montana hfma & mhima 2017 joint spring conference€¦ · 2017 joint spring conference together...

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Montana HFMA & MHIMA

2017 Joint Spring Conference Together We Thrive

April 19-21, 2017

Best Western Plus Grantree Inn, Bozeman, MT

Wednesday, April 19, 2017

Track I: Finance

Track II: Revenue Cycle

Track III: Health Information Management

Track III:

Coding Bonus Session $75 Registration Fee

Speaker: Lisa Rae Roper

Speaker Bio: Lisa Rae Roper, MS, MHA, CCS-P, CPC, CPC-I, FAHIMA has 30 years of experience in

business management, training program development, coding and healthcare consulting. She owns an

independent consulting firm focused on projects in business management and training with universities,

health departments, insurance payers, hospitals, and specialty clinics.

Program Content: MHIMA is offering a Coding Bonus Session open to all levels of coders, from HIM

students to seasoned professionals. The learning activities include individual and group exercises, review

of sample cases, and discussion of coding ‘hot-topics’. Key takeaways:

Recognize differences between coding for inpatient vs outpatient procedures;

Apply ICD-10-CM/PCS and CPT coding guidelines;

Assign ICD-10-CM/PCS and CPT codes to exercises;

And, have fun while networking of coding colleagues

11:45 a.m. – 1:00 p.m. – Registration Open with both MT HFMA and MHIMA

Track I:

1:00 – 2:30 p.m.

Topic: Five Imperatives for the Future

Speaker: Ross Manson – Eide Bailly

Prerequisites: None

Program Level: Beginner

Speaker Bio: Ross has more than 22 years of experience in the health care industry. He specializes in

establishing the use of benchmarking tools and process improvements, conducting financial and operational

assessments, conducting financial analyses on acquisitions and facilitating strategic planning processes for

hospitals and health systems.

Program Content: In the wake of health care reform, there has been a lot of change in the health care

industry, and with the change comes uncertainty. Ross Manson will discuss five imperatives you and plan for

and act on now in order to succeed in the future.

Advance Preparation: None

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Track II & III:

1:00 – 2:30 p.m.

Topic: Payer Updates (Medicare & Medicaid)

Speakers: Noridian (Tana Williams); Medicaid (Lee Rhodes)

Prerequisites: Knowledge of hospital payer organization and practices

Program Level: Beginner/Intermediate


1:00 – 2:00 p.m. –Medicare Update, Noridian

2:00 – 2:30 p.m. –Medicaid Update, Lee Rhodes

All Tracks: 2:30 – 3:00 p.m. Refreshment Break in Vendor Area

Track I

3:00 – 4:00 p.m.

Topic: Integrating a Financial Plan into your Organization’s Strategic Roadmap: Developing a

Cohesive “Strategic Financial Plan”

Speaker: Nicholas Smith MHA - Wipfli

Prerequisites: None

Program Level: Intermediate

Speaker Bio: Nicholas has over a decade of proven leadership experience with national healthcare

consulting. He has had the opportunity to serve a broad array of healthcare organizations including

health systems, integrated delivery systems, county and district hospitals and critical access

hospitals. Nicholas’ areas of expertise include new service line planning, market share projections,

community health needs assessments, physician demand assessments, and volume and demographic

projections in support of financial feasibility studies and facility growth. He works in all aspects of

planning new and replacement hospitals and other health care facilities, planning major renovations

and additions, and other aspects of planning for future growth. Nicholas is also a frequent speaker

for state hospital associations.

Program content: The successful outcome of any strategic initiative for a healthcare organization

depends on three critical factors: 1.) an organization’s alignment with the environment around it, 2.)

a realistic internal view of the organization’s core strengths and sustainable resources, and 3.) careful

implementation and monitoring of the strategic initiatives. Often healthcare organizations develop

strategic plans and initiatives without carefully considering the financial resources that are currently

available in the organization and what the financial implications of the strategic objectives will be on

the financial health of the organization. Planning that integrates a strategic financial plan or “road

map” into the framework of a strategic plan can help chart the course for an organization by

determining which initiatives fit the mission and strategic vision of a healthcare organization, while

enhancing or maintaining the overall financial health of the organization. A rolling and fluid

strategic financial plan can also assist a healthcare organization with identifying key metrics and

standards which are important for monitoring its unique circumstances in the community it serves.

In this session we will discuss the importance of creating a cohesive strategic financial plan and how

its elements can be integrated into both the strategic plan and annual operating and capital plans for

an organization. This session will also focus on determining areas of financial improvement for an

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organization, the concept of mission vs. margin in strategic financial planning, and reviewing market

trends to determine strategic opportunities. Key takeaways:

Attendees will understand the importance of creating a cohesive strategic financial plan

They will be able to identify ways the elements can be integrated into both the strategic plan and

annual operating and capital plans for your organization.

This session will also focus on determining areas of financial improvement for an organization,

the concept of mission vs. margin in strategic financial planning, and reviewing market trends to

determine strategic opportunities.

Track II

3:00 – 4:00 p.m.

Topic: Payer Updates Continued

Speaker: Various

Prerequisites: None


Program content: Continued payer updates provided by Commercial/Other payers: BCBS,

Allegiance, PacificSource and Montana Health Co-op

Track III

3:00 – 4:00 p.m.

Topic: Innovation in Patient Identification

Speaker: Lorraine Fernandes

Prerequisites: None


Speaker Bio: Lorraine Fernandes is an international and domestic thought leader, accomplished

author and respected public speaker on topics related to technology’s role in healthcare

transformation. Lorraine is President-Elect for the International Federation of Health Information

Management Associations (IFHIMA) and editor for the IFHIMA Global News. She has expertise in

patient, provider and citizen identification related to citizen-centric services, population health,

electronic health records and customer satisfaction.

Program content: The presentation will highlight the need for accurate person level identification in

the era of healthcare transformation and extensive data use. New approaches and associated case

studies will illustrate innovative approaches that can be used to address ambiguous identity data.

These case studies will include metrics, return on investment, cost benefits, and tips for getting

started with innovation and governance. The audience will come away with inspiration for practical,

cost effective, innovative solutions that can be applied today in the continuing quest for accurate

patient identification.

Track I

4:00 – 5:00 p.m.

Topic: Physician Compensation: Crossing the Chasm From Volume to Value, From Quantity to

Quality

Speaker: Jeff Johnson - Wipfli

Prerequisites: None

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Speaker Bio: Jeff Johnson has over 20 years of experience working with rural hospitals, physician

practices and other health care providers. His areas of expertise include hospital audit and cost

reporting (including critical access hospitals); strategic financial planning, Hospital/physician

integration, operational reviews; reimbursement analysis and medical practice management/

performance reporting. Jeff is a sought after speaker presenting for a variety of associations.

Program content: Health care reform is impacting physician compensation whether physicians are

practicing independently, are employed by critical access hospitals, or are contracted in rural

communities through professional services agreements (PSAs). The objectives of this session are to

provide participants with an understanding of how physician compensation strategies and plans can

be developed that effectively “cross the chasm” from encouraging volume and quantity to

encouraging value and quality.

Track II

4:00 – 5:00 p.m.

Topic: PFS Roundtable

Facilitator: Don Miller, Community Medical Center

Prerequisites: None


Program content: Collaborative discussion among attendees of current issues and challenges in the

world of Patient Financial Services. Share your problems and your successes and learn from your

peers.

Preparation: Please bring your hot topics for discussion.

Track III

4:00 – 5:00 p.m.

Topic: Quality Data Through Analytics

Speaker: Karen S. Scott, MEd, RHIA, CCS-P, FAHIMA Director, AHIMA Board of Directors

Prerequisites: None


Program content: The value of quality data and its importance in improving outcomes and lowering

healthcare costs is central to today’s healthcare landscape. This presentation will explain the

importance of quality and how current science and technology are helping to identify and advance

the capture and use of trusted meaningful information.

Preparation: None

All Tracks: 5:00 – 7:00 p.m. Vendor Welcome Reception – Drinks and Hors d’oeuvres

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Thursday, April 20, 2017

7:00 – 8:00 a.m. – Breakfast

Track I:

8:00 – 9:00 a.m.

Topic: MACRA/MIPS/CPC+

Speaker: Erik Johnson –Optum

Prerequisites: None


Speaker Bio: Erik Johnson is a Vice President and Practice Lead for Value-Based Care at Optum. He

was most recently Senior Vice President at Avalere Health, and was previously a Managing Director

with Manatt Health Solutions, and a Managing Director at the Advisory Board Company. He started

his career in health care in 1992, as deputy branch chief for Health Finance in the Office of

Management and Budget.

Program Content: An overview of the key elements and potential strategic implications of the new

MACRA program under CMS, and how MACRA approaches need to fit within broader value-based

care payment and delivery models. Key takeaways:

Understand the key choices involved in complying with MACRA and the QPP.

Strategies for identifying partners in developing MACRA approaches.

Potential synergies with broader value-based care strategy development. Advance Preparation: None

9:00 – 9:30 a.m.

Topic: CPC+ in Montana

Speaker: Jenn Rieden and Amanda Roccabruna Eby – Montana Department of Public Health and

Human Services

Prerequisites: None


Speaker Bio: Jen Rieden is the Member Services Bureau Chief within the Health Resources

Division at Montana DPHHS. Jen has been with the Health Resources Division 2013, previously

serving as the Hospital Section Supervisor and the Medicaid Reform Specialist. She has a

Bachelor’s of Science in Healthcare Administration from Montana State University- Billings, and an

Associate’s of Science degree from the University of Montana-Helena in Practical Nursing. Prior to

coming to the state, she worked as a nurse for 12 years, and managed specialty clinics. Amanda is

the Health Innovation Program Officer for Montana Medicaid, where she manages Medicaid’s

Health Improvement Program, Patient-Centered Medical Home Program, and Comprehensive

Primary Care Plus Program. Previously, Amanda was a Project Administrator for former Montana

Insurance Commissioner, Monica J. Lindeen. Amanda Eby managed Montana’s statewide Patient-

Centered Medical Home program, including approximately 70 clinics and 4 payers. In her time with

Commissioner Lindeen she worked on various health policy initiatives, including: implementation of

and consumer assistance with the Affordable Care Act, insurance coverage clarification for cancer

clinical trials, coverage for specialty tier drugs, and studies on a creating an all-payer, all-claims

database.

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Program Content: Ms. Rieden and Ms. Eby will describe the CPC+ Project that is currently

underway in Montana through MT DPHHS. Preparation: None

Track II 8:00 – 9:30 a.m.

Topic: 501r Compliance

Speakers: David Figueredo – Change Healthcare

Prerequisites: None


Speaker Bio: David Figueredo is the Business Development Manager at Change Healthcare, a leading

provider of software and analytics, network solutions and technology-enabled services designed to

enable smarter healthcare. During his 8 years with the company, David’s focus has been in working

with various healthcare organizations to optimize direct and indirect revenue streams, mitigate

compliance risk and enhance cost containment through automation, process improvement and

analytics-based solutions. David graduated with a BS in biology and chemistry from Middle

Tennessee State University.

Program Content: Advance Preparation: None

Track III

8:00 – 9:30 a.m.

Topic: Information Governance and Privacy & Security: The Evolving HIM Profession


Prerequisites: None


Program content: Information Governance plays a key role in the future of HIM. AHIMA has

recognized the need for HIM professionals to take the lead in IG for healthcare. As a result, AHIMA

has developed the Information Governance Adoption Model (IGAM)™, - a comprehensive maturity

tool used to describe the 10 core competencies in a successful information governance

program. This presentation will provide a general overview of information governance and the

fundamentals of the (IGAM) ™. It will also cover industry trends and practices with one of the

specific IG competencies; Privacy & Security. Some of these trends will include OCR Audits,

HIPAA Compliance, Cybersecurity and more. These areas surround the appropriate protection and

safeguards for PHI, and will highlight regulatory laws and requirements.

Preparation: None

All Tracks: 9:30 – 10:00 a.m. Break in Vendor Area

Track I 10:00 – 12:00 a.m.

Topic: Lessons from the Road – Charge Capture, Cost Report and Billing Issues

Speaker: Mark Hollan – Independent Healthcare Consultants

Prerequisites: None


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Speaker Bio: Mark has worked in the healthcare field for 36 years, 17 of which were in a provider

setting. Mark currently provides chargemaster and billing compliance reviews, provider-based

analysis and implementation assistance, reimbursement analyses for hospitals and clinics, and

Business Office operational assessments. Mark is a graduate of North Dakota State University and is

past president of the North Dakota HFMA chapter. Program Content: This session will look at those areas and services where hospitals typically miss

capturing revenues. Many of these issues have been identified through chargemaster, billing

compliance and cost report reviews. There will be discussion on audits and reviews that facilities can

perform to identify opportunities for missed revenues.

Track II

10:00 – 11:00 a.m.

Topic: Clinically Driven Revenue Cycle

Speaker: Mickey Bowen – Cerner

Prerequisites: None


Speaker Bio: As a Financial Alignment Executive, Mickey Bowen is focused on client financial

value within a Clinically Driven Revenue Cycle. Mickey is a graduate of Pittsburg State University

in Pittsburg, Kansas and from the University of Kansas Medical Center. Mickey is an active

member of Heart of America HFMA and is serving a two-year term on the local chapter Board of

Directors.

Program Content: Learn about Clinically Driven Revenue Cycle and how it may benefit your

organization through streamlined workflows, improved billing accuracy and compliance, improved

timeliness of billing and increased revenue cycle productivity. This session will explain the meaning

of clinically driven revenue and provide insight into the factors that can be used to help accelerate

the implementation of clinically driven revenue cycle. Takeaways:

Participates will learn the steps an organization should take to develop a “readiness” plan for

moving to a clinically and financially integrated solution. Specific risks will be identified

and techniques for identifying cultural and organizational challenges in advance of taking on

such a project.


11:00 – Noon

Topic: Revenue Cycle Directors Panel

Speakers: Steve Scharmann, Corporate Director of Revenue Cycle Management – Dignity Health;

Traci Waugh, Kalispell Regional Healthcare; Sheri Greene, Kalispell Regional Hospital

Moderator: Tiffany Bradeen

Prerequisites: None


Speaker Bio: Steve Scharmann is currently the Director of Revenue Cycle Management for Dignity

Health. In this role, Steve manages the Revenue Cycle operations for Dignity Health’s 36 hospitals,

with an A/R of nearly $8 billion and FY15 gross revenue of $41 billion. Steve was formerly the

Revenue Cycle leader at Bozeman Health. Traci Waugh is currently the Director of Outreach

Services for Kalispell Regional Healthcare. She has worked in the healthcare industry for over 20

years in roles ranging from Director of Support Services to Director of HIM, Risk Manager, Privacy

Officer and Compliance Officer. Sheri Greene is the Executive Director of Revenue Cycle at

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Kalispell Regional Healthcare. She has 17 years of experience in healthcare, ranging from Physician

Practice Manager to Executive Director of Physician Practices to her current role.

Program Content: This panel will provide insights into how influential Revenue Cycle leaders

manage system-wide and community-based operations in light of the rapid change that our industry

is encountering, and how they find new ways to face the volatile and unknowable future. The panel

will provide insights into their current and past experiences as well as fielding questions from the

audience and the moderator.

Track III;

10:00 – 11:00 a.m.

Topic: AHIMA Updates


Prerequisites: None


Program content: Find out the latest updates, strategies and projects from AHIMA.

Preparation: None

11:00 – 12:00 a.m.

Topic: PHI Release Guide for Montana

Speaker: Sue Casperson

Prerequisites: None


Speaker Bio: Sue moved to Montana last year and is currently the HIM Director, Privacy Officer and

Compliance Coordinator at the Sidney Health Center in Sidney, MT. She previously worked for

hospitals, clinics, and health systems in Wisconsin and served in multiple roles, including President,

for the Wisconsin Health Information Management Association.

Program content: As a new Montana HIM professional finding Montana statutes/regulations

regarding release of information was difficult. After gathering the information Sue created a

spreadsheet for herself and her ROI staff. During this session we will review the spreadsheet and see

how Montana and federal regulations pertain to specific requestors. Come and participate in the

discussion of confusing ROI areas such as emancipated minors, subpoenas, mandatory reporting,

and the issue of sending information to personal email addresses. Takeaways: The goal is for you to

gain an understanding of how to use the PHI Release Guide and receive clarification on specific ROI

requests.

Preparation: None

Track I & II: 12:00 – 1:00 p.m. Lunch and Montana HFMA Business Meeting

Track III: 12:00 – 1:00 p.m. Lunch and Montana HIMA Business Meeting

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Track I&II:

1:00– 2:00 pm

Topic: Overview of the First 100 Days of the Trump Presidency

Speaker: Robert E. Schile – CliftonLarsonAllen

Prerequisites: None


Speaker Bio: Robert Schile is a Principal with the professional services firm of CliftonLarsonAllen.

Rob has over 27 years of experience in public accounting and business consulting devoted almost

exclusively to the health care industry. He has varied experience in health care strategy and financial

management issues, particularly financial and operational consulting, reimbursement analysis and

advisory services. Rob serves as the Managing Principal of Industry at CliftonLarsonAllen and is a

frequent speaker at a variety of State and National Associations.

Program Content: This session will provide an overview of the first 100 days of the Trump

presidency and changes made by his administration. In addition, it will cover anticipated future

changes and corresponding impact on health care and what providers should be planning for. Key

takeaways:

Key changes to regulations

How changes may impact their organizations

Key strategies to continue to plan around for future success Review reimbursement

implications given recent CMS interpretations


Track III 1:00 – 2:00 p.m.

Topic: Uncover Strategies for Compliance: the MOON, 2-Midnight Rule, and Inpatient

Certification

Speaker: Debbie Mackaman

Prerequisites: None


Speaker Bio: Debbie Mackaman, RHIA, CPCO, CCDS is the lead regulatory specialist for HCPro’s

Medicare Boot Camp, Critical Access Hospital and Rural Health Clinic versions and has over 25

years of experience in healthcare. Debbie works closely with a variety of hospital, clinic and medical

staff to assist them with understanding Medicare regulations and identifying and reducing

compliance risks.

Program Content: Although Medicare’s 2-midnight rule was implemented in 2013, hospitals

continue to struggle with complying with the regulations specific to their facility. The requirements

are slightly different between PPS hospitals and CAHs; however, the importance of meeting them

remains the same. Along with monitoring medical necessity and confirming clear documentation is

obtained, achieving compliance with the MOON has added another step to the outpatient observation

vs. inpatient admission process. Key takeaways:

Identify Medicare regulations surrounding the observation notice, 2-midnight rule, and

inpatient admission certification

Assess the level of risk within your facility and identify potential impacts on the revenue

cycle


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All Tracks: 2:00 – 3:00 p.m.

Topic: Keynote – Dare to Matter

Speaker: Pete Smith – Smith Impact

Prerequisites: None


Speaker Bio: Being called “one of America’s leading personal and professional development

coaches,” international speaker and coach, Pete Smith is helping people develop the clarity,

confidence and competence to make a bigger impact in this world. Prior to launching SmithImpact in

2011, Pete was the Operations Executive at one of the largest non-profit, alternative schools in

Northern Virginia. During his 3 ½ year tenure, he helped increase the organization’s total income,

employee base and client base, while saving the organization over $420,000 in turnover costs. One

of his most significant, life-changing experiences occurred in 2010, when Pete suffered a stroke at

the young age of 35. Temporarily losing his speech and being paralyzed on one half of his body,

Pete was blessed with a full recovery, and has since used his experience to impact the lives of others.

Pete resides in Arlington, VA with his beautiful wife (a fellow redhead!), two incredible boys (also

redheads!), and a loveable, crazy dog (yes, even the dog is a redhead!).

Program Content: In today’s hectic environment, people feel overwhelmed, overworked, and

physically drained. It’s easy for people to wonder if who they are and what they do even matters.

This presentation reminds them that they do. More than simply a motivating and inspiring message,

this presentation uncovers the three questions every individual needs to ask in order to shift their

focus from merely just trying to succeed to relentlessly pursuing significance instead… all lessons

Pete learned from surviving a stroke. Key takeaways:

Recognize the value in identity over happiness

Learn what sparks a sustainable, internal drive in every person, and why we typically avoid

it

Discover how moving forward often requires that we carry less

3:00 – 3:30 Break – Time to visit the vendors!

Career Advancement Track:

3:30 – 5:00 p.m.

Young Professional Bonus Session: Advancing Your Career: Move Up, Move Over, Move Ahead Speaker: Pete Smith - SmithImpact

Prerequisites: None


Speaker Bio: See above… Program Content: You know that career advancement is important to you. For some, that means

getting promoted. For others, it may mean moving into a position that fits them better. In order to

take advantage of the opportunities that await you, as well as developing the determination to create

new ones that don’t currently exist, it requires that you excel in five specific categories that are

relevant to both your personal and professional life. Examining each of the five “pillars of progress,”

participants will design relevant action items in each category that will assist them in their career

advancement. The difference between those who excel and those who stay stuck may be determined

by how well they excel in each of these five pillars. Key takeaways:

Understand the relationship between performance, expectations, and interpretations

Recognize how our perspective increases our opportunities

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Learn how to use people…for all the right reasons


”Not So Early” Careerists Track:

3:30 – 4:30 p.m.

Bonus Session: Planning for Retirement Speaker: Marty J. Haskins – Edward Jones

Prerequisites: None


Speaker Bio: Marty grew up on a farm in North Dakota. He moved to Bozeman 19 years ago and

finished school at Montana State University. He met his bride there and now has two beautiful girls

and he’s very proud to be a dad. His passion is helping people reach their long term financial goals. Program Content: Marty will present “Retirement by Design.” He will illustrate how you can

translate your vision for retirement into tangible goals. Whether you are 10 or 40 years from

retirement, you will learn investment strategies to help design the retirement you want. We’ll also

discuss how you can add flexibility to your strategy to help you handle unexpected events and stay

on track.


By Invitation/Reservation 5:00 – 6:00 p.m. Early Careerist Networking Social with Pete Smith & Healthcare Finance

Executives (adjourn to Vendor Reception and Prize Drawings)

All Tracks: 5:00 – 7:00 p.m. Networking Social/Vendor Reception – Prize Drawings!

Friday, October 21, 2017

All Tracks: 7:00 – 8:00 a.m. Breakfast in the Vendor Area * MHIMA New Member Coffee TBA

Track I: 8:00 – 9:00 a.m.

Topic: Cost Report Hot Topics

Speaker: Shar Sheaffer – Dingus, Zarecor & Associates

Prerequisites: None

Program Level: Beginning/Intermediate

Speaker Bio: Shar is a graduate of Eastern Washington University and serves as DZA’s Director of

Reimbursement. Shar has worked exclusively with hospitals and other healthcare organizations

during her fifteen year public accounting career. She has assisted hospitals, critical access hospitals,

nursing homes, rural health clinics, federally qualified health centers, and home health agencies with

reimbursement, financial reporting, and consulting needs. She specializes in consulting with

hospitals about reimbursement issues and staying informed about the ever-changing reimbursement

landscape. Shar is a past-President of the Montana Chapter of HFMA.

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Program Content: This session will focus on items affecting the 2017 cost reporting period. We will

discuss changes to DSH reporting, occupational mix, Medicare bad debts, and the top items typically

reported incorrectly on the Medicare cost report and strategies for correcting these errors. You will

also learn where to focus your time when reviewing the cost report before submission to the

Medicare Administrative Contractor. This session will help improve your Medicare and possibly

your Medicaid reimbursement as well as improve your compliance with the Medicare and Medicaid

programs. It will focus on new areas of interests for hospitals.


Track II & III: 8:00 – 9:00 a.m.

Topic: HIPAA Privacy & Security

Speaker: Dan Rode, MBA, CHPS, FHFMA, FAHIMA – Dan Rode & Associates

Prerequisites: None


Speaker Bio: Dan is an educator, consultant, and government relations specialist. In previous years

he has worked for both AHIMA and HFMA. Prior to his association employment Dan worked at

university-teaching healthcare systems in Minnesota and Utah. Dan’s involvement with HIPAA

privacy began in 1993. He is an HFMA and AHIMA Fellow.

Program Content: HIPAA privacy and security requirements has been a factor in healthcare finance

and information management for two decades. HITECH legislation in 2009 increased the impact on

covered entities with increased enforcement and penalties along with expansion related to the use of

electronic health records and inclusion of business associates. This presentation will look at the

current state of HIPPA privacy and security requirements as well as the current audit process,

breaches, and the increase of penalties being incurred by healthcare providers as well as business

associates. Key takeaways:

An understanding of the current impact of HIPAA privacy and security regulations and

enforcement on healthcare providers and their business associates;

An understanding of current HHS activities involving audits, and enforcement; and,

An understanding of resources to ensure their organization is compliant with existing and

future regulations and enforcement.


All Tracks:

9:00 – 10:00 a.m.

Topic: Operationalizing Hierarchical Condition Categories: How to Implement and be Successful

in Your Organization

Speaker: Rhonda Quast – Eide Baily

Prerequisites: None


Speaker Bio: Rhonda has more than 21 years of health care industry experience, including 13 years

of experience as a Licensed Practical Nurse with clinical and claims review experience. She has

eight years of experience in Revenue Cycle leadership, including patient access related to

scheduling, registration, and prior authorization. Rhonda has experience in ACO and Electronic

Health Record implementations and Revenue Cycle operations related to population health and value

based reimbursement models.

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Program Content: With increased movement to value based reimbursement across the market, the

ability to accurately report patients’ complex needs to account for their resource and cost utilization

is becoming increasingly important. Multiple Medicare programs utilize Hierarchical Condition

Category coding (HCC) as a means of communication of a patient’s diagnosis history, current health

status, and projected resource utilization. A lack of understanding of HCC and how their resulting

Risk Adjusted Factor (RAF) scores are used to provide reimbursement to organizations, leaves you

at risk of causing an unintentional negative impact to your organization’s financial health. Key

takeaways:

Provide general understanding of Hierarchical Condition Categories (HCC), including the

impact they can have on your organizations financial health

Assess common challenges encountered in organizations as they implement workflows to

support HCC scoring

Provide feedback on next steps for your organization to be prepared and successful in HCC

scoring


All Tracks: 10:00 – 10:30 a.m. Break/Checkout

10:30 – 12:00 p.m.

Topic: MHA Report

Speaker: Bob Olsen - MHA

Prerequisites: None


Program Content: Bob Olsen will present the latest developments for federal and state statutory and

regulatory issues important to Montana hospitals and other providers. Materials will include emerging

issues related to the Affordable Care Act and the adoption of the value-based purchasing initiatives by

Medicare and others.


Good-bye!

Thank you for joining us – Drive safely! See you October 18-20, 2017 in

Billings at the DoubleTree for the HFMA Fall Conference!

montana hfma & mhima 2017 joint spring conference€¦ · 2017 joint spring conference together...

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