WINTER EDUCATION PROGRAM
JANUARY 26 – JANUARY 28, 2011
MARRIOTT TOWN CENTER
CHARLESTON, WV
CO-SPONSORED WITH
THE WEST VIRGINIA SOCIETY OF CPA’S
(12 CPE CREDITS)
MEETING AGENDA
WEDNESDAY, JANUARY 26, 2011
WEDNESDAY / SESSION OR EVENT2:00p – 5:30p / Exhibitor Setup / All
4:00p – 6:00p / Registration Desk Opens / All
4:00p – 6:00p / WV HFMA Board Meeting / HFMA Board
6:00p – 8:00p / Vendor Reception / All
8:00p – 10:00p / Dinner on your own / All
THURSDAY, JANUARY 27, 2011
THURSDAY / SESSION OR EVENT7:00a – 8:15a / Registration and Breakfast – Exhibitor Hall / All
8:15a – 8:30a / Opening Comments
President Danielle Heston-Raddish / All
8:30a – 9:20a / Observation Patients: The Challenges of Coverage and Compliance – Day Egusiquiza A/R Systems Inc. / All
9:20a – 10:10a / Integrating Key Performance Indicators into an Environment of Continuous Process Improvement – Jane Berkebile OhioHealth / All
10:10a -10:20a / Break
10:20a – 11:10a / Best Practices: Obtaining Authorizations and Preventing Denials – Bill Bollinger Recondo Technology / PFS Track
Executive Roundtable– How WV Hospitals Are Preparing for Medicare Cuts from Health Reform
Moderator: Norman Mosrie – Dixon Hughes Larry Hudson – CFO CAMC
Doug Bentz – CEO Roane General Hospital Heather Hylton – CFO Plateau Medical Center / CFO Track
11:10a – 12:00p / Patient Access: Focusing on the Patients’ Financial Care– Cole Hooper MedeAnalytics / PFS Track
Executive Roundtable How WV Hospitals Are Preparing for Medicare Cuts from Health Reform continued–
Moderator: Norman Mosrie – Dixon Hughes Larry Hudson – CFO CAMC
Doug Bentz – CEO Roane General Hospital Heather Hylton – CFO Plateau Medical Center / CFO Track
12:00p – 1:00p / Lunch - WVHFMA Chapter Awards Ceremony / All
1:00p – 1:50p / New Technologies for Communicating with Patients – How the Internet, Blogs and Social Networking can make or break any business, anywhere, at any time – David Phelps – Helvey and Associates / All
1:50p – 2:40p / National Legislative Update – Danielle Lloyd Premièr Inc / All
2:40p – 3:00 / Break / All
3:00p – 3:50p / Medicare Opportunities and Risks - Dennis Barry, Esquire King & Spalding’s Healthcare Practice Group / All
3:50p – 4:40p / Using Advanced Analytics to Get the Most from Your Collection Teams – Dan Buell -SearchAmerica / All
4:40p – 5:15p / Program Committee Meeting / Program Committee
6:00p- 7:00p / Reception – Exhibitor Hall / All
7:00p – 8:00p / Dinner / All
8:00p – 9:30p / Entertainment – Matthew David Stanley Magician/Comedian / All
FRIDAY, JANUARY 28, 2011
FRIDAY / SESSION OR EVENT7:30a – 8:30a / Breakfast / All
8:30a – 9:00a / WVHA Update – Joe Letnaunchyn– West Virginia Hospital Association / All
9:00-10:10 / Meet Your New MAC– Tammy Tucci - PalmettoGBA / All
10:10a – 10:20a / Break / All
10:20a – 11:10a / EHR Implementation Roundtable –
Moderator: Bob Coffield, Esquire Flaherty Sensabaugh Bonasso
Kim Clarke – WVU Healthcare
Lynn Brookshire - CAMC / All
10:30a – 12:00p / Exhibitor Tear Down / Exhibitors
11:10a – 12:00p / Get Out of the Cave and Soar Upward - John Cook - Acryness / All
12:00p – 12:15p / Door Prizes – Adjourn Meeting / All
COURSE DESCRIPTION AND SPEAKER BIOGRAPHICAL INFORMATION
Observation: The Challenges of Coverage and Compliance
Day Egusquiza – President – AR Systems, Inc.
In this dynamic operational based class the issues of correct patient status of inpatient verses observation plus billable hour’s verses hours in a bed will be addressed. Nursing, UR and physician issues will be included while identifying better practice ideas to prevent vulnerabilities. 2011 updates will be included.
Day Egusquiza brings over 30 years experience in healthcare reimbursement, hospital business office operations, contracting and compliance implementation to the table as a nationally recognized speaker. Her work includes providing guidance as a compliance and reimbursement educator while providing operational insight on the on the revenue cycle impacts of RAC/Medicare Recovery Audit Contractors. She has been on the AAHAM National Advisory Council, HFMA National Advisory Council and is the past President of the Idaho HFMA Chapter and recently received the Lifetime Achievement Award.
Integrating Key Performance Indicators into an Environment of Continuous Process Improvement
Jane Berkebile – Vice President of Revenue Cycle OhioHealth
This session will discuss Key Performance Indicators, the HFMA MAP Process, and how a successful revenue cycle operation integrates these concepts into exceptional results; developing an organization structure to support process improvement and the importance of celebrating success during the process.
Jane has been the Vice President of Revenue Cycle since 2006 and is responsible for central scheduling, patient access, health information management, consolidated billing, collections, customer service, physician billing and collections, revenue cycle IS operations and project management for Doctors Hospital, Grant Medical Center, Riverside Methodist Hospital, Dublin Methodist Hospital, Grady Memorial Hospital and Doctors Hospital Nelsonville. She has over 20 years of healthcare finance background. She holds a B.A. from the University of Pittsburgh and a M.A. from Indiana University of Pennsylvania. A current member of HFMA, Jane also received CPAM certification in 1991.
Best Practices: Obtaining Authorizations and Preventing Denials
Bill Bollinger – Regional Director- Recondo Technology
In this session you will learn to identify authorization stakeholders, increase effectiveness of patient management, billing and collections. Be able to recognize situational workflow considerations. Learn to shift revenue cycle efforts from the back end of the revenue cycle to the front end as well as optimize charity care by building or improving your existing processes with the aide of technology, integration and automation.
Bill Bollinger serves as Regional Director of Recondo Technology. Prior to Recondo Bill work for McKesson Corporation as a Project Manager for Practice Management and Electronic Medical Record software. He has also worked for Craneware and PerSe Technologies and is a recognized domain expert on the hospital revenue cycle, especially workflow, patient eligibility, POS collections, authorizations and electronic medical records. Bill holds a B.A. degree from the New York Institute of Technology.
Patient Access: Focusing on the Patient’s Financial Care
Cole Hooper – Associate Vice President of Product Marketing – MedeAnalytics’ Patient Access Intelligence Solution
This session will focus on specific benefits of improved front end processes and tools are being used to increase cash collections and improve the patient experience. Also included in the session will be examples of how risk segmentation, predictive modeling, business rules, work flow software and 3rd party eligibility data can be integrated into an organizations registration process to maximize up-front cash and reduce registration errors. The front end of the revenue cycle is often very fragmented and inefficient with numerous manual processes prone to errors and omissions of critical information required for billing and collections. Most hospitals ultimately lose as much as $0.50 on every patient dollar resulting in decreased margins and increased bad debt. Improving the patient financial care process focuses on enriching the patient experience in addition to a hospital’s bottom line.
Cole Hooper has extensive experience working with hospitals to implement workflow technology and business intelligence applications to address the specific challenges of patient access. Cole has a deep understanding of the wide range of technology solutions available in the market today and how they are used to address and improve the fragmented processes of patient access.
How WV Hospitals Are Preparing for Medicare Cuts from Health Reform – Executive Roundtable
Moderator: Norman Mosrie – Dixon Hughes
Participants:
Larry Hudson – Chief Financial Officer – Charleston Area Medical Center
Doug Bentz – Chief Executive Officer – Roane General Hospital
Heather Hylton – Chief Financial Officer – Plateau Medical Center
This one hundred minute session will focus on steps hospitals are taking to prepare for significant cuts in Medicare payments stemming from health care reform. Each participant will discuss what their hospital(s) are doing to prepare for these cuts and to attempt to keep a positive bottom line in tough economic times. This session will be an open interactive format with audience participation encouraged.
New Technologies for Communicating with Patients – How the Internet, Blogs and Social Networking can make or break any business, anywhere, at any time!
David Phelps – Vice President of Sales and Marketing – Helvey and Associates, Inc
This will be a dynamic session that will help us all to understand how new technologies are emerging as a common way to communicate with our patients populations. You will learn the effect that the Internet, Blogs and Social Networking can have on your business both positively or negatively.
David brings more than 20 years of experience to the Contact Center and Credit and Collections world. With extensive experience in the Telecommunications, Healthcare and High Tech industries, he has been a champion for automations and technology expansion. His diverse background at Fortune 100 companies has allowed him to bring best of breed ideas and experience to the collections and call center industry helping his current firm Helvey and Associates expand their service portfolio and client base without having to expand their employee base. In his current role he is responsible for expanding the product and service portfolio, developing a robust channel partner program, developing social networking programs, insuring quality customer service for the existing client base and expanding the customer base through sales and marketing programs David hold a bachelors degree in Marketing from the University of Texas.
National Legislative Update
Danielle Lloyd – Senior Director Reimbursement and Policy Analysis – Premier Inc.
This session will cover the status of the healthcare reform legislation and the implications of the major payment and delivery system reform provisions for hospitals. This will include the latest congressional updates related to the Medicare Physicians Payment Cuts.
Danielle Lloyd is the senior director for reimbursement policy at Premier Inc.,a2006 Malcolm Baldrige National Quality Award recipient. Entirely owned by nearly 200 of the nation’s leading not-for-profit hospitals and healthcare systems, Premier serves more than 2,000 hospitals and more than 51,000 other healthcare sites. Through Premier, hospitals share knowledge to enhance quality and care delivery to better serve patients while safely reducing costs. Danielle leads Premier’s reimbursement policy analysis and development including research around the alignment of financial incentives to improve healthcare quality and reduce costs. Danielle came from the America Hospital Association where she was senior associate director for policy covering the areas of Medicare inpatient, rural and psychiatric payments as well as the federal reimbursement program for emergency services provided to undocumented immigrants. Prior to that, she worked on an array of healthcare issues for the California Hospital Association, the U.S. House of Representatives Committee on Ways and Means and the Health Care Financing Administration (now the Centers for Medicare & Medicaid Services). Danielle is currently serving her third term as an elected member of the Board of Directors for the California Healthcare Interpreting Association. She is from Los Angeles, has a bachelor’s degree from the University of Pennsylvania and has a master’s degree in public health from the University of California, Berkeley.
Medicare Opportunities and Risks
Dennis Barry, Esquire – Partner – King & Spaulding Healthcare Practice Group
The session will address payment opportunities and compliance risk areas including: DRG payment window; budget neutrality; whether cost reporting matters; coverage risks not flagged by bill edits for NCDs and LCDs; provider-based issues; and IRF coverage issues.
Dennis is a partner with King & Spaulding and his principal area of practice is in the health industry and he focuses on healthcare clients with an emphasis on Medicare coverage, payment and compliance issues. He represents providers in numerous cases before the Provider Reimbursement Review Board, Administrative Law Judges and federal courts. He also advises clients on specific compliance questions and has worked with providers in establishing compliance programs. He has been involved in defending a number of cases arising under the False Claims Act. He was awarded the Lawyer of the Year for Health Law in Washington, DC in 2010. He holds a J.D from the University of Virginia School of Law and a B.A. in Economics from OhioWesleyanUniversity. He is the past president of the Washington Metro Chapter of HFMA.
Using Advanced Analytics to Get the Most from Your Collections Team
Dan Buell – Senior Vice President – SearchAmerica
This session will discuss how hospitals can apply advanced analytics to better understand the activities performed on its behalf by its internal collection teams and external agencies. Attendees will see how this information helped a U.S. health care network direct accounts to a team best suited to collect each account type and also equipped those teams with timely information (e.g., job change, new access to credit) resulting in improved cash collections. Attendees will learn best practices for monitoring on-going performance and predicting collections including analyzing: how each collections team is performing against historical metrics, how much cash is being collected by account category, how outside agencies are performing compared to each other as well as industry benchmarks and what future bad debt will be based on analytics applied to patient AR.
Dan is Senior Vice President of SearchAmerica, where he is responsible for the product, marketing and business operations. He began is career in the credit and collections industry with software developer Ontario Systems. He also served as the Director of Information Services of OSI; Chief Operating Officer for Machol & Johannes, P.C., President of MarCom/Americall Group, Inc. and Vice President of Product Management and Marketing for Experian’s collections business. He is an active speaker and has given presentations to numerous industry events. He is a graduate of Ball State University and holds a Master of Business Administration with honors.
West Virginia Hospital Association Update
Joe Letnaunchyn – President & CEO – West VirginiaHospital Association
During this session you will hear a discussion of the current State and Federal advocacy efforts of the West Virginia Hospital Association, including West Virginia legislative agendas. He will also brief the group on healthcare reform activity impacting West Virginia Hospitals.
Joe is responsible for the oversight of all activities affecting West Virginia’s hospitals and health systems before the West Virginia Legislature and Congressional Delegation in Washington, DC, state regulatory agencies and West Virginia’s business community. Previously he served as the President and CEO of the Delaware Hospital Association and is the former Vice President of Health Care Finance, Insurance and Continuing Care Services with The Hospital Association of Pennsylvania. In previous positions he was with the accounting & consulting firm of Coopers & Lybrand (now PriceWaterhouseCoopers), he was a healthcare consulting manager in Philadelphia and Baltimore responsible for the office’s regulatory and legislative activities. He also served as the firm’s National Director of Health Care Services in New York City. Mr Letnaunchyn holds an undergraduate degree in Accounting (cum laude) from Mount St. Mary’s College and a Master’s of Science in Health Services Administration (academic honors) form the University of St. Francis in Joliet, IL.
Meet Your New MAC
Tammy Tucci - Senior Ombudsman, Provider Outreach and Education - Palmetto GBA
Jurisdiction11 (J11) Part A and B Medicare Administrative Contractor (MAC)
This presentation will focus on Palmetto GBA and the J11 A/B MAC. The presentation will discuss the impact it will have on WV providers. It will cover any challenges expected with implementation. It will also focus on the changes providers can expect with the transition.
Tammy graduated from the University of Lander in Greenwood, SC with a Bachelor of Science in Health Care Management in May 1998. Tammy began her employment with Palmetto GBA in July 1998 as the Part A Beneficiary Professional Relations Representative. In this position she travelled 16 states conducting Medicare workshops and educational exhibits for beneficiaries on their Part A Medicare benefits. She also worked as a liaison with congressional offices to respond to constituent’s Medicare coverage and billing questions. While in this position she earned her Professional Designation in Managed Care from the Academy for Healthcare Management. In May 2003 Tammy took the position of Provider Outreach and Education Ombudsman for Skilled Nursing Facilities (SNFs), Comprehensive Outpatient Rehabilitation Facilities (CORFs), Outpatient Rehabilitation Facilities (ORFs), End Stage Renal Disease Facilities (ESRDs) and SwingBed Facilities in South Carolina. In this position she educated Medicare providers about Medicare coverage and billing policies through interactive Web-based training, teleconferences and workshops. While in this position, she earned the designation of Professional Trainer from Langevin Learning Services. She was promoted in 2006 to Senior Ombudsman where she was responsible for supervising the duties and assignments of the South Carolina and North Carolina Ombudsman. In December 2008 Tammy became the Manager of the Part A and Regional Home Health and Hospice Intermediary (RHHI) Provider Outreach and Education Department. She remained in that position until July 2010, when her family relocated to Florida. She is no a Senor Ombudsman for Part A and Home Health and Hospice providers based out of her home in Coral Springs, Fl. She travels the states covered by Jurisdiction 11 educating providers on Medicare coverage and billing guidelines.
EMR Implementation Roundtable
Moderator: Bob Coffield, Esquire - Flaherty, Sensabaugh & Bonasso, PLLC
This roundtable will focus on the processes that facilities have used to implement Electronic Health Records into their daily operations. We will hear what worked well and what did not work as well with successful implementation from several perspectives including hospitals, physician clinics, and external counsel.
Participants:
Kim Clarke – Director of Applications and Data Management – WVU Healthcare
Kim is the Director of Applications & Data Management at WVU Healthcare, Department of Information Technology/ Division of Informatics. In addition to her responsibilities for the Revenue Cycle and EHR/Clinical Applications for WVU Healthcare she is the lead for meeting Meaningful Use and has be a participant in the vendor evaluation/selection process for the State of West Virginia Health Information Network. Kim has twenty plus years of experience in healthcare IT, including management of large groups of IT professionals, vendors, consultants and hospital department resources. She is experienced in the planning, selection and implementation of hospital information systems, including operational process redesign. She is the past chair of the HIMSS Project Management SIG, and developed and previously taught several project management workshops across the country and at the HIMSS annual conference. Kim has a Master’s Degree from the University of Pittsburgh, is a Fellow with HIMSS, has been CPHIMS certified since 2002 and previously taught the CPHIMS preparation workshop. She is currently the Past President of the WV Chapter of HIMSS and chairs both the WVHIMSS Program Committee and Chapter Sponsorship.