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Monday Keynote Address
8:00 – 9:45 am
Patrick Lencioni 
Best-Selling Author of The Five Dysfunctions of a Team and Death by Meeting and Founder & President, The Table Group
The Five Temptations of a Leader
Leaders often fail to see that the answers to their problems are buried within the same common sense that makes them good parents, spouses or little league coaches. In this opening session, Patrick Lencioni captures the common pitfalls that all leaders face and provides practical ways to overcome them. Named as one of Fortune magazine’s ten new gurus you should know, Lencioni understands that leaders today handle a great deal of responsibility and frequently assume the solutions to their problems are evasive and subtle. So they try every new management fad with little result. Lencioni explores how—when it comes right down to it—there are only five really important things a leader has to do in order to optimize his or her success.
Breakout Sessions 10:15 – 11:30 am
A01
Legal Update
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Describe the latest developments in antitrust, fraud and abuse, billing the uninsured, corporate responsibility, privacy, taxation, employment, credentialing and other areas that are currently undergoing heightened legal scrutiny in heathcare organizations.
- Implement strategies that will assist you with compliance in your organization and help you integrate new legal issues into your business practices.
- Develop ideas for improving your working relationship with legal counsel.
LEVEL/CATEGORY
Update/Strategic
PREREQUISITE/PREWORK
Basic knowledge of healthcare finance legal issues.
WHO SHOULD ATTEND
Senior healthcare executives, including CEOs, CFOs, practice administrators, controllers and compliance officers.
CPE FIELD OF STUDY
Business Law
TOOLS AND TIPS
You will receive a checklist of action steps for key areas of the law to use in your organization as a guide for legal compliance.
SPEAKER
Joanne Judge, CPA, Esquire, Partner, Stevens & Lee
A02
Tax-Exempt Status and Financial Assistance Programs: A Panel Discussion
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Discuss how controversies are directed to tax-exempt health care and focused on the pricing, billing and collection for services provided to uninsured, underinsured and others who seek or may qualify for financial assistance consideration.
- Describe the common arguments being used by local, state and federal tax authorities, Attorneys General, consumer advocates and plaintiffs class action lawyers to challenge the charitable nature and tax-exempt status of hospitals, systems and other nonprofit and exempt healthcare organizations, reviewing the Provena Covenant defense.
- List the top reasons that financial assistance or charity care programs and collections and related operations continue to spawn local tax controversy, as well as consumer enforcement scrutiny and private litigation.
- Implement practical suggestions and advice aimed at helping exposed organizations reduce the threat and triggers for exemption related controversy and claims relating to the operation of financial assistance programs.
- Discuss the use of community benefit reporting, community outreach, use of exemption valuations and other proactive strategies to assist in managing the still rising debate over the eligibility of modern health care for tax subsidies.
LEVEL/CATEGORY
Advanced/Update
PREREQUISITES/PREWORK
Working knowledge of tax status and exemption requirements for healthcare organizations.
WHO SHOULD ATTEND
Senior healthcare executives, including CEOs, CFOs, practice administrators, controllers and compliance officers, legal counsel and board members.
CPE FIELD OF STUDY
Taxes
TOOLS AND TIPS
You will receive a checklist, as well as clear and practical suggestions relating to the best practices associated with operation of financial assistance programs in a manner that reduces risk of challenge and attack.
SPEAKERS
Patrick Coffey, Partner, Locke Lord Bissell & Liddell LLP; Gary Gasberra, Chief Accounting Officer, Provena Health; John VanSanten, Director, Huron Consulting Group
A03
Managing Enterprise Risk: Charting Safe Passage
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Construct a rigorous methodology for identification of risk elements and assessment of impact across a healthcare organization.
- Integrate risk analysis into strategic planning.
- Identify stakeholders and form cross-functional teams to formulate risk mitigation strategies.
- Establish ongoing accountability for risk mitigation and containment.
LEVEL/CATEGORY
Intermediate/Strategic
PREREQUISITES/PREWORK
Basic knowledge of risk assessment components and risk analysis processes.
WHO SHOULD ATTEND
Legal counsel, CEOs, CFOs, board members and compliance officers.
CPE FIELD OF STUDY
Management Advisory Services
TOOLS AND TIPS
You will receive a framework a healthcare organization can adopt to ensure risk analysis is incorporated into strategic planning organization-wide.
SPEAKERS
Catherine Warren, Senior Vice President, Bank of America; Bill Robinson, Chief Financial Officer, Shands HealthCare; Mary Connick, VP Finance and Corporate Controller, Catholic Healthcare West; Oren Wyatt, Senior Vice President, Carolinas Health Care
A04
Strategies for Responding to Tighter Capital Markets
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Examine the fundamental changes that have occurred in the capital markets.
- Explore how increases in the cost of capital impact the organization's risk profile.
- Evaluate organizational alternatives in response to increasing cost of capital.
- Analyze a sample process for leading management and Board through "The Big Think."
LEVEL/CATEGORY
Intermediate/Strategic
PREREQUISITES/PREWORK
Basic knowledge of capital markets and financing.
WHO SHOULD ATTEND
CFOs, CEOs and other executives and managers involved in capital financing strategy development.
CPE FIELD OF STUDY
Finance
TOOLS AND TIPS
You will receive a list of options the organization can exercise for responding to a tighter capital market environment and a sample process to lead the executive management team and/or board through "The Big Think."
SPEAKERS
Mark Grube, Partner, Kaufman Hall Associates; Andrew J. Majka, Partner and Chief Operating Officer, Kaufman Hall Associates
A05
Community Benefit Audits: A Provider Prospective
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Apply lessons learned about the reporting of Community Benefits based upon certified pilot audits conducted at two large health systems.
- Assess compliance with guidelines for Community Benefits reporting.
- Assess readiness for completion of IRS Form 990 Schedule H.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
Basic knowledge of community benefits (Form 990 & Schedule H) reporting requirements.
WHO SHOULD ATTEND
CEOs, CFOs, board members and other hospital executives and managers involved in the organization’s community service activities and reporting.
CPE FIELD OF STUDY
Auditing
TOOLS AND TIPS
You will receive tools to help report Community Benefits in compliance with relevant guidelines (industry and IRS) which are based upon completed audits.
SPEAKERS
David LeMoine, President/CEO, CHAN Healthcare Auditors; Jeff Ladenburger, CPA, Vice President, Audit, CHAN Healthcare Auditors
A06
Rural Health Clinic Status: Reimbursement and Operational Implications
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Evaluate the impact of the proposed changes of the Rural Health Clinic final rule on your organization.
- Analyze the reimbursement impact an organization can recognize by obtaining or maintaining Rural Health Clinic status.
- Evaluate regulatory and operational guidelines specific to Rural Health Clinics for administrators to assess their ability to comply or implement.
LEVEL/CATEGORY
Intermediate/Strategic
PREREQUISITES/PREWORK
Basic knowledge of rural health clinic and critical access hospital reimbursement requirements.
WHO SHOULD ATTEND
CFOs, senior financial executives, controllers and reimbursement executives from small and rural healthcare facilities.
TOOLS AND TIPS
You will receive ideas for improving clinic reimbursement through Rural Health Clinic status and a listing of necessary policies and procedures required for operations.
SPEAKERS
Tim Wolters, Partner, BKD, LLP; Rebekah Wallace, Managing Consultant, BKD, LLP
A07
Practical and Plausible Approaches to Pricing Decisions
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Structure your pricing decisions based on practical, sustainable decision-making principles.
- Organize your data and build a pricing team that will serve as effective agents of change.
- Leverage available resources to expand your organization's view of revenue.
- Optimize reimbursement.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
Basic knowledge of market dynamics, pricing concerns and reimbursement .
WHO SHOULD ATTEND
CFOs, budget and finance managers and financial analysts of healthcare organizations.
CPE FIELD OF STUDY
Specialized Knowledge & Applications
TOOLS AND TIPS
You will receive a list of practical steps to consider when setting pricing levels, evaluating mark-up formula, developing a pricing data base, and applying pricing benchmarks, as well as a sample list of five price-sensitive service lines.
SPEAKERS
Mike Reppart, Director, Business Services, Hendrick Medical Center; Jonetta Selvidge, RN, Director, Revenue Integrity, St. John Medical Center; Sandy Rasmussen, Vice President of Operations, Craneware, Inc.
A08
Medicare Wage Index: Analyzing Impact and Ensuring Adequate Documentation
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Develop analyses to calculate the impact of new regulations on your organization.
- Evaluate supporting documentation for wage data to determine if it will stand up to FI/CMS scrutiny.
- Evaluate current processes to determine if they are capturing all wage data opportunities available within the confines of the regulations.
LEVEL/CATEGORY
Update/Operations
PREREQUISITES/PREWORK
Basic knowledge of Medicare regulations, including wage data.
WHO SHOULD ATTEND
CFOs, Medicare reimbursement professionals and compliance officers.
TOOLS AND TIPS
You will receive new regulations and references, as well as samples of pertinent calculations. If available at the time, an impact analysis of new regulations will be provided.
SPEAKER
Julia DiFrancesco, Partner/Principal, Ernst & Young LLP
A09
Managing Improperly Paid Claims Through a Collaborative Effort: FHN Memorial Hospital Case Study
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Assess improperly paid/discounted claims, including volumes and impact and FTE needs.
- Develop a strategy to address the issue both internally (for communicating and routing) and externally (patient and payer).
- Create a team of internal experts to implement strategy.
- Determine the financial impact through a payer report card.
- Identify and remediate previous bad claims that required rework.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
A basic knowledge of managed care contracting.
WHO SHOULD ATTEND
Managed care executives, senior financial executives, PFS directors and revenue cycle executives.
TOOLS AND TIPS
You will receive step-by-step process for identifying and addressing improperly denied claims and obtaining remediation.
SPEAKERS
Nicole Dennison, AVP Revenue Cycle, FHN Memorial Hospital; Maria K Todd, MHA Ph.D., Executive Director, The Healthcare Reimbursement Institute
A10
Using Metrics to Reduce and Prevent Denials
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Implement 10 best practices to reduce denials.
- Measure denials and their successful appeals.
- Assess denial patterns and trends.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
A basic knowledge of claims processing and managed care contracting.
WHO SHOULD ATTEND
CFOs, vice presidents of reimbursement, vice presidents of finance, case managers, directors and/or managers of patient accounts and managed care, health information systems and operations professionals.
TOOLS AND TIPS
You will receive a denials management assessment list with metrics, case studies with metrics applied and an interactive denials management CD.
SPEAKER
John Thomas, President and Chief Executive Officer, MedSynergies, Inc.
A11
Migrating to ICD-10 Implications for Reimbursement and Quality
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Review the history of ICD-10 classifications, including the HHS timeline for ICD-10 implementation.
- Identify actual changes to systems and workflow (i.e., revenue cycle system and coding upgrades).
- List the value and ROI created by the standards upgrades.
- Review the ICD-10 impact on reimbursement, quality measurement and secondary uses.
- Discuss projected changes in the use of ICD-10 information on reimbursement and other data reporting requirements.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
Basic knowledge of health information management and HIPAA.
WHO SHOULD ATTEND
CFOs, CIOs, revenue cycle leaders, financial leaders, HIM, managed care and other healthcare leaders affected by ICD-10 and HIPAA-mandated transaction standards.
TOOLS AND TIPS
You will receive a list of basic requirements for successful implementation and improvement in administrative processes to prepare for the ICD-10 and HIPAA.
SPEAKERS
Daniel Rode, FHFMA, Vice President, AHIMA; Sue Bowman, RHIA, CCS, Director, Coding Policy and Compliance, AHIMA
A12
Front-End Payment and Collections in a CDH World: Duke University Case Study
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Explore the current environment of CDH and the impact on front-end collections, bad debt and cash flow.
- Apply best practices to automating front-end payment and collection processes.
- Examine a case study from Duke Medical Center on applying the right tools to facilitate collection and payment.
LEVEL/CATEGORY
Overview/Operational
WHO SHOULD ATTEND
CFOs, CIOs, revenue cycle executives, HIM and HR directors, PFS and patient access leaders.
TOOLS AND TIPS
You will receive new methods, tools and technology being utilized today to faciliate collection and payments and a copy of The Impact of Consumer Directed Healthcare on Provider Operations.
SPEAKERS
Stuart Hanson, VP Healthcare Solutions & Wholesale Lockbox, Fifth Third Bank; Scott Hawig, Divisional CFO, Duke University Health System Patient Revenue Management Organization
A13
Late Breaking Session on PFS: Challenging the Fictions of Managed Care Contracting
AT THE END OF THIS SESSION, YOU WILL BE ABLE TO:
- Identify trends in managed care that potentially disguise issues and create an artificial negotiating environment.
- Discuss the HANYS model to challenge the managed care industry.
- Explore areas in managed care where time, energy and resources can be reallocated.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
A basic knowledge of managed care contracting.
WHO SHOULD ATTEND
Managed care executives, senior financial executives, PFS directors and revenue cycle executives.
TOOLS AND TIPS
You will receive tips on identifying and preventing troublesome issues in managed care contracting.
SPEAKER
Jeffrey Gold, Vice President, Managed Care and Special Counsel, Healthcare Association of New York State
PR01
Effectively Capturing Supply Revenue Through Corporate Standardization
Part of the Peer Review® Showcase Track
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Gain guiding principles for new CDM structure and enforcement of defensible pricing.
- Assess vulnerable areas that can lead to failures of adopting the corporate standard.
- Learn how to manage technology tools to assist facility migration to a corporate standard.
LEVEL/CATEGORY
Overview/Operational
WHO SHOULD ATTEND
CFOs, CIOs, executive revenue cycle leaders, PFS directors, finance and reimbursement directors, managed care directors and clinical directors.
TOOLS AND TIPS
You will receive a checklist and prescriptive approach on how to successfully build a corporate standard within a very decentralized structure.
SPEAKERS
Tim Heist, ERP Data Manager, Bon Secours Health System; Kathy Schwartz, Director, Supply Revenue Operations, MedAssets; John Whitesel, Senior Financial Consultant, Bon Secours Health System
This CPE-eligible session features an educational presentation of an HFMA peer-reviewed product application. Vendors and providers will be co-presenting.
Breakout Sessions 2:45 – 4:00 pm
B01
Washington Update: Tracking Trends and Preparing for Change
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Identify potential legislation, its drivers and what it could mean for the industry.
- Assess the current regulatory environment.
- Develop organizational strategies for positioning tomorrow’s healthcare delivery.
- Analyze election politics as they relate to healthcare finance.
LEVEL/CATEGORY
Update/Strategic
WHO SHOULD ATTEND
Senior managers who must develop and implement plans and manage in today’s uncertain political and regulatory environment.
TOOLS AND TIPS
You will receive tips on how to incorporate political understanding and action into strategic planning, as well as how to make the needs and requirements of the healthcare system more widely understood and accepted by the general public.
SPEAKERS
Nancy Bell, FHFMA, Senior Managing Director, Stevens & Lee; Scott E. Malan, Executive Director Federal Affairs, Stevens & Lee
B02
Ethical Challenges for Troubled Times
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Describe lessons learned in the importance of focusing on ethics, integrity and core values and discuss consequences of ignoring those lessons.
- Review how key ethical climate components relate to an organization’s bottom line.
- Describe how integrity, trust, respect, communication, fairness, ongoing education and consistency set the “tone at the top” of the finance team—and the organization.
LEVEL/CATEGORY
Intermediate/Operational
WHO SHOULD ATTEND
Ethics and compliance leaders, finance and accounting executives responsible for examining, establishing and enforcing organizational ethics policies.
CPE FIELD OF STUDY
Behavioral Ethics
PREREQUISITES/PREWORK
Basic knowledge of business ethics.
TOOLS AND TIPS
You will receive a multi-step ethical discernment process.
SPEAKER
Rich Cohan, FACHE, CCEP, Director Integrity & Compliance and Chief Privacy Officer, Providence Health & Services
B03
Using Quality Outcomes Benchmarking to Drive Case Mix and Revenue Improvement
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Conduct a thorough impact analysis of federal payment redistribution due to MS-DRGs and other payment changes on their facility’s profitability.
- Apply a four-step process for analyzing quality outcomes data to determine clinical opportunities for improvement that will result in improved financial performance.
- Collaborate with medical staff to improve documentation and coding processes for better capture of CC and MCC rates, patient severity and risk of mortality.
- Address quality outcomes data to mitigate compliance risk, improve case mix and drive revenue improvement.
LEVEL/CATEGORY
Advanced/Operational
PREREQUISITES/PREWORK
Working knowledge of quality data components and medical documentation requirements.
WHO SHOULD ATTEND
CFOs and other executives concerned with clinical departments’ impact on the financial condition of the healthcare facility.
TOOLS AND TIPS
You will receive sample charts that hospitals can use to assess the overall impact of Medicare payment changes, as well as the relative profitability of individual service lines, a detailed checklist to support a four-step process for analyzing quality outcomes data to identify opportunities for improving financial performance and sample scenarios demonstrating financial impact of variances in CC and MCC capture rates, severity and risk of mortality.
SPEAKERS
Garri Garrison, RN, Director, Data Monitoring Services, 3M Health Information Systems
B04
Short-Term Investments: University of Pennsylvania Health System Case Study
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Achieve process consolidation of short-term investing with portal technology, saving valuable staff resources.
- Review the market of available money market instruments on a portal to increase investment returns.
- Enhance investment policy compliance and internal controls using systemic compliance checks and advanced financial reporting available via portal.
LEVEL/CATEGORY
Intermediate/Strategic
PREREQUISITES/PREWORK
Basic knowledge of investments and financial management.
WHO SHOULD ATTEND
CFOs and other healthcare executives involved in the financial management and investment strategies of the organization.
CPE FIELD OF STUDY
Finance
TOOLS AND TIPS
You will receive an investment portal best practices checklist and investing through the Liquidity Crisis white paper.
SPEAKERS
Kirk Black, Vice President & Senior Product Manager, The Bank of New York Mellon; David Honma, CPA, Director of Financial Reporting and Systems, University of Pennsylvania Health System
B05
Hospital-Physician Alignment Strategies
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Understand the principal concepts and drivers of hospital/physician alignment strategies.
- Anticipate the impact on and potential benefit to your organization.
- Identify potential pitfalls of implementation and how to avoid them.
- Assess the best team configuration to implement change.
- Outline steps for implementation.
LEVEL/CATEGORY
Intermediate/Strategic
PREREQUISITES/PREWORK
Basic understanding of physician alignment options and operations.
WHO SHOULD ATTEND
CEOs, CFOs, CMOs, CNOs and others involved in strategy and relationship management with physician’s organizations.
TOOLS AND TIPS
You will receive a summary of alignment strategy's pros and cons, a checklist for implementation, a list of recommendations for team structure and composition and tips to facilitate a smooth transition.
SPEAKER
Brett Hickman, Partner, Health Industries, PricewaterhouseCoopers LLP
B06
Reducing Costs of IT Acquisition: Hillsdale Community Health Center Case Study
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Apply a system selection process that fosters strenuous price competition among vendors.
- Employ contract negotiation tactics and strategies that maximize discounts.
- Avoid the most common mistakes hospitals make when buying new IT systems.
- Describe the "hidden costs" hospitals often overlook when comparing vendor prices.
LEVEL/CATEGORY
Advanced/Operational
PREREQUISITES/PREWORK
Basic knowledge of healthcare IT needs, options and strategies.
WHO SHOULD ATTEND
Financial executives, PFS and revenue cycle directors and compliance, legal and audit leaders.
CPE FIELD OF STUDY
Computer Science
TOOLS AND TIPS
You will receive steps to follow to ensure a highly competitive process, a checklist for issuing a contract questionnaire along with an RFP to compare contact terms and tips for the timing and location of contract negotiating sessions to maximize competition.
SPEAKER
Vince Ciotti, Principal, HIS Professionals, LLC and Valerie Fetters, CFO, Hillsdale Community Health Center
B07
Reducing Labor Costs and Improving Workplace Performance Management: Catholic Health East Case Study
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Improve productivity through effective labor management.
- Develop a strategy for creating an enterprises-wide productivity program in your organization beyond implementing a technology.
- Examine the keys to successfully implementing a system-wide approach, including overcoming challenges.
LEVEL/CATEGORY
Advanced/Strategic
PREREQUISITES/PREWORK
Working knowledge of financial management and productivity measures.
WHO SHOULD ATTEND
CEOs, COOs, CFOs, vice presidents, directors and others responsible for productivity management in hospital and related healthcare organizations.
CPE FIELD OF STUDY
Finance
TOOLS AND TIPS
You will receive specific strategies and tactics implemented to launch a productivity program, measure it and reap benefits from it.
SPEAKERS
AnnaMaria Butrie, Vice President, Operations Improvement, Catholic Health East; Debbie Coakley, Director of Divisional Services and Productivity Improvement Co-team Leader, Catholic Health East
B08
The Impact of MS-DRGs on Service Line Operations: Good Samaritan Hospital Case Study
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Analyze the finalized 2009 and proposed 2010 changes and service line areas that will be highly impacted.
- Analyze reports to reveal true procedure costs.
- Develop a better system to protect profit margins.
- Plan for future updates and changes.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
Working knowledge of service line operations.
WHO SHOULD ATTEND
Financial executives, reimbursement directors and managers, clinical managers and executives involved in service line operations within the organization.
TOOLS AND TIPS
You will receive proven methods and processes to maintain profitability and a case study plan of action.
SPEAKERS
James Burns, Vice President, Corazon Inc.; Julie Miksit, Assistant Vice President, Cardiovascular Services, Good Samaritan Hospital
B09
A Strategic Approach to Managed Care Negotiations and Contracting: Best Practices of Leading Organizations
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Examine the key trends in the market driving payer strategies with respect to their network configurations, provider reimbursements and the integration of clinical quality/outcomes data into future reimbursement methodologies.
- Explore which contracting models and network configurations will be best positioned to capture and retain lives in a managed care world.
- Assess and evaluate the key internal and external data used to build overall hospital managed care pricing strategy and business cases rationale to justify target reimbursements, desired payment methodologies and balanced contract terms (illustrations will be from actual case studies).
- Apply the four-step strategic financial planning approach to develop your organizations managed care contracting strategy and related managed care revenue optimization strategies.
- Discuss the four basic managed care contract negotiating approaches, the requirements/risks for each approach and the expected outcomes.
LEVEL/CATEGORY
Advanced/Strategic
PREREQUISITES/PREWORK
Working knowledge of managed care negotiations and contracting strategies.
WHO SHOULD ATTEND
Managed care contracting directors and managers, business office and PFS managers, CFOs, CIOs, COOs, physician practice administrators, patient access and registration managers and revenue cycle staff members.
TOOLS AND TIPS
You will receive a guide to conducting a managed care strategic financial planning process, specific pre-negotiation steps and analyses to perform, which serve as the foundation for managed care strategy development as well as negotiating strategies and tactics, examples of hospital based pay-for-performance methodologies which integrate clinical data into evolving payer reimbursement methodologies and an outline of four basic negotiating approaches with corresponding pros and cons of each approach.
SPEAKERS
Christopher Kalkhof, Director – Healthcare Industry Group, LLC, Alvarez & Marsal; Robert C. Chase, Jr., Chair Department of Contracting and Payor Relations, Mayo Clinic
B10
Validation of Implemented Contract Modeling Systems
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Analyze the sensitivity of contract modeling output to various inputs (claims data, contract terms, payments).
- Develop a strategy for auditing the quality of the results of from a contract management system.
- Analyze opportunities for revenue enhancement.
LEVEL/CATEGORY
Basic/Operational
WHO SHOULD ATTEND
Managed care contracting directors and managers, business office and PFS managers, CFOs, COOs, physician practice administrators, financial executives, patient access and registration managers.
CPE FIELD OF STUDY
Finance
TOOLS AND TIPS
You will receive a best practice model for data and contract modeling verification and tools for data mining trends in expected payment variances.
SPEAKERS
Susan White, Ph.D., Vice President Research and Development, Cleverley & Associates; Richard Reid, CHFP, CPA, MPA, Vice President/Chief Financial Officer, St. Mary's of Michigan
B11
Improving and Accelerating Payment Collections: Riverside Health System Case Study
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Understand the importance of self-pay patient profile and demonstrate how attendees can create operational efficiencies within the self-pay collections process.
- Evaluate best practice examples to provide guidelines for strategically segmenting the self-pay patient population based on patients propensity to pay.
- Profile innovative collection strategies used to complement the segmentation process with the end goal of reducing self-pay A/R and increasing patient collections.
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 examples of how best practice hospitals are using strategic collection segmentation to increase patient collections and reduce self-pay A/R, tactics for reducing vendor fees and strategies for increasing inbound communication from patients regarding outstanding balances.
SPEAKERS
David Katz, Executive Director, Educational Services, The Advisory Board Company; Richelle Fleischer, Administrative Director of Revenue Cycle Management, Riverside Health System; Allison Baginski, Project Manager/Analyst Revenue Cycle, Riverside Health System
B12
The Tenet RAC Story: Preparing For and Surviving an Audit
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Use real world lessons learned that can be shared regarding RAC audits of several Tenet hospitals.
- Develop actionable plans and tools to help prepare for impending RAC audits.
- Identify potential reimbursement pull backs and fines.
LEVEL/CATEGORY
Advanced/Strategic
PREREQUISITES/PREWORK
Basic knowledge of RAC and reimbursement guidelines.
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 an assessment tool and a preparedness plan.
SPEAKERS
Rudy Braccili, Sr. Director, National Medicare & Medicaid Center, Conifer Health
B13
Developing a Fast-Track Financial Assistance Process
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Leverage technology to automate and optimize their financial assistance programs.
- Use clear and concise guidance and plans to implement a fast-track financial assistance process.
- Effectively and efficiently realize significant reduction in bad debt and days in A/R, financial assistance compliance and increased cash flow.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
Basic knowledge of healthcare A/R and business processes.
WHO SHOULD ATTEND
PFS directors and managers, CFOs, managed care and reimbursement directors and managers, reimbursement, compliance and audit managers.
TOOLS AND TIPS
You will receive a future state workflow template, an end-to-end business process implementation project plan, sample case studies, sample policies and procedures and an A/R feasibility study (baseline) specifications, requirements and analysis.
SPEAKERS
Keith Truax, Senior Revenue Cycle Strategist, SearchAmerica; Sheila Kuenzle, Network Vice President - Revenue Cycle, SSM Healthcare
PR02
Balancing Financial Goals with a Patient-Friendly Culture Through Effective and Efficient Claims Management
Part of the Peer Review® Showcase Track
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Impart a vision for increasing revenue while eliminating healthcare costs.
- Examine a method that will systematically eliminate corporate waste.
- Incorporate the human element by showing the impact of defects.
LEVEL/CATEGORY
Basic/Overview
WHO SHOULD ATTEND
CFOs, CIOs, finance and reimbursement directors, directors of quality and case management, compliance officers, directors of revenue cycle, PFS and patient access, clinical directors and other leaders that interact with the patient in the revenue cycle.
TOOLS AND TIPS
You will receive the basic concepts of the Toyota methodology, three steps for rapid improvement deployment, a list of priority critical areas to examine and a new tool for communicating with your payers.
SPEAKERS
Brent Grimes, System Director of PFS, Integris Health; Bill Guynup, Sr. Sales Director, RelayHealth.
This CPE-eligible session features an educational presentation of an HFMA peer-reviewed product application. Vendors and providers will be co-presenting.