of experience at one of the nation’s leading Medicare contractors where she worked for the DMERC, QIC, and A/B MAC. She has since brought this knowledge and experience over to The van Halem Group, where she has been working since 2013 to assist providers as they navigate the ever-changing healthcare payer landscape.

SPEAKERS

Gloria Kolb

Chief Executive Officer, Elidah, Inc.

Gloria Kolb is the chief executive officer for Elidah, Inc. Gloria has a bachelor’s degree in engineering from M.I.T., a master’s degree in engineering from Stanford University, and an MBA in entrepreneurship from Babson College. She has previously worked with the Defense Intelligence Agency, J&J Orthopedics, and Fossa as CEO. She currently holds 40 different patents for products in the United States.

Belinda Yandell

Provider Outreach and Education Senior Analyst, CGS Administrators

Belinda Yandell began her career with CGS Administrators, the DME MAC for Jurisdictions B and C, in 2013 in medical review but quickly found her true calling with the provider outreach and education team. As a senior analyst, her position is dedicated to helping suppliers understand Medicare policy and achieve compliance. In addition to regular webinars and workshops, Belinda collaborates with other MACs, supplier associations, and trade shows to provide education to the DMEPOS supplier community. She is also the community coach for Alabama, Florida, and Tennessee, acting as the primary contact for suppliers in those states. Before coming to CGS Administrators, she worked with TennCare, Tennessee’s state Medicaid program.

Ruth Reese

Education Consultant II, DME Provider Outreach and Education, Noridian Healthcare

Solutions

Ruth has worked in the DME industry for over 22 years, holding a variety of positions with Interwest Home Medical, Praxair Healthcare Services, Amerita Specialty Infusion Services, and the University of Utah Home Infusion Pharmacy. During her time with these companies, she has held positions as a reimbursement specialist, accounts receivable specialist, and reimbursement supervisor.

Phase Change Material is specifically formulated

Clinically tested Physician recommended FDA registered Class 1 medical device

Clinically tested cool therapy products for hot women at every stage of life, from motherhood through menopause, and to treat MS and heat stress. Contact us now

Safer than ice No ice burn/no frostbite May place directly on

Long lasting Maintains optimal temperature for 58º products for 1 hour; 80º products for 2 hours

Pulls heat away from injured area

EXHIBITOR DIRECTORY

American Board for Certification in Orthotics, Prosthetics & Pedorthics, Inc. (ABC)

American Board for Certification in Orthotics, Prosthetics & Pedorthics, Inc. (ABC) is the premier credentialing organization for orthotics, prosthetics, and pedorthics representing more than 13,000 certified individuals and over 6,000 accredited facilities. ABC’s mission is to establish and advocate for the highest patient care and organizational standards in the provision of safe and effective patient care.

Jim Lawson • jlawson@abcop.org

American Breast Care

American Breast Care is dedicated to helping women lead fuller lives after breast surgery. By listening to our customers’ needs, we develop the most innovative, high-quality products and services. Our passionate team of dependable professionals is committed to earning the trust of our customers and the confidence of the women we serve.

Jay Markowitz • jay@americanbreastcare.com

Dominik Rechenberg • dominik@americanbreastcare.com

Board of Certification/Accreditation (BOC)

The Board of Certification/Accreditation (BOC) offers accreditation for O&P practices, including mastectomy boutiques, and certification programs for mastectomy and orthotic fitters. Third-party payers, including CMS, and the Department of Veterans Affairs accept BOC credentials. Experience the BOC difference.

Matt Gruskin • matt.gruskin@bocusa.org

CGS Administrators, LLC

Durable medical equipment Medicare administrative contractor for Jurisdictions B and C. Belinda Yandell • belinda.yandell@cgsadmin.com

Elidah, Inc.

Elidah, maker of ELITONE, provides the only wearable pelvic floor stimulator that is non-intrusive for the one in three women with bladder leaks.

Gloria Kolb • gloria@elidah.com

EXHIBITOR DIRECTORY

Encelia Hair

Hair Loss Products Thoughtfully Designed By A Baldie

Encelia Hair offers hair loss products thoughtfully designed by a baldie. Allison Ombres’ life changed unexpectedly when she developed alopecia universalis during her second pregnancy. Wearing a wig all day, every day is work; she was hot, itchy, and super worried that her wig would fly off! Frustrated, she set out to design an easy-to-wear wig and hat solution for the modern “baldie.” The Original Workout Wig is comfy, secure, and realistic. Women everywhere love it because it’s easy and it takes all the uncomfortable parts of the wig away! The Dream Cap is a modern chemo cap with a built-in sleep mask that is cozy, chic & stays put! The sleep mask is lightweight & light-blocking, so you can sleep well anywhere—chemo treatments, hospital stays, and at-home recovery. To make it extra special, she includes a fabric pen with the hat so loved ones can write love notes inside. It is such a thoughtful gift that women are loving!

Allison Ombres • allison@enceliahair.com

Hair Visions International

When it comes to women and men with any stage of hair loss, we recognize how vital the perfect hair enhancement design must be. This is why all of our Gemtress wig designs are meticulously created to emulate nature at its best. Hair Visions International with our Gemtress and TressAllure line is committed to providing you with top-quality products using the lightest materials for the ultimate comfort along with a beautiful and natural look. TressAllure’s beautiful array of luminous colors offers women naturally gorgeous shade variations. The designs are meticulously crafted with advanced materials and fibers that perfectly mimic radiant, natural-looking hair. They are custom-designed for unparalleled comfort and a secure fit. Styles are evolving fast and the TressAllure collection provides a new assortment of glamour by creating looks that are stunning and natural, meeting that demand.

Karla Hurtado • Khurtado@hairvisionsintl.com

It’s You Babe®, LLC

It’s You Babe supports women and is committed to ensuring product fit, comfort, and value. It’s You Babe is located in Michigan and manufactures clinically-effective pelvic floor supports and maternity baby belly bands and back supports. Prenatal cradles include the original It’s You Babe Prenatal Cradle® along with adjustable full supports and mom-to-be braces. Top sellers include the It’s You Babe V2 Supporter® and It’s You Babe Best Cradle®

Christine Seering, MSN • info@itsyoubabe.com

Katelyn Carey

Katelyn Carey is the author of “Beauty After Breast Cancer.” As featured in Huffington Post and Redbook Magazine, “Beauty After Breast Cancer” is a gorgeous coffee table book with 38 narratives accompanied by extraordinary images of breast cancer survivors. The authentic stories are uplifting and comprehensive, while possessing the vital information one needs to know after being diagnosed with breast cancer.

Katelyn Carey • rncarey@gmail.com

EXHIBITOR DIRECTORY

Kinetec® USA, Inc.

Kinetec is a leading manufacturer of continuous passive motion and motor-assisted devices for rehabilitation and orthopedic fields. Kinetec’s other brands include Dr. Aktive® high performance medical devices including Dr. Aktive OrthoSole® CCT and Cryo Pro, providing cryotherapy and compression in one. Featuring at the Essentially Women conference are Dr. Aktive Smart Ice and Opal, clinically tested cool therapy for menopause.

Lori Kalsow • lori.kalsow@kinetecusa.com

Krysalis Kouture

Krysalis Kouture offers high-quality, all-in-one head coverings that fill the gap between your average hat and an expensive wig. Our three-layer design gives you comfort, security, and style without revealing hair loss. Allow the headscarf to hang freely, or tie it up for a spectrum of different looks. Perfect for anyone on the go, living in grace and confidence through difficult times.

Paloma Soledad • Paloma@KrysalisKouture.com

Lindi Skin

Lindi Skin manufactures skincare that has been clinically proven to help soothe skin irritated by chemotherapy, radiation, and other cancer treatments.

Chris Mastergeorge • chris@lindiskin.com

Mead Johnson Nutrition

The Enfamil Family of Formulas™ offers a range of products to meet the needs of infants. For over a century, Mead Johnson Nutrition has combined state-of-the-art research, scientific partnerships, and commitment to the highest quality and nutritional standards to deliver meaningful innovations to support developing minds and bodies. The Mead Johnson Nutrition/VGM partnership continues to provide highquality infant nutrition to Essentially Women members.

Rick Suddendorf • richard.suddendorf@reckitt.com

medi USA

The medi product family continues to innovate, leading the way in modern compression therapy that improves the quality of life for every patient across all stages of venous and lymphatic conditions.

Coty Rogers • marketing@mediusa.com

Medline Industries

Medline helps simplify your operations, enhance the quality to your patient, and target new revenue while you are focused on your business. Partner with the home-care leader and grow your business. Medline understands your business and industry challenges and helps you achieve operational and revenue efficiencies and goals. From quality healthcare products to cost-saving business solutions, we help you make a difference in your patients’ lives every day. When you partner with us, your success becomes our business.

Matthew Clancy • mclancy@medline.com

Motif Medical

Motif Medical designs products for mothers. Our line of breast pumps and maternity compression garments are sophisticated and discreet, made with mom’s busy day in mind. Our goal is to help moms discover their options, support their body, and bond with their baby.

Jason Ivey • jivey@motifmedical.com

Noridian Healthcare Solutions

Durable medical equipment Medicare administrative contractor for Jurisdictions A and D. Ruth Reese, ruth.reese@noridian.com

Nymbl Systems

Nymbl Systems is a 100% cloud-based DME/HME software that is specifically designed for specialty healthcare practices. Our multipurpose practice management system is revolutionizing the DME/HME profession by enabling better patient outcomes.

Chad Feinberg • chad@nymblsystems.com

PEL, LLC

PEL is the largest independently owned distributor in the United States serving providers of prosthetic and orthotic services. PEL represents leading suppliers offering over 250,000 items, including women’s health, prosthetics, bracing, compression, and footwear. Major brands include Amoena, Juzo, Therafirm, medi, and YDA footwear. Our mission is simple—to provide the very best service in the industry. PEL is “positively independent” with no affiliation to patient care entities or industry manufacturers. PEL is committed to providing the best customer experience possible for EW members.

Sarah Kramer • customerservice@pelservice.com

Pink Wings

Pink Wings is your one-stop shop for all your pink ribbon, cancer awareness pins and apparel. We have over 100 different pink ribbon pin designs in stock as well as cancer awareness pins in 10 different colors. We carry tank tops, t-shirts, long sleeve shirts and shirts for kids and men in sizes XS-3XL. We also do custom pins, medals, lanyards and silicone bracelets for teams, organizations and businesses.

Courtney Lercara • czinszer@yahoo.com

EXHIBITOR DIRECTORY

Shear Enterprises

Since 2003, celebrity turned designer Rhonda Shear has been providing intimates solutions through Shear Enterprises for women of all shapes and ages around the world. The Rhonda Shear line includes a broad assortment of bras, panties, sleepwear, shapewear, lingerie, and apparel. She works with breast cancer survivors to ensure that almost every bra in the line can comfortably accommodate a prosthesis, which helps women suffering from skin conditions to find soft stretch fabrications without any itchy-scratchy bits. She continues to broaden her already inclusive sizing and skin-tone options to provide every woman with the confidence that comes with wearing the right intimates.

Olivia Spofford • olivia@shearenterprises.com

Strategic Imaging

Strategic Imaging is your one-stop shop for all your printing, direct mail, corporate apparel, and promotional needs. We have been partnering with Essentially Women to help members with end-of-the-year mailers to inform their customers on ways to get more from their insurance and boost fourth-quarter sales.

Mike Reyhons • mike.reyhons@strategic-imaging.com

Therafirm THUASNE USA

Therafirm offers high-quality graduated compression products with the latest textile technology, so products are easier to put on, fashionable, and comfortable. When products contain these qualities, patients will be more compliant, resulting in more favorable medical outcomes. Therafirm became a member of the Thuasne family in 2021. We now have a line of lymphedema bandages, sleeves, and semi-custom fit solutions to aid in reduction and maintenance lymphedema treatments.

cs@knitrite.com

VGM Forbin

VGM Forbin serves the healthcare industry with healthcare-specific secure, compliant, and effective website development, web marketing, and IT services. At this year’s EW Focus Conference, we are offering the best rates available to grow your online presence, secure your patient data, and keep your technology running seamlessly so you can serve patients without disruption.

Heather Seevell • heathers@forbin.com

VGM Insurance Services

Women’s health boutiques, post-mastectomy, and home medical equipment providers are essential to serving millions of patients across the country. We recognize that and understand that you deserve the best insurance you can find for your business. At VGM Insurance, you get all of that and more, because we know there’s more to insurance than finding the best rate. We provide you with Protection Beyond Policies so you can continue to serve your patients with peace of mind.

Michelle Newman • michelle.newman@vgm.com

Custom

A Perfect Match!

At ABC we always aim to improve and innovate. That’s why we are excited to announce our expanded custom

Survivors deserve a custom breast prosthesis that reflects their unique beauty & complexion. Select from 36 options to find the perfect match! Interested