2012 annual conference - the ohio behavioral council · 2 agenda – thursday, october 4, 2012 8:00...

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1 9/17/12 2012 ANNUAL CONFERENCE October 4 & 5, 2012 Hilton Columbus/Polaris featuring GENERAL SESSIONS Medicaid Update John McCarthy, Medicaid Director, Ohio Department of Job and Family Services, Office of Medical Assistance Creating Your Vision of Success: Behavioral Health Transformation in the Health & Human Service Market Monica Oss, CEO, OPEN MINDS Learning from our Partners: State Policy Priorities for ODRC, ORSC, ODJFS, and ODH Gary Mohr, Director, ODRC; Kevin Miller, Director, ORSC; Michael Colbert, Director, ODJFS; and William McHugh, Assistant Director of Health, ODH Moving Forward: Preparing for New Opportunities in SUD and MH Services Becky Vaughn, CEO, State Associations of Addiction Services (SAAS) Discussion with Tracy Plouck, Director, Ohio Department of Mental Health Fundamentals of Contracting with County Boards and Managed Care Organizations Ross Bridgman, Partner; Vorys, Sater, Seymour & Pease, LLP WORKSHOP SESSIONS Workshop sessions will cover a range of topics to include: Marketing; ICD-10 Implementation; Corporate Compliance; Healthcare Reform & the Revenue Cycle; Integrated Care & Risk Management; and Health Care Integration: Building Collaboration and Partnerships. VENDOR EXHIBIT HALL Vendors will be exhibiting their products & services during the two-day conference. WHO SHOULD ATTEND Chief executive officers, middle managers, clinical supervisors, human resources staff, & fiscal staff Two-day conference is open to all provider organizations within the behavioral health & family services field. Please visit www.TheOhioCouncil.org for additional information.

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Page 1: 2012 ANNUAL CONFERENCE - The Ohio Behavioral Council · 2 AGENDA – Thursday, October 4, 2012 8:00 AM – 9:00 AM Registration, Continental Breakfast, & Exhibits 9:00 AM – 9:20

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9/17/12

2012 ANNUAL CONFERENCE

October 4 & 5, 2012 – Hilton Columbus/Polaris

featuring

GENERAL SESSIONS

Medicaid Update

John McCarthy, Medicaid Director, Ohio Department of Job and Family Services, Office of Medical Assistance

Creating Your Vision of Success: Behavioral Health Transformation in the Health & Human Service Market

Monica Oss, CEO, OPEN MINDS

Learning from our Partners: State Policy Priorities for ODRC, ORSC, ODJFS, and ODH

Gary Mohr, Director, ODRC; Kevin Miller, Director, ORSC; Michael Colbert, Director, ODJFS;

and William McHugh, Assistant Director of Health, ODH

Moving Forward: Preparing for New Opportunities in SUD and MH Services

Becky Vaughn, CEO, State Associations of Addiction Services (SAAS)

Discussion with Tracy Plouck, Director, Ohio Department of Mental Health

Fundamentals of Contracting with County Boards and Managed Care Organizations

Ross Bridgman, Partner; Vorys, Sater, Seymour & Pease, LLP

WORKSHOP SESSIONS

Workshop sessions will cover a range of topics to include: Marketing; ICD-10 Implementation;

Corporate Compliance; Healthcare Reform & the Revenue Cycle; Integrated Care & Risk Management;

and Health Care Integration: Building Collaboration and Partnerships.

VENDOR EXHIBIT HALL

Vendors will be exhibiting their products & services during the two-day conference.

WHO SHOULD ATTEND

Chief executive officers, middle managers, clinical supervisors, human resources staff, & fiscal staff –

Two-day conference is open to all provider organizations within the behavioral health & family services field.

Please visit www.TheOhioCouncil.org for additional information.

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AGENDA – Thursday, October 4, 2012

8:00 AM – 9:00 AM Registration, Continental Breakfast, & Exhibits

9:00 AM – 9:20 AM Welcome, Opening Remarks, Presentation of the 2012 Mary E. Pettus Award

9:20 AM – 10:20 AM General Session: Medicaid Update – John McCarthy, Medicaid Director, Ohio

Department of Job and Family Services, Office of Medical Assistance

10:20 AM – 10:40 AM Break & Exhibits

10:40 AM – 12:00 Noon General Session: Creating Your Vision of Success: Behavioral Health Transformation

in the Health & Human Service Market – Monica Oss, CEO, OPEN MINDS

12:00 Noon – 1:20 PM Lunch; Awards Presentation for Ohio Council Board Members, Committee Chairs

and Member Retirees

1:20 PM – 2:40 PM General Session: Learning from our Partners: State Policy Priorities for ODRC,

ORSC, ODJFS, and ODH – Gary Mohr, Director, ODRC; Kevin Miller, Director,

ORSC; Michael Colbert, Director, ODJFS; and William McHugh, Assistant Director

of Health, ODH

2:40 PM – 3:00 PM Break & Exhibits

3:00 PM – 4:30 PM Workshop Sessions:

#1 Do You Need Marketing? And, If So, What Does That Mean?

– Monica Oss, CEO, OPEN MINDS

#2 Compliance Update: False Claims Act and HIPAA/HITECH

– Paul Coval and Lisa Pierce Reisz; Vorys, Sater, Seymour & Pease, LLP

#3 Healthcare Reform and Its Impact on the Revenue Cycle – Part One

- Steve Kohler, CEO, Deerfield Behavioral Health, Inc.

#4 The Codes They Are A-Changin’

– Mark Eversole, Project Manager, The Center for Innovative Partnerships

4:30 PM – 5:30 PM Networking Reception & Exhibits

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AGENDA – Friday, October 5, 2012

8:00 AM – 9:00 AM Registration & Continental Breakfast

9:00 AM – 10:30 AM General Session: Moving Forward: Preparing for New Opportunities in SUD and

MH Services – Becky Vaughn, CEO, SAAS

10:30 AM – 10:50 AM Break

10:50 AM – 12:20 PM Workshop Sessions:

#1 Integrated Care: A Risk Management Perspective

- Brian Block, Director of Risk Management, Brown and Brown Insurance of

Lehigh Valley

#2 Health Care Integration: Building Collaboration and Partnerships

- Nelson Burns, President & CEO, Coleman Professional Services; Esther Pla, CEO,

Connections; and Kimball Stricklin, CEO, Butler Behavioral Health Services

#3 Healthcare Reform and Its Impact on the Revenue Cycle – Part Two

- Steve Kohler, CEO, Deerfield Behavioral Health, Inc.

#4 Care Coordination through Health Information Exchange – Peg Eichner, HIE Project

Manager, CliniSync/Ohio Health Information Partnership; Mary Zile, Director, Practice

Consulting, HealthBridge; and Hubert Wirtz, CEO, The Ohio Council of Behavioral

Health & Family Services Providers

12:20 PM – 12:40 PM Break & Exhibits

12:40 PM – 1:30 PM Lunch & Discussion with Tracy Plouck, Director, Ohio Department of Mental Health

1:30 PM – 1:45 PM Break

1:45 PM – 3:15 PM General Session: Fundamentals of Contracting with County Boards and Managed

Care Organizations – Ross Bridgman, Partner; Vorys, Sater, Seymour & Pease, LLP

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EXHIBIT HALL PARTICIPANTS

Alkermes, Inc.

Anasazi Software, Inc.

Askesis Development Group

BizWit LLC

Brown & Brown Insurance of Lehigh Valley

Buckeye Community Health Plan

Budget Business Computers

CareSource

The Center for Innovative Partnerships, Inc.

Chestnut Ridge Foam, Inc.

CompManagement, Inc.

Credible Behavioral Healthcare Software

Deerfield Solutions

The Echo Group

EMS Healthcare Informatics

First Call Alcohol/Drug Prevention & Recovery

Foothold Technology

Genoa Healthcare

Janssen Pharmaceuticals, Inc.

McGohan Brabender

MindLinc-Duke

Molina Healthcare of Ohio

Mutual of America

Netsmart

Odyssey Software

Ohio Rehabilitation Services Commission/Division of Disability Determination

Prism Health LLC

ProComp Software Consultants

Qualifacts Systems, Inc.

Unemployment Services Trust (UST)

UnitedHealthcare Community Plan/Optum Behavioral Health

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PROGRAM – DAY ONE

General Sessions

Medicaid Update

John McCarthy, Medicaid Director,

Ohio Department of Job and Family Services, Office of Medical Assistance

This session will cover: why health care transformation, identify current and new initiatives, and opportunities with the Affordable

Care Act (ACA).

John McCarthy joined the Ohio Department of Job and Family Services, Office of Health Plans as the

Medicaid Director in January 2011. The Ohio Medicaid program covers over 2.1 million Ohioans with a

total Medicaid budget of approximately $18 billion. Ohio has an innovative Medicaid Program, with

eight home and community-based waiver programs serving thousands of Ohioans, and an energized MFP

program. Recently, the Medicaid program has taken a collaborative approach across agencies to create a

robust approach to Unified Long Term Care Budgeting through its ULTCB workgroups. Across agencies

and across stakeholder groups of all kinds, Ohio has focused on making sure that people who need long-

term care services receive the services they need in the setting that best serves them and is the setting they

prefer.

Creating Your Vision of Success: Behavioral Health Transformation in the Health & Human Service Market

Monica Oss, CEO, OPEN MINDS

“Change is the law of life. And those who look only to the past or present are certain to miss the future.” Famous words from

President John F. Kennedy -- and apropos for the current health and human service market. In this opening session, Monica E. Oss,

CEO of OPEN MINDS, is going to provide an overview of the most recent OPEN MINDS market intelligence on the field -- the

change drivers and how they are transforming the role that specialists play. She will outline the emerging opportunities for behavioral

health organizations -- and how best to frame your preparations for your organization’s success. Key elements of her presentation

include:

Change drivers in the health and human service market

Emerging market opportunities for specialists

Preparing your organization for success

Monica E. Oss, M.S., Chief Executive Officer and Senior Associate, is the founder of OPEN MINDS. For

the past two decades, Ms. Oss has led the OPEN MINDS team and its research on health and human

service market trends and its national consulting practice. Ms. Oss is well known for her numerous books

and articles focused on the strategic and marketing implications of the evolving health and human service

field. She has unique expertise in payer financing models, provider rate setting, and service pricing. She

has led numerous engagements with state Medicaid plans, county governments, private insurers, managed

care programs, service provider organizations, technology vendors, neurotechnology and pharmaceutical

organizations, and investment banking firms – with a focus on the implications of financing changes on

delivery system design.

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Learning from our Partners: State Policy Priorities for ODRC, ORSC, ODJFS, and ODH

Gary Mohr, Director, Ohio Department of Rehabilitation & Correction; Kevin Miller, Director,

Ohio Rehabilitation Services Commission; Michael Colbert, Director, Ohio Department of Job & Family Services;

and William McHugh, Assistant Director of Health, Ohio Department of Health

Families and individuals affected by substance use disorders and mental illness move throughout multiple systems. To help the people

in their care successfully recover, providers must navigate the policies and resources in criminal justice, rehabilitation services, child

welfare, jobs and family services, and public health. In this session, Ohio’s leadership will provide an update on the policy priorities

emerging within their departments that will affect people with behavioral health needs and the providers who deliver their care.

Gary C. Mohr is director of the Ohio Department of Rehabilitation and Correction (DRC). Appointed by

Governor John Kasich in January 2011, he is a 37-year corrections professional with a national reputation

for innovative and efficient prison management. Throughout his career, Director Mohr has served in a

number of corrections leadership positions in both public and private sectors. In 2002, Director Mohr

served as deputy director and superintendent of the Ohio Department of Youth Services.

Kevin Miller has been the executive director of the Ohio Rehabilitation Services Commission (RSC) since

January 2011. Director Miller helped launch Recovery-2-Work, an innovative partnership with the Ohio

Department of Alcohol and Drug Addiction Services and the Ohio Association of County Behavioral

Health Authorities, adding employment counseling services to the state’s battle against opiate addiction.

He brings 17 years of state government leadership experience to his position at RSC.

Michael B. Colbert is director of the Ohio Department of Job and Family Services (ODJFS), a $20-plus

billion agency with nearly 4,000 employees. ODJFS is the largest agency in the state and is responsible

for supervising the state’s public assistance, workforce development, unemployment compensation, child

and adult protective services, adoption, child care, and child support programs. ODJFS also is the single

state agency responsible for the administration of Ohio’s Medicaid program.

Prior to joining Governor John R. Kasich’s cabinet, Colbert served as the ODJFS chief fiscal officer for

almost three years. In that role, he supervised the agency’s adoption of the Ohio Administrative

Knowledge system, Ohio’s new financial system, and the County Finance Information System. Before

joining ODJFS, Colbert was senior audit manager for the Ohio Auditor of State, where he worked for 15

years.

William McHugh has been employed at the Ohio Department of Health for the past 18 years and has

worked in a variety of programs including infectious disease, early intervention, immunization, health

preparedness, and public health laboratory. He was recently promoted to the Assistant Director of Health

position to oversee all programmatic areas within the department. He holds a doctoral degree in

management, a master’s degree in human resource management, and a bachelor’s degree in psychology

and history.

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Workshop Sessions

Do You Need Marketing? And, If So, What Does That Mean?

Monica Oss, CEO, OPEN MINDS

As the health and human service field moves more and more toward a competitive market-based environment, the question of

marketing becomes top-of-mind for most executive teams. But, your marketing needs are dependent on your organizational size and

your strategy. Small boutique organizations have different marketing needs than larger organizations. And different services lines

and customer types (both payers and consumers) require different approaches to generating organizational revenue. In this

information-packed session, OPEN MINDS CEO Monica E. Oss will walk you through the process of creating a map of your

organization’s marketing needs, a marketing structure and budget, and how best to manage your marketing function. Key elements of

her presentation include:

Your strategy and your marketing needs

Understanding your functional marketing needs

Creating a marketing budget

Where does marketing fit in your organization

Compliance Update: False Claims Act and HIPAA/HITECH

Paul Coval and Lisa Pierce Reisz; Vorys, Sater, Seymour and Pease, LLP

The presentation will apprise attendees of the core concepts of, and recent developments relative to, the False Claims Act and

HIPAA/HITECH, as well as the threats and challenges they present to the provider community.

Healthcare Reform and its Impact on the Revenue Cycle – Part One

Steve Kohler, CEO, Deerfield Behavioral Health, Inc.

All healthcare providers will feel the impact of healthcare reform. Beginning to prepare now is essential. Understanding the basics of

reform and its potential impact on your organization is imperative to future success. Managing key areas of the revenue cycle that

have the most direct impact on your organization’s financial success will be essential. Utilizing available information, developing a

comprehensive plan and implementing it throughout your organization will help ease the burden of reform.

Healthcare reform presents significant challenges in the following areas, all of which have ties and an impact on the revenue cycle:

Reimbursement reductions

Technological efficiencies

Compliance program effectiveness

Quality of care

New and expanded payment methodologies

Insurance expansion and availability

The presentation will focus on each of these key areas and present ideas and methodologies to effectively prepare and manage these

functions.

The Codes They Are A-Changin’

Mark Eversole, Project Manager, The Center for Innovative Partnerships

Are you ready for the upcoming change from ICD-9-CM to ICD-10-CM? This presentation will include an overview of the

differences between the two coding systems as well as a discussion of new diagnosis codes, coding guidelines and documentation

requirements that will be applicable in a behavioral health setting.

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PROGRAM – DAY TWO

General Sessions

Moving Forward: Preparing for New Opportunities in SUD and MH Services

Becky Vaughn, CEO, State Associations of Addiction Services

Parity implementation and commercial insurance reforms are bringing unprecedented change to the field of addiction and mental

health services creating exciting opportunities as well as challenges for service providers. Providers must be prepared to look at

governance, business practices, workforce needs, marketing and much more. This session will look at some of the steps for

transformation using a guide developed by SAAS in collaboration with NIATx: Implementing Healthcare Reform: First Steps to

Transforming Your Organization, A Practical Guide for Leaders. The presentation will also include results from the SAAS

Readiness and Capabilities Assessment (RCA) identifying needs for training and technical assistance in business operations and

highlights from their recent report for providers, communities, and States: Maximizing Systems of Change: Informing the Design of

Statewide Substance Use Disorders Service Systems for Optimal Performance in the Era of Healthcare Reforms.

Becky Vaughn has been working in the addictions field for over 25 years. She was a member of the

founding board of The Georgia Association for the Prevention and Treatment of Substance Abuse in 1992

and become their first Executive Director in 1994. Her responsibilities included training and advocacy at the

local, state, and national level. In July of 2000 GAPTSA merged with an Atlanta coalition creating The

Georgia Council on Substance Abuse (GCSA) where she served as President and CEO until 2007. Her work

continued there as an advocate at the Legislature and catalyst in the community on issues related to

prevention, treatment, recovery, homelessness, and drug courts with the goal of reducing the impact of

substance abuse on GA communities. Her work included passage of many bills addressing substance use

disorder solutions as well as securing budget resources. Beginning in 2008 she took over the helm of the

State Associations for Addiction Services (SAAS) as their CEO after serving on its Board since 2000. She

has served on numerous state and federal committees and panels and speaks on the issue in a variety of

settings. Becky received her degrees from the University of GA and GA State University. She grew up in

Atlanta, but is enjoying being part of the DC community. As a former teacher and the mother of four, she is

passionate about preventing and finding solutions to the far-reaching problems caused by untreated

addiction.

Discussion with Tracy Plouck, Director, Ohio Department of Mental Health

Director Plouck will provide an update on the consolidation of ODADAS and ODMH, and other key policy initiatives.

Fundamentals of Contracting with County Boards and Managed Care Organizations

Ross Bridgman, Partner; Vorys, Sater, Seymour & Pease, LLP

Mr. Bridgman will discuss the fundamentals of contracting with county boards and managed care

organizations as provider organizations move towards an integrated health care environment.

Mr. Bridgman is a partner in the Vorys Columbus office and leader of the health care group. The focus of

Mr. Bridgman’s health care practice is on Medicaid policy, reimbursement, and compliance. He represents

providers in the health care industry who derive a large portion of their revenues from the Medicaid program,

trade associations and collaborations comprised of children’s hospitals formed for the purpose of reducing

serious safety events in children’s hospitals, as well as behavioral health care providers and providers of

services to the mentally and developmentally disabled. He also handles matters concerning certification and

licensure and administrative proceedings involving the Ohio Department of Job and Family Services, the

Ohio Department of Developmental Disabilities, the Ohio Department of Mental Health and the Ohio

Department of Alcohol and Drug Addiction Services.

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Workshop Sessions

Integrated Care: A Risk Management Perspective

Brian Block, Director of Risk Management, Brown and Brown Insurance of Lehigh Valley

Have you taken the time to examine how the perils, hazards and exposures of doing business have changed in the last 3-5 years? In an

era of integrated care it may be a best practices approach to complete a comprehensive risk assessment and once again ask the difficult

questions examining whether or not you are adequately protected through organizational policy and practice. This workshop will

combine didactic and discussion approaches in order to help participants develop action plans for handling the exposures related to

integrated care.

Health Care Integration: Building Collaboration and Partnerships

Nelson Burns, President & CEO, Coleman Professional Services;

Esther Pla, CEO, Connections; and Kimball Stricklin, CEO, Butler Behavioral Health Services

Ohio Council member organizations will share their strategies and lessons learned in establishing partnerships and collaborations that

support the movement towards integrated health care. Providers will address the operational “how-to” of what they are doing locally

to build relationships with health care providers in their community. Attendees will have an opportunity to participate in a roundtable

discussion on building relationships and partnerships locally.

Healthcare Reform and its Impact on the Revenue Cycle – Part Two

Steve Kohler, CEO, Deerfield Behavioral Health, Inc.

All healthcare providers will feel the impact of healthcare reform. Beginning to prepare now is essential. Understanding the basics of

reform and its potential impact on your organization is imperative to future success. Managing key areas of the revenue cycle that

have the most direct impact on your organization’s financial success will be essential. Utilizing available information, developing a

comprehensive plan and implementing it throughout your organization will help ease the burden of reform.

Healthcare reform presents significant challenges in the following areas, all of which have ties and an impact on the revenue cycle:

Reimbursement reductions

Technological efficiencies

Compliance program effectiveness

Quality of care

New and expanded payment methodologies

Insurance expansion and availability

The presentation will focus on each of these key areas and present ideas and methodologies to effectively prepare and manage these

functions.

Care Coordination through Health Information Exchange

Peg Eichner, HIE Project Manager, CliniSync/Ohio Health Information Partnership;

Mary Zile, Director, Practice Consulting, HealthBridge; and Hubert Wirtz, CEO, The Ohio Council

of Behavioral Health & Family Services Providers

This workshop will provide an overview of state policy direction related to the development of health information exchanges in Ohio

and include presentations on marketplace activities from CliniSync and HealthBridge.

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REGISTRATION FEES

Two-Day Fee One-Day Fee

Ohio Council 1st Staff Member $320 $220

Ohio Council Additional Staff Member(s) $260 $220

Non-Ohio Council Member(s) $395 $295

Note: Breakfast, lunch, reception, and break refreshments are included along with training materials.

Deadline for registrations is September 26, 2012. No refunds will be made after this date. However, substitutions are welcome.

For “no shows” who pre-register and do not pay, a $50 service fee (for one day registrations) and a $100 service fee (for two day

registrations) will apply. Make checks payable and mail the registration form(s) to:

The Ohio Council of Behavioral Health & Family Services Providers

35 E. Gay Street – Suite 401 – Columbus, Ohio 43215-3138

Or fax registration form(s) to: (614) 228-0740 Or register on-line at www.TheOhioCouncil.org

CONTINUING PROFESSIONAL EDUCATION

CEU’s have been approved for Social Workers & Counselors (RCS058802). MCE’s have been approved for Psychologists

(310951918). The Ohio Council of Behavioral Health & Family Services Providers is approved by the Ohio Psychological

Association-MCE Program to offer continuing education for psychologists. The Ohio Council, #310951018, maintains responsibility

for the program. Recognized Clock Hours (RCH’s) for Chemical Dependency Professionals have been applied for. CPE’s have been

approved for Accountants by the Accountancy Board of Ohio (CPE.248).

SPECIAL ACCOMMODATIONS

Please call the Ohio Council office at (614) 228-0747 or send an email to [email protected] by September 26, 2012 if

you need special accommodations.

HOTEL ACCOMMODATIONS

If you wish accommodations at the Hilton Columbus/Polaris, please call 1-888-864-8055 or click here for online reservations. The

room block is under the Group Name “Ohio Council of Behavioral Health” and the Group Code is “HEALTH”. If you prefer to

contact the hotel directly, please call (614) 885-1600 and ask for the Reservations Department. The discounted room rate is $139 plus

taxes. It is imperative that you indicate your group affiliation when making reservations. Please make your reservation as soon as

possible – the room block will be released September 20, 2012. The discounted room rate and room availability cannot be

guaranteed after this date. There is no additional charge for parking. Note: There are a limited number of rooms available, so

please don’t delay in making your hotel reservation.

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LOCATION

Hilton Columbus/Polaris

8700 Lyra Drive – Columbus, OH 43240

www.columbuspolaris.hilton.com

614-885-1600

For Reservations: 1-888-864-8055 or

click here for online reservations.

Treat yourself to a luxurious stay at the Hilton Columbus/Polaris. The

full-service, 100% non-smoking, upscale suburban hotel is ideally located

on the north side of Columbus, directly off Ohio Interstate I-71 at Exit 121.

The hotel is positioned near the thriving Polaris Centers of Commerce and

the Polaris Mall.

Please note: The location of this year’s event is different than in the past. This year’s host hotel is the Hilton Columbus/Polaris.

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REGISTRATION FORM

The Ohio Council of Behavioral Health & Family Services Providers ANNUAL CONFERENCE

October 4 & 5, 2012 – Hilton Columbus/Polaris

Name/Title: ____________________________________________________________________________________________________________

Organization: ___________________________________________________________________________________________________________

Street: ____________________________________________________________ City/State/Zip: _______________________________________

Phone: _____________________________ Fax: ___________________________ Email: ____________________________________________

Please check the Workshop Session you would like to attend:

Thursday, October 4, 2012, 3:00 PM – 4:30 PM:

_____ Session #1: Do You Need Marketing? And, If So, What Does That Mean?

_____ Session #2: Compliance Update: False Claims Act and HIPAA/HITECH

_____ Session #3: Healthcare Reform and Its Impact on the Revenue Cycle – Part One

_____ Session #4: The Codes They Are A-Changin’

Friday, October 5, 2012; 10:50 AM – 12:20 PM:

_____ Session #1: Integrated Care: A Risk Management Perspective

_____ Session #2: Health Care Integration: Building Collaboration and Partnerships

_____ Session #3: Healthcare Reform and Its Impact on the Revenue Cycle – Part Two

_____ Session #4: Care Coordination through Health Information Exchange

Please circle the appropriate amount below:

Two-Day Fee *One-Day Fee *Please indicate which day:

1st Ohio Council Staff Member $320 $220 _____ October 4th

Additional Ohio Council Staff Member(s) $260 $220 _____ October 5th

Non-Ohio Council Member(s) $395 $295

Make checks payable and mail registration form(s) to:

The Ohio Council of Behavioral Health & Family Services Providers

35 E. Gay Street – Suite 401

Columbus, Ohio 43215-3138

Or fax registration form(s) to: (614) 228-0740 Or register on-line at www.TheOhioCouncil.org

Please copy this form for each additional person wishing to attend.

Questions? Call (614) 228-0747 or Email [email protected]

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