Registration Deadline:

September 20th, 2012

PRSRTDFirst Class

US PostagePAID

Permit #48Cornelius, NC

North Carolina

Health Insurance Institute

OCTOBER 4-5, 2012

Carol R. Barron Business Development & SalesNovant Health 2085 Frontis Plaza Blvd.Winston-Salem, NC 27103

990 guestrooms including

70 Executive Suites, with

computerized card locks,

In-Room voice mail with

two-line telephone, In-Room

high speed Internet access,

cable television with remote

control, plus HBO and

Showtime. Handicapped

Rooms are available.

250,000 square feet of

total meeting space; up to 71

meeting rooms, including an

elegant 40,000 square-

foot column-free ballroom

that accommodates functions

with up to 6,000 guests; an

additional 16,500 square-foot

ballroom; 100,000 square-

foot Prefunction and Exhibition

Space; Permanent Auditoriums

- two tiered classroom-style with

154 capacity each; two tiered

theatre-style with laptops with

118 and 188 capacity.

A 24-hour business center –

The Link@Sheraton® ; Exhibition

Services; Menu-Planning

Services; State-of-the-Art Audio/

Visual Equipment; Computer

Data Ports.

7 restaurants and lounges

including: Joseph's Restaurant,

Skylite Cafe, Cafe Expresso,

Club Fifth Season, The

Connection Martini Bar, The

Brass Bar, The Bar Down Under.

Cardiovascular fitness center;

Indoor/Outdoor pool; and

Whirlpool. Golf, Spa and

Tennis at our sister property –

Grandover Resort; shopping

at Four Seasons Town Centre,

adjacent to hotel.

sTarwoodPreFerred Planner®

We want to thank you. That’s

why we created Starwood

Preferred Planner, our program

for meeting planners. As a

Starwood Preferred Planner,

you are automatically enrolled

in Starwood Preferred Guest®,

the most flexible and rewarding

hotel loyalty program in the

industry. As a member you'll

earn Starpoints® for your

eligible stays, which can later

be redeemed for Free Night

Awards without blackout dates,

room upgrades and more with

participating Sheraton hotels,

as well as with any of our

eight other distinctive brands.

To find out more, please

visit SPG.com.

welcome

To sheraton Greensboro Hotel at Four seasons,

we'll take care of your needs.

and reward you for staying with us.

snapshot sheraton

Greensboro Hotel at Four

seasons offers perfect access

to the best of it all.

SHeraton’S coMbination oF convenient, verSatile FacilitieS, SUPerb Service and excitinG GUeSt reWard

ProGraMS Will HelP yoU create an aFFair to reMeMber.

a meeting of the mindsa brilliant SettinG For briGHt ideaS

Thank you for considering Sheraton as the venue to host your next meeting or special event.

As a member of Starwood Hotels & Resorts Worldwide, Inc., we are in the unique position

to offer you enrollment in the Starwood Preferred Planner program, the largest reward and

recognition program for meeting planners in the hotel industry.

In addition, all Sheraton guests (including everyone in your group) may take advantage of

the Starwood Preferred Guest® program, the industry’s leading frequent guest program built

around a big idea:

Instant rewards and no blackout dates

Destinations wherever you go

Everything you need for an enjoyable stay

Always consistent service and value

GreenSboro, nc GreenSboro, nc

Sheraton Hotel at Four Seasons • Greensboro, NC

sponsored by:

North CarolinaHealth Insurance Institute

2012OCTOBER 4-5

GeNeRal MeetING INfoRMatIoNInstitute RegistrationYou have two options for conference registration:•RegISTeR oN-lINe through www.nchfma.org. •RegISTeR by mAIl. Complete the enclosed registration form and mail to address listed on the form. This is available for credit card charging or for paying by check. make check payable to NCHFmA.

To avoid a late registration fee, register and pay the institute fee (credit cards and checks accepted) no later than September 20, 2012.

You must register for the sessions you plan to attend in order to ensure proper seating and a comfortable meeting environment.

Early Bird Special - RegISTeR 3 ASSoCIATeS FoR THe PRICe oF 2Associates must be from the same Provider organization; register via website or by paper registration, and pay collectively (no individual payments). This special is restricted to hospitals and physician practices. Valid only on registrations received prior to SEPTEMBER 20, 2012.

Institute Fees Registration Fee $199.00 per person Deadline: Sept. 20, 2012 late Fee $50.00 If Registering on or after Sept. 20, 2012

Registration fee includes all institute materials, continuing education credit, refreshment breaks, social hour and meal as described in Agenda.

Registration Refund Policy and Late RegistrationCancellation requests made through September 20, 2012 will be refunded at 100%. Cancellation requests made from September 20 through September 30, 2012 are subject to a $50.00 administrative fee. Cancellation requests made after September 30, 2012 will not be refunded. Substitutes may attend.

Hotel ReservationsThe Sheraton Hotel at Four Seasons is located in greensboro, North Carolina at 3121 High Point Road, off I-40 exit 217, Koury boulevard/High Point Road. For directions, please contact the hotel at (336) 292-9161. The hotel has reserved rooms for our group from Wednesday, october 3, 2012 through Friday, october 5, 2012 at a special rate of $132.00 per night (plus tax). Check-in time is 3:00pm; check-out time is 12:00noon.

For hotel reservations, call the Sheraton Hotel at Four Seasons directly at (336) 292-9161 or toll free at 1-800-242-6556 and ask for group code NC Health Care Financial Management Association.

Please complete your hotel reservation no later than September 3, 2012 to take advantage of the special discounted rate.

Meeting Check-in at the Registration DeskWednesday october 3, 2012 4:00pm - 8:00pmThursday october 4, 2012 6:30am - 4:30pmFriday october 5, 2012 8:00am - 12:00noon

CPE CreditsThe North Carolina Chapter of the Healthcare Financial management Association is registered with theNorthCarolinaStateBoardofCertifiedPublicAccountantExaminersasasponsorofcontinuingprofessional education. Complaints or comments regarding the Health Insurance Institute may be addressedtotheNorthCarolinaStateBoardofCertifiedPublicAccountantExaminers,P.O.Box12827, Raleigh, North Carolina 27605-2827.

Advanced Preparation: None Presentation: lectureCourse levels: basic & Intermediate Prerequisites: NoneRecommended CPe Credits: 12

Dress Recommendations: business casual attire is appropriate for the Institute.

QUESTIONS REGARDING WORKSHOP? Please contact Carol Barron (336) 277-1133.

Humana

UnitedHealthcare

NC medicaid

blueCross blueShield of North Carolina

medCost

Palmetto gbA

Cigna

Wellpath

Coventry

HealthNet

VA-mid-Atlantic Healthcare Network

2012North

Carolina

Health

Insurance

Institute

OCTOBER 4-5, 2012

PRoGRaM aGeNDa

Thursday, October 4, 2012

Time Session

6:30am - 5:00pm Registration is open

8:00am - 9:00am Session 1 - Workshops

9:00am - 9:15am Transition

9:15am - 10:15am Session 2 - Workshops

10:15am - 10:30am Transition

10:30am - 11:30am Session 3 - Workshops

11:45am - 1:45pm Opening Luncheon & Keynote Denise Price Thomas

1:45pm - 2:00pm Transition

2:00pm - 3:00pm Session 4 - Workshops

3:00pm - 3:30pm Refreshment Break and Hotel Check-in; Transition

3:30pm - 4:30pm Session 5 - Workshops

4:30pm - 4:45pm Transition

Get It all! Be at tHe 2012 HealtH INSuRaNCe INStItute …

ENJOY A MOTIVATIONAL KEYNOTE. North Carolina native , Denise Price Thomas is a nationally known speaker that enjoys teaching exceptional customer service, effective communication, teamwork tips, as well as how to belong and get along. She and “gladys Friday” ~ Healthcare Comedienne, (her alter ego) were featured in the April 2009 issue of Connexion magazine, medical group management Association’snationalpublication.Shebelievesthat“LaughterIsLikeAMedicine”asisreflectedonthefacesofheraudience.

SELECT THE WORKSHOPS YOU NEED. The workshops are your opportunity to hear the latest on claims processing developments, current issuesandproblemsaffectingplanbenefitsandclaims.Representativesfromfeaturedplanspresentinformation,aswellasgiveyouanopportunity to ask questions. Nine workshops are offered. you can pre-register for the workshops that relate to your needs.

NETWORK WITH PEERS. Youwillbenefitfromnetworkingwithotherattendeesattheconference.ThisinstitutebringstogetherpeoplefromhospitalsandphysiciansofficesthroughoutNorthCarolina.Thisisagreatopportunityforyoutolistenandlearnfromyourpeerswhoshareyour issues.

WHO SHOULD ATTEND?Personsemployedbyhospitals,physicians’officesandclinicsholdingstaffpositionsinaccounting,billing,collecting,insuranceoradmittingwillbenefitfromthisprogram.

ENJOY FREE TIME. Four Seasons Town Centre is just a short walk across the parking lot. enjoy the best in shopping, entertainment and dining.

KEYNOTE SPEAKER Denise Price Thomas

A native of North Carolina, Denise Price Thomas has been employed in the healthcare industry for 34 years. Twenty of those years were spent serving as the administrator for a surgical practice where she was employed for 32 years. Throughout her career she has been passionate about creating positive experiences for others. Her passion developed into providing informational, inspirational

4:45pm - 5:45pm Session 6 - Workshops5:30pm - 6:30pm Social Hour - drop in for hors d’oeuvres before shopping at the mall

Friday, October 5, 2012

Time Session

7:00am - 12:00noon Registration is open

7:00am - 8:00am Breakfast Buffet

8:00am - 9:00am Session 7 - Workshops

9:00am - 9:15am Transition

9:15am - 10:15am Session 8 - Workshops

10:15am - 10:30am Transition

10:30am - 11:30am Session 9 - Workshops

11:45am -12:15pm Brief Closing Session and Door Prizes

- DRIVE SAFELY -

and motivational presentations to varied audiences. She is a “home grown yet nationally known speaker that enjoys teaching exceptional customer service, effective communication, teamwork tips as well as how to belong and get along. Denise also offers other topics she has gleaned from her management experience as well as life itself

SECOND HARVEST FOOD BANK

Help end local hunger by bringing in canned food items for the Second Harvest Food bank. Donations can earn you extra tickets for doorprizes!

Note: Name Badges are required at all

HII functions.

WORKSHOP G: UNITED HEALTHCAREHeDIS/ STAR RATINgS •HIPAA 5010/ICD-10 •Topics•Service model•Premium Designation•UnitedHealthcareonline.com Demo•UnitedHealthcare Administrative guide •

WORKSHOP H: HEALTHNEToverview of the TRICARe Program•Referral and Authorization Requirements•manage your TRICARe business on-line; electronic handbook, •patienteligibilityverification,electronicfundstransfer,webinars CareAffiliate•

WORKSHOP I: CIGNAeSolutions•Website Utilization and enhancements•ICD-10•

WORKSHOP J: VETERAN’S AFFAIRSNon VA Care Coordination•emergency Care•NotificationProcess•Determination of Veteran Placement•Authorized•Unauthorized•mill bill•Payment Process•

WORKSHOP K: WELLPATHName change to Coventry Health Care of the Carolinas., Inc.•Coventry Health Care of the Carolinas, Inc. (formerly •WellPath Select, Inc.)Coventry Health Care National Network: i.e. Federal •EmployeeHealthBenefitPlans(FEHBP)/MailHandlersFirst Health group Health leased Clients business•Coventry Workers Compensation Client Services•Advantra: Coventry’s medicare Advantage Program•e-commerce solutions: eFT, eRA and Provider Portal•Advantra Updates: expansion for 2013, PeP program•

WORKSHOP A: MEDICARE – HOSPITAL SERVICES PART ACeRT error Rate Reduction•Documentation Requirements•online Provider Services (oPS)•Web Resources•New CmS Initiatives•

WORKSHOP B: MEDICARE – PART BTop Claim Submission errors•CmS Incentive Programs•Top Part b Inquiries•Web Resources•CeRT error Rate Reduction•online Provider Services (oPS)•New CmS Initiatives•

WORKSHOP C: MEDCOST

live Demonstration of medCost Website•

WORKSHOP D: BLUECROSS BLUESHIELD OF NORTH CAROLINA

Provider Transparency •ICD-10•Service model Refresh•IPP blueCard •blue medicare Hmo and blue medicare PPo•electronic Solutions•Upcoming Initiatives•News, Updates and Reminders•

WORKSHOP E: HUMANAWhat’s New at Humana•2013 mAPD Humana mAPD Footprint •NotificationandAuthorization•Utilization management •Quality and STAR Initiatives •medicare Risk Adjustment•HealthHelp •orthoNet •Humana.com & ebusiness•

WORKSHOP F: MEDICAID – PROFESSIONAL & MEDICAID – HOSPITAL SERVICES

Top 10 Denials & Resolution for Institutional & Professional •ClaimsN.C. Health Choice•NCCI / mUe edits and the New Add’l edit modules•DmA Website overview – (Clinical Policy, bulletins, Seminars, •Hot Topics, etc.)lme / bH mCo•ACA – PCP Attestation / Incentive Payments •

WoRkSHoP CHoICeS

T he Sheraton Greensboro Hotel at Four Seasons in Greensboro, North Carolina

is the perfect blend of fine Southern hospitality and high-tech meeting facilities.

With 990 finely-appointed guestrooms, 250,000 needs-customizable square

feet of meeting space, and 100,000 square feet of prefunction and exhibition space, we’re

the definitive answer to your participants’ meeting and leisure needs.

After a day of perfectly executed meetings, colleagues can recap and unwind over drinks at

one of our 4 lounges or at our 1,000 person capacity nightclub – Club Fifth Season. Enjoy an

array of restaurants, too. Joseph’s Restaurant seats up to 400 and serves a satisfying menu

of American cuisine. The Skylite Café offers Italian favorites, Southern comfort foods, salads

and sandwiches. For lighter fare, and on-the-go dining, our Café Expresso serves continental

breakfast items, freshly prepared salads and New York deli-style sandwiches.

Guests can keep up with their fitness regimens at our fully-equipped cardiovascular fitness

center, complete with weights, treadmills, rowing machines and more. Or enjoy some

relaxation in our indoor/outdoor pool complete with tableside service provided by the

Connection Martini Bar.

For your meeting and event needs, we’ve got it all under one roof at The Sheraton

Greensboro Hotel at Four Seasons - where as always, we’re at your service.

Sheraton Greensboro Hotel at Four Seasons

GreenSboro, nortH carolina

HospiTaliTyat itsbesT

outside of the traditional meeting

spaces, sheraton Greensboro offers

many opportunities for your group to mix,

meet and mingle.

directionSFrom the north Interstate 85 South or US 29 South until it merges with Interstate 40 West at Durham. Follow I-40 West toward Greensboro then Exit 217 Koury Boulevard/High Point Road. Follow Koury Boulevard then turn right at stoplight.

From the South I-85 Business North to exit 120A. Take Exit 34 Holden Road turn right at stoplight. Follow Holden Road to High Point Road and turn right. The hotel will be on your right.

From the east I-40 West toward Greensboro to Koury Boulevard/High Point Road Exit 217. Follow Koury Boulevard to the stoplight, turn to the right.

From the West I-40 East toward Greensboro, and take Exit 212 Bryan Boulevard. Follow until Exit 217, at the stoplight go straight and the hotel will be on your left.

meet

great to

you

MeetinG GUide

Sheraton greenSboro hotel at four SeaSonS

Joseph S. Koury convention center3121 High Point road

Greensboro, north carolina 27407

t — 800 242 6556 f — 336 292 1407 guest f — 336 292 0819 sales

www.sheratongreensboro.com

GreenSboro, nc

MaRk YouR CaleNDaRS for the

2013 ANNUAL HEALTH INSURANCE INSTITUTE

october 9-10, 2013