Thursday Sessions
Thursday , June 26,
2008
MS-DRGs: Analysis of CMI Impact
E01
Topic Area:
Compliance/Legislative/Legal
After this session, you will be able to:
- Articulate the range of CMI
impact over the first six months of MS-DRG implementation.
- Identify trends by service
line of CMI impact.
- Compare institutional CMI
with industry trends.
- Compare individual service
line experience with that of a broader group of hospitals.
- Identify opportunities for
investigation and intervention with specific "high-impact"
service lines.
Level/Category:
Intermediate/Strategic
Who Should Attend:
CFOs, other c-suite executives and managers involved in
managing the impact of Medicare’s changes.
Tools and Tips:
You will be provided with a stepwise approach to service line
CMI improvement, including cc impact analysis.
Speakers:
Paul L. Weygandt, MD, JD, MPH, MBA, Vice President Physician
Services, J. A. Thomas and Associates; Mel Tully, MSN, Senior
Vice President for Clinical Services and Education, J. A.
Thomas and Associates; JoAnne R. Hahey CPA, Vice President and
Chief Financial Officer, Jefferson Regional Medical Center
South Hills Health System
Informal Session with Tom
Peters: Excellence in Healthcare Leadership
E02
Topic Area:
CFO Financial Strategy and Operations
Following his morning keynote presentation, Tom Peters will
lead an executive session where healthcare leaders interact in
a unique leadership chat. This informal "no-need-to-prepare"
forum allows leaders to pose questions about the challenges
they're facing, and discover new
strategies for excellence in leadership.
Level/Category:
Advanced/Strategic
Who Should Attend:
Senior financial executives, CFOs and vice
presidents of finance.
Tools and Tips:
You will receive tactics and tips to assist you in meeting
leadership challenges.
Speaker:
Tom Peters, Best Selling Author, Business Management
Consultant and
Founder, The Tom Peters Group
This session is only available to senior-level executives in a
provider setting.
Maximizing Benefit from Your
CAH Provider-Based Clinic
E03
Topic Area:
CFO Financial Strategy and Operations
Learning Objectives (After this session, you will be able to):
- Describe the benefits and
requirements for participation in the PBC program and
discuss the unique benefits available to critical access
hospitals.
- List the steps needed to
assess and implement the PBC program for your organization.
- Identify the benefits of
auditing an existing program to insure compliance and proper
reimbursement.
Level/Category:
Intermediate/Operational
Who Should Attend:
CFOs and other financial executives in critical access
hospital settings
Tools and Tips:
You will receive a sample analysis tool and the steps to
consider implementing a PBC program, a list of the
implementation steps needed to successfully implement PBC, CMS
website information to obtain the attestation format and
patient notice forms to improve program compliance and a
checklist of audit and other steps for existing PBC programs.
Speakers:
Gary Lewins, Manager, WIPFLI, FHFMA, FACMPE
Jeffrey M. Lang, CEO, United Hospital District
Forging Empowered
Consumerism: Making Informed Healthcare Choices for Improved
Health
E04
Topic Area:
Finance and Accounting Operations and Results
After this session, you will be able to:
- Describe model community
outreach initiatives using unique and innovative solutions.
- Use sample tools to impact
consumer overall healthcare and quality of life.
- Model your own community
outreach initiatives using unique and innovative methods.
- Discuss a process for
community collaboration using an accelerated decision-making
process to engage the community and empower consumers to
make educated and informed choices about their healthcare.
Level/Category:
Intermediate/Operational/Strategic
Who Should Attend:
CEOs, CFOs and other executives and managers involved in
initiatives to become more consumer-friendly.
Tools and Tips:
You will receive proven outreach initiatives and alternative
ways for patients to access care, as well as tools for
patients and families to use in making more informed decisions
about their health care.
Speakers:
Scott Wooten, SVP and CFO, Alegent Health
Tim Meier, CFO, Alegent Health Bergan Mercy Medical Center
Physician-Owned Specialty
Hospitals: The Good, the Bad and the Ugly
E05
Topic Area:
Finance and Accounting Operations and Results
After this session, you will be able to:
- Dissect the stereotypical
view of physician-owned hospitals.
- Explore the opportunities
for all to benefit their communities.
- Examine a developing case
study on cooperative efforts.
- Identify key legal,
regulatory and liability issues
Level/Category:
Advanced/Operational/Strategic
Who Should Attend:
CEOs, CFOs, board members, other C-suite members and other
managers involved in strategy and relationship management with
physicians’ organizations.
Tools and Tips:
You will receive a list of the areas to cover when assessing
threats or opportunities.
Speaker:
Debbie Welle-Powell, VP, Payer Strategies & Legislative
Affairs,
Exempla Healthcare
Accounting and Auditing
Standards Update
E06
Topic Area:
Finance and Accounting Operations and Results
After this session, you will be able to:
- List the most current
accounting and financial reporting requirements, including
recent FASB and GASB actions.
- Describe how these
requirements will or could affect your organization and
clients.
Level/Category:
Intermediate/Operational
Who Should Attend:
Accountants working in healthcare and serving healthcare
providers.
Tools and Tips:
You will receive information the AICPA and HFMA’s Principles
and Practices Board believes you should be aware of.
Speaker:
Christopher S. Cox, CPA, Partner, PricewaterhouseCoopers, LLP
Physician and Hospital
Alignment: Strategies for Reducing Length of Stay and Costs
E07
Topic Area:
Managed Care/ Payment/ Reimbursement
After this session, you will be able to:
- Discuss cost implications of
physician use of resources.
- Identify how to better
manage resources.
- Define specific benchmarks
that can help hospitals measure alignment strategies.
Level/Category:
Advanced/Strategic
Who Should Attend:
CFOs, senior financial executives, controllers and physician
practice executives.
Tools and Tips:
You will receive a sample evaluation tool for appraising
hospital functions, sample Microsoft Excel reports describing
physician utilization and a case study demonstrating both
analysis and application.
Speaker:
Henry A. Brown, FHFMA, CPA, CFO, Seth Sharpe ACS
Denials Management:
Optimizing Reimbursement Through Collaboration
E08
Topic Area:
Managed Care/Payment/Reimbursement
After this session, you will be able to:
- Identify the critical
components and functions of the denials management process.
- Outline synergistic roles
and responsibilities.
- Define workable strategies
to organize your denials.
- Identify and define the
accou7ntable parties in the process.
- Identify steps to implement
a denials management program that returns cash to your
organization’s bottom line.
Level/Category:
Intermediate/Operational
Who Should Attend:
Senior financial executives, PFS directors, revenue cycle
directors, managed care executives and other senior
administrators.
Tools and Tips:
You will receive a checklist of how to implement a
comprehensive denial management program, case studies on
successful hospitals and health systems regarding denial
management programs, sample denial write-off and root cause
issues lists and sample QA Audit and integrated workflow
solutions.
Speakers:
Christy Whetsell, Director of Care Management, West Virginia
University Hospitals
Alex McFadden, Director of Patient
Financial Services and Patient Access,
West Virginia University Hospitals
Bringing Fairness and
Transparency Into Managed Care: How Not to Negotiate Away
Physician Discounts
E09
Topic Area:
Managed Care/Payment/Reimbursement
After this session, you will be able to:
- Educate physicians and
practice staff regarding health plan payers’ business
practice, including the secondary discount market.
- Describe AMAs advocacy
initiatives that are currently underway to address these
practices.
- Identify secondary payers
and develop effective approaches for dealing with the
secondary payer market.
Level/Category:
Core/Strategic
Who Should Attend:
Physician practice executives, managed care executives and
senior
financial executives.
Tools and Tips:
You will receive sample strategies for identify secondary
payer markets and their business practices, case studies of
best practices and a summary of the most recent AMA
initiatives.
Speaker:
Tammy Banks, Director Practice Management and Payment
Advocacy, American Medical Association, Practice Management
Center
Successfully Building
Quality, Customer Satisfaction and Financial Outcomes for an
Improved Patient Flow in the ED
E10
Topic Area:
Patient Financial Services/ Revenue Cycle
After this session, you will be able to:
- Review internal issues and
identify obstacles that occur elsewhere in the organization
that contribute to ineffective ED patient flow.
- Identify performance
improvement opportunities in patient registration, triage
and inpatient bed assignment/ admission that translate to
reduced wait times in the ED.
- Distinguish the process
changes that will contribute to patient satisfaction.
Level/Category:
Intermediate/Operational
Who Should Attend:
CFOs, COOs, executive revenue cycle leaders, directors of PFS,
directors of quality and case management, directors of managed
care, clinical directors, directors of physician services, and
other leaders responsible for achieving patient satisfaction
outcomes.
Tools and Tips:
You will receive
information on how to achieve an improved patient flow in the
ED including key strategies to achieve improved time from door
to doctor, the lessons learned in the planning and
implementation processes and the key outcomes achieved as a
result of the 30-minute guarantee.
Speakers:
TBA
Recovering Transfer DRG
Underpayments
E11
Topic Area:
Patient Financial Services/ Revenue Cycle
After this session, you will be able to:
- Identify transfer DRGs.
- Discuss why transfer DRG
underpayments are often missed or overlooked.
- Establish a process for
identifying underpayments.
- Develop a plan to ensure
underpayments are recovered.
Level/Category:
Advanced/Strategic
Who Should Attend:
Finance and reimbursement directors, director of quality and
case management, compliance officer, executive director,
director of revenue cycle, PFS and patient access.
Tools and Tips:
You will receive a roadmap of the regulatory history of
transfer DRGs, detailed steps on how to identify
underpayments, detailed steps on how to re-bill and recover
underpayments, action items to modify front-end processes,
educational tools to help reduce underpayments and tools to
track and respond to underpayments.
Speakers:
Anthony J. Scarcelli, Jr., CPA, Partner, IMA Consulting
Michael S. Turilli, Vice President, Fiscal Services Hallmark
Health System
Bill Phillips, FACMC, CHC VP and Chief Revenue Officer, Revenue Strategies,
Inc.
Developing a Roadmap for
Improving the Electronic Remittance Process: Holy Name
Hospital Case Study
E12
Topic Area:
Patient Financial Services/
Revenue Cycle
After this session, you will be able to:
- Organize and map the HIPAA
payments, adjustments and allowances "haphazardly" utilized
by the payers to hospital specific codes.
- Recognize a hospital's
responsibility to enable receiving the 835 transaction from
payers.
- Operate Electronic Funds
Transfer (EFT) with the hospital's payers and banks.
- Develop exception reporting.
- Identify how and where to
reallocate remittance processing staff.
Level/Category:
Intermediate/Operational
Who Should Attend:
CFOs, CIOs, directors of finance, executive revenue cycle
leaders, directors of PFS and other PFS leaders responsible
for revenue cycle cash operations.
Tools and Tips:
You will receive sample payer registration forms, a workflow
diagram, a checklist of do's and don'ts, recommended list of
20-30 standard hospital denial codes and business intelligence reports.
Speakers:
Joe Davi, FHFMA, President, MD-X Solutions, A MedAssets
Company
Greg Adams, FHFMA, Chief Financial Officer, Holy Name
Hospital
Building a Successful Online
Patient Financial Portal: Effective Patient Billing
E13
A Peer Review Session
Topic Area:
Peer Reviewed/ Patient Financial Services/ Revenue Cycle
After this session, you will be able to:
- Identify the impact of
consumerism on your hospital’s financials and operations.
- Develop and effectively
deploy an online business office business case for your
organization.
- Build an effective plan to increase self-pay
collections.
Level/Category:
Intermediate/ Operational
Who Should Attend:
CFOs, directors and vice presidents of patient accounting,
revenue cycle or business office, directors of patient access
and directors of physician services.
Tools and Tips:
You will receive tools to help market your business office
services and tips to increase self-pay collections and reduce
costs.
HFMA's Peer Review process is designed to provide healthcare
financial managers with an objective, third-party evaluation
of products and services used in the healthcare finance
workplace. This session provides a case study of a
particular peer-reviewed solution, service or technology.
Providers and vendors will be joint-presenters.
Speakers:
Lesa Klepper, FHFMA, CBO Business Office Director, Triad
Region
Novant Health
Marc DeVar, Director Patient Accounts,
University of Illinois Medical Center at Chicago
Jeff Porter,
Territory Vice President, RelayHealth
Improving Collection
Recoveries in a Rapidly Changing Legal and Regulatory
Environment—A peer reviewed session
E14
After this session, you will be
able to:
- Discuss the impact recent
litigation has had on your bad debt agencies’ ability to
maintain historic recovery rates.
- Recognize how front end
processes impact back end results.
- Evaluate your registration
processes
- Take proactive steps to
reduce bad debt expense
Level/Category
Intermediate/Operational
Who Should Attend
Chief Financial Officers, CIO, Compliance Officers, Patient
Accounts Mangers, IS, Security/Privacy Officers, Medical
Affairs/Medical Staff Office, Quality
Tools and Tips
In addition to challenges stemming from the growth of
uninsured and underinsured patients and the advent of High
Deductible Health Plans (HDHPs) and Healthcare Savings
Accounts (HSAs), providers and collection professionals
continue to face new challenges as the regulatory environment
becomes more restrictive at the state and federal levels.
Courts across the country have also altered the landscape in
some recent decisions that restrict collection activities.
The session will help providers better understand these
changes and what steps can be taken pre-bad debt write-off to
enhance recoveries.
Key areas discussed will
include:
- New Restrictive Collection
Regulations and Court decisions
- Consider the back end while
structuring the front end
- Data integrity - validating
patient information upfront
- Credit Scoring, asset
verification and credit reporting before, during and after
the patient leaves the hospital.
- Who can/should pay?
- Driving EBO programs to
maximize their recovery thereby lowering your bad debt
collection costs.
- When does it make sense to
list your bad debt with a second placement agency?
- Eligibility Service and
Charity Programs
Speakers
Noel Felipe, Division President, MedAssist, Incorporated
Martin Payne, Vice President Call Center Operations, MedAssist,
Incorporated
Provider TBD
Operationalizing Provider–Based Status and the Incident-To Rule: Revenue Opportunities
and Compliance Pitfalls
F01
Topic Area:
Compliance/ Legislative/ Legal
After this session, you will be able to:
- List criteria required to
meet incident-to requirement in order to submit a claim.
- Outline reporting
requirements and the CMS-855 process.
- Discuss compliance issues,
including documentation, preparing for audits and joint
venture arrangements.
- Describe obstacles to
maintaining provider-based status, including the
relationship between the provider-based status and the
incident-to rule.
- Review Medicare Payment
System considerations: APCs vs RBRVs.
Level/Category:
Intermediate/Operational/Strategic
Who Should Attend:
CFOs, revenue cycle officers, compliance officers and others
involved in managing clinic and other provider-based services.
Tools and Tips:
You will receive case studies to illustrate the different
aspects for the compliance issues presented, citations for
reference from the Social Security Act and the CFR and a list
of criteria for meeting the provider-based rule requirements.
Speaker:
Duane Abbey, President, Abbey and Abbey Consultants, Inc.
Informal Session with Tom
Peters: Excellence in Healthcare Leadership
F02
Topic Area:
CFO Financial Strategy and Operations
(invite only)
Following his morning keynote presentation, Tom Peters will
lead an executive session where healthcare leaders interact in
a unique leadership chat. This informal "no-need-to-prepare"
forum allows leaders to pose questions about the challenges
they're facing and, with Tom as catalyst, discover new
strategies for excellence in leadership.
Level/Category:
Advanced/Strategic
Who Should Attend:
Senior financial executives, chief financial officers and vice
presidents of finance.
Tools and Tips:
You’ll receive tactics and tips to assist you in meeting
leadership challenges.
Speaker:
Tom Peters, Best-Selling Author, Business Management
Consultant and Founder, The Tom Peters Group
Accelerating, Standardizing
and Improving AR Reserve Estimation: Catholic Healthcare
Partners Case Study
F03
This session is
available only to senior-level executives in a provider
setting.
Topic Area:
CFO Financial Strategy and Operations
After this session, you will be able to:
- Discuss considerations for
performing valid AR hindsight analysis, which determines
the accuracy of historical reserves estimates.
- Describe how to use this
data and other information to estimate AR reserves at
month-end.
- Use other approaches to
performing analysis that help explain significant
fluctuations in contractual allowances, the provision for
bad debt and charity care.
- Standardize methodologies
across different hospitals and patient accounting systems to
enhance the analysis and review process.
Level/Category:
Intermediate/Operational
Who Should Attend:
CFOs, as well as financial, revenue cycle and PFS managers
Tools and Tips:
You will receive a listing of specific considerations,
including pros and cons, and methodology for performing AR
hindsight analysis and estimating and analyzing accounts
receivable reserves at month-end.
Speakers:
Debbie Bloomfield, CPA, Ph.D., Vice President and System
Controller
Catholic Healthcare Partners; Derek Bang, CPA, MBA, Partner,
Crowe Chizek and Company LLC
Clinical Research: Increase
Revenue and Enhance Physician Satisfaction
F04
Topic Area:
Finance and Accounting Operations and Results
After this session, you will be able to:
- Conduct a basic internal
review of the current financial impact of research.
- Use examples of researh
structures provided to determine the best structure for the
organization.
Develop steps to prevent double-billing and financial
losses, while ensuring maximum revenue.
- Use research as a physician
recruitment and retention tool.
Level/Category:
Advanced/Operational/Strategic
Who Should Attend:
CFOs and other healthcare managers involved in the research
activities of the hospital.
Tools and Tips:
You will receive actual examples of clincal trial budgets and
contracts, case studies of best practices, techniques to
identify lost revenue and a list of important practices for
the prevention of double billing.
Speakers:
Fred W. Hosler, MD, FACP, FACPE, Senior VP and Chief Medical
Officer,
Alegent Health
Lori A. Nesbitt, PharmD, MBA CEO, Compass
Point Research
Mending Holes in the
Medicaid Safety Net: A Strategy for State Healthcare
Reform
F05
Topic Area:
Finance and Accounting Operations and Results
After this session, you will be able to:
- Define major state Medicaid
reform initiatives and their financial/ operational impact.
- Identify core health care
reform models for the uninsured and their financial/
operational impact.
- Examine the financial
analyses and proactive steps needed to prepare for reform.
Level/Category:
Intermediate/ Strategic
Who Should Attend:
CFOs, revenue cycle and managed care/ reimbursement
executives, and others with a stake in understanding the
ramifications of Medicaid and universal coverage models.
Tools and Tips:
An outline of core analysis factors used by states when
considering the impact of Medicaid reform and universal
coverage. A checklist of do's to prepare an
operational checklist to assess potential impact of state
reform initiatives.
Speakers:
Patricia Andriolo-Bull, Director, Commonwealth Choice,
Commonwealth Health Insurance Connector Authority; Michael D.
Ayres, Senior Vice President & CFO, Grady Health System;
Christopher J. Kalkhof, MHA, FACHE, Director and National
Managed Care Lead, Provider
Revenue Cycle Practice, Deloitte Consulting LLP,John D. Baran,
CFO, Auburn Memorial Hospital
Managing the Financial Impact of ED
Patient Disposition Decision
F06
Topic Area:
Finance and Accounting Operations and Results
After this session, you will be able to:
- Recognize how early ED
collaboration with utilization review is used to leverage
safety improvements, decrease length of stay and insure
appropriate ED disposition.
- Discuss data that drives
compliance audits related to POA codes, MS-DRGs and
violation of code 44.3.
- Identify how alignment with
your emergency physicians will decrease improper utilization
and poor inpatient disposition decisions.
Level/Category:
Intermediate/Operational
Who Should Attend:
CFOs, CMOs and other clinical and financial managers with a
stake in ED operations.
Tools and Tips:
You will receive tools to support and educate your emergency
physicians about ED ramifications.
Speaker:
Jeffrey Wajda, MD, VP Clinical Services, CMIO, Lynx
Medical Systems
Maximizing Your Managed Care
Bargaining Power in a Medicare Advantage World
F07
Topic Area:
Managed Care/ Payment/
Reimbursement
After this session, you will be able to:
- Recognize the impact of
Medicare's changes on Medicare Advantage plans and other
managed care entities.
- Identify steps for providers
to offset declining bargaining power by altering contract
negotiation strategies.
- Identify tools for
successful market participation.
Level/Category:
Intermediate/Operational
Who Should Attend:
Managed care executives and senior financial executives.
Tools and Tips:
You will receive a Negotiations Readiness checklist, best
practice examples of items to have on hand prior to
negotiations and an itemized list of exit strategy pros and
cons.
Speakers:
Shelly Miland, CHFP, CPA, MHA, Vice President of Finance,
Harris Methodist HEB Hospital
Billy K. Richburg, M.S., FHFMA
Director, Government Programs and Compliance,
Accuro
Healthcare Solutions
The Art of Negotiations:
Organizing Your Data and Processes to Get What Your
Organization Deserves
F08
Topic Area:
Managed Care/ Payment/ Reimbursement
After this session, you will be able to:
- Define key data requirements
that support an effective managed care process.
- Recognize the training needs
of various hospital support staff.
- Identify an effective
negotiations process, from preparation to contract closure.
- Explain the complete cycle
of contract negotiations required to monitor outcomes and
prepare for the next negotiation cycle.
Level/Category:
Intermediate/Operational
Who Should Attend:
Directors of managed care and PFS, managed
care and financial executives.
Tools and Tips:
You will receive sample contract matrices, language
checklists, managed care logging tools and sample payer
performance reports.
Speaker:
Howard Green, Director, Managed Care, QHR
Paying For Performance:
Critical Issues, Best Practices and Lessons Learned
F09
Topic Area:
Managed Care/Payment/Reimbursement
After this session, you will be able to:
- Identify key issues and
challenges in designing and implementing PYP
programs.
- Develop practical insights
based upon early efforts to link financial incentives with
quality performance.
- Evaluate the motivation of
program sponsors and review what makes quality important to
them.
- Discuss best practices that
researchers from Boston University School of Public Health
have identified from studying numerous pay for performance
programs.
Level/Category:
Advanced/Strategic
Who Should Attend:
Senior healthcare executives, CEOs, CFOs, and other financial
executives.
Tools and Tips:
You will leave the session with key insights about how health
plans and employers are approaching PYP, and
what you need to do to be successful in adapting to these
programs.
Speakers:
Bert White, DMin, Project Director, Rewarding Results, Boston
University School of Public Health
Gary Young, Ph.D., JD,
Chair, Department of Health Policy Management,
Boston
University School of Public Health
Balancing Financial
Challenges with Mission Goals: Mercy Health Partners Case
Study
F10
Topic Area:
Patient Financial Services/ Revenue Cycle
After this session, you will be able to:
- Examine the strategic and
tactical processes involved in implementing new revenue
management best practices.
- Evaluate the benefits of
modernizing hospital revenue cycle management technology and
related processes.
Identify how changes to the hospital revenue cycle model can
translate to increased revenue, improved efficiency, and
ongoing patient satisfaction and community goodwill.
Level/Category:
Intermediate/Operational
Who Should Attend:
CFOs, CIOs, executive revenue cycle leaders, PFS directors and
other PFS leaders responsible for revenue cycle operations.
Tools and Tips:
You will receive a formal case study about Mercy Health
Partners and a white paper on reformative revenue cycle
management.
Speakers:
Shari Bailey, SPHR, Senior Director of Revenue Cycle,
Mercy Health Partners, Cincinnati
Rod Nicholls, Vice
President,
HTP, Inc.
Self-Pay Segmentation:
Novant Health System Case Study
F11
Topic Area:
Patient Financial Services/ Revenue Cycle
After this session, you will be able to:
- Evaluate the positive impact
of self-pay segmentation, including increase in self-pay
collections, reduction of collection fees, reduction of
aging of the self-pay AR and increase in patient and
associate satisfaction.
- Apply advanced techniques
for segmenting the self-pay portfolio, including charity
accounts.
- Discuss early-out and third-party contracts based on strategic segmentation of accounts.
- Explore techniques for
successfully collecting based on segmented structure.
Level/Category:
Intermediate/Operational
Who Should Attend:
CFOs, CIOs, directors of finance, directors of physician
services, executive revenue cycle leaders, directors of PFS
and patient access and other PFS leaders responsible for
revenue cycle cash operations.
Tools and Tips:
You will receive a blueprint for segmenting the self-pay AR,
techniques to negotiate contracts to reduce collection fees,
sample scripting, key system functions to look for when
choosing a technological solution and sample dashboards to
measure outcomes.
Speakers:
Tina Eller, Client Executive, Search America
Lesa Klepper,
FHFMA, Director, Triad CBO, Novant Health System Klepper
Will Your Hospital Be RAC
Ready? Uniting the Clinical and Financial Departments of Your
Hospital to Establish a Proactive Audit Preparedness Plan
F12
A Peer Reviewed Session
Topic Area:
Peer Reviewed/ Financial Executive
After this session, you will be able to:
- Unite the clinical and
financial departments of your hospital to achieve a Medicare
Admissions Review Program that meets CMS regulations.
- Discuss ways to establish
and implement a consistent operational processes to ensure
compliance in the event of one day stay reviews from the
Quality Improvement Organization (QIO)
- Apply the AHA Advocacy Update and Perspective and understand
what it means for your organization.
- Review 2008 CMS OPPS proposed changes and their impact on planning a reserve.
- Develop a system for
internal reporting of RAC activity to track alleged coding
medical necessity errors and identify problems in your
organization.
Level/Category:
Intermediate/Operational
Who Should Attend:
CFOs, CEOs, compliance officers, counsel, risk managers and
anyone responsible for audit and internal controls in
healthcare facilities.
Tools and Tips:
You will receive 10 techniques to address the growing
challenges hospitals face in protecting themselves from False
Claims Act Actions based upon the lack of medical necessity,
which has become a large focus of the OIG.
HFMA's Peer Review process is designed to provide healthcare
financial managers with an objective, third-party evaluation
of products and services used in the healthcare finance
workplace. This session provides a case study of a
particular peer-reviewed solution, service or technology.
Providers and vendors will be joint-presenters.
Speakers:
Robert R. Corrato, MD. MBA, President and CEO, Executive
Health Resource, Inc.; Joe Zebrowitz, MD, Executive Health
Resource, Inc.
