2o15 fall institute icd-10 the aftermathschfma.com/pdfs/2015_fi_agenda.pdf · chamberlin edmonds /...

October 21-23, 2O15

Greenville, south Carolina

2O15 Fall Institute

ICD-10: The Aftermath

AppRev

BlueCross BlueShield of South Carolina

Avadyne Health

BKD LLP

Med A/Rx (PMAB)

PatientCo

PricewaterhouseCoopers, LLP

AccessOne MedCard, Inc

Bank of America Merrill Lynch

Bottom Line Systems

Chamberlin Edmonds / Emdeon

ParrishShaw

Resource Corporation of America

Resource One Medical Billing, LLC

South Carolina Hospital Association

The SSI Group, Inc.

Adreima

Advanced Patient Advocacy

AMCOL Systems

American Express

Avectus Healthcare Solutions, LLC

Benefit Recovery

Clear Balance

CliftonLarsonAllen

Craneware

Credit Solution$

DataTrac Receivables Recovery

DECO, LLC

Enable Comp

EOS

Haynsworth Sinkler Boyd, PA

Hollis Cobb Associates

Laddaga-Garrett, PA

Medical Data Systems (MDS)

Optimum Outcomes

Paragon Revenue Group

Parallon

PARO Decision Support

Receivables Management Corporation

RGL Associates, Inc

The ROI Companies

UCB, Inc.

Verisma Systems, Inc.

Washington & West, LLC

Xtend Healthcare Advanced Revenue Solutions

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Welcome to Greenville!

T he HFMA South Carolina Chapter

proudly presents our Fall Institute,

“ICD-10: The Aftermath”. Topics for the

survivors include the ICD-10

implementation, 501r compliance,

accounting & auditing updates, legal

updates for the business office,

alignment, integration, EPIC and so

much more! With 15 CPE hours

available, this is education you cannot

afford to miss.

G arage fees at the Hyatt Regency

Downtown Greenville are $7.50

per day in self-parking or $15.00 per

day in Valet.

D uring the Fall Institute, we are

proudly supporting the Julie

Valentine Center. The Julie Valentine

Center is a nonprofit organization that

provides free, confidential services to

sexual assault and child abuse

survivors and their families. We are

doing this in multiple ways including a

supply drive and raffle. See the back

page for more information. To learn

more about the Julie Valentine Center,

visit www.julievalentinecenter.org.

W ednesday’s lunch is “Dine Out

Downtown”. The Chapter will

provide you with the cash for lunch, you

just need to pick one of the many

wonderful restaurants in downtown

Greenville. Be sure to pick up your

envelope at the registration desk. You

will want to be back by 1:30 pm

because we will be drawing for prizes

and EVERYONE PRESENT will have a

chance to win.

The Annual Ernie Easterling Golf Tournament will be held on

Tuesday, October 20th, at The Preserve at Verdae. Situated on

over 100 acres of green space in the heart of mid-town

Greenville in the Verdae Development, the facility features

large all grass practice areas with driving range, putting green,

chipping and short game green. The Preserve at Verdae is

committed to the environment. Their mission is ‘Striving for

Harmony Between Golf and Nature’. They have re-imagined the

landscaping along the course and created naturalized areas

reflecting native grasses and plants and reducing the amount of

water, pesticides and fertilizers required.

The registration fee is $66.00 per player which includes tee

time, cart, box lunch, and drink tickets. There will be no shuttle

service from the Hyatt to The Preserve. Tee off starts at 12:30

pm.

There are only 40 slots available!

Sponsors for this event will be announced soon!

Need help with your golf swing? Never played before? We got

you covered! A golf pro will be on hand from 11:15 am until

12:15 pm on hand to help!

We will be meeting at the Preserve Grille & Deck for the 19th

Hole and all are welcome!

Ernie Easterling was president of the HFMA South Carolina

Chapter from 1978-1979. He loved to play golf and organized

this event for many years. Upon his passing, the SCHFMA

Board voted to name the golf tournament in his memory.

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Tuesday, October 20

11:15 am until Ernie Easterling Golf Tournament The Preserve

at Verdae

Wednesday, October 21

11:00 am—5:00 pm Registration Desk Open (will close during lunch) Studio 220

Prefunction

10:00 am—12:00 pm Chapter Board Meeting Think Tank @ NOMA

12:00 pm—1:30 pm Lunch on your own

1:30 pm—1:45 pm Welcome/Chapter Updates

Woody Turner, SCHFMA President , & Danielle Gori, SCHFMA Fall Institute Chair Studio 220 A @ NOMA

1:45 pm—3:15 pm Cuban Healthcare Delegation Highlights

Scott Mertie, Estelle Welte, Neil Koonce Studio 220 A @ NOMA

3:15 pm—3:45 pm Networking Break—Sponsored by ParrishShaw

3:45 pm—5:00 pm

Concurrent Sessions

Healthcare Audit & Accounting Update

Kristen Pannell, Dixon Hughes Goodman

Kelly Smith, Dixon Hughes Goodman

Greg Taylor Dixon Hughes Goodman

Studio 220 A @ NOMA

Best Practice Contracting for Optimal Denial Management

Linda Fotheringill, Washington & West

Studio 220 B, C @

NOMA

5:00 pm—7:00 pm President’s Reception Welcoming New Members

All Members Welcome! - Sponsored by HealthFirst Financial

SIP Rooftop Bar and

Lounge

7:00 pm until Dinner on your own

Thursday, October 22

6:00 am—7:00 am Sunrise Run

Sheila McCullough with Fleet Feet Meet in Lobby

7:00 am—8:00 am Networking Breakfast—Sponsored by Commerce Bank Mezzanine

8:00 am—5:00 pm Registration Desk Open (will close during lunch) Studio 220

Prefunction

8:00 am—9:30 am Legal Update for the Business Office

Adam Plotkin, Healthcare Outsourcing Network, LLC Studio 220 A @ NOMA

9:30 am—10:00 am Welcome to Greenville

Mayor Knox White Studio 220 A @ NOMA

10:00 am—10:15 am Networking Break—Sponsored by Med A/Rx (PMAB)

10:15 am—11:30 am

Are You Ready for Integration? (Neither Were We)

Josh Halverson, ECG

Frank Panzerella, Bassett Healthcare Network

Studio 220 A @ NOMA

11:30 am—1:30 pm Dine Out Downtown! We provide the cash, you pick the restaurant

Make sure to pick up your envelope from the Registration Desk

1:30 pm—1:45 pm Prize Drawing (Must be present to win)

Julie Valentine Center Presentation Studio 220 A @ NOMA

Thursday, October 22 (cont.)

1:45 pm—3:45 pm ICD-10: The Aftermath Panel Discussion

Bill Eikost, Moderator Studio 220 A @ NOMA

3:45 pm—4:00 pm Networking Break—Sponsored by Craneware

4:00 pm—5:00 pm

Concurrent Sessions

Aligning Your Patient Revenue Cycle Across Hospitals and Physicians’ Practices

Gail Scarboro-Hritz, Hritz Management Services

Buddy Smith, PatientCo

Studio 220 A @ NOMA

Thrive, Not Merely Survive 501r: Strategies for Ensuring Compliance with the 501r

Impact on Patient Responsibility Workflows

Steven Warner, Adriema

Studio 220 B, C @

NOMA

6:00 pm—10:00 pm Cocktail Hour—Sponsored by Resource Corporation of America

Dinner—Sponsored by Avadyne Health

Commerce Club

Liberty One Building

Friday, October 23

7:00 am—8:00 am Networking Breakfast Mezzanine

7:00 am—12:00 pm Registration Desk Open Studio 220

Prefunction

8:00 am—9:00 am

Concurrent Sessions

How to Keep Your Bottom Line From Disappearing

Gail Scarboro-Hritz, Hritz Management Services Studio 220 A @ NOMA

Evaluating Estate Claims and Tips on Third Party Liability to Maximize Collections

Sarah Clemmons, Haynsworth, Sinkler & Boyd

Mac McLean, Haynsworth, Sinkler & Boyd

Studio 220 B, C @

NOMA

09:00 am—10:15 am

Concurrent Sessions

MUSC Health - Our Epic Journey

Susan Makin, MUSC

Christine Conzett, MUSC

Studio 220 A @ NOMA

Hitting a Home Run: How Conway Regional Medical Center Transformed their Mortality

Deficiencies to the Best in the League

Marion G. Kruse, Precyse

Studio 220 B, C @

NOMA

10:15 am—10:30 am Networking Break—Sponsored by FirstPoint Resources

10:30 am—11:45 am How to Stay Fired Up, Pumped Up and Inspired in the Aftermath of ICD-10

Matt Jones Studio 220 A @ NOMA

11:45 am—12:00 pm Closing Remarks and Door Prizes

Woody Turner Studio 220 A @ NOVA

Name Badges and Lanyards Sponsored by UCB

WIFI Sponsored by BKD

Cuban Healthcare Delegation Highlights

Scott Mertie, Estelle Welte, Neil Koonce

Wednesday, 1:45 pm Studio 220 A @ NOMA

In this session, Scott Mertie, president of Kraft Healthcare

Consulting, LLC (KHC), will conduct a discussion with a panel

comprised of healthcare professionals who attended KHC’s

delegation to Cuba last fall. Delegates were able to explore the

country’s national healthcare system and the many differences

between the U.S. and Cuba. Discussions will cover various

topics, including Cuba’s:

Lack of technological advancements

100% government reimbursement model

Patient Access

Government and economy in relation to the healthcare

industry

High life expectancy rates

Inexpensive medical education

By attending this session, you will learn:

1. Cuba’s government and economy as it relates to the

healthcare industry and medical education

2. Cuba’s lack of technological advancements in medicine,

yet high life expectancies

Healthcare Audit and Accounting Update

Kristen Pannell, Dixon Hughes Goodman

Kelly Smith, Dixon Hughes Goodman

Greg Taylor, Dixon Hughes Goodman

Wednesday, 3:45 pm Studio 220 A @ NOMA*

This session will focus on new and relevant accounting and

auditing standards that are applicable to healthcare

organizations.


1. Understand the new GASB (Governmental Accounting

Standards Board) and FASB (Financial Accounting

Standards Board) standards that have been issued and

how they affect your healthcare organization

2. Understand the emerging issues being looked at by GASB

and FASB

Best Practice Contracting for Optimal Denial

Management

Linda Fotheringill, Washington & West

Wednesday, 3:45 pm Studio 220 B C @ NOMA*

The ability to prevent a claim denial or to successfully overturn

an inappropriately denied claim depends in large part on the

terms of a Provider’s contract with the payor. Yet often, the

terms of the contract are not fair to the provider when denial

prevention and denial management are concerned. Therefore,

a best-practice contract negotiation will include contributions

from all department directors as to whether the contract is fair,

and whether the contract can be administered cost-effectively

with available resources.


1. Identify contractual clauses that make or break denial

overturns

2. Understand how to preserve the legal rights provided by

your state legislature

3. Acquire additional skills in the review and modification of a

contract submitted by a payor

4. Use existing contracts to your advantage

Legal Update for the Business Office

Adam Plotkin, Healthcare Outsourcing Network, LLC

Thursday, 8:00 am Studio 220 A @ NOMA

With the myriad of legal issues facing hospital business offices,

knowledge is key. An increased knowledge of these issues and

how to deal with them will increase your compliance and your

revenue. We will address various legal issues in this session

including (GASP!) the IRS 501(r) Final Rules.


1. Current legal issues impacting the revenue cycle.

2. How to deal with the legal issues discussed

3. Trends in legal issues and potential issues coming down

the pike

*Denotes a Concurrent Session 6


Are You Ready for Integration? (Neither Were We)

Josh Halverson, ECG

Frank Panzerella, Bassett Healthcare Network


Healthcare reform is changing the way we deliver healthcare

and how we are reimbursed for services. This will require

significant changes in operations, physician—hospital

alignment and strategic partners.

This session is a case-study with best practices and learnings

that can be applied to the participants’ organizations.


1. Outline the imperatives for performance improvement that

participants can use in their own environment (checklists/

tool used to reinforce learning)

2. Apply step-by-step transformation process to their own

organization

3. Describe key variables that have the greatest impact on

financial improvement (Participants will use a variable tool

to assess their integration readiness or current state)

4. Use specific initiatives and management interventions that

Bassett pursued to improve performance of your own

organization (What and How Job Aid for Participants)

5. Summarize best-practices and lessons learned that can be

applied at other organizations using a checklist; avoiding

pitfalls and barriers

ICD-10: The Aftermath Panel Discussion

Bill Eikost, Moderator


Panelists include:

Seth Avery, AppRev

Douglas Burrell, Bon Secours St. Francis Health System

Kristen Cook, Palmetto GBA

Julianne Dreon, AnMed Health System

Mariann Gable, SCDHHS

Christine Lewis, Medical University of South Carolina

Zoe Sanders, Nelson Mullins

Bart Stickland, BlueCross BlueShield of South Carolina

Jason Taylor, SCDHHS

Woody Turner, Lexington Health System


1. Updates from Payers on implementation

2. Updates from Providers on implementation

3. Experts will weigh in on the process and success so far

Aligning Your Patient Revenue Cycle Across Hospitals

and Physicians’ Practices


Buddy Smith, PatientCo

Thursday, 4:00 pm Studio 220 A @ NOMA*

With more physician practices becoming acquired or affiliated

with hospitals and health systems, financial leaders face the

challenge of achieving operational efficiency in the revenue

cycle while delivering a satisfactory billing experience to

patients.

In this session, Gail Scarboro-Hritz of Hritz Management

Services will answer questions based on her experience

transforming hospital system revenue cycles amidst practice

acquisitions in a "fireside chat" format.


1. Prepare your current patient revenue cycle process for an

upcoming acquisition or potential acquisition

2. Align people, process, and technology across the system

to achieve operational efficiency in the business office

3. Strategies to evaluate and integrate revenue cycle

technology for system-wide consistency and patient

satisfaction initiatives

Thrive, Not Merely Survive 501(r): Strategies for

Ensuring Compliance with the 501(r) Impact on Patient

Responsibility Workflows

Steven Warner, Adriema

Thursday, 4:00 pm Studio 220 B C @ NOMA*

The Final Regulations for IRS-501(r) will be effective for the

taxable year 2016. Preparation for addressing the operational,

financial and compliance issues of 501(r) must begin

immediately to avoid disruption in the self-pay billing cycle and

a reduction in revenue. This presentation will explore the

specific components of the IRS 501 regulations, the impact on

patient responsibility workflows and the strategies for ensuring

compliance while maintaining a positive cash flow.


1. Comprehensive understanding of 501(r) requirements

2. Explore the impact on the billing cycle and initiate workflow

changes

3. Utilize best practice guidelines to determine use of

extraordinary collection activities

4. Maintain compliance with bad debt accounts

How to Keep Your Bottom Line from Disappearing


Friday ,8:00 am Studio 220 A @ NOMA*

This session offers insights about successful approaches to

avoiding and effectively managing denials utilizing technology,

auditing, and education. It also offers ideas for improving front-

end patient engagement in financial matters including pre-

services, point of service collections, and post service

collections.


1. How to best identify, organize and optimize their work

around denial prevention and management

2. How to optimize technology to overcome obstacles in

denial prevention

3. How to effectively approach collecting self-pay dollars as a

patient engagement initiative

Evaluating Estate Claims and Tips on Third Party Liability

to Maximize Collections

Sarah Clemmons, Haynsworth, Sinkler, & Boyd

Mac McLean, Haynsworth, Sinkler, & Boyd

Friday, 8:00 am Studio 220 B C @ NOMA*

The session will provide strategies for directors and personnel

of patient financial services departments in the determination of

whether to pursue estate claims and will offer practical tips in

handling third party liability accounts.


1. Explain procedures for filing creditor claims in probate

court

2. Educate attendees on recent updates to the South Carolina

probate code and how the changes affect creditors

3. Offer strategies in the evaluation of estate claims and

factors to consider when deciding whether to pursue such

claims

4. Explain steps that can be taken when no estate is open for

a deceased patient that has significant medical bills

5. Provide suggestions for maximizing collections on

accounts where third party liability monies are available

MUSC Health—Our EPIC Journey

Susan Makin, MUSC

Christine Conzett, MUSC

Friday, 10:30 am Studio 220 A @ NOMA*

Takes you through MUSC’s integrated Revenue Cycle’s Epic

implementation starting with project planning to one year post

go-live. MUSC has many wins to share, lessons learned and

also what the focus will be for the year ahead.

Hitting a Home Run: How Conway Regional Medical Center

Transformed their Mortality Deficiencies to the Best in the

League

Marion G. Kruse, Precyse

Friday, 10:30 pm Studio 220 B C @ NOMA*

With the transition to electronic medical records, meaningful

use, Value Based Purchasing, hospital inpatient quality

program, many HIM, CDI and physician leaders are feeling

burned out and change fatigued. However, sometimes life

throws you a curve ball and you lose the game. Worse yet, you

have to get back in the game even though you are sick and tired

and don’t want to play anymore. This presentation shares the

journey of a medical center making the news headlines due to

its poor mortality scores. We will explore the game plan

leadership employed to get back in the game and win big. Key

activities included: going back to the basics with

documentation, fostering a team work environment among

physician, coding and CDI staff, and employing a physician

advisor to help coach the medical staff. All of this lead to the

same medical center making the headlines a year later, and this

time it was for their home run.


1. Understand how coded data becomes publically reported

mortality scores and the methodology used for risk

adjustment

2. Identify how to design education that engages physician

staff and promotes accurate and precise clinical

documentation

3. Identify how to create and implement metrics to measure

changes in mortality

4. Implement programs to communicate and celebrate

improvement in mortality measures


How to Stay Fired Up, Pumped Up and Inspired in the Aftermath of ICD-10

Matt Jones

Friday, 9:00 am Studio 220 A @ NOMA

The ICD-10 transition like a marathon has been an endurance event. Now in the aftermath it’s still like a marathon. You will be inspired

in this marathon through the life-changing story and message from Matt Jones. He went from being a three-time cancer conqueror to

going through a bone marrow transplant and having to relearn how to walk. He has now run six marathons on six continents and is

back in training for his seventh one in Antarctica. You will gain from Matt’s talk inspiration, motivation, and strategies that will allow

you to be victorious in the aftermath of ICD-10 as well as life.

Matt’s talk offers the following benefits:

1. Reconnecting and being renewed in your passion and purpose for healthcare

2. Identifying how to Stop Stress before it Stops You

3. How to Operate at a more productive level of Excellence

4. Discover how to thrive in the midst of negativity, setbacks, and obstacles

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http://www.julievalentinecenter.org/

2o15 fall institute icd-10 the aftermathschfma.com/pdfs/2015_fi_agenda.pdf · chamberlin edmonds /...

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