November 22, 2013
Central Ohio HFMA Presents: Current Issues Update
Northeast Conference Center, Westerville
Event Description
The Central Ohio Chapter of HFMA is proud to present the following program:
8:00 – 8:30 Registration
8:30 – 8:45 Welcome and Opening Remarks
8:45 – 9:45 How will ACA Affect Hospital Revenue and Expense? – Tom Hadley and Jamie Zelewicz, Wells Fargo Insurance
9:45 – 10:45 Accounting and Auditing Update – Dawn Stark and Matt Rakay, Plante Moran
10:45 – 11:00 Break
11:00 – 12:00 Cash Reconciliation Process for Healthcare Providers – Margaret Casey Dowling, PNC Bank
12:00 – 1:00 Lunch
1:00 – 2:00 Current Trends in Mergers and Acquisitions – Jerry Luebbers, Plante Moran
2:00 – 3:00 Compliance Hot Topics – Jill Newberry and Jackie Nussbaum, Arnett Foster Toothman, PLLC
3:00 – 3:15 Break
3:15 – 4:15 State and Federal Health Care Issues Update - Jonathan Archey, Ohio Hospital Association
4:15 – 4:30 Closing Remarks
Lunch will be served and a happy hour will follow the event. 8 hours of CPEs for CPAs will be offered.
Who Should Attend
The focus of the education session is for healthcare accounting and finance professionals at all levels. There are no prerequisites. The sessions are designed as general updates and each presentation is scheduled to include a question and answer period, allowing an opportunity for more specialized questions for attendees.
Learning Objectives
Attendees will gain valuable information on the latest and most relevant changes affecting healthcare finance and accounting, and, more importantly, how these changes will affect healthcare and their organization. All topics will provide excellent and timely takeaways to bring back to any healthcare organization.
Location Details
Northeast Conference Center, 4140 Executive Parkway, Westerville, OH 43081
Free parking is available at the Northeast Conference Center
Pricing (including lunch)
Members $40, Non-Members $60
Registration Information
For online registration, click here.
Registrations can also be confirmed through emailing Patti McFeely at
(group invoice can be sent).
Please register by Friday, November 15th so that we can get an appropriate headcount for lunch. After November 15th all registrations are final. No refunds or returns.
For More Information (Who to Contact)
Please contact Todd Dougherty () 614-544-4133
Presentations
“How will ACA Affect Hospital Revenue and Expense” - Tom Hadley and Jamie Zelewicz, Wells Fargo Insurance
Summary
While the debate over Medicaid expansion has dominated the attention of hospital financial executives, the impact of ACA on private plans will also have a significant effect on revenue. This presentation will focus attention on how receivables and collections will be altered by new benefit designs, new players in the private market, and new, smaller networks. On the expense side, changes will go beyond what happens to your benefit plans. We will discuss the benefit plan exposures, but also go on to talk about the ACA impact on vendor relationships and how that might increase hospital expenses.
About the Speakers
Tom Hadley has 30+ years of experience in the employee benefits field. After graduation from Harvard College in 1975, Tom spent three years with the John Hancock Mutual Life Insurance Company in their Employee Benefits Division. He joined Wells Fargo in 1978 where he is now Senior Vice President and manages the Employee Benefits Practice of the Columbus office. In May 2001, Wells Fargo and Company acquired Acordia and the company is now known as Wells Fargo Insurance Services.
Tom’s particular expertise is alternative funding of group medical plans and consumer driven health plans. He consults to many self-insured employers and fully-insured employers on their welfare benefit plans.
Tom currently serves on the board of AccessHealth Columbus, a non-profit initiative to improve access to health care for all residents of Franklin County. He also served as a board member of The Columbus School for Girls. He earned his Chartered Life Underwriter (CLU) designation in 1979 and his Certified Employee Benefits Specialist (CEBS) designation in 1987.
Jamie Zelewicz joined Wells Fargo Insurance in 2003. He is responsible for designing and managing group purchasing employee benefit programs, with an emphasis on small to mid-size companies.
Jamie graduated from Bethany College with a bachelor’s degree in Political Science and received his MBA from Wheeling Jesuit University.
Prior to joining Wells Fargo, Jamie served as a White House intern for the Senior Advisor to President Bill Clinton, grew up in his family’s restaurant business, and was a small business owner himself.
“Accounting and Auditing Update” - Dawn Stark Pace and Matt Rakay, Plante Moran
Summary
This session will provide an informative accounting and auditing update affecting healthcare finance, covering:
· Recent accounting standards finalized addressing issues such as services received from personnel of an affiliate, joint and several liability arrangements, and cash flow presentation changes.
· Pending accounting standards addressing lease accounting, reporting discontinued operations, and going concern presumption.
· Other revelant healthcare guidance such as guidance for accounting for Medicare/Medicaid electronic health record incentive payments and ICD-10 conversion costs.
About the Speakers
Dawn Stark, CPA is the healthcare standards team leader at Plante Moran and has served the health care industry exclusively for nearly 15years. In that role, her responsibilities include developing firm quality control policies and procedures, providing staff and clients with guidance and consultations regarding new and proposed professional standards, and conducts pre-issuance reviews of financial and other attestation reports.
Matt Rakay, CPA is a member of Plante Moran and has 7 years of experience specializing in Accounting and Auditing services. His primary area of experience relates to providing services to Hospitals and Long-Term Care facilities. He is familiar with complex technical accounting and auditing issues for businesses throughout the healthcare industry. Clients have included entities ranging from single location facilities to multiple hospital systems.
“Cash Reconciliation Process for Healthcare Providers” - Margaret Casey Dowling, PNC Bank
Summary
Learning Objectives:
· Overview of the cash reconciliation process for healthcare providers
· Bank tools used to automate cash reconciliation
· Planning an automation project
· Provider cash reconciliation case studies
About the Speaker
Margaret Dowling is a senior revenue cycle consultant and project sponsor for PNC Healthcare. Her areas of particular expertise include automated cash posting, healthcare collections, cash reconciliation, business process improvement, EOB conversion to “manufactured 835s,” and denial and contract management. Margaret is a Certified Treasury Professional. She has 26 years experience in banking, and has spent more than a decade working with PNC’s healthcare clients. She has been cited in industry publications such as HFM magazine and Becker’s Hospital Review, and is a frequent speaker at industry conferences.
“Current Trends in Mergers and Acquisitions” - Jerry Luebbers, Plante Moran
Summary
Health Reform and current and proposed legislative changes effecting reimbursement has driven a significant amount of system consolidation, physician roll-ups and interest from private equity investors. This program will provide a snap shot of current merger & acquisition/affiliation activity in our region and provide you with key areas of focus as you consider specific organizations to partner with in the future.
Learning Objectives
1. Update on current regional M&A activity
2. Learn to tailor your potential merger or affiliation to your organizations risks and risks that exist with the target organization.
3. Ability to develop an approach to better understand the target’s key risk areas and whether additional risk or opportunities exist.
4. Identify and quantify potential costs and potential cost savings of a particular transaction on your organization post-closing.
About the Speaker
Jerry Luebbers specializes in providing merger and acquisition due diligence services to hospital and health systems, long-term care, and private equity funds investing in healthcare companies and organizations. He has more than 15 years of experience providing accounting, assurance, and consulting services to small and large privately held entities, and to entities with public reporting requirements.
Jerry has served clients in a variety of industries including health care, manufacturing and distribution, hospitality and gaming, and not-for-profit. He focuses on providing accounting and financial project support through due diligence services on proposed transactions, business planning and projections, financing, internal control evaluation and assessment, and process improvement recommendations and co/outsourced financial management.
Jerry frequently presents to executive leadership teams, boards, and organizations regarding mergers, acquisitions, and/or affiliations. Jerry is an active member of the Southwest Ohio Chapter of HFMA and volunteers for various organizations in the Greater Cincinnati area.
“Hot Topics: Maintaining Compliance in Times of Change”, Jill Newberry and Jackie Nussbaum, Arnett Foster Toothman, PLLC
Summary
In this session you will learn:
· Final changes in the 2014 IPPS rules including changes to inpatient and observation status as well as physician certification requirements
· 2014 OPPS update
· Updates on the latest medical necessity battles
· Updates on the quickly approaching transition to ICD 10
· Review of new RAC approved items
About the Speakers
Jill Newberry is a Senior Manager in Arnett Foster Toothman’s Healthcare Department. Her expertise in the health care regulatory field includes twenty eight years of auditing and reimbursement functions related to health care entities as well as establishing and implementing ethics and compliance programs. She has eleven years of experience in large tertiary teaching hospitals including four years with OhioHealth Corporation in Columbus, OH where she was the system Corporate Director for Reimbursement and the Interim Director of Ethics and Compliance and five years with Charleston Area Medical Center where she developed and implemented the system’s corporate compliance program. Jill is a Certified Public Accountant and a Certified Professional Coder. She is a member of the American Institute of Certified Public Accountants, Healthcare Compliance Association, Healthcare Financial Management Association, Association of Certified Fraud Examiners and American Academy of Professional Coders. Jill graduated from the University of Charleston.
Jackie Nussbaum is a Senior Manager in Arnett Foster Toothman’s Healthcare Department. She has eighteen years of healthcare experience, including two years of direct hospital experience. Jackie has extensive experience related to revenue analysis and enhancement including: strategic pricing and rate rationalization assistance for academic medical centers, multi-hospital systems and community hospitals, market analysis for strategic decision making, and charge master assistance in the areas of charge capture and charge structure. She has participated in the development of strategic planning and program development methodologies for healthcare providers as well as developed models for financial feasibility studies, utilization profiling, case mix analysis and financial forecasting. Jackie is a member
and past president of the Central Ohio Chapter of HFMA and a member of the American Academy of Professional Coders. She is a Certified Healthcare Financial Professional and Certified Professional Coder. She graduated from James Madison University and Xavier University.
“State and Federal Health Care Issues Update”, Jonathan Archey, Ohio Hospital Association
Summary
This section will provide an overview of recent and pending action – at both the state and federal levels – affecting health care stakeholders. In Columbus, the Kasich Administration and members of the General Assembly continue to propose reforms to the state’s Medicaid program intended to improve value and patient outcomes, but could present challenges for financial managers seeking stability and predictability in reimbursement. Implications of the State Controlling Board’s approval of health care coverage expansion also will be discussed, including the legal challenge filed by opponents and some of the ways expansion will affect other programs within Ohio’s health care financing system.
At the federal level, while Congress ended the self-imposed government shutdown and reauthorized the US Treasury Department’s ability to pay the nation’s bills, the solution was temporary and we could face another shutdown and debt ceiling crisis in early 2014. We will discuss shutdown lessons learned by health care providers, and how to prepare should another shutdown occur. Also, as a joint congressional committee seeks to avert another fiscal crisis and maintain Medicare payment rates for physicians, lawmakers are likely to consider a range of spending cuts that will affect providers.
About the Speaker
Jonathan Archey serves as OHA’s federal lobbyist and keeps hospital advocates apprised of the changing winds of both federal health care policy and national politics. Directing OHA’s interaction with Ohio’s Congressional delegation, he coordinates grassroots advocacy and representation efforts on federal issues and is a liaison between member hospitals and national health care organizations. A highly requested guest speaker, Jonathan’s energetic presentations are appreciated by audiences of all sizes, and his entertaining, innovative style makes even complicated public policy issues easy to understand. Prior to joining the OHA team in 2000, Jonathan served as a legislative aide in the Ohio House of Representatives and as a public policy intern in the Parliament of Ireland. Originally, from Delaware, Ohio, Jonathan is a nationally registered Emergency Medical Technician and holds a degree in political science from Wittenberg University. He and his wife Kim live in Columbus, Ohio.