hfma sunspots newsletter
DESCRIPTION
Summer Issue 2015TRANSCRIPT
VOL. 59NO. 4SUMMER 2015
SUNSPOTS
Join in & Join Us
at the HFMA Florida Annual Fall Conference
September 16-18, 2015Delray Beach, Florida
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SUNSPOTSHFMA Florida Chapter newsletter
sUMMER 2015Editor's Note ������������������������������������������������������������������ 3
President’s Message ���������������������������������������������������� 4
Board Report ����������������������������������������������������������������� 5
Legislative Update: LIP Funding ����������������������������������� 8
Return of the Speed Best Practice Vignettes ������������11
Chapter Awards �����������������������������������������������������������14
Founders Awards ���������������������������������������������������������15
Telemedicine: Transforming Care, Advancing Health and Improving Lives ����������������������������������������������������16
New Members �������������������������������������������������������������20
Volunteer Spotlight: Kristy Summers �������������������������24
Members on the Move ������������������������������������������������26
Newly Certified Members �������������������������������������������26
Changes to Certification ���������������������������������������������27
A Healthcare Leader’s Checklist ��������������������������������28
5 Cyber Threat Trends to Watch in Healthcare ���������30
Too Much Power in the Patient Review? ��������������������32
Charity Spotlight: Pencils of Promise ������������������������34
Forum Update ��������������������������������������������������������������35
Central Region Update ������������������������������������������������36
South Region Update �������������������������������������������������� 37
When What WhereJuly 28-31 HFMA FL & HFMA AL UAB Symposium DestinJuly 30th HFMA & ACHE Summer Social JacksonvilleJuly 30 - August 1 HFMA FL Senior Financial Executive Retreat Boca RatonAugust 4 Revenue Cycle Forum Webinar: Last Minute Checklist for ICD-10August 11 National Webinar: 2016 Proposed Rule Changes to the
Outpatient and Ambulatory Service Center Payment Systemswww�hfma�org/webinars
August 20 North Regional Education Event JacksonvilleAugust 26 National Webinar: How Providers Can Simultaneously Reduce
Expenses, Improve Operations, and Increase Revenuewww�hfma�org/webinars
August 27 National Webinar: Revealing Productivity Performance to Drive Financial Improvements
www�hfma�org/webinars
September 9 National Webinar: Aligning Physicians to Improve Reimbursement, Reduce Denials, and Enhance Regulatory Compliance
www�hrma�org/webinars
September 15 National Webinar: Overview of MACRA Legislation: How the SGR Repeal and New Merit-Based Incentive payment System Will Impact Physician Payments
www�hfma�org/webinars
September 16-18 HFMA FL Chapter Fall Conference Delray BeachOctober 25-27 MAP Event: HFMA's Revenue Cycle Conference Fort LauderdaleOctober 27-28 HERe: Women's Leadership Conference Fort LauderdaleNovember 4 IntegraTe2015 – South Florida HIMSS & HFMA FL Fort LauderdaleMarch 20-23 2016 Dixie Institute Nashville TN
UPCOMING EVENTS
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MEAGENLANEEditorVP southeastern Region at Choice Recovery HFMA
A NOTE FROM THE EDITOR:Thanks for tuning in to my first edition of Sunspots! Renee Burger sure did an amazing job in setting up the 2015/2016 newsletter team for success� In this edition, you will see many familiar items – Volunteer Spotlight, Regional Updates, Industry News, and such� You will also see a few new items that I plan to insert in all of my upcoming issues – a Charity Spotlight, a Legislative Update, and a Provider submission�
We are having many discussions about how we can take Sunspots to the next level� How can we improve it to be better suited for you, our member? Should we keep the same format? Should we start offering a print version for those that prefer it? Should we change the digital format so that you simply receive a synopsis of each article with the option to click to read more? Should we publish more often, but shorten the length of each publication? Are there topics you want to hear about, but feel we are missing?
I’m calling on each of our readers to take a moment to provide personal feedback to the Newsletter team� What parts do you love, what parts do you not? What would you tweak if you were in charge?
Feedback is crucial to the improvement process, and I truly appreciate your taking the time to share your thoughts� You may reach me at ML@choicerecovery�com�
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A LETTER FRoM oUR PREsiDEnTThis is a very exciting time to be in healthcare as a financial professional. The demands are great, the challenges difficult and the changes seem to be never ending� This can be a time of more questions than answers and it doesn’t look like the questions are getting easier! In this environment, the need for continuous learning and knowledge sharing is critical�
The Florida Chapter is made up of approximately 1,600 members, many feeling the same way and going through the same experiences� Yet, when we talk on the phone, share e-mails, or meet at one of the local or statewide educational meetings, there is a strong feeling of relief through our shared experiences� This is an organization deeply committed to sharing information, education and knowledge about healthcare finances and leadership topics to our members and friends.
During my year as President, I would like to build on our past successes and strive to accomplish the following:
• Continue to deliver high quality educational programs, both at the regional events and statewide meetings�
• Actively encourage members to “Join In” by attending meetings, joining forums, and volunteering for one of the 36 committees�
• Assist members in becoming Certified Healthcare Financial Professionals by providing training & support resources�
• Increase and re-invest our financial resources and talents to enhance the service members receive�
• Spread the word and grow the membership.
The slogan I chose for my year as president is shown below… hope you take me up on it!
chRis duRkinVP Controller at Baptist Health, Pavilion Health Services Inc
HFMA Florida Chapter President
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Mike Bickers is Senior Vice President of Sales and Marketing, DaVincian Healthcare, Inc� and Chapter Secretary for the HFMA Florida Chapter�
BOARd REPORT
By Mike Bickers chAngEs TO ThE BOARdThe HFMA Florida Chapter held special meetings recently and selected two new individuals to serve on the Board of Directors for the 2015 – 2016 Chapter year� Also, one of the current Board Members has volunteered to change roles in order to fill a vacant Board position.
Kristy Summers will serve as the Treasurer (formerly Director of Policy and Finance)Kristy is the Manager, PFS Administration for the Patient Contact Center at Orlando Health�
Doug Wolfe will serve as the Director – South RegionDoug is an Attorney with Kozyak, Tropin & Throckmorton, PA� located in Coral Gables, Florida� He joined the Florida Chapter in 2013 and quickly became active, most recently serving as the Chair of the Curriculum Committee�
Fred Wilson will serve as the Director of Policy and FinanceFred is the Chief Executive Officer for HCA East Florida Supply Chain and is located in Pembroke Pines, Florida� He joined the Florida Chapter in 2014 and volunteered on a number of committees� Currently, Fred is Chair of the Senor Executive Forum where he is providing strong leadership in our educational events, including the upcoming Senior Executive Retreat in Boca Raton from July 30 to August 1�
Please join us in congratulating Kristy on her new role and welcoming Doug and Fred to the Board!
6 SUNSPOTS / SUMMER 2015 http://floridahfma.org
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8 SUNSPOTS / SUMMER 2015 http://floridahfma.org
Senior Vice President at the Florida Hospital AssociationBy Karen Zeiler
Low Income Pool (LIP)
The 2015 Special Legislative Session ended with an agreement of $1 billion in funding and a distribution methodology for the Low Income Pool (LIP), which had been subject to debate during the regular Session� On June 23, 2015, Governor Rick Scott signed the budget into law and the Centers for Medicaid and Medicare Services (CMS) issued an agreement in principle for the new LIP methodology�
BackgroundLIP was created in 2005-2006 when Governor Jeb Bush negotiated the Medicaid 1115 Demonstration Waiver, in an effort to reform the Medicaid Program� Under managed care, states are not eligible for funding through Upper Payment Limit (UPL) calculations, which apply to fee-for-service spending� Under the 1115 Demonstration Waiver, Florida received $1 billion in funding to “ensure continued government support for the provision of health care services to Medicaid, underinsured and uninsured populations.”
Last year, negotiations between the state and federal government resulted in an increase of $1�167 billion in LIP, totaling $2.167 billion for state fiscal year (SFY) 2014-15. The additional funds included:• $963 million for hospitals that had previously self-funded rate buybacks
• (These funds are referred to as LIP6 and consist of self-funded buybacks. As hospital rates were reduced over the years, hospitals had the opportunity to “buy back” the cut by having the local county government/taxing district contribute intergovernmental transfers (IGTs) as state match� )
• $204 million for faculty physicians
In addition to the LIP increase last July, CMS issued Special Terms and Conditions for Florida’s 1115 Waiver, indicating that the state would need to develop a “reformed Medicaid payment system” without the need for the LIP�
CurrentCMS has agreed to a two-year extension of LIP� The letter CMS issued June 23, 2015 agreed to $1 billion for SFY 2015-16 with funds declining to $608 million in SFY 2016-17� CMS considers this a transition in order to provide stability to hospitals�
The 2015 Legislature adopted, and Governor Rick Scott signed into law, a LIP model that includes new, current, and proportional distribution methodologies� New funding includes $217�8 million for tertiary services� Continued current funding includes Special LIP, rural, LIP 4/Return on Investment, and Faculty Physicians� Proportional funding includes a phase-out of LIP6 funds, declining from $963 million to $94�6 million�
1Centers for Medicare and Medicaid Services, Special Terms and Conditions for Florida Medicaid Reform Section 1115 Demonstration, Document number 11-W-00206/4, (2005)
LEgisLATiVE UPDATE:
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As negotiations between CMS and the Agency for Health Care Administration continue, existing requirements for hospitals to receive LIP funding are anticipated and include: • Contract with 50% of managed care plans in the region• Contract with at least one of each type of specialty plan • Participate in the Event Notification Service
Due to the reduction in LIP funding, the Legislature backfilled hospital financing with approximately $1 billion; this includes $400 million in general revenue, which generates approximately $600 million in federal Medicaid match� This funding increased the inpatient services base rate and provided trauma centers additional funds in the form of an add-on payment�
Comparison of 2014-15 LIP model to proposed 2015-16 LIP model
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We’re coming together for a first-ever national conversation about the unique challenges we face as women leaders, in our lives and our profession. Register now at hfma.org/here.
Women. In business. In health care. In Fort Lauderdale. October 27-28, 2015.
the conversation starts
fallHFMA FloridA AnnuAl
September 16-18, 2015Delray Beach MarriottDelray Beach, Florida
ConFerenCe
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The Yerger Award Winning “Provider Speed Best Practice Vignettes” are back by popular demand!You asked for it and we heard you loud and clear� The vignettes will take place at the Fall Conference in Delray Beach, FL on September 17th from 10:45 – Noon�
Our “Provider Best Practice Vignettes” pack four high-impact, provider-driven best practices into one 75 minute session� Each Provider will speak for 15 minutes, followed by a 3 minute question and answer period� Speakers will outline the opportunity for change, action taken and lessons learned, giving the audience an opportunity to bring these solutions to their own organization�
Some topics covered in the past included:
• Guide to Increase Reimbursement by Focusing on Nursing Bedside Procedures
• Increasing Operating Margins by Monitoring Daily Statistics
• Benefits of Telemedicine
• Tracking Metrics for ICD10
• Affordable Care Act Implementation
• The Patient Experience
Please join us in Delray, as you can expect Best Practice presentations from FLORIDA HOSPITAL, ORLANDO HEALTH, & BAYCARE HEALTH!
RETURN OF THEVIGNETTECheryl SpanierDirector of Client Services at MDS HFMA Florida Chapter Co-Chair of Education
To volunteer for future speaking oppor-tunities, please contact Cheryl Spanier, Co-Chair of Education at
cspanier@meddatsys�com
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Affects net revenue in more than 700
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Boasts 3 patented software solutions
* Based on consulting work performed for Crowe performance consulting clients 2013-2014. † According to a 2014 Modern Healthcare survey.
Crowe Horwath LLP is an independent member of Crowe Horwath International, a Swiss verein. Each member firm of Crowe Horwath International is a separate and independent legal entity. Crowe Horwath LLP and its affiliates are not responsible or liable for any acts or omissions of Crowe Horwath International or any other member of Crowe Horwath International and specifically disclaim any and all responsibility or liability for acts or omissions of Crowe Horwath International or any other Crowe Horwath International member. Accountancy services in Kansas and North Carolina are rendered by Crowe Chizek LLP, which is not a member of Crowe Horwath International. © 2015 Crowe Horwath LLP HC-16000-100
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AnD THE AWARDS Go To...
Natalie Billo and Billie Jean Mounts had the pleasure of presenting the following awards at the 2015 Florida Chapter Annual Banquet in Tampa, Florida: President’s Award – Lisa Mathews Outstanding Member Award – Carol Tannenbaum Bob Broadway Distinguished Mentor Award – Jamie Wiley President’s Mentor Award – Joanne Aquilina Special Recognition Awards -
• Abby Birch • Natalie Billo • Renee Burger• Gary Heeseman
Billie Jean Mounts, Immediate Past President accepted five awards at the2015 ANI in Orlando, FL on behalf of the HFMA Florida Chapter� Awards included: Silver Award for Education Bronze Award for Certification Bronze Award for Membership Growth and Retention Yerger Award for our Speed Best Practice Vignettes Yerger Award for our Chapter Leader Development Program
• Dan Phippen • Kristy Summers• David Wildebrandt
Billie Jean Mounts Chief Reimbursement Officer, Providence Strategic and Management ServicesHFMA FL Chapter Immediate Past President
AT THE FLORIDA CHAPTER ANNUAL BANQUET:
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AnD THE FOUNDERSAWARDS Go To...
Natalie Billo Revenue Management Specialist, BayCare Health System HFMA Florida Chapter, Director of Administration
The Healthcare Financial Management Association (HFMA) recognizes that its strength lies in volunteers, who contribute their time, ideas, and energy to serve the healthcare industry, their profession, and one another� Active participation in HFMA at the national, regional and/or chapter levels provides members with numerous opportunities for professional development, networking, and advocacy�
Four awards can be obtained by a member, based on the Founder’s point system, which recognizes members for their continuing dedication to our chapter� We would like to congratulate the 2014/2015 recipients:
The FOundERs MEdAL OF hOnOR goes to…��DAVID SIERRA, CPA of Memorial Healthcare System
The Founders Medal of Honor is conferred by nomination of the member's Chapter Board of Directors� This prestigious award recognizes an individual who has been actively involved in HFMA for at least three years after earning the Muncie Gold Award, has provided significant service at the chapter, regional and/or national level in at least two of those years, and remains a member in good standing� A chapter may nominate members for this award at any time during the year�
The MunciE gOLd AWARd goes to… BILLIE JEAN MOUNTS, FHFMA, of Providence Health & DEBBIE VAIDYA, CPA, MBA, of Memorial Healthcare System
The Muncie Gold Award is awarded to a member who has earned 75 member points. This award honors Frederick T. Muncie, an organizing member of the AAHA, and the first president of the association (1947-1949). Muncie also assisted in the organization of the first AAHA chapter (First Illinois)�
The REEVEs siLVER AWARd goes to… NATALIE BILLO, BayCare Health System
The Reeves Silver Award is awarded to an individual who has earned 50 member points� Reeves, an organizing member of the AAHA, was elected president of AAHA in 1956 and was instrumental in creating the structure of AAHA�
The FOLLMER BROnZE AWARd goes to… LISA SASSO, CHFP, of Orlando Health & DANIEL HONERBRINK, FHFMA, FACHE, of Parallon Richmond Supply Chain Division
The Follmer Bronze Award is awarded to an individual who has earned 25 member points� This award is named after William G� Follmer, who is credited with the creation of the American Association of Hospital Accountants (AAHA) , now known as HFMA�
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TELEMEdicinE: Transforming Care, Advancing Health and Improving Lives
Innovations in Healthcare: Transforming Care, Advancing Health and Improving Lives through the Use of TelemedicineLimited health care resources combined with an increased demand for quality care in Florida has led to essential innovations in our current health care delivery system� Telemedicine is one such innovation that is gaining momentum across the state as a valuable tool for increasing efficiencies, increasing access, reducing readmissions and unnecessary emergency room visits�
What is telemedicine??The basic key concepts of telemedicine are that it:
1� Uses secure technology to make connections2� Increases access to care3� Improves patient outcomes
Telemedicine uses technology platforms similar to Skype and FaceTime to instantly connect health care providers, patients, family members, and other clinical service providers with full visual and sound capabilities� Initially, many telemedicine programs operated on carts that cost over $30,000 each� Now the same effect can be achieved through an application on a smart phone or tablet�
Telemedicine platforms not only allow for one on one connections, but for group conference calls and image sharing. Peripherals such as high definition cameras, otoscopes, opthalmoscopes, dermascopes, and Bluetooth stethoscopes allow for remote
physicians to conduct physical examinations with the support of a telemedicine presenter, typically a nurse or medical assistant� Digital images such as MRIs, CT scans, Xrays, and lab results can be shared during telemedicine videoconferences without the receiving end having to log into a separate application�
The use of telemedicine does not comprise quality of care provided or change the way patients are cared for – what it does is change the communication method�
Benefits of telemedicine1� Increases access to healthcare – rural patients can access care in their home community, physicians can expand their reach, rural hospitals can access specialty and trauma services2� Improves health outcomes – patients can be diagnosed and treated earlier3� Reduces healthcare costs and other costs – reduces transportation costs, reduces time away from work to travel to appointments, home monitoring reduces readmissions, enhanced care collaboration among providers 4� Addresses physician shortages – specialists and primary care physicians can serve patients in remote areas5� Support clinical education programs - rural clinicians can more easily access and support from specialists and other clinicians, residents can instantly connect with attending physicians6� Increases patient centered practices – family
By Lauren Faison Administrator Regional Development, Population Health and Telemedicine at Tallahassee Memorial HealthCare
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members, physicians, and all providers patient care team can connect virtually connect to discuss treatment plans and patient progress
Telemedicine in Florida Across the United States the use of telemedicine varies from state to state� A few states, like Florida, have no specific legislation that defines and regulates telemedicine�
Even with no statewide legislation, the use of telemedicine across Florida has continued to grow over the past decade� Health systems across the state are using the advances in technology to increase efficiencies and improve outcomes. Through cash contract and some Medicare and private insurer reimbursements, many health systems are using telemedicine to positively impact the bottom line and increase patient outcomes and satisfaction�
One Hospital’s ExperienceTallahassee Memorial Healthcare began implementing the use of telemedicine three years ago� Since initiation, the TMH Telemedicine network has grown from 12 initial connection sites to over 100 physicians, 3 hospitals, 4 skilled nursing facilities and a host of regional health care providers� With the push of a button these contacts can have instant visual connection to facilitate effective, efficient service delivery�
Tallahassee is surrounded by very rural communities, and telemedicine has been a valuable tool in supporting patient with limited resources who cannot get to the care that they need� TMH has partnered with many of the primary care providers in the surrounding communities to offer specialty consults and post acute care in the outpatient settings�
TMH is in its third year of the Telemedicine program and has already experienced significant benefits to all stakeholders including patients and their families, health care providers, and insurance carriers�
PATIENT BENEFITSFor patients, the most critical benefit has been the ability for patients to receive the right care at the right time� It has become a valuable solution in alleviating
many of the geographic, transportation, and resource barriers that patients have historically faced� Patients can access care closer to home, in partnership with their primary care physician, with less time missed from work, school, or other commitments� Telemedicine has allowed patients to receive preventative care, rather than waiting for a health episode that resulted in a hospitalization�
HEALTH CARE PROVIDER BENEFITSThe use of telemedicine has allowed providers to be efficient and effective with their time, while also expanding their reach to a much broader patient population� The ability to coordinate care more closely with primary care providers, has allowed for specialists to improve patient outcomes and quality of care�
INSURANCE CARRIERSTelemedicine has benefitted private insurance companies, as well as Medicaid and Medicare� Treating patients earlier has reduced costs by eliminating emergency room visits and hospitalizations� The ability to connect providers with patients remotely has also decreased costs associated with patient transfers�
FUTURE OF TELEMEDICINEPilot projects using telemedicine span the State of Florida, but do not yet comprise a fully integrated component of the State’s healthcare system� Lack of comprehensive telemedicine legislation defining telemedicine and related licensure, liability and reimbursement considerations, is a primary cause� Hopefully, a meaningful telemedicine bill will pass during the 2016 legislative session�
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WELCOME OUR NEWEST MEMBERS TO THE FLORIDA CHAPTER
First Name Last Name Company Title CitySteve Allen iDatix Founder and CEO ClearwaterRussell Anderson PointClickCare Director Product Management JacksonvilleDavid Anderson BDC Advisors LLC Managing Director MiamiBrittany Andrews SymMetric Revenue
Solutions IncManaged Care Analyst Ft Myers
Lynn Ansley Moffitt Cancer Center Auditor Temple TerraceRebecca Ashe Moffitt Cancer Center Revenue Cycle Quality Auditor ValricoJanice Basler Parallon Director ClearwaterSonia Baughman HCA Healthcare Assistant Controller JacksonvilleEdward Benedetto BrooksvilleLindsay Bennett Chapters Health System Director of Business Intelligence SarasotaBrandon Bevillard SymMetric Revenue
Solutions IncSenior Financial Analyst Ft Myers
Brian Bossak Associate Professor & Chair Ft MyersJames Boyette Executive Vice President Coral GablesBryan Brewer Centric Consulting National Healthcare
Technology LeadRoyal Palm Beach
Ann Brooks Healthcare Professional St CloudChristopher Burke SymMetric Revenue Solutions
IncFinancial Analyst Ft Myers
Dale Buschmann BDO USA LLP Assurance Senior Manager West Palm Beach
Bonnie Cappello Bonnie Cappello CPA PA CPA / CFO Lake MaryCandice Carricarte Intermedix Corporation Director of Business
DevelopmentMiami
Richard Caruso RSource Healthcare Director of Client Development Boca RatonRob Cash SwervePay Health Vice President TampaSteven Charles BCC Financial Management
Services Inc Ft Lauderdale
Brian Cocciolo Mayo Clinic Medicare Analyst JacksonvilleChelia Covington WindermereGlenn Davis BB&T Technical Product Consultant Boca RatonRegina Davis Laser Spine Institute RCI Manager TampaPeter Defreitas Baptist Health South Florida Coral GablesPaul DiCicco Advisory Financial Group Director Ft LauderdaleKrista Ellerman HealthCare Support Staffing Inc Business Development Manager Winter ParkDoug Etue Phoenix Health Account Executive Boca RatonKathy Farquharson Laser Spine Institute Manager RCI TampaCharles Felix South Florida Hospital News LLC Owner/ Publisher Boca RatonSanford Fleck Crowe Horwath LLP Director Louisville, KY
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First Name Last Name Company Title CityTammi Fowler Hospital Physician Partners Director Business Development HollywoodHarry Goldszmidt University of Miami Hospitals
and ClinicsDirector of Finance Miami
Lynda Gorken BayCare Health System Vice President Patient Financial Services
Oldsmar
Vinnette Hall Broward Health Ft LauderdaleJason Halstead CareCentrix AVP St PetersburgJohn Henderson Baptist Health System Financial Analyst II JacksonvilleEmily Hill Vitas Healthcare Corporation MiamiDavid Houser HealthCare Support Staffing Inc Executive Director – MSP
Program DevelopmentWinter Park
Thomas Hoyer Caregiver Services Inc Chief Financial Officer MiamiDaniel Jerreld Mayo Clinic Revenue Analyst JacksonvilleDebra John Baptist Health System Sr Accountant MiamiMelissa Johnson Precyse Regional Sales Executive Wayne, PALeonard Kalman Miami Cancer Institute Deputy Director MiamiMichael Kimball Technosoft Corporation Director of Sales Wesley ChapelKim Kinney Martin Health System Sr Reimbursement Analyst StuartNicole Knight Consultant JacksonvilleBrian LaBovick Gulfstream Ousourcing - SB Chief Executive Officer Palm Beach
GardensRick Laird Lexmark Healthcare Healthcare Account
Manager-FloridaLutz
Rosanna Lallana-Burkley
Tampa
Michelle Latouche Laurel, MDMary Legris KPMG LLP Director Advisory Services OrlandoDiane Lerch Tampa General Hospital Director Coding & CDI TampaMartin Levesque iDatix Chief Operating Officer ClearwaterChengwei Li Kiala Lindsey PwC TampaRyan Lissauer Cohealo Inc Vice President of Finance MiamiJoseph Loayza TampaJames Martens Parallon Assistant CFO Orange ParkKarol Martinez SymMetric Revenue
Solutions IncFinancial Analyst Ft Myers
Michelle Mauch MRSBPO LLC Sr VP Heatlhcare Strategy St PetersburgNicole McCallen Oracle Account Executive St PetersburgDiana Moore SunTrust Vice President Treasury
& PaymentsOrlando
Alex Mores Advisory Financial Group Managing Partner Ft LauderdaleDaniel Mounts Accountable RRS Chief Life Officer Renton, WALori Nissen KPMG LLP Partner TampaAndre Oberholzer Tatum Managing Partner WindermereKatherine O'Driscoll Laser Spine Institute Manager RCI TampaMaria Ospina University of Miami Assistant Director Miami
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First Name Last Name Company Title CityLinda Perryclear Availity LLC JacksonvilleElizabeth Peters Sarasota Memorial Hospital Senior Budget Analyst SarasotaWill Pettinger Valence Health Vice President Business
DevelopmentSt Johns
Dodds Philip Greenway Health Product Management AlachuaSteve Poole Sacred Heart Health System Director Medical Practices PensacolaRobin Putnam HealthCare Support Staffing Inc Senior Key Account Manager Winter ParkLuis Quintana University of Miami Hospitals
and ClinicsSenior Budget Analyst Miami
Erin Razo Healthcare Recovery Services LLC
Director Special Project Miami
Eldon Richards WindermereRaul Rodriguez Sherloq Solutions VP of Extended Business Office
ServicesTampa
Robert Roy Lakeland Regional Health Director Cardiovascular Service Line
Lakeland
Joseph Rugg Allen Dell PA Attorney TampaJohn Samson Lexmark Healthcare Coral GablesAlexandra Santos University of Miami Hospitals
and ClinicsBudget Analyst Miami
Jake Schooler BayCare Health System Finance Technician TampaKristin Sharp Protiviti Consultant Alison Shingary Martin Health System Reimbursement Analyst StuartAudrey Smith Toral Law Managing Director Healthcare
DivisionDavie
Rachael Stodtko Parallon Assistant COO Orange ParkVivia Subaran Healthcare District Palm Beach
CountyRN Reviewer Loxahatchee
Larry Sullivan iDatix ClearwaterKandy Swanson BayCare Health System Manager Patient Access Services TampaLarry Tartaglino Sherloq Solutions Vice President of Operations TampaChadwick Taylor Florida Hospital Carrollwood Manager Patient Access TampaJoseph Vazquez Orlando Health Corporate Manager Patient
AccessOrlando
Merry Walker Sacred Heart Health System Chief Accountant PensacolaReeve Wall Adventist Health Systems Regional Director of Patient
Financial ServicesTavares
Paula Webb Lake Butler Hospital Chief Finance Officer Lake ButlerRobert White Infoedge LLC Consultant OviedoLaura Wilson Catholic Health Services Inc Corporate Controller Ft LauderdaleDanielle Wolbert Commerce Bank Senior Account Executive MiddleburgRobin Woods Wuesthoff Medical Center-
MelbourneController Melbourne
Rebecca Zolotor Kaplan University Associate Dean Miami Beach
For information on the benefits of membership, please contact Dan Phippen, Director of Member Services, at [email protected], or visit the HFMA FL Website at http://www.floridahfma.org/member.htm
24 SUNSPOTS / SUMMER 2015 http://floridahfma.org
Kristy Summers, CHFP Manager, PFS Administration, Hospital Call Center at Orlando Health
What is your current volunteer role within HFMA?I am currently serving as Treasurer, but previously served as the Director of Policy and Finance.
Where did you grow up?I was born and raised in Augusta, Georgia. I moved to Orlando after high school, to attend UCF. When what little money and aid I had ran out, I took time off from school to work full time. Before long, school took a back seat to work and life.
Where did you attend College?With the support of my director, I returned to school and am in the final semester of an online Healthcare Administration degree.
Where do you currently call home?I live about 20 minutes outside of downtown Orlando.
Can you tell us about your family?I met my husband through co-workers 18 years ago. We were married in 2005, and in 2007 were blessed with an amazing daughter. Our lives are now completely consumed with her social life and extra-curricular activities. When I ask other parents when this ends, they just laugh. I am not optimistic.
How do you prefer to spend your free time? We spend a great deal of our free time at the Disney theme parks. We regularly schedule “staycations” that revolve around the parks.
How did you become involved with HFMA?The leadership at Orlando Health has traditionally been very involved in HFMA and has made it a priority to get their direct reports involved. My director took me with her to a conference, and I was extremely impressed with
the organization of the meeting and the quality of the education. When I shared my thoughts with her, she asked if I would believe that everyone involved was a volunteer. This impressed me even more, and when, a couple of years later, a regional director role needed filling, I decided to give it a try. That was 5 years ago.
What do you enjoy about it?I still get a kick out of knowing that we are presenting top-notch education with enjoyable networking events, and that it is all done by volunteers! An outsider would easily think paid professionals were making this happen. I also love all of the people I’ve met along the way. I’m proud to call many of them my friends.
Tell us a about your path to Healthcare Finance.My sister-in law worked as an ER nurse at one of the Orlando Health hospitals and gave my resume to the Patient Business manager. I was hired for third-shift registration in the emergency department, and loved it immediately – the fast pace, the ever-changing regulations, the feeling of working as a team to assist a person in need. My manager at the time recognized my passion for making sure that patients’ insurance and demographic data were correct, and recommended that I apply for a role on the Quality Assurance Team.
VOLunTEER SPOTLIGHT KRISTY SUMMERS
25 http://floridahfma.org SUNSPOTS / SUMMER 2015
I was soon promoted to supervisor, and then eventually to manager of that team. In that role I was able to fully comprehend and analyze the hospital revenue cycle. I also had the pleasure of working with and getting to know amazing people, from all points along the revenue cycle, who shared my same passion for quality. I continue to work closely with those same areas in my current role as Call Center manager.
What are the greatest strengths of the organization you work for, Orlando Health?In my opinion, the greatest strength of Orlando Health lies in the fact that every single department works to-gether with one goal in mind: to help the patient. In help-ing the patient we embrace a strong emphasis on doing no harm. Working in Patient Accounting, our focus is on doing no financial harm and we include this concept in every process that we put in place, and in every account we review.
How has healthcare reform shaped or affected operations and finance at Orlando Health?The Call Center has always been a resource for patients who need help understanding their bill, but in recent years it has also become a place that people turn to for help in understanding their insurance benefits. Healthcare reform has added a new layer of complexity to the explanation of those benefits. We even go as far as to orchestrate conference calls between the patient and their insurance company, to help explain why their financial responsibility is different from what the patient had expected.
What would you like the HFMA Florida Chapter to accomplish or provide for its members?The Florida Chapter of HFMA does a great job of providing quality, affordable education for its target audience of healthcare managers. We pack a lot of relevant topics, presented by high caliber speakers, into relatively short time spans. In the future, I’d like to see us grow our online presence such as through webinars, and social media. Some of this is already being developed, and I look forward to following the Florida Chapter on Twitter soon!
By: Craig Fainstein Area Vice President, Arthur J. Gallagher & Co.HFMA Florida Chapter Committee Member
26 SUNSPOTS / SUMMER 2015 http://floridahfma.org
PEOPLE ON THE
What a great kickoff with the induction of our new officers, at our Tampa meeting! This year promises to be filled with exciting changes, and new members forging forward with new relationships and growth opportunities within the HFMA Florida Chapter family� We wish to recognize the following individual for his recent board appointment and other accomplishments, in this quarter’s edition of “PEOPLE on the MOVE”�
BOARd AppOinTMEnT:Jim Grigsby has been appointed to the Board of Trustees for Sebastian River Medical Center� This is in addition to Jim’s current role as President and CEO of Jim Grigsby Consulting� Jim is also a published author of books relating to life, people and current events�
Please join us in congratulating Jim.
By Lynn WilsonMOVE:
Name Organization Organization TitleLaura Arcuri, CPA Jewett Orthopedic Clinic Jewett Orthopedic Clinic CFOJohn Allgeier Moffitt Cancer Center Moffitt Cancer Center Director of FinanceJessica Cafarelli Martin Health System Martin Health System Senior Financial Analyst - Tax/AuditStephen Harris Tampa General Hospital Tampa General Hospital Director of ReimbursementRobert Howey Mayo Clinic Mayo Clinic Manager, Revenue CycleJohn Proni BayCare Alliant BayCare Alliant Manager, Finance - LTACDina Vickers Independent Consultant Independent Consultant ConsultantJackie Chalarca Moffitt Cancer Center Moffitt Cancer Center Manager Healthcare Financial AnalyticsJayne Behlau All Childrens Hospital All Childrens Hospital Director, Managed Care
The HFMA Florida Chapter would like to invite our members to share announcements regarding future "People on the Move" by sending information to Lynn Wilson at 82autiger@gmail�com� Please forgive us for any omissions, as we rely on you, our Members, to keep us informed and up to date�
nEWLY cERTiFiEd MEMBERs:The following members received their Certifications in March/April 2015:
If you are interested in becoming certified, please contact Carol Tannenbaum, Certification Chair at carol�tannenbaum@baycare�org
27 http://floridahfma.org SUNSPOTS / SUMMER 2015
Carol Tanenbaum Director Finance, BayCare Shared Service CenterHFMA Florida Chapter Certification Chair
HFMA’s strategic vision characterizes the current healthcare business environment as the transformation of care to achieve value� Providers, physicians, and payers are all confronted with new business challenges� The nature of the business environment and its impact on industry stakeholders supply both the demand for and elements of a new approach to the CHFP�
New CHFP program features• A learning program designed to build comprehensive industry understanding and sharpen business skills;• Two-module structure: 1) Achieving Strategy: the Business of Healthcare 2) Operational Excellence: Healthcare Industry Stakeholder’s Business Challenges;• CHFP designation earned by successful completion of both modules;• Online study materials created specifically to assist in mastering the business content.
Why is the certification program changing?The healthcare reform environment has caused the industry’s key stakeholders—providers, payers and physicians—to fundamentally rethink existing business models� Care transformation is business transformation� The necessary success factor for finance professionals today: Change-oriented business acumen. The existing certification program focuses narrowly on applied finance and financial reporting and does not address the business environment�
CHFP Program - Transition Groups• For members who registered for the CHFP exam prior to April 30, 2015 and have begun actively preparing for the exam, or have been through a chapter certification webinar series or practicum study group, HFMA encourages continuing with the current process�
• For members interested in certification who have not yet begun preparing, HFMA encourages that they use the new materials available in summer 2015 to prepare for the new CHFP�
If you have any questions, or would like further information, please contact Carol Tannenbaum, Certification Chair at carol�tannenbaum@baycare�org
CERTIFICATION IS
chAnging
28 SUNSPOTS / SUMMER 2015 http://floridahfma.org
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Manage Risk With Manager Training: A Healthcare Leader’s Checklist By Eric Jolly, CPA, CGMA, and Scott Gerard, CPA
June 2015
These are common scenarios in healthcare:
A radiology technician is promoted to manage the radiology department at her institution based on her years of experience and knowledge of the discipline, but she does not have the training or skills to prepare or oversee budgets or think strategically about increasing the service’s volume.
A veteran physical therapist respected by colleagues for his clinical expertise is promoted to service line manager and finds himself responsible for planning equipment purchases and capturing market share – areas beyond his skill set.
Clinical managers need business skills, but they rarely have chances to acquire these skills in their clinical work. This gap in experience and training often becomes apparent when these individuals are promoted to positions of leadership. The deficiency in competencies can hinder a department’s viability and competitiveness, especially in the value-driven environment of healthcare reform. According to an amalgamation of data on approximately 1,500 client internal audits collected by CHAN Healthcare – a subsidiary of Crowe Horwath LLP – in 2014, lack of management training and accountability is one of the top three causes of internal audit issues. It behooves healthcare organizations to manage risk by investing in business and management training for clinical managers, including those newly promoted to a managerial position.
Following is a list of seven essential areas of management competency:
1. IT applications and privacy and security. Clinical managers need to know how to: 1) advise their team on protecting patient data, 2) work with their team and IT department to apply patches and security updates to locally managed systems, 3) test program changes and patches to see that those changes don’t jeopardize the systems, 4) back up data to tapes or the cloud as often as necessary, 5) verify the privacy and security of patient information that is backed up to the cloud, and 6) oversee other security practices, such as segregation of duties, to confirm, for example, that an employee who accepts cash is not able to take it and write off the balance.
2. Payment card processing. Many patients have larger deductibles and copayments as a result of healthcare reform. Some hospital services, such as radiology, have only a single touch point with the patient, which means that a service must do everything that it can to collect payments upfront. Clinical managers who lack a solid grasp of the complex rules of payment card processing and required secure networks could jeopardize their department’s ability to use payment cards to collect payments from patients and could leave the facility vulnerable to reputational damages similar to those recently observed in retail.
3. Business financial oversight – revenue cycle and accrual accounting. Clinical managers need to know how profitable their service lines are to plan strategy and make decisions that will promote the department’s ongoing competitiveness and viability. This requires having a basic understanding of the accounting for their
29 http://floridahfma.org SUNSPOTS / SUMMER 2015
www.crowehorwath.com
Crowe Horwath LLP is an independent member of Crowe Horwath International, a Swiss verein. Each member firm of Crowe Horwath International is a separate and independent legal entity. Crowe Horwath LLP and its affiliates are not responsible or liable for any acts or omissions of Crowe Horwath International or any other member of Crowe Horwath International and specifically disclaim any and all responsibility or liability for acts or omissions of Crowe Horwath International or any other Crowe Horwath International member. Accountancy services in Kansas and North Carolina are rendered by Crowe Chizek LLP, which is not a member of Crowe Horwath International. This material is for informational purposes only and should not be construed as financial or legal advice. Please seek guidance specific to your organization from qualified advisers in your jurisdiction. © 2015 Crowe Horwath LLP
department, including knowing the difference between gross and net revenue, how many procedures a service performs, average net revenue per procedure, charity care discounts for uninsured and underinsured patients, and the difference between accrual and cash basis accounting.
If, for example, a disproportionate share of Medicaid and uninsured patients are being referred to the emergency room from a nearby hospital, knowledge of this referral pattern can help the emergency room manager plan a cost-effective response. One response might be to develop solutions to move this volume to the organization’s urgent care clinic, which has a lower cost structure.
4. Human resources. Clinical managers should know how to think strategically to determine the optimal mix of strengths and skills needed by new employees. The managers should know how to evaluate and improve the performance of the individuals who report to them, monitor the individuals’ productivity, handle scheduling and staffing changes when an employee takes a leave of absence, terminate an employee without putting a hospital at risk, determine salary increases, and handle intradepartmental disagreements.
5. Strategy. Clinical managers must understand the skills and capabilities a department needs to capture more volume in order to, for instance, make a business case for new equipment. For example, they need to understand how volume will change, net revenue will increase, physician relationships will improve, and unnecessary readmissions will decline if an institution invests $1.5 million to $4 million in a surgical robot. Clinical managers might understand the clinical benefits of acquiring the robot, but can they make decisions based on how the acquisition will affect a department from a strategic business perspective?
6. Vendor management. Outsourcing a service does not mean eliminating the associated risk. Department managers or directors must understand their role in selecting and managing vendors and holding them accountable for the quality of their work, whether those services are housekeeping for a surgery center or billing for a cancer institute. For example, does a billing vendor achieve higher net revenues because it upcodes, putting the hiring organization at risk in the process?
7. Risk management. Clinical managers must know how to investigate and report accidents and other adverse events. Risk management involves learning how to do a root cause analysis to prevent future occurrences as well. Managers also must assume responsibility for confirming that a department does not violate the False Claims Act, the Stark Law, and other laws and regulations that could put a department and institution at risk.
Clinical managers don’t have to become business or financial experts, but they do need grounding in the basics of important business disciplines and in knowing when and how to draw on specialized expertise from elsewhere in an organization.
Contact InformationEric Jolly is a director with CHAN Healthcare, a subsidiary of Crowe Horwath LLP. He can be reached at 415.438.5568. or [email protected].
Scott Gerard is a senior vice president with CHAN and a partner with Crowe in the Los Angeles office. He can be reached at 818.325.8457 or [email protected].
HC16912I
30 SUNSPOTS / SUMMER 2015 http://floridahfma.org
With the rapid expansion of electronic access to protected health information (PHI) and other sensitive data, as well as the increasing value and unlawful uses of such data in underground markets, the health care industry is becoming a vulnerable and attractive target for cybercriminals� At McGladrey’s recent webcast, Protecting your PHI from cybercrime, our presenter Joseph Benfatti, partner, risk advisory services, shared some important cyberthreat trends impacting the health care industry�* They include:
1. Compliance-based security is no longer enough in the current security landscape. A combination of both federal mandates and risk assessments is needed�
2. Government agencies are weighing in. Beyond the Department of Health and Human Services, agencies such as the Food and Drug Administration are weighing in on cybersecurity rules in regard to medical and radiological devices�
3. Third-party hacking is on the rise. Related business entities are usually less sophisticated in regard to the Health Insurance Portability and Accountability Act and state mandates� Hackers are beginning to target these associated businesses that handle sensitive data for larger health care organizations�
4. Nation-state attackers are focusing on health care information repositories. Foreign governments are now going after PHI to find high-ranking military personnel information, as well as information on corporate executives�
5. State breach laws are becoming as complex as federal mandates. Additionally, there are generally different guidelines and time frames for notifications per state�
What can health care organizations do to protect themselves from these mounting threats? Benfatti’s recommendations include:
• Diligently evaluate and monitor third-party relationships
• Develop consistent, common security policies across divisions and platforms
• Implement an incident response plan with continuous monitoring
• Activate cybersecurity insurance, but be aware of the changing nature of the coverage
*Compiled from McGladrey research, Norse and SANS Health Care Cyberthreat Report, and co-authored by Carlos Hernandez, Partner, McGladrey
5 CYBERTHREAT TRENDS TO WATCH IN HEALTH CARE
31 http://floridahfma.org SUNSPOTS / SUMMER 2015
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Customer reviews have become a powerful force in recent years, as services from apartments to restaurants have seen the success of their business affected by online comments and ratings� With the introduction of its new star rating system, the Center for Medicare & Medicaid Services’ (CMS) Hospital Compare database now offers consumers a way to assess hospitals based on patient reviews� Some, however, are already suggesting the system needs revamping to include other quality measurements in addition to patient survey responses�
hospital compare and the hcAhpsChoosing a doctor or hospital is no easy task� For years, patients have searched for useful tools that would allow them to compare hospitals and services to help ensure they are making the best decision� Originally established in 2002, Hospital Compare is a consumer-oriented website that allows prospective patients to compare hospitals in regard to the following categories:
• Patient survey results.• Timely and effective care.• Readmissions, complications and deaths.• Use of medical imaging.• Linking quality to payment.• Medicare volume.
The first category mentioned above, patient survey results, provides information from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey� The HCAHPS survey set the national standard in 2006 when it began collecting and publicly reporting data to allow comparisons of hospitals in local markets and across the country� In addition to compiling and reporting data for thoughtful consideration in the comparison of hospitals, the survey hopes to establish incentives to improve quality of care and increase the return value of public investment�
Five-star Rating systemWith the introduction of the Hospital Compare star rating system in April of 2015, CMS now has a five-star ranking method in place for the public to view and compare
the quality of care between hospitals� Hospital Compare has information about the quality of care at over 4,000 Medicare-certified hospitals, including acute care hospitals, critical access hospitals, children’s hospitals, Veterans Affairs (VA) medical centers and hospital outpatient departments� The star ratings, with one star being the lowest and five stars being the highest, are based on an average of the hospitals’ performance on each of the 11 publicly reported measures from the HCACPS survey�
The first results of the five-star rating system were released this past April, with CMS planning to release updated ratings every quarter. As seen in Figure 1 below, the first rankings released had over 40% of hospitals receiving either a four or five-star rating. These initial ratings came from patient surveys gathered between July 1, 2013, and June 30, 2014�
Many of the hospitals that received the five-star rating are smaller specialty hospitals that focus on elective surgeries� According to Modern Healthcare, more than 60 of the 250 hospitals that received the five-star ratings are specialty
Hospital star RATINGSToo Much Power in the Patient Review?
33 http://floridahfma.org SUNSPOTS / SUMMER 2015
facilities� It should be noted that historically these facilities have received higher patient review scores than general hospitals� This is partially due to the fact that these hospitals are able to have a narrow clinical focus and are designed to provide high quality care for specific services, as opposed to the wide range of services that general hospitals have to provide such as hectic emergency rooms and care for a diversity of illnesses, factors that make it more difficult for general hospitals to receive positive feedback on their patients’ experience�
For now, hospitals are valuing their ratings but also taking them with a grain of salt� With a high star rating, a prospective patient can enjoy a sense of reassurance that they will receive valuable care from a highly-rated hospital� Conversely, hospitals fear that if they receive a lower rating than their peers it may not be an accurate reflection of the hospital’s quality as the star rating is solely based on the patient reviews�
Room for improvementThe current star rating system is a good starting point to allow patients to compare hospitals, but it may not capture the overall value and quality of care because it only uses the patient experience survey� Hospitals would like additional elements of care CMS currently tracks included in the overall star rating of a facility� The measures they would like taken into account include the use of medical imaging, number of Medicare patients,
readmissions rates, complication rates and death rates� CMS has acknowledged that the rankings need to encompass more than just patient reviews, and wants to expand the ranking system to include star ratings on clinical outcomes and safety in the coming years�
The five-star rating system is a good resource for consumers to use when evaluating hospitals, but it does not mean that all will use it right away� It will take time for consumers to access and understand this information� It is too early to determine the degree to which patients have used the raw HCAHPS survey scores and quality measures that CMS tracks and publishes�
Even if the new five-star rating system is not perfect, it is drawing attention to the patient’s perspective and enhancing the power of the patient to choose a hospital based on quality information� That, most would surely agree, is a positive step toward the universal goal of improving the patient experience and the overall quality of care�
Elliot Kaple is an associate with Lancaster Pollard in Columbus� He may be reached at ekaple@lancasterpollard�com�
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34 SUNSPOTS / SUMMER 2015 http://floridahfma.org
Melinda Hancock Partner at DHG Healthcare HFMA National Chair 2015-2016
Janet Wagner Reimbursement Analyst at Shriners Hospitals for Children
At the 2014 Leadership Training Conference (LTC), chapter board members and other HFMA volunteer leaders gathered to hear Adam Braun share his story of founding Pencils of Promise. PoP is a non-profit organization dedicated to providing a quality basic education for all, as demonstrated by building schools and training teachers� What we heard was astounding�
Adam told the story of asking a small boy begging in the streets of India, what he wanted more than anything in the world� To Adam’s surprise, the boy’s answer was “A pencil.” From this youngster’s perspective, a pencil symbolized education, and a world of broadened possibilities�
At HFMA, education is the heart of our mission� This story, and the Pencils of Promise vision that a day will come when every child has access to quality education, resonated with the HFMA members in attendance� As I visited other HFMA chapters across the country, I repeatedly found this vision to be a common thread� So did Jude Crowell (past president of the South Carolina Chapter), who decided to launch HFMA’s own fundraising campaign�
We set our goals high, as we could think of nothing better than having a school named after HFMA� The fundraising target to build an entire school is $25,000 and we have raised $6,800 so far� Let’s pull together and close the gap! To contribute to this wonderful cause, please visit:
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35 http://floridahfma.org SUNSPOTS / SUMMER 2015
By Victor MunozRegional Manager at Meridian Group InternationalHFMA Florida Chapter Director of Education, Interactive Learning
FoRUMNEWSI am proud to introduce the leadership of the Chapter’s individual forums for the 2015-2016 fiscal year. And we are also very excited to be introducing a new Accounting and Audit forum�
These excellent leaders are committed to advancing the education necessary for the functional areas their forums represent� Furthermore, they are poised to provide thought leadership, collaboration opportunities, and a community of support for one another� Please reach out to each and become a member of a forum today�
AccOunTing And AudiT FORuM - Mike Sitowitz, Controller, Parrish Medical Center
iT FORuM - Janine Pratt, Vice President, KPMG
REVEnuE cYcLE FORuM - Carol Plato, Assistant Vice President, Revenue Cycle, Martin Health System
WOMEn’s LEAdERship FORuM - Lynn Wilson
sEniOR EXEcuTiVE FORuM - Fred Wilson, CEO, HCA East Coast Supply Chain
REiMBuRsEMEnT & LEgisLATiVE FORuM - Tom Magri, Director of Payer Analysis and Decision Support
36 SUNSPOTS / SUMMER 2015 http://floridahfma.org
By Abby BirchAdvanced Patient Advocacy LLC HFMA FL Chapter Director of Central Region
Interested in getting more involved with planning HFMA educational events? Do you have a passion for sharing knowledge and networking with other healthcare leaders? Now is the time to express your interest by joining the HFMA Central Florida region committee! Take your talents and passion for healthcare out of the office and connect with one of our committee leaders listed below to learn more about volunteer opportunities� We are continuing to grow with a variety of committee positions available and we are always in need of volunteers to support educational events in the Central Florida region�
The value of HFMA is not only in the educational content but in the committee members that have made the Florida chapter so successful!
Abby BirchRegional Education Director, Central FL HFMA abirch@apallc�com
Govi GoyalRegional Education Co-Chair, Central FL HFMASpace Coast Market, Chairgogoyal@deloitte�com
McCrae BennettTampa Market, ChairMcCrae�Bennett@crowehorwath�com
Jeremy KraftOrlando Market, ChairJeremy�Kraft@myLRH�org
Central Florida Region UPDATE
37 http://floridahfma.org SUNSPOTS / SUMMER 2015
By Douglas A. Wolfe, Esq. Kozyak Tropin & ThrockmortonHFMA FL Chapter Director of South Region
As the South Region Director I am pleased to report that the Region’s strong educational push is well underway� Over the past several months we have conducted a number of top notch educational events, and each of our regional education events provided members with the opportunity to earn up to 5 CPE credits�
On May 2nd, Boca Raton Regional Hospital hosted a full day education event� We heard excellent presentations from Jerry Fedele, CEO of Boca Raton Regional Hospital, George Vancore of Florida Blue, Teresa Zayas of CMS, and Latasha Hines of Kozyak,Tropin & Throckmorton� Carol Plato of Martin Health moderated an outstanding panel discussion regarding ICD-10, with panelists Susan Denny, Linda Barbian, Candice Tettamanti, Michael Kinney, and Sabita Ramnarace�
We followed up the May event with another out-standing full day education event at Martin Health System on June 2nd� Our June event had great presentations from Rachael Terlizzi, of Martin Health, Kathy Reep of the Florida Hospital Association, Sandra Thrulow a published author, Candice Tettamanti of Martin Health, and Stewart Witherell of AHW Healthcare�
On behalf of the South Region I would like to give a special thanks to Boca Raton Region Hospital and Martin Health System for hosting these wonderful events� I would also like to thank our regional education committee chair, Jon Levine, for all his hard work in making these events happen�
Our regional education committee has some great sessions planned for the coming months, so be sure to keep a look out for details on upcoming events�
Doug WolfeRegional Director, South FL HFMAdaw@kttlaw�com
Jon LevineEducation Committee Chairjlevine@med-metrix�com
south Florida Region UPDATE
38 SUNSPOTS / SUMMER 2015 http://floridahfma.org
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cORpORATE SPONSORSSILVER SPONSORS ConT.
BRONZE SPONSORS
Health Asset Management, Inc.Contact: Linda Robersonlroberson@hami�comwww�papertracer�com
Healthcare Payment SpecialistsContact: Karen Dillardkdillard@healthcarepayment�comwww�healthcarepayment�com
InstaMed LLCContact: Alicia HensonAlicia�Henson@instamed�comwww�instamed�com
KPMG LLPContact: Gillie McCreathgmccreath@kpmg�comwww�kpmg�com
Med-MetrixContact: Jon Levinejlevine@med-metrix�comwww�med-metrix�com
PatientcoContact: Buddy Smithbuddy�smith@patientco�comwww�patientco�com
PatientMatters, LLCContact: Doug Bilbreydoug�bilbrey@patientmatters�comwww�patientmatters�com
The PFM GroupContact: Lee Alexanderalexanderl@pfm�comwww�pfm�com
The PNC Financial Services GroupContact: Andrea Smithandrea�b�smith@pnc�comwww�pnc�com/healthcare
PrecyseContact: Melissa Johnsonmjohnson@precyse�com www�precyse�com
PwC Contact: Jennifer Blevinsjennifer�o�blevins@us�pwc�comwww�pwc�com
RevClaimsContact: Jacki Meadejmeade@revclaims�comwww�revclaims�com
Sunbelt Medical InternationalContact: Elliot Melementelliot@sunbeltmi�comwww�sunbeltmi�com
Trace by TWSGContact: Jerry Thomasjerry�thomas@twsg�comwww�tracecommunication�com
Xtend HealthcareContact: Doug Coledcole@xtendhealthcare�netwww�xtendhealthcare�net
AccessOne MedCard, Inc.Contact: Gary Heesemangheeseman@accessonemedcard�comwww�accessonemedcard�com
Advanced Patient AdvocacyContact: Abby Birchabirch@apallc�comwww�aparesults�com
Avadyne HealthContact: Chris Snydercsnyder@avadynehealth�comwww�avadynehealth�com
Avectus Healthcare SolutionsContact: Jim Jamiesonjjamieson@avectushealth�comwww�avectushealth�com
Avery Partners HealthcareContact: Lillian KloockLil�Kloock@averypartners�comwww�averypartners�com
Bacen & Jordan, P.A.Contact: Dwight TillmanDwightT@bacenjordan�com www�bacenjordan�com
BCA Financial Services, Inc.Contact: Jose GuevarezJose�Guevarez@bcafs�com www�bcafs�com
Beacon PartnersContact: Janine Prattjpratt@beaconpartners�comwww�beaconpartners�com
Berkeley Research Group, LLCContact: Lisa Mathewslmathews@brg-expert�comwww�brg-expert�com
Cardon OutreachContact: Tim SullivanTSullivan@Cardonoutreach�comwww�cardonoutreach�com
CBCSContact: Dane Mazzittidmazzitti@cbcsnational�comwww�cbcsnational�com
Cirius Group, Inc.Contact: Doug Spainhowerdougs@ciriusgroup�comwww�ciriusgroup�com
41 http://floridahfma.org SUNSPOTS / SUMMER 2015
CliftonLarsonAllenContact: Gregg Hathornegregory�hathorne@claconnect�comwww�claconnect�com
Commerce BankContact: Kevin [email protected]�commercebank�com
Credit Solutions, LLCContact: Shawn Clarksclark@cs-llc�comwww�cs-llc�com
DECO, LLCContact: Pete Ashpeteash@decorm�comwww�decorm�com
Deloitte LLPContact: Audrey Jacksonajackson@deloitte�comwww�deloitte�com
DHG HealthcareContact: Kathe Hootskathe�hoots@dhgllp�comwww�dhgllp�com
Diamond Healthcare CommunicationsContact: David McKennadmckenna@dmsolutions�comwww�dmsolutions�com
Executive Health ResourcesContact: Susan Schunksschunk@ehrdocs�comwww�ehrdocs�com
Florida BlueContact: Rachel [email protected]
HCFS, Inc.Contact: Jeff Woodyjwoody@hcfsinc�comwww�hcfsinc�com
InworksContact: Matt Carlsonmcarlson@inworks�comwww�inworks�com
J.P. MorganContact: Charlie Stradercharlie�strader@jpmorgan�comwww�jpmorgan�com
MDSContact: Cheryl Spaniercspanier@meddatsys�comwww�meddatsys�com
MedAssistContact: Debbie Youngdebbie�young@medassistsolutions�comwww�medassistsolutions�com
MedeanalyticsContact: Paula EllisonPaula�Elison@medeanalytics�com www�medeanalytics�com
Meridian Group InternationalContact: Victor Munozvmunoz@onlinemeridian�comwww�onlinemeridian�com
NAVEOSContact: Charlene Mathischarlene�mathis@naveosdata�comwww�naveosdata�com
NRA Group, LLCContact: Tom Zalonistzalonis@nragroup�comwww�nragroup�com
OVAG InternationalContact: Darrell Lassondedarrell�lassonde@ovagusa�comwww�ovagusa�comPenn Credit CorporationContact: Philip Mennellphilip�mennell@penncredit�comwww�penncredit�com
RSourceContact: Lane Bakerlbaker@rsource�comwww�rsource�com
Relay HealthContact: Cathy SteadmanCathy�steadman@relayhealth�comwww�relayhealth�com Resource Corporation of AmericaContact: Christine Joneschristinejones@resource-corp�comwww�resource-corp�com
The ROI CompaniesContact: Michael Motsaymmotsay@theroi�comwww�theroi�com
SHERLOQ SolutionsContact: Sherri Andrewsherri�andrew@sherloqsolutions�comwww�sherloqsolutions�com
Smart SourceContact: Barb McLaughlinbmclaughlin@smartsourcellc�comwww�hand-holder�com
VisiQuateContact: Keith Eggertkeith�eggert@visiquate�comwww�visiquate�com
BRONZE SPONSORS ConT.
Interested in becoming a CORPORATE SPONSOR? Please contact Carol Plato, FL HFMA Sponsorship Chair, at carol�plato@martinhealth�org
42 SUNSPOTS / SUMMER 2015 http://floridahfma.org
FLORidA chApTER BoARD
REgiOnAL DiRECToRs
President Chris Durkin, FHFMAVice President Controller at Baptist Health, Pavilion Health services, inc.(904) [email protected]
President - ElectLisa MathewsDirector of Business DevelopmentBerkeley Research Group, LLC(904) [email protected]
Immediate Past President Billie Jean Mounts, FHFMAChief Reimbursement officerProvidence Health & services(239) [email protected]
Secretary Mike Bickerssenior Vice President of sales & MarketingDaVincian Healthcare, inc.(404) [email protected]
Treasurer Kristy Summers, CHFPCall Center Managerorlando Health(321) [email protected]
Director of Education / Program Chair Candice Tettamanti, BS, RHITCorporate Director - Reimbursement, Revenue integrity, Medical Coding and CDiMartin Health system(772) 781-2754 [email protected]
Director of Policy / Finance Fred Wilson, FHFMACEo, HCA - East Florida DivisionParallon supply Chain services(954) [email protected]
Director of Administration Natalie BilloContract Manager/Managed careLakeland Regional Health (863) 687-1100, 5203 Fax: (863) [email protected]
Director of Member Services Dan Phippen, FHFMAPrincipalTriage Consulting Group(404) [email protected]
Regional Director, North Region David WildebrandtPartnerBerkely Research Group(850) [email protected]
Director of Education, Interactive Learning Victor MunozRegional ManagerMeridian Group international(954) [email protected]
Regional Director, Central Region Abby BirchDirector of Client DevelopmentAdvanced Patient Advocacy(407) [email protected] Regional Director, South Region Douglas A. Wolfe, Esq.Douglas A. Wolfe, Esq.Kozyak Tropin & Throckmorton(305) [email protected]
43 http://floridahfma.org SUNSPOTS / SUMMER 2015
COMMITTEE RosTER
Volunteering for an HFMA Florida Chapter committee or event is a great way to get the most out of your HFMA membership!
Contact a committee chair listed above to become more active today or go to http://www.floridahfma.org/committees.
COMMITTEE Chair/Co-Chairs
Bylaw ComplianceStacy GearhartGloriann Sordo
CertificationCarol Tannenbaum Harry Kimball
Communications Greisy Carril
CurriculumDoug WolfeRob Deloach
DCMS Don Stitt Finance Joanne AquilinaForum, Accounting and Audit Mike Sitowitz
Forum, Senior ExecutiveFred Wilson Darcy J. Davis
Forum, Revenue CycleCarol Plato Phil Mennellle
Forum, ReimbursementTom Magri Theresa Ott
Forum, Technology Janine Pratt
Forum, Women’s Leadership Lynn Wilson Susan Collins
FoundersGloriann SordoStacy Gearhart
History Debbie Vaidya LINK David Wildebrandt Membership
NewsletterMeagen Lane Kimberly Davis
Nominating Billie Jean Mounts
PolicyLisa Sasso Jim Grigsby
COMMITTEE Chair/Co-Chairs Past Presidents Advisory Council Renee Jordan
Program Cheryl Spanier Regional Education - Cape Canaveral
Govind Goyal
Regional Education - OrlandoJeremy KraftBrandon Slauter
Regional Education - TampaMcCrae Bennett Kimberly Zeltsar
Regional Education - GainesvilleDion GabbSusannah Cowart
Regional Education - Jacksonville
Robert Howey
Regional Education - Destin Glen Gill
Regional Education - South FLJonathan LevineLaura Stevenson
Registration Charlie Strader Scholarship Mindy Arroyo Social Rhonda Kaliban
SponsorshipCarol PlatoSeth Avery
Strategic AllianceGlenda Thornton Charlie Beale
University Relations
Volunteer Outreach
Webinar
Website Greisy Carril