Dennis McGuffie VP, Audit Services

Tenet Healthcare Corporation

CAE Spotlight

December 6, 2012

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Tenet By the Numbers• 500,000 inpatient visits annually

• 4 million outpatient visits annually

• 69,000 babies delivered annually

• 57,000 employees

• 49 acute care hospitals in 11 states

• More than 100 outpatient centers

• Net Revenue appx. $9B

*All numbers as of CY11

Our mission is to improve the quality of life of every patient who enters our doors.

For-profit compared to not-for profit

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Revenue Cycle Services

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Everything we do at Conifer Health Solutions is roo ted in our commitment to your hospital’s mission and your patients.

Health Care Reform

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Core Provisions

• Expands coverage through Medicaid, new state-based insurance exchanges and other provisions

• Establishes new consumer protection standards for health insurers

Cost

Quality

Coverage

• Streamlines administrative processes• Cuts waste, fraud and overpayments• Incentivizes more value-based service and

alignment among providers

• Penalizes poor performance by physicians and hospitals

• Incentivizes wellness and prevention• Establishes quality standards for private

insurers

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• Reduce cost and the burden of audit including the hours required to perform an audit

• Identify risks that matter most to management and position the function to respond quickly to changing demands and emerging risks.

• Incorporate the broadest set of facts in a risk assessment.

• Make the audit process transparent.

Audit Priorities

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Efficient

Relevant

Flexible

Transparent

Use The Company Intranet

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Who We Are

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Where We’re Planning to Go

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2012 2013November December January February March April May June

SOX

Corp BCC RemediationCorp ITGC

Remediation

Corp BCC (FY2012)Corp ITGC (FY2012)

Corp BCC (FY2012)Corp ITGC (FY2012)

Corp BCCCorp ITGC

Acquisitions / Divestitures

Group 1Physician Practices

Outpatient Services

Ambulatory Surgery Centers

Group 2Physician Practices

Outpatient Services

Ambulatory Surgery Centers

Group 3Physician Practices

Outpatient Services

Ambulatory Surgery Centers

Corporate / Process-level Compliance

Effectiveness ReviewFY2012 FY2012

Government Programs

1QProxy /

Corp Travel & Entertainment

Hospitals*D&T visit Doctors Hospital North Shore Medical Center East Miam i Medical

University Hospital

Meaningful UseHOSPITAL

(D1 - MU Start)

Stage 1Group 2 Locations

Stage 1Group 3 Locations

Data Analysis Dashboards Dashboards

Conifer Revenue CyclePatient

Communications

Other

D&T Asst SvcsSAG

Referral SourceD&T Asst Svcs

PhysicianRelocation ReconsD&T Asst Svcs

Referral Source Referral Source

Clinical ResearchCRSA Review: Group

1CRSA Review:

Group 2

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Tools We Use

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What Are The Results – Trending Reports

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What Are The Results – Tickmarks

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What Are The Results – Webinars

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• Survey Results – what you said : what we did• FAQs – recent questions received• Audit Results and Trends

− General − SOX− Functional or Process

• Drilldown on most frequently reported comments• Recent policy developments• ERM• SAG

Webcast Content

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• You’ve heard of:

» The Grammy

» The Emmy

» The ESPY

» The Tony

Recognizing Great Results

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• A 5 Bar doesn’t mean everything is perfect.

• 5 Bar results do tell us that the hospital team is striving to meet the important financial, compliance, and operational objectives.

• There are no “silver bullets”

• The little things do matter

• Controls foster discipline and efficiency

We Give Out Audi Awards

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Worst Audit

Responses

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“Our IT Director locks the backup tapes up in his car every night –is that OK?”

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“Our CEO is going to be really upset when he sees this report!”

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“Ted will implement those new cash controls as soon as he gets back from vacation”

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“No, we were

recording the

entries in a

timely

manner –

they were just

backwards.”

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“Oh – we were doing that – you just didn’t talk to the right person about it when you were here.”