tri-state institute january 23-25, 2013 tunica, ms ‐‐title ... › fi2016 › 2016+fall... ·...

Tri-State Institute January 23-25, 2013 Tunica, MS

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FallInstituteOctober19th‐21st2016,


WELCOMEFROMTHEPRESIDENT

GreetingsfromTennesseeHFMAandWelcometoour2016FallInstitute!Thisyear,oursignatureFalleducationeventfeaturesajam‐packedlineupofspeakerswithtopicsfrom

today’sheadlines. Withupdates fromTennCare,HFMANational, the latestonDataBreachesandClass

Actions,we’resureyou’ll findtheagendafilledwithinformationyouneedtoknowintoday’schanging

andchallengingenvironment.

This year we’ve added sessions designed for skilled nursing facilities in addition to our accounting

colleagues,weinviteyoutocheckoutthedetailsandplantojoinusattheParkVistaInninGatlinburg

October19–21st.MauryRegionalMedicalCenterwillprovideinsightonhowthey’vesucceededinbeing

awarded Tennessee’s first HFMA Patient Financial Communications (PFC) Best Practices Adopter

Recognitionandwe’ll roundoutFridaywithourCFOPanel featuring financialexecutives fromaround

theregionincludingRegionOne,CookevilleRegionalMedicalCenterandmore.

Wednesday’sgolfeventandMountainViewhikekickoffourtimetogether.Followthatwithourannual

SwerskyMemorialBarbeque,CasinoNightanddessertbarandyou’vegotagreatstarttotheInstitute.

Mark your calendar and plan to join us for a great day of networking with your fellow healthcare

professionalsbeforegettingstartedinthemanylearningopportunitiesthatfollow.

Thisyear,Tennessee’sownMaryMirabellihasselected“Thrive”asherthemetoleadtheNationalHFMA

organizationforward.Withthat,ourFallInstituteChairPamJonesandCo‐ChairArielBiggshavesetthe

themeof“Change,Challenge,Opportunity–ChangesareOpportunitiestoThrive”forourevent.Sessions

andspeakershavebeenthoughtfullyselectedtoprovideinsightfulstrategiesasyoumeetyourchallenges

andopportunitiesto“Thrive”inyourorganization.

LookingforwardtoseeingyouinGatlinburg!CarmenA.Voelz2016‐2017TennesseeHFMAChapterPresident



COMMITTEEMEMBERS

Pam Jones MCOT,Inc.‐ CommitteeChairAriel Biggs XtendHealthcare‐ CommitteeCo‐Chair

Jack Abernathy AffiliatedCreditorsBrad Adams VanderbiltMedicalCenterRodney Adams MauryRegional MedicalCenterBrad Arnold Frost‐ArnettJulie Atchley MatheneyStees&AssociatesMartha Calfee MatheneyStees&AssociatesMichelle Calhoun MountainStatesHealthAllianceDale Claytore MountainStatesHealthAlliancePaula Claytore MountainStatesHealthAllianceLori Crocker HorneLLPKaren Dewing StreamlineHealthSara Goodwin KraftHealthcareConsulting,LLCSheila Hayden MountainStatesHealthAllianceAmanda Hoffmiester CookevilleRegionalMedicalCenterDonna Hunigan MountainStatesHealthAllianceJoe Johnston Frost‐ArnettTina Minnick PressGaneyLisa Myers Arx,LLCMike Phillips CBCKatie Reid KraftHealthcareConsulting,LLCGuice Smith StantonChaseInternationalKatie Tarr LBMC,PCKathryn Topper ArdentHealthServicesCarmen Voelz AccordiasHealthcareServices,LLCTeresa Wilson NorthCrestMedicalCenterChase Wunder RevenueRecoveryCorporationMike Todai ErlangerHealthSystems



SCHEDULEATAGLANCE

Wednesday–October19th9:00a.m.–3:00p.m. GolfTournament 10:00a.m.–3:00p.m. HikeinElkmont(Gatherinhotellobbyat9:30a.m.) 12:00p.m.–4:00p.m. ExhibitorSet‐up 3:00p.m.–5:30p.m.8:00p.m.–9:00p.m. Registration

4:00p.m.–5:00p.m. BoardMeeting 6:00p.m.–8:00p.m. AnnualKurtSwerskyMemorialBarbecue 8:30p.m.–10:30p.m. NetworkingEvent:CasinoNight&DessertBar

Thursday–October20th7:00a.m.–5:00p.m. Registration 7:30a.m.–8:30a.m. ThursdayBuffetBreakfast 7:30a.m.–8:30a.m. PrayerBreakfast:DeserveVictory 8:30a.m.–9:30a.m. Keynote:CommunicationBleepsandBlundersinBusiness 9:30a.m.–2:00p.m. BloodDrive 9:30a.m.–10:00a.m. BreakinSolutionHall

10:00a.m.–11:00a.m. GeneralSession:TennCareUpdate 11:00a.m.–12:00p.m. GeneralSession:NationalHFMAUpdate:Thrive 12:00p.m.–1:00p.m. LunchandAwards 1:00p.m.–1:15p.m. BreakinSolutionsHall

1:15p.m.–2:30p.m.GeneralSession: Data Breaches, Class Actions, and theWho'sWho ofHIPAAEnforcement.

1:15p.m.–2:30p.m. SponsorMeeting 2:30p.m.–2:45p.m. BreakinSolutionsHall 2:45p.m.–4:00p.m. GeneralSession:Competing&SucceedingundertheValueParadigm2:45p.m.–4:00p.m. SNFTrack:TheRoleofPost‐AcuteCareinEpisodicManagement2:45p.m.–4:00p.m. AccountingTrack:NewLeaseAccountingStandard



4:00p.m.–4:15p.m. BreakinSolutionsHall

4:15p.m.–5:30p.m.General Session: MACRA and Physician Reimbursements under the MeritBasedIncentivePaymentProgram

4:15p.m.–5:30p.m.SNFTrack:TheProposedNewTennCareLTCPaymentModelandSupplementalCostReport.

4:15p.m.–5:30p.m.Accounting Track: Top 10 Payroll Issues, New Overtime Rules & OtherEmployeeRelatedIRSrules

5:30p.m.–6:30p.m. SponsorAppreciationReceptionandSponsorGive‐Aways 6:30p.m.–9:00p.m. DinneronYourOwn FridayOctober21st7:00a.m.–10:30a.m. Registration 7:30a.m.–8:30a.m. STARCommitteeBreakfast 7:30a.m.–8:30a.m. FridayBuffetBreakfast

8:30a.m.–9:45a.m.GeneralSession:PatientFinancialCommunicationsAdopterAward–YouMaybeCloserthanYouThink

9:45a.m.–10:15a.m. BreakintheSolutionsHall 10:15a.m.–11:55a.m. GeneralSession:CFOPanelDiscussion 11:55a.m.–12:00p.m. ClosingAnnouncements,DoorPrizes,Adjourn



WednesdayOctober19th,201610:00a.m.–3:00p.m.HikeinElkmont

Thisisa4mileloophike.ItgoesfromtheElkmontcampgroundontheLittleRiverTrailtoCucumberGapTrailtoJakesCreekTrail leadingbacktoElkmontcampground. ThereisnotmuchelevationgainandmuchoftheLittleRiverTrail isanoldroadbeforeitgoestoasinglefiletrail. About .3milesupLittleRiverTrail isabenchandaswimming hole. The trail follows the river formost of theway to CucumberGap. In the area near CucumberGap/JakesCreekTrailintersectionyouwalkthroughtheoldvacationhomesinElkmont.In1934whentheGreatSmokyMountainsNationalParkwasbeingestablishedthesehomeownersnegotiatedextendedleasestostayinthepark.Thiswasendedin1992alongwiththeleaseoftheWonderlandHotel.Thisvalleybegan tobe settledand logged in the1800s. In1901LittleRiverLumberCompanybought the land,builtarailroad,abasecampandsawmillatElkmont.Inthelatetwentiesthelumbercompanyagreedtoselllargetrackstotheparkserviceeventhoughtheycontinuestolaytrackandcutvirgintimberthrough1938.Youcanstillseecableinspotsleftfromthelogging.Ifyouhaven’tseenthispartoftheparkitisatreat.LittleRiverisnotsolittleandcanyouimaginefamiliescomingtotheElkmontcabinsinthesummertobeattheheat(yes,beforeairconditioningexisted). Ifyouhaveheardofthesynchronousfirefliesthishikeisinthatgeneralareaofthepark.As always in the Great Smoky Mountain National Park dress for the weather but always bring rainjacket/windbreaker. Bottlesofwaterandsometrailsnackswillbeprovidedbutyouneedawaytocarrythem.JoinusforagreatloophiketocelebrateourNationalParks’100thanniversary.

PRESENTATIONDESCRIPTIONS

ThursdayOctober20th,20167:30a.m.–8:20a.m.PrayerBreakfast:DeserveVictory

DaneBradshaw

8:30a.m.–9:30a.m.CommunicationsBleepsandBlundersinBusiness

ToddHunt

You said one thing; your physician, patient or coworker heard something else. Nobody was wrong, but noweverybody’sconfused…andyouhavetodealwithit!LaughandlearnasbusinesshumoristToddHuntinspiresustocommunicatesoclearlythatwe’reunderstoodandsopreciselythatwecannotpossiblybemisunderstood.LearningObjectives:

Identifywherelistenersare“comingfrom”andtailorcommunicationstylestogettheresultsneeded

Listtheeightproblemwordsthatcouldcauseconfusionintheworkplace

Discussvoicemailgreetingsandnewmethodsthatwillsavetimeandimproveefficiency

Attendeeswillcomeawaywithanewappreciationforclearandprecisecommunication—writtenandverbal.Thelessonsarepresentedasfunny,real‐lifeexamples,towhicheveryonecanrelate.CPECredits:1.0Hours,CommunicationandMarketing



10:00a.m.–11:00a.m.GeneralSession:TennCareUpdates

Dr.VaughnFrigon

Dr.Frigonwillpresentasummaryofthevariouspaymentreforminitiativessupportedbythestateandleavetimeforquestions.LearningObjectives:

IdentifytheStateofTNpaymentreforminitiatives.

Identifysourcesofenhancedvalueinthehealthcaresystem.

CPECredits:1.0Hours,SpecializedKnowledgeandApplication

11:00a.m.–12:00p.m.GeneralSession:NationalHFMAUpdate:Thrive

KevinBrennan

Healthcare financeprofessionals today faceconsiderablechallenges, fromnewpaymentmodels to innovation toconsumerism.Ratherthanlookingatsuchchallengesasobstacles,healthcareleaderscanchoosetoviewthemasopportunitiestolearn,grow,andleveragetheirskillstoimprovethehealthoftheircommunities.Tothatend,thispresentationwill focus on current challenges and the opportunities they offer to truly thrive—on the personal,professional,andorganizationallevels.LearningObjectives:

Describecurrentchallengesandopportunitiesfacinghealthcarefinanceprofessionalsandotherhealthcareleaders.

IdentifyHFMAresources to supporthealthcare stakeholders in their efforts tomeet challengesand takeadvantageofopportunities.

Discusshowacommitmenttothrivecanhelpindividualsmeettheirpersonalandprofessionalgoals.


1:15p.m.–2:30p.m.GeneralSession:DataBreaches,ClassActions,andtheWho'sWhoofHIPAAEnforcement

TatianaMelnik This session will provide attendees with an update on the HIPAA enforcement landscape and discuss dataprotectionbestpracticestokeeporganizationsoutofthelimelight.SinceCongresspassedtheHITECHActin2009,therehasbeenasignificantincreaseinHIPAAenforcementfromregulatorsandconsumersbywayofdatabreach class actions. As significant healthcare and non‐healthcare data breaches have gained national mediaattention, the enforcement landscape has become that much more complicated‐‐and expensive‐‐for coveredentities and business associates. In this session, attendees will: (1) receive a brief overview of the HIPAAcomplianceframework,(2)understandthecurrentlitigationlandscapeandclaimsallegedbyplaintiffs,(3)receiveanoverviewofenforcementactionsundertakenbytheOCR,FTCandStateAGs,and(4)walkawaywithidentifiedlistoftargetareasbasedoncurrentenforcementactivities.LearningObjectives:

Describe the privacy and security issues that create the greatest exposures risks based on the currentenforcementenvironment

DiscussoptionsandstepstominimizeandmitigateHIPAArelatedrisksandliabilities

Identifypotentialclaimsthatplaintiffs' firmswillmakeandcircumstancesthat increasetherisksthatanentitywillbetargeted

AttendeeswillunderstandthemostfrequentlycitedissuesbytheOCRandtheFTCintheirenforcementactionsand the riskmitigation strategies that covered entities and business associates can usewhen negotiatingwithbusinesspartners.CPECredits:1.5Hours,SpecializedKnowledgeandApplication



2:45p.m.–4:00p.m.GeneralSession:Competing&SucceedingundertheValueParadigm

NellBuhlman

Hospital leadership faces the significant challenge of understanding their exposure under CMS’s value‐basedpayment programs and prioritizing costly, resource‐intensive improvement initiatives. The key to success isknowingwhichstrategieswillyieldsuccessacrossallprogramsandleveragingtherightpeopleandresourcestoachieveareturnontheeffort. Thissessionwillincludeareviewofprograms,apresentationofanalyticfindingsshowingcorrelationsacrossprograms,andareviewofpracticesthatarethefoundationtosuccessundervalue‐basedpaymentprograms.LearningObjectives:

ExplaintheprincipleMedicarepay‐for‐performanceinitiativesaffectinginpatientacutecarehospitalsanddeterminehowmuchpaymentisatriskforanyindividualhospital

Identifystrategiesthattranscendpaymentprograms

Discusstheinterdependenceandcorrelationsofperformancebetweenprograms.

Explainstrategiesandapproachesoftop‐performinghospitalsinachievingandsustainhighperformance


2:45p.m.–4:00p.m.SNFTrack:TheRoleofPost‐AcuteCareinEpisodicManagement

LisaLegeer

Therapidlyacceleratingshiftfromtraditionalfee‐for‐servicetoalternativepaymentmodelsrequiresproviderstobeeffectivelyalignedacross thecarecontinuum.Theorganizations thatalignanddelivervalue,asmeasuredbyqualityatthelowestcost,aretheorganizationsthatwillsucceedinthefuturedeliveryofhealthcare.Successinanybundledorepisodicpaymentmodelisbasedontheabilitytomanageandcontrolpost‐acutecarespend.Increasingpenalties,evolvingpaymentmodelsandanenhancedfocusontheneedtocompeteonvalueiscreatingademandforhospitalsandpayerstoproactivelyselectpost‐acutecareprovidersthatcanformthemosteffectivealignmentrelationships. Post‐acute careproviders are recognizing the need todemonstrate their partnershippotential byconsistently meeting quality standards and achieving good outcomes (reduced readmissions, shorter length ofstay, lower cost, etc.). This presentationwill discuss voluntary andmandatory bundled payment programs; theimpact and role of post‐acute providers in those programs; and how acute and post‐acute care providers havedevelopedpost‐acutecarenetworkstosuccessfullymanagetheseepisodicpaymentmodels.LearningObjectives:

Discusstheimportanceofpost‐acutecareprovidersinmitigatingpaymentreformriskandsucceedinginbundledandotheralternativepaymentmodels.

Identifydataanalyticsandtoolsavailabletounderstandandmeasurepost‐acutecareperformance.

Listthecomponentsofaneffectivepost‐acutecarenetwork.

Discuss specific strategies and tactics to advance your organization’s ability to succeed in this transformational environment.

Participantswillgainanunderstandingofthesignificanceofpost‐acutecareinmitigatingpaymentreformriskandeffectivelymanagingepisodicpaymentmodels.CPECredits:1.5Hours,SpecializedKnowledgeandApplication

2:45p.m.–4:00p.m.AccountingTrack:NewLeaseAccountingStandard

ColePowell&DerekDaniel

Thenewleasestandardwillbringsubstantialchangestoleaseaccountingbybringingleaseassetsandliabilitiesontohealthcareorganization’sbalancesheets.Thenewleasestandardwillalsohavean impactbeyondfinancialreportingbyaffectinghowhealthcareorganizationsdecide tobuyor leaseassets.Thispresentationwill lookatsome of the financial statement implications of this new standard and also how healthcare organizations can



proactivelybegin toprepare for thenew leaseaccountingstandards. Thispresentationwillalso includeabriefsummaryofthenewrevenuerecognitionstandardandanoutlineofstepsthateveryhealthcareentityshouldbetakingtoprepareforimplementation.LearningObjectives:

Discuss how healthcare organizations can proactively begin to prepare for the new leasing accountingstandards.

Listthestepshealthcareorganizationsshouldbetakingtoprepareforimplementationofthenewrevenuerecognitionstandard.

CPECredits:1.5Hours,Accounting

4:15p.m. –5:30p.m.General Session:MACRAandPhysicianReimbursementsunder theMeritBasedIncentivePaymentProgram

JohnWaltko

CMShas justpublishedproposedregulations, implementingMACRA(MedicareAccessandCHIPReauthorizationAct)provisionsthatcreatethephysicianvaluebasedpurchasingprogramMIPS(Merit IncentiveBasedPaymentSystem)orprovide incentives forphysicianswho,alternatively, joinanAdvancedPaymentModel (APM). MIPSwill either reward or penalize physicians and mid‐level practitioners based on performance, clinical practiceimprovements,andadoptingandmaintainingelectronicmedicalrecords.MIPSwillaffectpaymentstophysiciansstartingincalendaryear(CY)2019,basedonphysicianperformanceinCY2017onvariousqualitymetrics,unlessphysiciansareinaCMS‐definedAPMandsatisfyspecificCMSrevenueandpatientthresholds.JohnWaltko,VicePresident,QuorumRegulatoryandFinancialReporting,ashediscussestheCMSproposedrulefortheimplementationofMIPSandAdvancedPaymentModelsLearningObjectives:

DiscusstheproposedrulesforMeritBasedIncentiveSystem(MIPS)implementation.

IdentifyCMSguidelinesforAPMsandqualifyingthresholds.

Discuss steps to implement these physician paymentmodelswhen the performance period launches inJanuaryof2017.

JohnwillexplaintheimplicationsofMIPS’paymentincentivesaswellasqualifiedAPMsthatwillallowphysicianstobeexemptfromMIPSandreceivepaymentbonuses.CPECredits:1.5Hours,SpecializedKnowledgeandApplication

4:15 p.m. – 5:30 p.m. SNF Track: The Proposed New TennCare LTC Payment Model andSupplementalCostReport

William(Bill)Matheney&DarrellWinningham

During this session the speakers will discuss the planned TennCare revised reimbursement model, thesupplementalcostreportinformationbeingfiledtodevelopthepaymentlevels,thecomponentsofthatmodelandthemethodsusedtodeveloptheupperpaymentlimitsforeachcomponent.Thespeakerswillprovide inputonwhatprovidersshoulddo themaximized theirpaymentandprepare for thechangesthatwilloccur.LearningObjectives:

Increaseawarenessoftheproposedchanges.

Providepracticalguidanceforproviderstoprepareforandthriveafterthechanges.

Attendeeswithtakeawayabetterknowledgeofwhatthechangeswillmeantoprovidersandhowtoprepareforthem.CPECredits:1.5Hours,SpecializedKnowledgeandApplication



4:15 p.m. – 5:30 p.m. Accounting Track: Top 10 Payroll Issues, New Overtime Rules & OtherEmployeeRelatedIRSRules

KevinPeters

Thissessionwillcover“hottopics”intheeverchangingareaofpayrollcomplianceincludingnewDOLOTrules,fringebenefitsandthetop10payrollissues.LearningObjectives:

DescribethelatestDOLOTrulesandrelatedchanges.

DiscusstheIRSguidancerelatedtofringebenefitsandareasofcompliance.

Listthetop10payrollissues.

Provideresourcesforassistanceregardingpayrollissues.

The takeaway from this sessionwill be greater awareness of DOL rules and regulations related to payroll, IRSguidancespecifictofringebenefitsandawarenessoffrequentpayrollrelatedareasofnoncompliance.CPECredits:1.5Hours,Accounting

FridayOctober21st,20168:30a.m. –9:45a.m.General Session:PatientFinancialCommunicationsAdopterAward –YouMaybeCloserthanYouThink

NickSwift&RodneyAdams

Duringthissession,NickandRodneywillprovideanoverviewofHFMA’sPatientFinancialCommunications(PFC)BestPracticesAdopterRecognition,whichwasdesigned to includebothhospitalsandphysicianpractices.TheywilloutlineHFMA’srequirementstoberecognizedasan“adopter”andwillshareMauryRegionalMedicalCenter’s(MRMC)bestPractices that led to thembeing the firstprovider recognized in the stateofTennessee.Theywilldiscusstheimplementationofmanyoftheirbestpracticesandwillsharesomeinterestingandentertainingstoriesalong theway. Finally,Nick andRodneywill bediscussingwhy anorganization should apply. Theywill outlinewhat the recognition hasmeant to MRMC and how it has impacted the employees of the revenue cycle, otherdepartments, the community and even the MRMC board. Come to learn more about patient financialcommunicationsandhowyourorganizationcanbenefitfromimplementingthesebestpractices.LearningObjectives:

DefineHFMA’sPFCAdopterRecognitionProgram

ListtherequirementsofHFMA’sPFCAdopterRecognition.

MatchrequirementsofHFMA’sPFCAdopterrecognitiontoMRMCbestpractices


10:15a.m.–11:55a.m.GeneralSession:CFOPanelDiscussion

JudyBriggs,ToddJ.Dougan,MikeJohns,andSteveRamey

OurCFOPanelbringstogetherlocalandregionalHealthcareFinanceExecutivesfromdifferentorganizations.Joinusasourfocuseddiscussiontalksthroughurgent,complexandcomplianceissuesleadersfacetodayandstrategizefortomorrow.LearningObjectives:

Listkeyissuesimpactingthefinancialstrategiesofhealthcareorganizations

ExplainpathsbeingtakenbyTennesseehealthcareorganizationsastheyfacethefuture

Developplanstomeetupcomingchallengesinindividualenvironments




SPEAKERBIOGRAPHIES

DaneBradshaw

A graduate of the University of Tennessee‐Knoxville, Dane Bradshaw earned his B.S. inCommunicationsinjustthreeyearsandanM.S.inSportManagementduringhisfourthyear.WhileatUT,Bradshawletteredinbasketballallfouryearsandwasvotedteamcaptainbyhisteammatesinhisjuniorand senior seasons. In fact, Bradshaw has never been on a basketball teamwhere hewasn’t namedcaptain.SportsIllustratednamedBradshawcaptainofthe“All‐Glue”teamwhichrecognizesplayerswhodoallthesmall,unselfishthingsthatholdateamtogether.Bradshawfinishedhisaccomplishedathleticcareeramongstthetop10alltimeleadersinassists,steals,andgamesplayedfortheVols. Asaresult,headcoachBrucePearlendoweda$100,000scholarshipinhisnameforanathletewho“epitomizesthecommitment to academic achievement, athletic excellence, hardwork, and personal faith exhibited byDaneBradshawduringhis fouryearcareer.” He isalsotheauthorof“VerticalLeap:InsidetheRiseofTennessee Basketball.” Bradshaw played professional basketball in Holland during the 2007‐2008season andwas recently one of twenty players named toUniversity of Tennessee’s All Century Teamwhichcelebratedits100yearanniversaryofTennesseemen’sbasketball.Prior to his career at The University of Tennessee‐Knoxville, Bradshaw lettered four years forWhiteStationHighSchoolinMemphis,TNwheretheSpartanswererankedinthetop10nationallythreeoutoffouryearsandalsowontheAAAStateChampionshipthreetimesduringBradshaw’scareerunderCoachTerryTippett.BradshawwasfirstteamAll‐State,MVPofStateTourney,GatoradePlayeroftheYear,andtwotimeteamcaptain.BradshawwasbornandraisedinMemphis,TNbyMike&LindaBradshawalongwiththreeoldersiblingsRyan, Cody, andBridget all ofwhichplayed collegiatebasketball. Dane andhiswife, Julia, have threechildren(Baylor4,Millie3,Brooklyn2). HeiscurrentlyPresidentandCOOforThunderEnterprises,alanddevelopmentcompanybasedoutofChattanooga,TNthathehasbeenwithsinceAugustof2008andPresidentsince2011. Theirprimaryprojectis JasperHighlands,a9,000acremountaintopcommunitywhichBradshawhelplaunchin2012,thathasbecomethefastergrowinggatedcommunityinTennesseewhere they’ve also successfully started JasperHighlandsHomes‐ their customhomebuildingdivision.BradshawalsoservesasabasketballanalystfortheSECNetwork.ToddHunt

Funnier than a business speaker; more informative than a comedian,ToddHunt speaks toorganizations thatwant toadd fun to theireventsand send members back to work smiling – with tips to improvecommunication and success. His keynotes have captivated audiences atHFMANewJersey,Georgia,NebraskaandRegions4and11,plusMedicalGroup Management Association, American Society of OphthalmicRegistered Nurses, Radiology Business Management Association,Washington State Medical Association, American Academy of ImplantDentistryandotherhealthcareandfinancialconferences.Asanexecutivewith Ogilvy & Mather, one of the world’s largest advertising agencies,Toddlearnedtheinnerworkingsofcommunication.Additionalpositionswithaninsuranceadministrator,financialservicesproviderandhisownmarketingcompanyconfirmedwhathehadsuspectedallalong–weallmiscommunicate!Usinghumor and a light touch, he’ll showus abetterwaytocommunicate.



Dr.VaughnFrigon

Vaughn Frigon, MD, is the Chief Medical Officer for the TennesseeHealth Care Finance and Administration Bureau of TennCare inNashville; where he supervises the medical, dental, and pharmacyprogramsforthestate. Heisparticularlyinvolvednowwithissuesofhealthcareexpansionandpaymentreformthatwillsignificantlyshapetheway care is delivered in the future. Dr. Frigon is originally fromAlexandria,VA.HegraduatedwithaBSdegreefromtheUnitedStatesMilitaryAcademyatWestPoint,NewYorkandservedintheU.S.ArmyasanInfantryPlatoonLeaderinthe101stAirborneDivision.HefoughtinthePersianGulfWarandwasawardedtheBronzeStarforValor.Hegraduated as a Medical Doctor from the University of TennesseeCollege of Medicine in Memphis. He completed a General SurgeryinternshipandwastheChiefResidentinOrthopedicSurgeryatTulane

UniversityMedicalCenterinNewOrleans,LA.HealsocompletedaMastersinHealthcareManagementdegree at the Vanderbilt UniversityOwenGraduate School ofManagement inNashville. Dr. Frigon isBoardCertifiedbytheAmericanBoardofOrthopedicSurgeryandhasactivemedicallicensesinGeorgiaand Tennessee. He has numerous academic publications and presentations and is a reviewer for theJournalofOrthopedics.VaughnstartedLogosMedicalInstitute,asuccessfulMedicalConsultingbusinessandthenbecametheVicePresidentandLeadMedicalDirectorofUnumInsuranceKevinF.Brennan,FHFMA,CPA

KevinF.Brennan,FHFMA,CPA is executivevicepresidentof financeand CFO of Geisinger Health System, Danville, Pa., and serves as anelecteddirectoronHFMA’sNationalBoardofDirectors.AmemberofHFMAsince1992,Mr.Brennan’s involvementwith theNationalAssociation includesservingon thePrinciplesandPracticesBoard. He also serves as Treasurer of Geisinger Health SystemFoundation, is a member of the Board of Directors of GeisingerAssurance Company, Ltd., Cayman Islands, British West Indies, andTreasurer/member of the Board of Directors of Geisinger InsuranceCorporation,RiskRetentionGroup,Burlington,Vt.Mr.Brennan, aFellowofHFMAand certifiedpublic account, holds aMaster of Business Administration degree in HealthcareAdministration and a Bachelor of Science degree in BusinessAdministration,both fromLaSalleUniversity inPhiladelphia. Hehasbeenacertifiedpublicaccountantsince1979andisamemberoftheAmerican Institute of Certified Public Accountants and the

PennsylvaniaInstituteofCertifiedPublicAccountants.



TatianaMelnik Tatiana Melnik is an attorney in private practice concentrating herpracticeonhealthcareIT,dataprivacyandsecurity,andregulatorycompliance. She represents healthcare providers, provider groupsand ancillaries as well as software developers, data centers, andothersalongthetechnologycontinuum.Tatianaregularlyspeaksonhealthcare IT legal issues, including HIPAA/HITECH, cloudcomputing, telemedicine, security issues in software developmentand data breach liabilities and risk mitigation. She is a ManagingEditor of the Nanotechnology Law and Business Journal and aregular contributor the Journal ofHealthCareCompliance.Tatianaholdsa JurisDoctorate fromtheUniversityofMichiganLawSchooland a Bachelor of Science in Information Systems and Bachelor ofBusiness Administration in International Business, both from theUniversityofNorthFlorida.TatianaisbasedinTampa,Florida.NellBuhlman

Nell’s 25 years of industry experience includesprovider accountability reporting, health carebusinessstrategy,andpaymentreform.NelljoinedPressGaneyin2010.AsPressGaney’sseniorvicepresidentfor clinical andquality,Nell runs the company’s clinical products business unit,which comprises datacollection,reportingandanalysistoolsthatenableclientstomeasure,assess,andimprovequalityofcare,as well as meet a broad range of reporting mandates. This suite of solutions includes the NationalDatabase of Nursing Quality Indicators (NDNQI®), Clinical Quality eMeasures, and patient reportedoutcomemeasures. Nell served in a lead role on the product team that created Press Ganey’s highlyacclaimedValue‐basedPurchasing(VBP)Calculator,whichisusedbyhundredsofhospitalsthroughoutthe U.S. Nell is a sought‐after speaker, frequently lecturing to industry audiences on topics includingdifferentiating practices of top‐performing hospitals, the relationship between nursing practice andoutcomes,patientexperience,andstrategiesforsuccessunderpaymentreform

LisaLegeer

LisaisaSeniorManagerwithDHGHealthcareworkingwithhospitals,healthsystems,post‐acutecareandseniorhousingandcareproviderstodevelopandimplementstrategiestosucceedashealthcaredeliveryevolvesfromfeefor‐servicetorisk‐andperformance‐basedpaymentmodels.Lisahasmorethan17yearsofexperienceprovidingstrategicplanning,performanceimprovement,positioningandotheradvisoryservices.Lisahasbeeninvolvedinthedevelopmentofnumerousseniorhousingandcarecommunitiesandisexperiencedinthepreparationofmarketdemandanalysesfornewcommunities(CCRCs,assistedliving,skillednursing)andservicelines(homeandcommunity‐basedservices).Herpastworkincludesdevelopingpostacutecarestrategiesforseverallargehealthsystemsandassistingthelargestpost‐acutecareproviderinthesoutheastUnitedStateswiththecreationofapost‐acutecarenetwork.Lisaspecializesinpost‐acutecarealignmentandcurrentlyservesasthePost‐AcuteleadforDHGAlternativePaymentModel(APM)solutions.ShehasmanagedAPMengagementsfocusingonpost‐acutecareperformanceandimprovementopportunitiesathospitals,healthsystemsandpost‐acutecareproviders.



ColePowell,CPA,CGMA,FHFMA

Cole Powell is Shareholder for Elliott Davis Decosimo. Cole has more than 30 years of experienceprovidingassurance, transactionand financial consulting services.His clients includepublic,privately‐heldandnot‐for‐profithospitals,long‐termcarecompanies,hospices,homehealthagencies,psychiatricproviders,physicianorganizationsandhealthcaremanagementcompanieswithannualrevenuesrangingfrom$5milliontoover$2billion.Cole has spent the past 12 yearswith Elliott Davis Decosimo serving private equity groups and theirportfoliocompaniesbyprovidingtransactionadvisory,valuationconsulting,andassuranceservices.Colehas overseen or provided financial due diligence services in more than 100 buy‐side and sell‐sidetransactionsthroughoutthecountryandinPuertoRico.Asaprofessionalserviceprovider,hestrivestoadd value in the form of best practice processes and procedures, specialized industry analysis andrecommendations,timelycommunicationsandteamaccountability.Cole also works with private equity groups and their portfolio companies on post‐ closing issues byprovidingassurancerelatedservices.Hehasservedastheprimarycontactforclients;audited,reviewedand prepared financial statements; performed agreed upon procedures; conducted feasibility studies,forecastsandprojections;andfacilitatedmeetingswithmanagement,investorsandBoardsofDirectors.DerekDaniel,CPA,CGMA

DerekDanielisaSeniorManagerwithElliottDavisDecosimo.Derekhasmorethan10yearsofexperienceandmanagesauditengagementsforclientsinavarietyofindustries,includingmanufacturing,governmentcontracting,constructionandhealthcare.DerekalsohelpsclientsachievecompliancewiththerequirementsofSarbanes‐Oxleyandperformsduediligenceandagreed‐uponprocedures.DerekdeliversGAAPupdatesatvariousCPEeventsthroughoutnorthAlabamaonaregularbasis.JohnWaltko

Quorum Health Resources Vice President, Regulatory and Financial Reporting, JohnWaltko hasmorethan 30 years of healthcare industry experience. John's areas of expertise are in the Medicare andMedicaidprogramsreimbursementstohealthcareprovidersanddevelopingfederalhealthcarepolicies.HehasextensiveknowledgeofMedicarepaymentsincludingprospectivepaymentsystemsandMedicareprogramspecialpaymentssuchasDSHmedicaleducation,specialdesignationssuchasproviderbasedregulations, sole community hospitals. He also actively follows and conducts training programs onevolvingpaymentmodels resulting from thePatientProtectionandAffordableCareAct (ACA) suchasvaluebasedpurchasingprograms,bundledpaymentmodelsandaccountablecareorganizations.Duetoprior work experience he has extensive knowledge and understanding of Medicare Cost Basedreimbursement systemutilizedbyMedicare to reimburseCriticalAccessHospitals.Healsohasawiderange of experience in health care finance to include budgeting, hospital pricing, financial forecasting,health care cost accounting, mergers and acquisition due diligence, financial auditing, hospitalturnaround engagements, and new facility feasibility studies. John delivers multiple Medicarereimbursement education seminars and webinars throughout the year, including Quorum'sReimbursement Boot Camps Hospitals and CAHs Seminars and ongoing regulatory updates. Prior tojoiningQuorumin1994,heservedErnst&Youngasamanagerinthecompany'shealthcareconsultingpractice for five years.He alsopreviously served five yearswithBlueCrossBlue Shield ofTexas, as aSeniorAuditor.



William(Bill)Matheney

Bill has approximately 33 years of extensive experience in the healthcare industry. This includesapproximatelytwoyearswiththeStateofTennesseeMedicaidProgramfiscalagent,twoyearsasalargeSNF/ICFnursing home controller, and twenty‐seven years in public accounting serving the healthcareindustry.Billhasmanagedandservedasin‐chargeauditorforauditsrangingfromsmallruralhospitalsto the largest tertiary facility in Southeast Tennessee. He has served as reimbursement consultant tomany healthcare providers with primary responsibility for cost report preparation, reimbursementmaximization,andintermediaryrepresentation.HecontinuestohaveexcellentrelationshipswithseveralMACs.Billenteredpublicaccountingin1984withKMGMainHurdman.HeremainedwiththefirmthroughthemergerwithPeatMarwickMain&Co.andattainedthelevelofmanageratKPMG.Bill maintains membership in: the American Institute of Certified Public Accountants, the TennesseeSociety of Certified Public Accountants, and the Tennessee Chapter of the Healthcare FinancialManagementAssociation,havingbeenPresidentoftheTennesseechapterin2001‐2002.Hehasservedon theBoardofDirectorsof varioushealthcare relatedorganizations.He is the recipientof theHFMAWilliamG.Follmer,RobertH.ReevesandFredrickT.MuncieMeritAwards,theMedalofHonorandhastwicewonthePresident’sawardfromtheTennesseechapter.BilliscertifiedasaFellowinHFMAwithaspecialtyinaccountingandfinance.BillservedontheHFMANationalAdvisoryCouncilfrom2008‐2010where responses to various issues and positions on healthcare as it relates to HFMA members arediscussed.TheCouncil provides input to theNationalHFMAonhow they should respond to issues ofimportancetoHFMA’smembers.Billservedfrom2012‐2015ontheNationalHFMABoardofExaminersthatdevelopstheproficiencytestingandstudymaterialforNationalcertificationexaminationsservingasarea expert in accounting/financeHewas also the 2015‐16Regional Executive forRegionV ofHFMAwhichincludesAlabama,Florida,Georgia,SouthCarolinaandTennessee.Bill has been a presenter at the Tennessee Society of CPAs Healthcare Conference and has spokenfrequentlyinothervenuesonhealthcaretopics.DarrellWinningham

Darrell isdeputydirectorovergovernment relationsat theTennesseeHealthCareAssociation. In thiscapacity he is a liaison between providers and the State of Tennessee relative to reimbursement andpaymentissues.DarrellhasbeenwithTHCAforover17yearsandpriortobecomingdeputydirectorhewasthereimbursementdirector.DarrellandhiswifeDenaliveinNashvilleandhavetwogrownsons.KevinPeters

KevinPetersjoinedBlackburnChildersandSteagallinJune1998.KevincurrentlyservesasthePartnerinChargeoftheAuditDepartmentofthefirmandparticipatesasamemberofthefirm’sinternalcontrolinspection team. Kevin is a graduate of East Tennessee State University in Johnson City, TN havingreceivingbothhisBachelorandMaster’sdegreesinAccountancy. KevinisamemberoftheAICPAandTSCPA. His community involvement includes past boardmember service with the Ronald McDonaldHouseandcurrentlytheElizabethton‐CarterCountyChamberofCommerce.



NickSwift

NickSwiftservesastheSeniorVicePresidentofFinance/ChiefFinancialOfficer(CFO)ofMauryRegionalMedicalCenterandaffiliatesheadquarteredinColumbiaTennessee.MauryRegionalMedicalCenterisa255bedfacilitythatservesmorethan250,000peopleinsouthernmiddleTennesseeandhasamedicalstaffofmorethan200physicians.Athree‐timeTruvenHealthAnalyticsTopHealthSystemandtwo‐timeExcellence Award winner from the Tennessee Center for Performance Excellence, themedical centeroffersawiderangeofadvancedservicesincludinganaccreditedheartprogram,neonatalintensivecareandcancercenter.MauryRegionalMedicalCenterservesastheflagshipforagroupoffacilitiesincludingMarshallMedical Center in Lewisburg,WayneMedical Center inWaynesboro, Lewis Health Center inHohenwald,MauryRegionalSpringHill,andSpringHillHealthCenterinSpringHill.NickreceivedhisMaster’sdegreefromVanderbiltUniversityOwenGraduateSchoolofManagementandaBachelor’sDegreeinBusiness/AccountingfromMurrayStateUniversity.NickisaCertifiedPublicAccountantandaFellowintheHealthcareFinancialManagementAssociation.He has 30+ years of progressive experience in financial and operationsmanagement. This experienceincludestimeinpublicaccounting,aswellasthehospitaldialysis,andimagingsectorsofhealthcare.RodneyAdams

RodneyAdamsistheDirectorofRevenueCycleforMauryRegionalMedicalCenterinColumbia,TN.Inthis role atMRMChehas responsibility forPre Service, PatientAccess, PatientAccounts andContractCompliance. Adams holds a Bachelor’s Degree in Business Administration from Warren NationalUniversity and a Masters of Management in Healthcare (MMHC) from the Owen Graduate School ofManagement at Vanderbilt University. He has worked at Maury Regional for over 11 years holdingvariouspositionsintheRevenueCycleduringhistenure,includingPreServiceManager,PatientAccessDirector,andmostrecentlyDirectorofRevenueCycle.AdamswasresponsiblefortheformationofthePre Service Department and its functions at MRMC and has also led various projects including theimplementation of new processes and systems around POS Collections, Registration QA, FinancialCounseling, Scheduling, Pre‐Registration, Financial Clearance, Pre Certification, ContractModeling andValidationalongwithprovidingstrategicdirectiontoandoversightoftheMRMCrevenuecycle.JudyBriggs

JudyBriggsistheVicePresidentofFinance,RevenueCycleforRegionalOneHealth,thelevel1traumaand Burn Center in West Tennessee. The Revenue Cycle functions at Regional One Health includeregistration, patient financial services, clinical documentation, case management, revenue integrity,chargemaster,managedcare,healthinformationmanagement,andphysiciancodingandchargecapture.JudyhasbeenwithRegionalOneHealthfor16yearsandpriortothatwasCFOfor11yearsatafacilityinArkansas.Judyandherhusband,MikeenjoyattendingMemphisGrizzliesgames.ToddJ.Dougan

ToddDouganisWellmontHealthSystem’sinterimchieffinancialofficer.HehasworkedforWellmontformore than ten years, with responsibility for corporate finance and treasury. His 23‐year career withhealth care organizations also includes service in executive and consultant positions with St. John’sRegionalMedicalCenter in Joplin,MO.;Murray‐CallowayCountyHospital inMurray,KY.;TroverClinicFoundationinMadisonville,KY.;andHospitalCorporationofAmericainmultiplelocations.A certified public accountant, Douganworked for PriceWaterhouse for 11 years. He has a bachelor’sdegree inbusinessadministration from theUniversityofEvansville in Indianaand isamemberof theHealthcareFinancialManagementAssociationandAmericanInstituteofCertifiedPublicAccountants.



MikeJohns

MikeJohnsistheVPofFinancewithQuorumHealthResources.Hehasmorethan30years’experienceinfinancialadministration.Heisaseasonedmanagerwithexpertiseinhospitaloperationsandfinance,financial turnarounds,revenueenhancementandcostreduction,benchmarkingproductivitystandards,andtax‐exemptbondissues.Inaddition,Mikehasworkedwithmultiplelenderstosecurefinancingfornewhospitalconstructionprojects.Mikehasexperienceworkingwithacutecarehospitalsandancillaryhealthcare ventures, including physician practices, urgent care, home health and durable medicalequipment.Amongthese,asvicepresidentandchieffinancialofficer,hehadtotalresponsibilityforthefinancialoperationsofa683‐bedacutecarehospitalwithover$700Mingrossrevenue.MikeholdsaBachelorofSciencedegreefromHardingUniversity.MikeisaCPA,aFellowinHFMA,andamember of the TN Chapter. He has served the TN Chapter in various roles including the 2000‐01President. Mike also served as the HFMA Region 5 Regional Executive. In addition to HFMA, he is amemberoftheAICPAandhasheldvariousBoardofDirectorpositionsforvarioushealthcarecompaniesalongwithElderforBellevueChurchofChrist,2001‐2014.SteveRamey

SteveRameyhasaBachelorsdegreeinAccountingfromAuburnUniversityandaMBAfromHeriot‐WattUniversity.Healsohas35yearsofhealthcareexperienceandhasbeenaCFOin4differenthospitalsfor29 years. Steve alsoworked in both the For Profit and theNot for Profit sides.He is aBronzeAwardwinnerinHFMA.HisexperienceasaCFOincludes18yearsinTennesseeand11yearsinVirginia.StevehasalsorepresentedhishospitalbeforeaStateHousecommitteeandaregionalStateSenatormeeting.Steve’shobbiesinclude:coachingbaseball,golf,andguitar.



REGISTRATION,FEES,ANDCONTINUINGEDUCATIONCREDITS

EarlyBirdDiscountExpiresonSeptember30th,2016Registrationisavailableexclusivelythroughourwebsiteatwww.thefallinstitute.org/register BySeptember30th,2016 AfterSeptember30th,2016FullInstitute

HFMAMember $175 $225Non‐Member $225 $275

SingleDay HFMAMember $90 $140Non‐Member $115 $165

GuestTickets WednesdayReceptionThursdayLunchThursdayReception

$35$30$35

CancellationPolicyIfcancellationsarereceivedafterOctober5,2016,therewillbea$50administrativefee..Registrantswhodonotcancel,cancelthefirstdayoftheInstitute(October19th,2016),orfailtoattendwillnotbeeligibleforarefund.Substitutions,however,arepermitted.Registrationformsandcancellationsmustbeemailed.Phoneandvoicemailarenotvalid formsofcommunication.Formore informationregardingadministrativepoliciessuchascomplaintsandrefund,[email protected].

CPECredits

TNHFMA recommends a maximum of 11.0 hours CPE for the 2016 Fall Institute. TheTennesseeChapteroftheHealthcareFinancialManagementAssociation(HFMA)isregisteredwith the National Association of State Boards of Accountancy (NASBA) as a sponsor ofcontinuingprofessional educationon theNationalRegistryofCPESponsors. Stateboardsofaccountancy have final authority on the acceptance of individual courses for CPE credit.Complaints regardingregisteredsponsorsmaybesubmitted to theNationalRegistryofCPESponsorsthroughitswebsite:www.learningmarket.org.

If you have questions or concerns regarding educational programs provided by TNHFMA please contact ourProgramsandEducationChair,PamJones,atprograms‐[email protected],includingcertificates,toourCPECoordinator,LeeAnnBurney,[email protected]:Basic,IntermediateorAdvancedPrerequisites:NoneAdvancedPreparation:NoneDeliveryMethod:GroupLive

Handouts

Inanefforttobegreen,printedhandoutswillnotbeprovided.However,handoutswillbepostedtotheinstitutewebsite.Attendeeswillbee‐mailedwhenhandoutsareavailable.

Additional$75discountforattendeesemployedbyaproviderandstudentmembersofHFMA.

Additional$25discountforattendeesemployedbyaproviderandstudentmembersofHFMA.



CONFERENCEINFORMATION

Hotel

ReservationDeadline:September16th,2016The2016Fall InstitutewillbeheldatTheParkVistaHotel inGatlinburg,TN.PleasemakeyourreservationsnolaterthanSeptember16th,2016totakeadvantageofourgrouprateof$128/night(plustaxesandfees).Toreservea room, please call (800) 421‐7275 and ask for reservations. Please indicate you are part of theTNHealthcareFinancial Management block of rooms, reservation code:HCF. You may also book your reservation online byvisitingwww.parkvista.com/reservations.Informationtomakeonlinereservationsisavailableonourwebsite.SmokingandDressPolicy

A“NoSmokingPolicy”hasbeenadoptedforallmeetings.“BusinessCasual”attireisappropriateforalleducationalmeetingsandactivities.SpecialDietaryNeeds

Pleaseindicateanyspecialdietaryneedsonyourregistration,sowecantrytoaccommodateyourrequest.Ifyouarenotplanningtoattendanyofthemealfunctions,pleaseindicatethisaswell.Thisinformationwillbeusefulinplanningthenumberofmealstobeserved.Thankyouforyourcooperation.KurtSwerskyMemorialBBQ–WednesdayEvening

TheannualKurtSwerskyMemorialBBQwillbeheldattheTwinCreeksPicnicShelterintheGreatSmokyMountainsNationalPark(seeregistrationdeskfordirections). This Annual BBQ is hosted by Gregg Swersky and RevenueRecovery in honor of a Gregg’s brother Kurt. Kurt was a dedicated andpassionatemember of TN HFMAwhen he passed away in December 1990.Kurtwasactive inthechapterandhadservedonmanycommitteesandFallInstituteplanningcommitteesbeforehispassing.Fromanarticleinanearly1991editionoftheVolunteerVoice,“Kurtwillalwaysberememberedfortheoutdoor barbecue cook‐outs that he frequently organized and sponsored atour Fall Institute. The warm and friendly atmosphere of those events wasexemplifiedbyKurt'sownpersonality.” PastPresident,CurtisCurleystated:“WhenIwasHFMApresidentIalwaysknewthatKurtcouldbereliedupontohelp inanywayhecould.TheTennesseeChapterhasnotonly lostavaluedanddedicatedmember,wehavelostafriend.”GreggcontinuesthistraditioninhonorofKurt.Pleasejoininforlotsofgoodfood,fun,andfellowship.Don'tforget‐youmightneedacoat!

Doorprizes

TherewillbeprizedrawingsheldonFriday,October21st,atthecloseofthemeeting.Youmustbepresenttowin!!



CHAPTERSPONSORS(AsofOctober11th,2016)

GoldSponsors

Matheney Stees & Associates PC William Matheney 423-894-7400NetRevenueAssociates BriannaAshley 330-463-0244RevenueRecoveryCorporation DarrellSmith 865-971-1355Trace ElizabethOgle 865-292-0563

SilverSponsors

CapioPartners,LLC DebbieMiddleton 678-478-0764RevOne Companies Greg Davis 317-883-5618Apex Revenue Technologies Colleen Downham 651-332-5174

BronzeSponsorsAccordiasHealthcareServices,LLC CarmenVoelz 615‐491‐3128AffiliatedCreditors,Inc. JackAbernathy 615‐331‐1826ARGO LauraRobertson 972‐833‐3586Cleverly&Associates ChadGarrison 614‐543‐7778CommerceBank RobPerdue 317‐816‐2672ElliottDavisDecosimo KenConner 423‐756‐7100EnableComp ToriEngland 615‐791‐4300ExperianHealth KatieZibelin 615‐661‐5657FranklinCollectionService,Inc. JanetBroz 419‐681‐3503Frost‐ArnettCompany JosephJohnston 865‐719‐2215HawesFinancialGroup KimieDelosReyes 360‐448‐5473HealthFirstFinancial JulieMurray 734‐812‐5798HealthcareReceivablesGroup,Inc. NeilKoonce 865‐862‐7213HighCotton JohnGendrich 877‐838‐2345iHealthInnovations RichFlaherty 502‐599‐0056MedicalDataSystems LoriFowler 772‐559‐6831MSCB,INC. LindsayDriscoll 800‐887‐4359MedfinancialServices NicholasMcCook 855‐729‐6339ProAssurance KeithAskew 800-282-6242 TheSSIGroup,Inc. BillCalamas 800‐881‐2739XtendHealthcare TaylorMacleod 615‐447‐2025

tri-state institute january 23-25, 2013 tunica, ms ‐‐title ... › fi2016 › 2016+fall... ·...

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