2016 annual instituteschfma.org/pdfs/2016_ai_agenda_schfma.pdf · 7:30—8:30 am...

May 31—June 3, 2016

Myrtle Beach, South Carolina

2016 Annual Institute

AppRev

BlueCross BlueShield of South Carolina

Avadyne Health

BKD LLP

Med A/Rx (PMAB)

PatientCo

PricewaterhouseCoopers, LLP

AccessOne MedCard, Inc

Bank of America Merrill Lynch

Bottom Line Systems

Chamberlin Edmonds / Emdeon

ParrishShaw

Resource Corporation of America

Resource One Medical Billing, LLC

South Carolina Hospital Association

The SSI Group, Inc.

Adreima

Advanced Patient Advocacy

AMCOL Systems

American Express

Avectus Healthcare Solutions, LLC

Benefit Recovery

Clear Balance

CliftonLarsonAllen

Craneware

Credit Solution$

DataTrac Receivables Recovery

DECO, LLC

Enable Comp

EOS

Haynsworth Sinkler Boyd, PA

Hollis Cobb Associates

Laddaga-Garrett, PA

Medical Data Systems (MDS)

Optimum Outcomes

Paragon Revenue Group

Parallon

PARO Decision Support

Receivable Solutions

Receivables Management Corporation

RGL Associates, Inc

The ROI Companies

UCB, Inc.

Verisma Systems, Inc.

Washington & West, LLC

Xtend Healthcare Advanced Revenue Solutions

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B e Bold is the theme of the 2016

HFMA South Carolina Chapter

Annual Institute This institute will focus

on ways for you to become a be bold

warrior. Topics include finding your

greatness, C3 LinkedIn, gaining latitude

with attitude, creating a living legacy

and so much more! With 14.25 CPE

hours available, this is education you

cannot afford to miss.

E nriching activities are planned

including morning yoga, coloring,

networking, and more. Do not miss out

on the unofficial 5K on Friday. Sign up

fee is $25.

B eautiful, creative and fun. The

Janet Danner Joyful Ornament

Fund was founded as a way to support

women battling cancer. They support

in all needs from meals to

transportation and more. We will be

supporting the Joyful Ornament Fund

by creating one of a kind ornaments

that will be sold to help support their

efforts.

O n Wednesday night, join us at

Broadway Louie’s located at

Broadway at the Beach. You will be

responsible for transportation to and

from this event and we strongly

encourage you to use UBER or taxi

services. We estimate that an UBER XL

ride will be between $30 and $40 per

trip or UBER X ride will be between $19-

26 per trip. Please plan accordingly

and drive responsibly.

L ooking to see how you could help

out in the chapter? Just see anyone

wearing a RED lanyard. These are our

past presidents and any of them will be

more than happy to assist you in finding

a committee on which to volunteer.

D uring the institute, you will have an

opportunity to have a professional

headshot taken free of charge. Thanks

to the generosity of our sponsor, HBCS.

Digital Images will be available shortly

after the conference.

The Annual Jerry Walker Beach Volley Ball Tournament will be

on Thursday afternoon following the family lunch. Sign up for

the volley ball tournament will be located near registration and

will be first come, first serve. You must sign a waiver to

participate. Teams will be drawn at random. The winning team

gets a cash prize!

The tournament was started by the late

Jerry Walker. Jerry was a charismatic

leader who was in healthcare for 30 years.

Jerry started the volley ball tournament as

a fun and competitive activity for those who

did not participate in golf. The tournament

quickly took off and became an annual

event. So much so that the golf tournament

was moved to the Fall Institute. When Jerry

passed away in 2007, the SCHFMA Board of

Directors voted to name the annual

tournament in his memory.

This year, the tournament is sponsored by Medical Data

Systems (MDS), Med AR/x (PMAB), App Rev, and DECO. The

Awards reception will be Thursday evening and is sponsored by

Avadyne. Thank you to our sponsors for making this event

great!

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Tuesday, May 31

3:30—5:00 pm Board Meeting Palisades H

4:00—7:00 pm Registration Open Group Registration

5:30—6:30 pm President’s Opening Reception—Sponsored by Bull City Financial Solutions, Inc Exhibit Hall

7:00 pm until Past Presidents Dinner (by invitation only)—Sponsored by UCB, Inc

Wednesday, June 1

7:30 am – 5:00 pm Registration Desk Open (will close during lunch) Group Registration

7:30—8:30 am Breakfast—Sponsored by Experian Health Exhibit Hall

8:30—8:45 am Welcome and Opening Remarks

Woody Turner, SCHFMA 2015-2016 President Palisades G, H

8:45—10:15 am

Be Bold! Find your Greatness

Katie Neubaum, Find Your Greatness, LLC

Sponsorship Available

Palisades G, H

10:15—10:30 am Networking Break—Sponsored by BKD Exhibit Hall

10:30—11:30 am

Concurrent Sessions

The Power of Changing One Habit

Shay Eskew, EnableComp

Motivation/Leadership Track Sponsored by CBC Collections

Palisades G, H

Compliant Charge Capture to Improve Cash Flow

Sarah Goodman, SLG, Inc.

Finance/Revenue Cycle Track Sponsored by Xtend Healthcare

Palisades I

11:30—1:00 pm Installation of Officers Luncheon—Sponsored by Resource Corporation of America Palisades A, B, C

1:00—2:00 pm

Concurrent Sessions

Rise of the Healthcare Consumer - How Providers are Responding to Changing Patient

Roles and Expectations

Jeffrey Pauley, Bank of America

April York, Novant Health

Palisades G, H

Using Data Analytics to Succeed in Bundled Payments

Andy Williams & Eric Rogers, BKD

Will McLeod & Emily Adams, McLeod Health


Palisades I

Take the time to enjoy all that our Exhibitor Hall has to offer and please stop and talk with our Exhibitors! Please also take a second and review our exhibitor and chapter sponsor websites and the services they offer. The greatest way to show our appreciation and encourage future exhibitors and sponsorships is by giving them an opportunity to provide services and refer business to them when the situation fits! The sponsorship page of our website has a list of our sponsors with their information. The best compliment we could give them is a referral or opportunity to serve us!

2:00—3:00 pm

Concurrent Sessions

Meeting Medical Necessity for All Payers Using ICD-10

Linda Corley, Xtend Healthcare


Palisades G, H

Making the Supply Chain Your Competitive Advantaging in an Era of Bundled Payment

and Population Health

Andy Perry, Curvo Labs, Inc

Palisades I

Wednesday, June 1 (cont.)

3:00—3:30 pm Vendor Appreciation Break—Sponsored by Evolve Business Solutions, LLC

3:30—5:00 pm

C3 LinkedIn Launch—Connect, Communicate, Convert

Katie Neubaum, Find Your Greatness, LLC


Palisades G, H

7:00—10:00 pm

Malibu’s Surf Bar - Broadway Louie’s

Sponsored by

Broadway at the

Beach

Thursday, June 2

6:30—7:30 am Yoga—Sponsored by Evolve Business Solutions LLC Palisades I

7:30—8:30 am Networking Breakfast—Sponsored by HCFS, Inc Exhibit Hall

7:30—12:00 pm Registration Desk Open Group Registration

8:30—9:30 am

Concurrent Sessions

Gain Latitude with Attitude

Janet Broz, Franklin Collection Service


Palisades G, H

Navigating the Vendor Selection Process: A Case Study from Carolinas HealthCare

System

Chris Johnson, Carolina Healthcare System

Julianne Dreon, AnMed Health


Palisades I

Concurrent Sessions

9:30—10:30 am

Medicare Advantage: Increasing Enrollments Demand Increased Provider Attention

and RAC Audits

Linda Fotheringill, Washington & West


Palisades G, H

The ABCs of Physician Quality Reporting for Finance Professionals

Dr. Tom Lee, SA Ignite Palisades I

10:30—10:45 am Networking Break—Sponsored by MedAssets—Precyse

10:45—11:45 am

Planning for MACRA: What to Consider

Melinda Hancock, DHG LLP


Palisades G, H

11:45—1:00 pm Family Lunch on the Lawn—Sponsored by Avectus Healthcare Solutions

Tent Sponsored by Nemadji Research Corporation and North Lawn

1:00—5:00 pm Jerry Walker Memorial Volleyball Tournament

Sponsored by App Rev, DECO, MDS, and Med AR/x Beach

6:00—7:00 pm Volleyball Awards Reception—Sponsored by Avadyne Health North Lawn

Take the time to enjoy all that our Exhibitor Hall has to offer and please stop and talk with our Exhibitors! Please also take a second and review our exhibitor and chapter sponsor websites and the services they offer. The greatest way to show our appreciation and encourage future exhibitors and sponsorships is by giving them an opportunity to provide services and refer business to them when the situation fits! The sponsorship page of our website has a list of our sponsors with their information. The best compliment we could give them is a referral or opportunity to serve us!

Friday, June 3

6:30—8:00 am Unofficial 5K Fun Run/Walk—Sponsored by Washington & West Beach

7:30—12:00 pm Registration Desk Open Group Registration

8:00—9:00 am Fellowship Prayer Breakfast—Sponsorship Available Palisades I

9:00—10:15 am

Concurrent Sessions

Alternative Payment Models: How They’re Changing Healthcare Finance

Amber Winkler, Clarify Palisades G, H

The Finance Role in a Highly Reliable Organization (HRO)

Kari Cornicelli, Sharp Metropolitan Medical Campus


Palisades I

10:15—10:30 am Networking Break—Sponsored by MedAssets—Precyse

10:30—12:00 pm

PATRIOTIC DEVELOPMENT®: How to Create a Living, Lasting Legacy

Jason Howell


Palisades G, H

12:00 pm Adjournment—Door Prizes

Estelle Welte, SCHFMA 2016-2017 President Palisades G, H

Hotel Keys

Receivables Management Corporation

Provider Gifts

FirstPoint Resources

Charging Station

Diamond Healthcare Communications

Experian Health

Name Badges

Besler Consulting

Service Project—Joyful Ornament Fund


Franklin Collection Service, Inc

The ROI Companies

Washington & West, LLC

WIFI

BKD

Exhibitors

Patientco

Access One

AppRev


Ensemble Health Partners

Evolve Business Solutions, LLC

Healthcare Resource Group, Inc

The SSI Group

Trubridge

Xtend Healthcare

Be Bold! Find Your Greatness

Katie Neubaum

Wednesday, 8:45 am Palisades G, H


The Keynote presentation will be integrated with 4-musical/

vocal selections and an interactive, meditational piece. This is

designed to center and balance the body, mind and spirit. As a

professional singer and spokesperson, I find it extremely

effective to use music to teach the audience how to identify with

their own personal greatness! Everything comes from within.

Nothing comes from without.

By attending this session, you will learn:

1. Foundational awareness of Mindset and personal growth.

You can only grow your business to the extent

that you grow your self

Positive thoughts, feelings and actions extend to

all parts of your life

Slow down to speed up

2. Understanding the law of attraction and the Universal

principles

Vibrational frequency is real

The attractor factor

Understanding and embracing the Universal laws

3. Identifying daily strategies for designing your life as you

desire it to be

You are the King of your State of mind

When you change the way you look at things the

things you look at change

Be Bold, Be Brave, Be Bright! You are worthy. You

are where you are and it is good.

About Katie Neubaum

As a Motivational Speaker and Success Coach, Katie

Neubaum helps inspire others to shift their mindset into

understanding the power of positive thinking. She

believes each of us serves a divine purpose here on this

earth and it is her passion to empower others to find

their greatness.

Katie is one of the most enthusiastic and happy people

you will ever meet! She is a go-getter and she loves a

challenge! She believes that through serving others she

becomes her best self! She attracts people easily into

her organization who also desire to be their very best

and who feel passionate to motivate others to achieve all

of their dreams!

The Power of Changing One Habit

Shay Eskew, EnableComp

Wednesday, 10:30 am Palisades G, H*


What if changing ONE HABIT could alter your life forever...in a

good way?

What if by changing one habit you could trigger a series of other

small life changing events, which in and of themselves seem

frivolous, yet collectively they enable you to achieve previously

unattainable goals?

What if you learned over 40% of your day was comprised

of HABITS, performing thoughtless actions, daily rituals?


1. Live a more meaningful and impacting life.

2. Seize the opportunities each day presents and not

delay in doing them.

3. Engage others in helping you realize your dreams.

Compliant Charge Capture to Improve Cash Flow

Sarah Goodman, SLG, Inc

Wednesday, 10:30 am Palisades I*

Rev Cycle/Finance Track Sponsored by Xtend Healthcare


1. Describe new process improvement strategies in the area

of outpatient charge capture.

2. Identify charge capture strategies for common ancillary

services through system conversions and beyond.

3. List charge capture "best practice" tips.

*Denotes a Concurrent Session 6


Rise of the Helathcare Consumer

Jeffrey Pauley, Bank of America

April York, Nuvant Health

Wednesday, 1:00 pm Palisades G, H*


1. Describe new process improvement strategies in the area

of outpatient charge capture.

2. Identify charge capture strategies for common ancillary

services through system conversions and beyond.

3. List charge capture "best practice" tips.

Using Data Analytics to Succeed in Bundled Payments

Andy Williams & Eric Rogers, BKD

Will McLeod & Emily Adams, McLeod Health

Wednesday, 1:00 pm Palisades I*


Medicare is shifting FFS reimbursement to advanced payment

models as evidenced by the mandatory bundled payment for hip

and knee surgeries. The ability to accurately price risk across

an episode of care will challenge hospitals to align value-

oriented providers and deliver the most appropriate care with

an eye towards activity-based cost accounting.


1. How Medicare bundled payments transfer risk to providers

by holding hospitals financially accountable for an entire

episode of care.

2. The importance of leveraging claims analytics for process

improvement methods and performance evaluation against

fixed target prices.

3. The value of collaborative relationships with physicians

and post-acute care providers.

Meeting Medical Necessity for All Payers Using ICD-10

Linda Corley, Xtend Healthcare

Wednesday, 2:00 pm Palisades G, H*


This session will discuss the varied payer requirements for

meeting medical necessity with ICD-10-CM diagnoses and PCS

(procedure codes). However, the presentation focuses on

proven methodologies for evaluating current performance and

for establishing a workable system-wide plan for meeting these

requirements. The primary speaker will utilize a panel of

subject-matter-experts to discuss what has succeeded in

various health service settings – outpatient, inpatient,

professional specialty services – and what they do not

recommend or what has not been successful. The speaker will

also outline a specific plan that can be used for implementation

of verification of medically necessary diagnoses through

various points of service. The collaboration of clinical, patient

access and financial staff will also be highlighted.


1. Accurately identify the monthly dollar amount of lost

revenue due to not meeting medical necessity and/or

specific coverage requirements for all payers.

2. Understand how and why different strategies should be

employed depending on payer.

3. Evaluate current performance using ICD-10-CM diagnoses

and PCS (inpatient procedure codes) in meeting medical

necessity for high-cost outpatient services.

4. Discuss why meeting medical necessity for Medicare

outpatient Laboratory tests may not be as important as in

past years.

Making the Supply Chain Your Competitive Advantage

Andy Perry, Curvo Labs, Inc

Wednesday, 2:00 pm Palisades I*


1. Understand why old strategies like cost based

reimbursement, outsourced contracting, and transactional

management inhibit an organization’s competitiveness and

growth.

2. Understand a new way to think about the supply chain

strategies (business, people, information) using Paulson

and Saunders’s Information Systems Strategy Triangle.

3. Understand how to use Medicare market and cost report

insights to quantify the impact that strategic supply chain

management has on an organization and evaluate its

current state.

C3 LinkedIn Launch—Connect, Communicate, Convert

Katie Neubaum

Wednesday, 3:30 pm Palisades G, H


After the presentation I will make available a complementary

digital copy of my eBook. This was created exclusively for my

Linkedin training and is full of my scripts and tips for

communicating authentically and professionally through social

media.


1. Learn to connect easily and create a professional profile

and presentation.

2. Master the Daily Income Producing activities of building a

network.

3. Covert your connections and leads to active participants of

your network and business.

Gain Latitude with Attitude

Janet Broz, Franklin Collection Service

Thursday ,8:30 am Palisades G, H*


The presentation is designed to gain a positive perspective into

live no matter what type of people that surround you. Steps will

be given to help evaluate your attitude and to change to a

positive direction.

Survival Kit for Life will be given at the end.


1. Gain insight as to where your attitude comes from.

2. The power of a good or bad attitude.

3. Steps to take to have a positive attitude.

Navigating the Vendor Selection Process

Chris Johnson, Carolina Healthcare System

Julianne Dreon, AnMed Health

Thursday, 8:30 am Palisades I*


Julianne Dreon and Chris Johnson will share a case study on

the process Carolinas Healthcare System followed in their

search for preferred Revenue Cycle Partners.


1. Develop an effective RFP process to ensure consistency

and integrity in their vendor selection process

2. Effectively communicate expectations to potential vendor

partners

3. Review sample scoring and weighting methodology options

4. Become better prepared to develop a successful vendor

selection process that will result in a win – win outcome for

both the provider and the vendor.

Medicare Advantage: Increasing Enrollments Demand

Increased Provider Attention and RAC Audits

Linda Fotheringill, Washington & West

Thursday, 9:30 am Palisades G, H*


Medicare Advantage (“MA”) lives in an odd regulatory space: It

looks, walks, and talks like familiar, state-administered

managed care, but it operates almost entirely under federal

law. CMS is charged with regulating MA plans, and the agency

has set clear expectations for how plans and providers should

treat patients, but there is far less guidance about how plans

should treat providers. These plans have denial and audit tools

much like Medicare’s, and many providers are experiencing an

increasing number of Medicare Advantage denials and

underpayments. We will also discuss the complexities of the

Two-Midnight Rule and its impact on Part C claims.

It is essential that providers understand how Medicare

Advantage’s rules shape 1) denials and appeals, and 2)

contractual relationships between providers and plans. In

addition, updates will be provided on the current state of

Medicare audits.


1. Understand How the financial structure of Medicare

Advantage can turn denied claims into a major revenue

source for plans.

2. Understand How Medicare policies—like the Two-Midnight

Rule and Rebilling—filter into Medicare Advantage and

receive updates on the current state of Medicare Audits.

3. Understand How joining a plan’s network impacts the

provider’s appeal rights.

4. Understand How providers can reduce Medicare

Advantage denials and maximize appeal successes.


The ABCs of Physician Quality Reporting for Finance

Professionals

Dr. Tom Lee, SA Ignite

Thursday, 9:30 am Palisades I*


1. Grasp the key facets and vocabulary of quality reporting for

value-based programs such as MU, PQRS, Value-Based

Modifier, and MIPS

2. Understand how organizations balance the financial,

reputational, and operational impacts of quality reporting

mandated by value-based programs

3. Effectively communicate and collaborate with quality

reporting staff to optimize the financial, reputational, and

operational dimensions of value-based programs for their

organization.

Planning for MACRA: What to Consider

Melinda Hancock, DHG LLP

Thursday, 10:45 am Palisades G, H


• Review the Value Based Modifier program in place now and the

future MIPS program.

• Walk through the current MACRA legislation and implications on

health systems, Clinically Integrated Networks, and other

systems.

• Which Alternative Payment Models meet the expected definitions

and which ones definitely won’t.

• Learn how to plan for MACRA and what decisions might be

forthcoming for most if not all health systems and networks.


1. Know which Alternative payment models meet the current

definition of qualified APMs for MACRA and what are the key

attributes.

2. Understand the critical timing of planning for MIPS/APM

3. Be able to link this to your health system or network.

Alternative Payment Models

Amber Winkler, Clarify

Friday, 9:00 am Palisades G, H*


1. Understand Alternative Payment Models (APMs) and how

they are changing revenue streams and healthcare finance

for primary care practices, specialists, and health systems.

2. Understand the increase in connectivity between how

primary/specialty practices impact the bottom-line for a

health system.

3. Understand how patient-centered medical homes, population

health management, transitional care management, chronic

care management, and other payment models are impacting

the way practices, health systems, and hospitals are paid.

The Finance Role in a Highly Reliable Organization (HRO)

Kari Cornicelli, Sharp Metropolitan Medical Campus

Friday, 9:00 am Palisades I*



1. What is an HRO (Highly Reliable Organization)?

2. Why is an HRO strategy important to an organization?

3. How do you begin the HRO journey?

4. What is Finance’s role in becoming an HRO?

5. What are the quality, safety, and financial benefits?

9

PATRIOTIC DEVELOPMENT®: How to Create a Living, Lasting Legacy

Jason Howell

Friday, 10:30 am Palisades G, H



1. To correlate the need to succeed with the greater good of the community

2. To recognize the “super power” of living within the world’s only Super Power

3. To learn how to take responsibility for your “super power”

4. Recognize what you have and what you want.

5. Develop your purpose.

6. Fearlessly take responsibility for your life, loved ones and your community.

About Jason Howell

Jason Howell is a first generation American, born in Southern California minutes before

President Richard Nixon resigned from office. At 14 years old and 8 month - the earliest legal

age for receiving a valid work permit in Virginia - he began learning lessons from corporate

America. Since then he has worked through multiple careers and industries including banking,

Accounting and Recruiting. He now enjoys a career in thought leadership around workplace

innovation and Patriotic Development as a writer and speaker. In 2009 he coined the phrase

"Patriotic Development" to task his generation with solving the world's "big problems" and start

building a legacy for themselves, their families and their country.

Jason is a servant leader having volunteered as President of Reston VA's Accenture

Toastmasters and voluntarily serving as President of the Washington, DC chapter of ALPFA, the

oldest and largest professional association for Latinos. He is also Director on the alumni board

for George Mason University's School of Management.

Jason Howell is author of AMERICA: Still the Land of Opportunity, Always a Home for the Brave

and a forthcoming book on opportunities for innovation in the American workplace.

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2016 annual instituteschfma.org/pdfs/2016_ai_agenda_schfma.pdf · 7:30—8:30 am...

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