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Tuesday Keynote Address
8:00 – 9:45 am
The Honorable Al Gore 
45th Vice President of the United States and 2007 Nobel Peace Prize Winner
Thinking Green: Economic Strategy for the 21st Century
Arguing that the physical changes in our planet will eventually influence our global economy, Vice President Gore encourages businesses, Inc.luding health care, to consider broader issues—environmental, social and political—when planning economic strategy.
“Thinking green” means pursuing knowledge and practices that lead to more ecologically responsible decisions, which help protect the environment and sustain its natural resources for current and future generations.
Breakout Sessions 10:15 – 11:30 am
C01
Employee Fraud and Embezzlement: Discovery, Investigation, Mitigation
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Recognize potential areas of fraud, abuse or neglect.
- Identify potential pitfalls related to compliance and fraud investigations.
- Discuss appropriate internal and external communication strategies before, during and after a fraud or compliance investigation.
- Develop an action plan for preventing fraud, abuse or neglect within your organization.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
Basic knowledge of fraud and compliance investigation parameters.
WHO SHOULD ATTEND
Healthcare executives, managers and directors at all levels, as well as board members.
CPE FIELD OF STUDY
Regulatory Ethics
TOOLS AND TIPS
You will receive a checklist of steps to minimize your exposure to fraud, embezzlement and compliance neglect, as well as a sample checklist of items to address in a potential investigation. You will also receive a list of the possible external reporting agencies to be notified when fraud or embezzlement occurs.
SPEAKERS
Ellen Stewart, FHFMA, JD, Partner, Berenbaum, Weinshienk & Eason PC; J. Verne Singleton, MSPH, CEO, Eating Disorder Center of Denver
C02
Ensuring Your Organization is RAC Ready: High-Cost, High-Reimbursement Cases
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Develop an understanding of the financial and compliance implications associated with clinical misclassification or inconsistent procedures.
- Analyze areas most likely to expose your facility to risk with regard to accurate, consistent patient status classification for targeted procedures.
- Design methods for mitigating risk and implementing proactive measures to avoid audits and medical necessity denials.
LEVEL/CATEGORY
Advanced/Leadership
PREREQUISITES/PREWORK
Working knowledge of RAC requirements and compliance elements.
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 the top ten questions leadership must ask internally to ensure appropriate patient classification is occurring 100% of the time, five principles of engaging key stakeholders to ensure a compliant claim status certification program and a leadership roadmap for mitigating risk and implementing proactive measures to avoid audit.
SPEAKERS
Robert M, Corrato, MD, President & CEO, Executive Health Resources, Inc.; Lynn M. Leoce, MSN, RN, CPUR, IQCI, ACM, Corporate Director of Case Management, Adventist Health System; Thomas McCarter, MD, FACP, Chief Clinical Officer, Executive Health Resources, Inc.
C03
Microsoft's® Assessment of Leveraging Technology to Transform the Business Decision Process
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Examine a systems engineering approach to develop and test hypotheses about business operations.
- Develop quick responses on-demand questions in order to improve operations.
LEVEL/CATEGORY
Advanced/Strategic
PREREQUISITES/PREWORK
Working knowledge of healthcare IT operations and capital planning.
WHO SHOULD ATTEND
Financial executives and other executives and managers involved in capital equipment planning and management, as well as those who utilize technology-based data.
CPE FIELD OF STUDY
Computer Science
TOOLS AND TIPS
You will receive an overview of the technologies which can lead to more efficiency, lower costs and higher revenues.
SPEAKER
Thomas Lawry, Director, Organizational Performance, Health Solutions Group, Microsoft® Corporation
C04
Aligning Employee Incentives to Achieve Quality and Infection Prevention Goals
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Differentiate what quality measures and programs are actionable and work and what measures are non-actionable.
- Understand challenges and biases of data collection.
- Discuss real examples of incentives that worked and those that did not .
- Develop a plan for implementing successful incentives to work in your organizations.
- Compare possible future quality measure methods to those found in the current legislative and regulatory environment.
LEVEL/CATEGORY
Overview/Strategic
WHO SHOULD ATTEND
Financial executives and finance and accounting, reimbursement and compliance directors.
TOOLS AND TIPS
You will receive a list of measurable quality outcomes, as well as how those measures compare across hospitals, results of interviews with leading hospital executives on what has worked and what has not and a comparison of possible methods to the current legislative and regulatory environment.
SPEAKERS
Drew Deaton, CPA, Director of Finance and Operations, Cardinal Health MedMined Services; Kevin Burns, CPA, Chief Financial Officer, Former Arizona HFMA Chapter President, University Medical Center (Tucson, AZ)
C05
Accounting and Auditing Standards Update
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
PREREQUISITES/PREWORK
A basic knowledge of health care finance accounting
WHO SHOULD ATTEND
Accountants working in healthcare and serving health care providers.
CPE FIELD OF STUDY
Accounting
TOOLS AND TIPS
You will receive information the AICPA and HFMA’s Principles and Practices Board believes you should be aware of.
SPEAKER
Robert M. Valletta, FHFMA, CPA, Partner, PricewaterhouseCoopers, LLP; David R. Merriam, Senior Manager, PricewaterhouseCoopers, LLP
C06
Using Effective Utilization Review and Care Management to Improve ED Reimbursement
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Apply examples to drive strategic planning leveraging the importance of the ED.
- Analyze health system case studies presented with road maps useful to any system.
- Develop programs insuring proper ED documentation representing intensity of service, severity of illness, medical necessity, POA recording and RAC defense.
- Apply tools to capture DRG assignment representing the period of most severe patient illness (i.e. the ED).
LEVEL/CATEGORY
Intermediate/Strategic
PREREQUISITES/PREWORK
A basic understanding of ED reimbursement and operations.
WHO SHOULD ATTEND
CFOs, CMOs and other clinical and financial managers with a stake in ED operations, as well as anyone involved in connecting financial performance with clinical performance.
TOOLS AND TIPS
You will receive a document created at the time of ED disposition providing RAC defense of ED short stay admits, a policy producing document showing proper ED Obs status or inpatinet status, proper documentation of medical necessity, a roadmap and documents which assure that appropriate POAs are captured in the ED and are reflected in the eventual MS-DRG assignment and tools to ensure that emergency and hospitalist physicians capture the documentation needed to prevent losses from POA, MS-DRGs, RAC and improper disposition status.
SPEAKERS
Jeffery Wajda, Vice President Clinical Services, LYNX Medical Systems - A Picis Company
C07
Creating Better Financial Outcomes Through Improved Communications With Operations Managers and Administrators
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Evaluate the gap between the financial information typically provided to operating managers and their administrators and the information needed to produce higher level results.
- Examine the elements that produce the gap.
- Apply state of the art tools and techniques to bridge the gap.
LEVEL/CATEGORY
Intermediate/Leadership
PREREQUISITES/PREWORK
A basic knowledge of financial management and reporting.
WHO SHOULD ATTEND
CFOs, COOs, controllers and other financial and accounting managers and leaders.
CPE FIELD OF STUDY
Finance
TOOLS AND TIPS
You will receive slides regarding what the finance division customer wants and what they actually receive, specific actions that can be immediately taken to fill the gap and longer-term actions that can be planned.
SPEAKER
Steven H. Berger, FHFMA, CPA, President, Healthcare Insights, LLC
C08
Medicare Update and Hot Topics for Critical Access Hospitals
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Identify specific Medicare reimbursement opportunities unique to Critical Access Hospitals (CAHs) including new issues due to legislative/regulatory and enforcement changes.
- Identify and resolve compliance issues that could reduce reimbursement and/or threaten the hospitals retaining CAH status.
- Develop longer term strategies for success as a CAH.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
A working knowledge of Medicare reimbursement and critical access facilities.
WHO SHOULD ATTEND
CFOs, senior financial executives and controllers from small and rural hospitals.
TOOLS AND TIPS
You will receive a list of the latest legislative, regulatory and enforcement issues affecting critical access hospitals and strategies you can implement immediately to obtain additional reimbursement you are entitled to while also improving compliance.
SPEAKER
John Sheehan, Partner, BKD, LLP
C09
Managed Care Contracts: Essential Elements, Definitions and Provisions
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Analyze the key elements of a managed care contract relative to a typical revenue cycle and identify common pitfalls to avoid.
- Apply basic managed care contract terminology in a clear and concise manner.
- Examine statutes, basic legal concepts, case law and other external sources relevant to negotiating managed care contracts.
LEVEL/CATEGORY
Intermediate/Strategic
PREREQUISITES/PREWORK
A working knowledge of managed care contracting.
WHO SHOULD ATTEND
Contract analysts, decision support personnel, business office managers, revenue cycle leaders, hospital finance officers and their consultants and others charged with managed care evaluation, contracting and negotiation decisions for hospitals and other healthcare organizations.
TOOLS AND TIPS
You will receive a sample contract language checklist, spreadsheets of relevant state statutes and regulations, outlines of federal legislation and relevant informational articles.
SPEAKERS
Jeff Podraza, Vice President, Operations, AHC, Inc.
C10
Reimbursement and Never-Events: Implications and Strategies
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Analyze current national environment regarding regulations and policies for non-payment of never events.
- Assess the numerous challenges faced by payers and providers in addressing these policies from implementation to ongoing operations and compliance.
- Evaluate current strategies payers and providers are using to address these challenges.
LEVEL/CATEGORY
Overview/Update
WHO SHOULD ATTEND
Vice president and directors of managed care, senior financial executives, health information managers, PFS directors, revenue cycle executives and senior executives with responsibility for managed care bottom line improvement.
TOOLS AND TIPS
You will receive information on the current regulatory environment regarding non-payment and reporting of never events in their community.
SPEAKERS
Jeff Moor, Associate Director, Navigant Consulting, Inc.; Catherine Sreckovich, Managing Director, Navigant Consulting, Inc.
C11
Cash Management Alternatives: The Impact of Upfront Loan Programs on Cash and Bad Debt
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Examine the pros and cons of consumer loan programs.
- Identify the different methods of using loan programs to increase cash flow.
- Review case study information on the reaction to paying interest from patients across the country.
- Use lessons learned for a successful loan program implementation.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
Basic knowledge of patient collection and payment operations.
WHO SHOULD ATTEND
CFOs, CIOs and other financial leaders, revenue cycle leaders, security/privacy officers.
TOOLS AND TIPS
You will receive a step-by-step review of the process steps that need to be taken to successfully implement and integrate a loan program into an existing self-pay cycle.
SPEAKER
Jerry C Smith, Jr., Vice President, Revenue Cycle, St. Vincent's Health System; Mitzi Winters, Division President, MedAssist
C12
Revenue Cycle Staff Assessment: 11 Competency Tools
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Identify 11 staff competency assessment/validation methods.
- Create assessment tools that can be used to validate competency of your team members.
- Describe a competency program implementation plan.
LEVEL/CATEGORY
Intermediate/Operational
WHO SHOULD ATTEND
Patient access and revenue cycle leaders who direct, manage and implement scheduling, pre-registration, insurance verification, financial counseling and patient access/registration.
CPE FIELD OF STUDY
Personnel/HR
TOOLS AND TIPS
You will receive sample assessment tools, tips and techniques for creating unique assessment tools and examples of competencies and performance objectives.
SPEAKERS
Lorraine Schnelle, CPA, Executive Vice President, BridgeFront; Julie Champayne, RHIA, Regional Manager of Patient Access, Trinity Health Services - West Michigan Finance Shared Services
C13
Communicating Financial Assistance Opportunities: Catholic Healthcare West Patient Access Case Study
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Empower patient access to ensure all patients receive the same opportunity for treatment and financial assistance.
- Use external vendors for data that drives workflow, such as propensity to pay scores.
- Assist both patients and the revenue cycle at the point of registration by integrating job tools, scripts and reporting.
LEVEL/CATEGORY
Advanced/Operational
PREREQUISITES/PREWORK
A basic knowledge of medical registration and patient access procedures.
WHO SHOULD ATTEND
Financial executives, PFS and access staff who direct, manage or implement organizational financial policies to patients.
TOOLS AND TIPS
You will receive a step-by-step road map of the process used by CHW to implement this system. It will include workflow diagrams, as well as several checklists that other facilities could use to achieve similar results.
SPEAKER
Kim Markey, Corporate Director, Revenue Services, Catholic Healthcare West
PR03
Implementing an Effective Medical Necessity Validation Process
Part of the Peer Review® Showcase Track
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Evaluate practical strategies for improving pre-service medical necessity validation and achieving clean physician orders.
- Reengineer coding and billing processes to reduce medical necessity rework and write-offs.
- Evaluate automated validation tools with the greatest ROI potential and analyze methods for measuring success.
- Realize greater cost savings and work efficiencies through access to electronic CPT®, ICD-9, HCPCS and NCD and LCD manuals.
LEVEL/CATEGORY
Basic/Overview
WHO SHOULD ATTEND
CFOs, CIOs, finance and reimbursement directors and directors of revenue cycle, PFS and patient access.
TOOLS AND TIPS
You will receive a checklist of guidelines for identifying process improvement opportunities with the greatest ROI potential and a process mapping worksheet for analyzing information flow between key departments involved in medical necessity review and validation.
SPEAKERS
Debbie Schrubb, RHIA, Director, Medical Records, Kettering Health Network; Mark Weber, Senior Regulatory Analyst, 3M Health Information Systems
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
D01
The New RACs: Preparing for MICs
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Understand and apply the latest mandates, trends and solutions related to the new government contractors, specifically the RACs and the Medicaid Integrity Contractors (MICs) from experts who work with hospitals and healthcare providers.
- Discuss obstacles and success stories Georgia providers have experienced with the implementation of MICs.
- Apply practical techniques and solutions for minimizing the healthcare organizations' financial and compliance exposure during RAC/MIC reviews.
- Describe case studies on provider rights and responsibilities for dealing the RACs and MICs.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
A basic knowledge of RAC policies and implementation.
WHO SHOULD ATTEND
CFOs, revenue cycle leaders, managed care, payment and reimbursement managers and directors and others with a stake in understanding the ramifications of MICs.
TOOLS AND TIPS
You will receive a checklist aimed at preparing for a RAC or MIC review, checklists related to rights an responsibilities during a RAC or MIC review, sample policy and procedures that can serve as the foundation for specific policies and procedures appropriate for the organizations.
SPEAKERS
Francine Machisko, Senior Principal, Noblis; Amy Fouts, Associate, McKenna Long Aldridge
D02
Achieving Total Revenue Cycle Regulatory Compliance
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Identify the cornerstone principles of revenue cycle compliance.
- Review the current state of revenue cycle compliance and the government’s efforts to eliminate waste.
- Complete a self-assessment of internal compliance plan effectiveness using the federally-provided guidelines.
- Define gold-standard audit methods for critical compliance functions, including Medicare Secondary Payer (MSP) and Medical Necessity screening and OIG work plan initiatives.
- Craft a RAC preparedness plan and methods for effective ongoing assessments which identify and resolve root-cause problems.
- Learn successful employee compliance education methods and develop a prototype employee competency assessment instrument.
- Review lessons learned from organizations who have experienced whistleblower activities.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
A basic understanding of revenue cycle compliance issues.
WHO SHOULD ATTEND
Financial executives, compliance officers, quality assurance coordinators and revenue cycle leadership team members, including patient access, PFS, case management and health information management.
TOOLS AND TIPS
You will receive an internal compliance plan self-assessment document and prototype employee competency assessment instrument.
SPEAKER
Bobette M. Gustafson, President, Gustafson + Associates, Inc.
D03
Engaging Physicians Through Analytics and Identification/Coaching Physician Champions
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Develop robust, valid and credible data sets that are applicable to physicians and can be utilized to align incentives.
- Empower your physician staff to understand the financial implications of being an engaged hospital community member.
- Engage your physicians groups in the processes and tools of hospital finance to help reduce administrative costs, accelerate cash flow and increase operational efficiencies.
LEVEL/CATEGORY
Advanced/Leadership
PREREQUISITES/PREWORK
Basic understanding of hospital-physician alignment issues.
WHO SHOULD ATTEND
Financial and medical executives dealing with maintaining and improving physician relations.
TOOLS AND TIPS
You will receive a proposed GANTT chart for moving medical staff to a data-driven community and tips for identifying and mentoring physician champions.
SPEAKERS
Terry Fouts MD, Chief Medical Officer, MedeFinance; Richard Boehler, MD, Chief Medical Officer, St. Joseph Medical Center (Baltimore)
D04
State and National Reform Trends: Massachusetts Model and Beyond
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Attain concrete knowledge of the cutting-edge Massachusetts model of healthcare coverage and analyzing the national impact.
- Apply presentation information to eligibility practices, consumer-directed health plans, private pay and billing collections, as well as applied knowledge for use in state healthcare policy discussions and current organizational implementations.
- Position your access departments to optimize reimbursement and maximize the benefits of more insured patients under expanded coverage plans.
- Attain a clear assessment of the landscape of national and state reform, which can be used to formulate, design and implement coverage models and contribute to the improvements under future reforms.
LEVEL/CATEGORY
Overview/Update
WHO SHOULD ATTEND
CFOs, revenue cycle, managed care, payment and reimbursement managers and directors and others with a stake in understanding the ramifications of Medicaid and universal coverage models.
TOOLS AND TIPS
You will receive a FAQ sheet on Healthcare Reform and detailed reports on what is working, what has not worked and what is to come.
SPEAKER
Gerard Vitti, President & CEO, Healthcare Financial, Inc.
D05
Financing Strategies in Today's Market
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Discuss how the liquidity crisis of 2008 has impacted healthcare organizations’ access to capital.
- List options for funding capital needs in this less liquid capital markets environment.
- Determine which financing approaches and providers are best for your institution.
LEVEL/CATEGORY
Intermediate/Strategic
PREREQUISITES/PREWORK
A basic knowledge of capital access, financing and management.
WHO SHOULD ATTEND
CFOs, CEOs and other executives and managers involved in capital planning and management.
CPE FIELD OF STUDY
Finance
TOOLS AND TIPS
You will receive a list of lessons learned from the liquidity crisis of 2008 and how it has impacted healthcare organizations’ options going forward and a list of potential new financing strategies for a less liquid capital market.
SPEAKERS
Randy Waring, Hospital Enterprise Group Leader, GE Healthcare Financial Services; Steve Benov, Managing Director, Raymond James and Associates, Inc.; Mike Lincoln, Vice President, Business Development & Marketing, Lillibridge Healthcare Services
D06
Estimating the Community Value of Your Hospital
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Document the tax benefit received by your hospital.
- Develop key metrics that determine the hospital's position in critical areas such as profitability levels, cash balances, executive compensation, quality and community investment.
- Measure the financial value of community services provided by the hospital at payment levels below the cost of delivery.
LEVEL/CATEGORY
Intermediate/Strategic
PREREQUISITES/PREWORK
A basic knowledge of IRS Form 990 and 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
Taxes
TOOLS AND TIPS
You will receive a specific measurement methodology for determining the tax benefits received by a tax-exempt hospital, a structure for establishing the financial value of services provided to the community and specific metrics that can establish and support specific hospital performance in key areas such as cash, profits and compensation.
SPEAKERS
William O. Cleverley, Ph.D., President, Cleverley & Associates; Michael W. Logue, Senior Vice President and CFO, Ohio Health
D07
Improving Capital Expenditure and Asset Management: Sisters of Mercy Health System Case Study
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Examine your capital management process and identify the advantages of a strategic top-down capital planning methodology.
- Identify process challenges and areas of change required to more effectively allocate capital, define capital programs, manage capital projects and measure capital assets.
- Evaluate technology solutions needed to deploy and drive significant efficiencies across the systemic health system.
LEVEL/CATEGORY
Intermediate/Strategic
PREREQUISITES/PREWORK
Basic knowledge of capital management and planning.
WHO SHOULD ATTEND
CFOs and other financial executives involved in capital asset, allocation and management projects.
CPE FIELD OF STUDY
Finance
TOOLS AND TIPS
You will receive a comprehensive case study with sample reports will be provided as a best practice example for attendees to take back to their organizations.
SPEAKER
Hector Boirie, Chief Capital Management Officer, Sisters of Mercy Health System
D08
Critical Access Hospitals: Reimbursement Risks and Opportunities
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Identify reimbursement opportunities and risks for critical access hospitals.
- Develop strategies to minimize identified risks while optimizing opportunities.
- Enhance the financial results of the critical access hospital.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
Basic knowledge of managed care and reimbursement principles in critical access hospitals.
WHO SHOULD ATTEND
CFOs, senior financial executives, controllers and other financial leaders in critical access hospitals.
TOOLS AND TIPS
You will receive a checklist of the current hot topics relating to critical access hospitals and step-by-step strategies to mitigate the risks and optimize the opportunities identified.
SPEAKER
Ralph J. Llewellyn, CHFP, CPA, Partner, Eide Bailly, LLP
D09
Medicare PPS Legislative and Regulatory Update
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Analyze the fiscal year 2010 inpatient PPS proposed rule so you can evaluate the impact of the proposed changes on your organization.
- Describe provisions of the Medicare Improvements for Patients and Providers Act of 2008 and the related implementing regulations so you can assess any actions you should take in response to the legislation.
- Examine other Medicare legislative and regulatory issues applicable to urban and rural hospitals.
LEVEL/CATEGORY
Update/Operational
WHO SHOULD ATTEND
CFOs, senior financial directors and controllers.
TOOLS AND TIPS
You will receive ideas for improving accuracy of MS-DRG coding, tips for improving the accuracy of the Medicare cost report and a listing of items to evaluate with regard to the inpatient PPS proposed rule and other recent legislative or regulatory developments.
SPEAKERS
Timothy P. Wolters, CPA, Partner, BKD, LLP; Brad Brotherton, Senior Manager, BKD, LLP
D10
Leveraging Clinical Documentation Improvement Programs to Gain Physician Alignment
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Optimize payment from Medicare and other MS-DRG payers by capturing the highest appropriate DRG relative weight (and thus CMI).
- Safeguard documentation compliance within the EHR.
- Optimize compliant and accurate DRG assignment by leveraging both the technology of the EHR, the documentation infrastructure (clinical documentation staff) and physician education and support.
- Enhance organizational revenue and institutional (and physician) clinical profiles, improve patient safety reporting and prepare for pay-for-performance at both the hospital and physician level.
LEVEL/CATEGORY
Advanced/Operational
PREREQUISITES/PREWORK
Working knowledge of Medicare and other DRG reimbursement programs.
WHO SHOULD ATTEND
CFOs, CIOs, senior financial executives, HIM, controllers and physician practice executives.
TOOLS AND TIPS
You will receive a model for achieving the most accurate CMI based on clinical severity, enhancing hospital revenue, specific strategies employed by a major academic center, with documented success, insights into IT challenges during implementation, sample clinical communication tools and case examples demonstrating how to improve documentation.
SPEAKERS
Paul Weygandt, MD, JD, MPH, MBA, CPE, Vice President Physician Services, J. A. Thomas & Associates; Melinda Tully, MSN, Senior Vice President, Clinical Services & Education, J.A. Thomas and Associates; Gene Peterson, Associate Medical Director, University of Washington.
D11
Standards of Excellence in PATIENT FRIENDLY BILLING®
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Understand the revenue cycle processes that drive the most value to consumers and hospitals.
- Examine the processes that do not correlate with value.
- Review credible evidence based on value that hospitals can use to prioritize and adopt PATIENT FRIENDLY BILLING® revenue cycle standards of excellence.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
Basic knowledge of the revenue cycle billing process.
WHO SHOULD ATTEND
CFOs, executive revenue cycle leaders, PFS and patient access directors, finance and reimbursement directors and other healthcare leaders responsible for quality and process improvements.
TOOLS AND TIPS
You will receive the PATIENT FRIENDLY BILLING® current research project and standards of excellence criteria for revenue cycle high performance.
SPEAKER
Terry Rappuhn, CPA, Project Leader PATIENT FRIENDLY BILLING®, Rappuhn Consulting; Claudia Birkenshaw, Financial Reimbursement Specialist, Modern Management Muse, Inc.
D12
Defensible, Cost-Based Pricing
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Analyze the market forces driving the demand for cost-based or defensible pricing.
- Identify the challenges involved in implementing new pricing structures.
- Describe the process to build a road map for successfully reaching the pricing destination.
- Explore the accuracy and completeness of cost data available.
- Calculate the real impact of changing prices.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
A basic knowledge of healthcare pricing.
WHO SHOULD ATTEND
PFS/revenue cycle leaders, finance and accounting directors and managed care and reimbursement leaders.
TOOLS AND TIPS
You will receive elements of sample roadmaps.
SPEAKERS
Teresa Loomis, RN, BSN, Corporate Director, Revenue Integrity, Orlando Health; Kate Banks, President, Customer Revenue Strategy & Improvement, MedAssets
D13
Creating Buy-In for Self-Service Technology: Florida Hospital Fish Memorial Case Study
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Analyze trends in consumerism in health care.
- Summarize best practices for launching an enterprise-wide self-service strategy to patients and staff.
- Describe ways to secure patient adoption of online self-service tools.
- Assess the impact of an enterprise-wide patient self-service solution, including kiosks and online applications, on revenue cycle management.
LEVEL/CATEGORY
Overview/Operational
WHO SHOULD ATTEND
CFOs, CIOs, director of physician services, clinical directors, quality management, executive revenue cycle leaders, directors of PFS and patient access and other healthcare leaders responsible for customer satisfaction.
TOOLS AND TIPS
You will receive a roadmap for kiosk implementation and a checklist for securing buy-in among patients and staff.
SPEAKERS
Kenneth R. Ursin, Corporate Director, Patient Financial Services, Adventist Health Systems, Inc.; Danny DuBosque, Director of Patient Access, Florida Hospital Fish Memorial
PR04
Leveraging Electronic Tools for Effective Accountability in the CDM Maintenance Process
Part of the Peer Review® Showcase Track
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Examine how electronic tools can help you hold departments and employees accountable for managing the CDM more effectively.
- Study examples of how electronic tools can improve reimbursement, compliance and operational efficiency.
- Assess compliance with the CDM-management process on a real-time basis.
- Manage change through the implementation of electronic tools.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
Basic knowledge of reimbursement, Chargemaster and compliance.
WHO SHOULD ATTEND
CFOs, CIOs, executive revenue cycle leaders, directors of PFS, directors of finance and reimbursement, clinical directors and other leaders responsible for CDM maintenance.
TOOLS AND TIPS
You will receive a method for optimizing your organization’s reimbursement and compliance using an automated Chargemaster management process and take away ideas for creating new CDM maintenance policies and procedures.
SPEAKERS
Debbie Flaska, CDM and Coding Manager, Trinity Health; Kelley Blair, Senior Consultant, Craneware, Inc.
This CPE-eligible session features an educational presentation of an HFMA peer-reviewed product application. Vendors and providers will be co-presenting.