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Wednesday Keynote Address
8:00 – 9:45 am
Karen Davis, Ph.D. 
President, The Commonwealth Fund
Panel:
Lloyd Dean, President & CEO, Catholic Healthcare West; Lori J. Mitchell, FHFMA, CPA, Chief Financial Officer, Harborview Medical; Gregory P. Poulsen, Senior Vice President, Intermountain Healthcare
Moving Toward a High Performance Health System
Karen Davis will facilitate a conversation with leaders of the country’s foremost health organizations who will share their vision and direction in advancing promising strategies for health system improvement. This panel will discuss the specific actions that can lead to higher quality, greater efficiency and improved access.
Breakout Sessions 10:15 – 11:30 am
E01
Corporate Responsibility and Compliance: Audit and Board Communication Best Practices
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Examine the relationship between the non-profit board/audit committee and the compliance/internal audit professional.
- Develop sample reports and scorecards to effectively present information to your board/audit committee.
- Evaluate different methods on educating board/audit committee members on current regulations and future risks.
- Exchange ideas and best practices for effective communication to board/audit committee.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
Basic knowledge of audit and compliance reporting.
WHO SHOULD ATTEND
CFOs, CEOs, board members, legal counsel and compliance officers.
CPE FIELD OF STUDY
Auditing
TOOLS AND TIPS
You will receive sample agendas for board/internal audit presentations, sample reports/scorecards for reporting results of internal/external audits and best practices on educating board/audit committee members.
SPEAKER
Andrei Costantino, Director of Organizational Integrity, Trinity Health
E02
Identifying Health System Risks with an Effective Risk Assessment
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Design an enterprise-wide risk assessment to help identify organizational risk and materiality of this risk.
- Evaluate financial, operational and compliance/regulatory risk.
- Develop a three-year internal audit plan.
LEVEL/CATEGORY
Intermediate/Strategic
PREREQUISITES/PREWORK
Basic knowledge of risk assessment.
WHO SHOULD ATTEND
CFOs, legal counsel, audit personnel and other financial executives involved in reimbursement, compliance and risk management.
CPE FIELD OF STUDY
Management Advisory Services
TOOLS AND TIPS
You will receive an example of how to build your own risk assessment, as well as information on how to update it.
SPEAKER
TBA
E03
Medicare Changes 2009 and Beyond
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Examine the potential impact of proposed Medicare changes stemming from Congress and the Excutive Branch for 2009 and beyond.
- Prepare for possible policy and coding changes and respond to CMS’ positions in proposing changes.
- Develop more accurate FY 2009 budgets and revenue projections.
- Examine and assess major changes to MS-DRGs and payment amounts
LEVEL/CATEGORY
Update/Operational
WHO SHOULD ATTEND
CFOs, reimbursement directors and managers, controllers and other senior financial executives working in hospitals and health systems.
TOOLS AND TIPS
You will receive up-to-date Medicare information on proposed and potential legislative and regulatory payment changes, especially those related to the annual prospective payment update proposals made each spring, including: Inpatient PPS Rehabilitation, PPS Skilled Nursing Facility PPS, Psychiatric Facility and PPS Long-Term Care.
SPEAKER
Lawrence S. Goldberg, Senior Advisor for Healthcare Legislative and Regulatory Matters, Grant Thornton LLP
E04
The Executive Challenge: Moving Toward a Higher Performing Health System
Using this morning’s panel of innovative leaders moderated by Karen Davis as a jumping off point, facilitators will lead an informal discussion among healthcare financial executives as to how they observe the current environment and how they envision meeting these challenges and opportunities through their own positions of leadership. This friendly, interactive discussion will allow executives to learn and discuss the issues with their fellow executives.
LEVEL/CATEGORY:
Advanced/Strategic
PREREQUISITES/PREWORK
Minimum one year experience as a CFO of a healthcare facility, including experience with strategic planning, budgeting, financial planning and capital planning/allocation.
WHO SHOULD ATTEND:
Senior financial executives, CFOs and vice presidents of finance in a provider setting.
TOOLS, TIPS AND TAKEAWAYS
You will receive tactics and tips to assist you in meeting leadership challenges.
SPEAKERS
Steven G. Ullmann, Ph.D., Professor and Director Health Sector Management and Policy and Special Assistant to the Provost, University of Miami; Andrew J. Leone, Ph.D., Professor, Accounting, College of Business, University of Miami
This session is only available to senior-level executives in a provider setting.
E05
Creative Capital Access: HUD 242 for Critical Access Hospitals/Rural Facilities
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Understand how mortgage insurance works from a financial, legal and administrative perspective, including eligibility, terms, hospital responsibilities and more for both Critical Access and community hospital iterations of the program.
- Evaluate the appropriateness of HUD mortgage insurance as a financing option, based on how market shifts can impact its appeal to individual hospitals.
- Address recent HUD changes to streamline processing and what that means to borrowers, including timing, the addition of hospital alumni to HUD staff and other evolutions.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
Basic knowledge of capital financing options for critical access/rural healthcare organizations.
WHO SHOULD ATTEND
CEOs, CFOs and other financial executives from critical access and rural healthcare facilities.
TOOLS AND TIPS
You will receive quick guides on program timing and eligibility.
SPEAKERS
Thomas Green, Chief Executive Officer, Lancaster Pollard; Roderick D. Owens, Krooth & Altman LLP; William J. Lammers, CPA, Health System Advisor, HUD Office of Insured Health Care Facilities
E06
Form 990 Processes, Approaches and Best Practices
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Define a key employee under the new rules and how this is determined.
- Discuss what fringe benefits are required to be reported and how they are valued.
- Define when do preparers need to contact board members and other people outside the finance department.
- Outline good governance practices that were the basis of the changes to the Form 990.
- Distinguish best practice questions from questions where a certain response would indicate a deficiency or problem.
LEVEL/CATEGORY
Overview/Operational
WHO SHOULD ATTEND
Financial executives, compliance and legal executives, as well as directors, human resources and public relations.
CPE FIELD OF STUDY
Taxes
TOOLS AND TIPS
You will receive a CD containing the 2008 Form 990 and the Instructions in a format that facilitates searching the large volume of information contained in the instructions. You will also receive recent Tax Alerts published by Ernst & Young that are relevant.
SPEAKERS
Scott Donaldson, CPA, Partner, Ernst & Young LLP; Cynthia M. Leon, JD, Tax Director, Catholic Health Initiatives
E07
IRS Audits: Recent Rulings, Issues Under Scrutiny and Guidelines to Reduce Risk
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Identify and manage audit risks.
- Apply understanding of IRS policy and procedure to manage outcomes.
- Identify recent trends in IRS rulings and design proactive measures to reduce audit risks
LEVEL/CATEGORY
Overview/Strategic
WHO SHOULD ATTEND
CFOs, controllers, Federal tax audit and compliance executives.
CPE FIELD OF STUDY
Auditing
TOOLS AND TIPS
You will receive a summary of current IRS audit plans for issues specific to the industry, a summary of recent IRS rulings on industry specific issues and guidelines for all available rights and remedies for pending audits.
SPEAKER
Wendy S. Pearson, JD, LLM, Of Counsel, Bennett, Bigelow & Leedom, PS
E08
Medicare Bad Debt: Strategies for Compliance and Response to Audits
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Review recent regulatory changes and clarifications to CMS’ Medicare bad debt policies.
- Evaluate Medicare bad debt audits and develop appropriate responses.
- Analyze current policies and procedures regarding collections and bad debts to determine if they are in compliance with the latest developments.
- Evaluate and design alternatives to current policies and procedures regarding collections and bad debts to assist in complying with CMS regulations.
LEVEL/CATEGORY
Overview/Update
WHO SHOULD ATTEND
Managed care executives, senior financial executives, PFS directors and revenue cycle executives.
TOOLS AND TIPS
You will receive a copy of the Code of Federal Regulations and Program Reimbursement Manual that pertain specifically to Medicare bad debts, questions and answers that were submitted to and answered by fiscal intermediaries that pertain to the recent Medicare bad debt developments and recommendations and strategies for designing/refining a provider's current collection and bad debt policies.
SPEAKERS
Trent Messick, Member, Dixon Hughes PLLC; Kevin Callaway, Senior Manager, Dixon Hughes, PLLC
E09
Zero-Based Pricing: Holy Name Hospital Case Study
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Review the argument that hospital prices have become irrational.
- Apply new hospital zero-based pricing techniques to reestablish hospital prices based primarily on unit costs that also consider markets, contracts, public relations issues and net revenue objectives.
- Explore a case study example of how zero-based pricing was implemented.
LEVEL/CATEGORY
Intermediate/Strategic
PREREQUISITES/PREWORK
A basic knowledge of hospital pricing issues
WHO SHOULD ATTEND
CFOs, financial executives, managed care executives and directors and PFS executives.
TOOLS AND TIPS
You will receive step-by-step instructions for implementing your own hospital zero-based pricing program, step-by-step instruction for maintaining the newly developed prices and sample reports.
SPEAKERS
Fred Stodolak, CEO, Panacea Healthcare Solutions
E10
Metrics for Managing: Quality, Data and the Continuum of Care
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Explain the industry trends really driving changes.
- Identify crucial first steps to engage stakeholders and engender trust.
- Assess the current direction of the organization and how the metrics can best be used to adjust your course of action.
- Apply principles of a performance management data strategy.
- Create a framework for accountability.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
Basic knowledge of financial and quality management.
WHO SHOULD ATTEND
Financial executives, reimbursement managers, revenue cycle leaders, quality managers and PFS executives.
TOOLS AND TIPS
You will receive case studies of winning strategies.
SPEAKERS
Panel: Greg Nelson, Senior Leader, Baptist Leadership Group; Sherry Marshall, Vice President – Quality, Saint Luke’s Health System; Moderator: David C. Hammer, Vice President, Revenue Cycle Solutions, McKesson Provider Technologies
E11
An Integrated View of Transparency Within the Revenue Cycle
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Examine the impact of transparency in health care among key stakeholders in the healthcare industry: providers, payers and patients.
- Discuss unique perspectives about the need of a 360o view of the revenue cycle from provider, payer and patient representatives.
- Reflect on the future of achieving true transparency in our healthcare system among provider, payers and patients.
LEVEL/CATEGORY
Intermediate/Leadership
PREREQUISITES/PREWORK
Basic knowledge of revenue cycle operations.
WHO SHOULD ATTEND
CFOs and other financial executives, PFS/revenue cycle leaders, managed care and reimbursement directors and managers.
TOOLS AND TIPS
You will receive an overview of related policies, as well as processes to create true transparency with a 360 degree view of the revenue cycle.
SPEAKERS
Ed Caldwell, Senior Vice President, Emdeon; Patty Harris, Core Team Leader, Revenue Cycle CareQuest Transformation Team, Sisters of Charity of Leavenworth Health Systems; Lance Lang, MD, National Vice President and Clinical Quality Officer, Health Net, Inc.
E12
Revenue Cycle Impact of RAC: Tracking and Trending the Appeal Process
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Create an effective, efficient working environment for handling and processing of the RAC letters.
- Develop step-by-step processes along with decision-making tools for each of the appeal levels.
- Create tools for conducting both defense (determining vulnerability) and validation (once RAC letter is received) audits.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
Basic knowledge of RAC audit and reimbursement guidelines.
WHO SHOULD ATTEND
Reimbursement and financial executives, compliance, legal and revenue cycle leaders.
TOOLS AND TIPS
You will receive a case study review of the appeal process from both a clinical and financial perspective with detailed decision-making tools for each level of appeal.
SPEAKERS
Day Egusquiza, President, AR Systems, Inc.; Stacey Levitt, RN, MSN, CPC, Director Patient Care Management, Lenox NY Hill Hospital
E13
Grady Health: Improving Patient Access Efficiency and Effectiveness in a Safety Net Setting
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Identify and assess areas of operational improvement in patient access and patient financial services.
- Leverage technology to maximize revenues in an inner-city hospital environment.
- Increase the quality of registrations and billing, employee productivity, reduce FTEs and promote operational progress in a culture that is apprehensive and resistant to change.
- Reduce self-pay and attack excessive charity care by implementing substantial evaluation tools in the front and back ends of the revenue cycle.
- Implement and prioritize operational improvement strategies to resolve large-scale operational challenges.
LEVEL/CATEGORY
Advanced/Strategic
PREREQUISITES/PREWORK
Basic knowledge of patient access and PFS operations.
WHO SHOULD ATTEND
CFOs and other financial executives, PFS and access directors, reimbursement directors and other leaders affected by hospital efficiency improvements.
TOOLS AND TIPS
You will receive detailed information about tools and best practices to validate patient information and increase cash collections.
SPEAKERS
Cheri Kane, FHFMA, FACMPE, Interim Vice President of Revenue Cycle, Grady Health System; Max Carter, Vice President, Sales, Passport Health Communications, Inc.
PR05
Creating a Successful Outsource and Interim Management Partnership
Part of the Peer Review® Showcase Track
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Assess your current vendors or to confidently seek a new vendor partner, knowing what is available in the industry.
- Analyze your current state relative to A/R and cash and learn the fundamentals of process improvement that will work within any organization.
LEVEL/CATEGORY
Basic/Overview
WHO SHOULD ATTEND
CFOs, CIOs, executive revenue cycle leaders, directors of PFS, directors of finance and reimbursement and other leaders responsible for productivity management.
TOOLS AND TIPS
You will receive a sample communication log used by the provider/vendor to track weekly issues and solutions and a sample of the white board that was used to keep business office staff aware of how many dollars were being spent monthly on outsourcing.
SPEAKERS
Christopher A. Ferraro, Administrative Director, Finance, St. Joseph Health Services of Rhode Island; Lorrie Wood, Vice President, Receivables Management, MedAssist, Inc.
This CPE-eligible session features an educational presentation of an HFMA peer-reviewed product application. Vendors and providers will be co-presenting.
Breakout Sessions 1:30 – 2:45 pm
F01
Maximum Compliance and Minimal Risk—Beyond Billing and Coding
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Analyze your compliance programs and monitor them for potential problem areas.
- Develop an enterprise risk management approach to corporate compliance.
- Apply new knowledge to every day financial operations in the organization.
LEVEL/CATEGORY
Overview/Operational
WHO SHOULD ATTEND
CFOs, CEOs, compliance officers, counsel, risk managers, PFS and reimbursement leaders and anyone responsible for audit and internal controls in healthcare facilities.
CPE FIELD OF STUDY
Management Advisory Services
TOOLS AND TIPS
You will receive tips and tools for dealing with issues such as OSHA compliance, environmental compliance and HIPAA, such as checklists and sample audit plans to take back and implement.
SPEAKER
Jillian Harrington, Director of Compliance and Regulatory Affairs, Bassett Healthcare
F02
CAH Compliance: Organizational Status and Requirements
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Review the organizational status, special considerations of participation and requirements for CAHs.
- Delineate the standard areas of hospital compliance and address update issues relative to compliance.
- Discuss the coding, billing and reimbursement implications for CAHs.
- Discuss the relationship of CAHs to physicians and non-physician practitioners.
- Review associated compliance concerns, including provider-based status, EMTALA, CMS-855 and conditions for payment.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
Basic knowledge of CAH’s organizational status requirements and conditions of participation.
WHO SHOULD ATTEND
Financial, compliance and legal executives, PFS/revenue cycle directors and finance, HIM and reimbursement managers of critical access facilities.
TOOLS AND TIPS
You will receive a compliance checklist and a RAC audit list for CAHs.
SPEAKERS
Duane Abbey, President, Abbey & Abbey, Consultants, Inc.; JoEllen Villa, Director of Clinical Services, Community of Anaconda
F03
Key Strategies for Coping with Current Capital Markets (Late Breaking Accounting & Finance Session)
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Understand the nature of the challenges facing the not-for-profit healthcare sector
- Assess the impact of these challenges on the credit ratings, as well as factors that may influence downward rating pressure
- Discuss strategies that many hospitals are using to survive the credit crisis and preserve cash
LEVEL/CATEGORY
Intermediate/Strategic
PREREQUISITES/PREWORK
A basic understanding of capital markets and financing.
WHO SHOULD ATTEND:
CFOs, CEOs, and other executives and managers involved in capital strategy development
CPE FIELD OF STUDY
Finance
TOOLS AND TIPS
You will receive information on better practices that hospitals are implementing to cope with the ongoing credit crisis.
SPEAKER
Lisa Goldstein, Senior VP/Team Leader, Moody's Investors Service
F04
The Executive Challenge: Moving Toward a Higher Performing Health System
(Repeat of E04)
Using this morning’s panel of innovative leaders moderated by Karen Davis as a jumping off point, facilitators will lead an informal discussion among healthcare financial executives as to how they observe the current environment and how they envision meeting these challenges and opportunities through their own positions of leadership. This friendly, interactive discussion will allow executives to learn and discuss the issues with their fellow executives.
LEVEL/CATEGORY:
Advanced/Strategic
PREREQUISITES/PREWORK
Minimum one year experience as a CFO of a healthcare facility, including experience with strategic planning, budgeting, financial planning and capital planning/allocation.
WHO SHOULD ATTEND:
Senior financial executives, CFOs and vice presidents of finance in a provider setting.
TOOLS, TIPS AND TAKEAWAYS
You will receive tactics and tips to assist you in meeting leadership challenges.
SPEAKERS
Steven G. Ullmann, Ph.D., Professor and Director Health Sector Management and Policy and Special Assistant to the Provost, University of Miami; Andrew J. Leone, Ph.D., Professor, Accounting, College of Business, University of Miami
This session is only available to senior-level executives in a provider setting.
F05
Managing Physician Contracts and Joint Ventures to Create Cost-Effective Alignment
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Assess and evaluate physician contracts from a financial and legal perspective and move toward being able to more cost effectively manage relationships and joint ventures.
- Manage physician contractual relationships in a more cost-effective manner and develop strategies for such contracting.
- Reduce costs associated with physician contractual relationships and decrease legal and compliance risks.
LEVEL/CATEGORY
Overview/Strategic
WHO SHOULD ATTEND
CFOs, CEOs, COOs, compliance officers, service line managers, physician practice executives, legal counsel, board members and physician leaders.
TOOLS AND TIPS
You will receive sample contracts.
SPEAKERS
Paul DeMuro, FHFMA, CPA, MBA, JD, Partner, Latham & Watkins, LLP; R. Christopher Raphaely, Deputy General Counsel, Jefferson Health System, Inc.
F06
The Financials of Going Green: University of Maryland Medical Center Case Study
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Assess the financial opportunities of implementing a sustainability/waste reduction program in your organization.
- Apply sustainability principles to your organization to reduce operating costs and your organization's carbon footprint.
- Design a cost effective infrastructure to implement sustainable initiatives.
- Examine the culture of why healthcare employees embrace cost savings initiatives that are green but lash out at cost savings initiatives that are implemented for purely budgetary reasons.
LEVEL/CATEGORY
Overview/Strategic
WHO SHOULD ATTEND
CFOs, COOs and other financial executives and leaders, as well as financial analysts and others responsible for improving performance and implementing change in their healthcare organizations.
CPE FIELD OF STUDY
Finance
TOOLS AND TIPS
You will receive a case study of University of Maryland Medical Center Sustainability Program with sample financial analysis and infrastructure documents and a waste measurement tool.
SPEAKERS
Victoria Stewart, Business Director, Perioperative Services, University of Maryland Medical Center; Joan Plisko, Ph.D., Technical Director of Maryland Hospitals for a Healthy Environment (MD H2E).
F07
Using Financial Forecasting Models for Better Budgeting
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Discuss the attributes of useful forecasting models.
- Describe the benefits of budgeting using financial forecasting models.
- Use a unique financial forecasting model to evaluate different financial scenarios.
- Perform sensitivity analyses and change productivity, payer and operational mixes to see immediate bottom-line impacts.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
A basic understanding of budgeting and financial forecasting.
WHO SHOULD ATTEND
CFOs, budget and finance managers and their staff in hospitals and health systems who are responsible for the development of the operating and capital budget.
CPE FIELD OF STUDY
Finance
TOOLS AND TIPS
You will receive a checklist of effective financial forecasting model attributes.
SPEAKER
Paul Fogel, President, Executive Information Systems, Inc.
F08
Service Line Benchmarking: Measuring Performance and Potential
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Identify service line metrics that can be used to evaluate performance.
- Examine the impact of each service line on the facility and the budget.
- Identify opportunities for potential cost reduction.
- Use service line data to develop action recommendations.
LEVEL/CATEGORY
Intermediate/Operational
WHO SHOULD ATTEND
CEOs, COOs, CFOs, service line executives, accounting directors and productivity managers in hospitals and related healthcare organizations.
CPE FIELD OF STUDY
Finance
TOOLS AND TIPS
You will receive sample benchmarks, service line metrics and opportunity cost calculations.
SPEAKER
Tara Tesch, Director, Navigant Consulting, Inc.; J. Charles Cosovich, Director, Navigant Consulting, Inc.
F09
New Analytics for MS-DRGs: New York Presbyterian Hospital Case Study
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Assess NY Presbyterian’s experience responding to the MSDRG and ICD-9 changes, which includes reporting present-on-admission indicators and hospital acquired conditions.
- Demonstrate how new analytics tools support analysis and strategy for documentation and coding initiatives.
- Define a new method for quantifying financial opportunity from documentation improvement programs through benchmarking.
LEVEL/CATEGORY
Overview/Operational
WHO SHOULD ATTEND
Finance and reimbursement directors, directors of quality and case management, compliance officers, executive directors and directors of revenue cycle, PFS and patient access.
TOOLS AND TIPS
You will receive a demonstration of cutting edge business intelligence tools.
SPEAKER
David Caplan, Director, Data Analytics, New York Presbyterian Hospital
F10
Leveraging Payer Report Cards
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Develop metrics that are accepted by health plans.
- Define a clean payment from the providers perspective.
- Evaluate strategies to transform data into increased reimbursement.
- Examine strategic approaches to effectively counter healthplan provider reporting efforts.
- Effectively present the results to payers and leverage your position in contract negotiations.
LEVEL/CATEGORY
Intermediate/Strategic
PREREQUISITES/PREWORK
A basic knowledge of managed care and reimbursement.
WHO SHOULD ATTEND
Managed care contracting directors and managers, business office and PFS managers, CFOs, COOs, physician practice administrators, patient access and registration managers and revenue cycle staff members.
TOOLS AND TIPS
You will receive a reporting tool that can be used effectively in your markets to gain the upperhand in payer negotiations.
SPEAKER
Mitzi McCullock, System Director, Integris Health
F11
Optimizing Banking Relations to Improve Revenue Cycle Performance
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Review the convergence of health care and banking and the areas of the revenue cycle that are impacted.
- Explore detailed bank automation strategies of leading health systems and determine if they fit your revenue cycle.
- Apply tips and tricks to successfully deploying bank solutions in a healthcare environment.
LEVEL/CATEGORY
Overview/Strategic
WHO SHOULD ATTEND
PFS/revenue cycle directors and managers, CFOs, CIOs and reimbursement managers.
TOOLS AND TIPS
You will receive case descriptions from each of the providers describing: the problem statement, the providers vision and strategy for a solution, the proposed solution from various banks and the lessons learned after completing the implementation.
SPEAKERS
Melinda Ramsdell, Senior Vice President & Product Delivery Officer, Bank of America; Diane Watkins, System Director-Patient Financial Services, Saint Luke's Health System; James Betts, Executive Director - Patient Financial Services, Wellstar Health System, Marietta, GA
F12
Meeting the Challenge of HIS Change: Centura Health Revenue Cycle Case Study
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Explain the impact a system conversion may have on revenue cycle performance.
- Develop an actionable performance improvement plan.
- Assess current situation to validate priorities and action plans.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
A basic knowledge of revenue cycle operations.
WHO SHOULD ATTEND
CFOs, revenue cycle leaders, PFS and access leaders, CIOs, finance and reimbursement directors, managed care directions, clinical directors, materials management and other leaders responsible for strategic system IT conversions.
CPE FIELD OF STUDY
Computer Science
TOOLS AND TIPS
You will receive sample turnaround approaches and tactics for improving revenue cycle operations and performance, a sample HIS conversion plan and takeaway lessons learned from Centura’s experience.
SPEAKERS
Tracy B. Berry, Senior Vice President, Revenue Management, Centura Health; Angie Cox, Vice President, Revenue Management, Centura Health
F13
Moving From Denials Management to Denials Prevention: Mercy Health Systems Case Study
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Identify the collaboration needed to handle denials and determine opportunities for improvement.
- Analyze trends, including root cause analysis and identification of denials issues upstream.
- Employ techniques to shift accountability upstream.
LEVEL/CATEGORY
Intermediate/Operational
WHO SHOULD ATTEND
Financial executives, PFS directors and managers, HIM, UR/case management, revenue cycle executives and CIOs.
TOOLS AND TIPS
You will receive before and after flowcharts, sample provider policies and procedures and an ROI tool used by a provider denials team.
SPEAKER
Shawn Kent, Regional Director of Revenue Cycle Operations, Mercy Health Partners
PR06
Protecting Yourself for the Future: A "How to" Guide to Determine RAC Readiness
Part of the Peer Review® Showcase Track
AFTER THIS SESSION, YOU WILL BE ABLE TO:
- Evaluate your current compliance program and revenue risks in dealing with observation.
- Identify the value of creating a physician advisement program to ensure the strong hospital and medical staff communication necessary to manage evolving regulatory requirements.
- Establish consistent operational processes to ensure compliance in the event of one-day stay reviews from QIOs.
LEVEL/CATEGORY
Intermediate/Operational
PREREQUISITES/PREWORK
Basic knowledge of the RAC audit process and requirements
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 a plan for a RAC audit, steps to take (including process and reporting guidelines to ensure timely and cost effective resolutions to audits) and peer-to-peer RAC readiness recommendations and open sharing.
SPEAKERS
Stephen Ricks, Director of Case Management, Seton Corporate (Seton Family of Hospitals); Joseph Zebrowitz, M.D., Executive Vice President, Executive Health Resources, Inc.
This CPE-eligible session features an educational presentation of an HFMA peer-reviewed product application. Vendors and providers will be co-presenting.