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T O D AY

Do the impossible.T O M O R R O W

Do it again.

L AS VEGAS JUNE 24 – 27

Join us for the leading healthcare finance conference.Register by May 24 to take advantage of early bird savings.

To register, visit: hfma.org/ani

HFMA’S 2 0 12 ANI

ADVISORY COMMITTEE

Martin Arrick Managing Director Standard & Poor’s Corporation

Alex McFadden Director Revenue Cycle Operations West Virginia University Healthcare

Mary Mirabelli Vice President Financial Services Group HCA–The Healthcare Company

Susan L. Novak, MBA Controller Sheridan Memorial Hospital

Bruce L. Traub, FHFMA, CPA Chief Financial Officer Princeton Healthcare System

Three Westbrook Corporate Center, Suite 600 Westchester, Illinois 60154-5732 Phone: (800) 252-4362, extension 2

Non-Profit US Postage

PAID Permit No. 2862

Chicago, IL

ANI 2012 LAS VEGAS JUNE 24 – 27

HOTEL INFORMATION

When you register online at hfma.org/ani, you now have the option to select and reserve your hotel. Or you can contact the HFMA Housing Bureau at (866) 229–3691

to book any of the conference hotels.

Conference Hotel: Mandalay Bay Resort and Convention Center $149 Sunday – Thursday / $189 Friday – Saturday (single/double occupancy)

THE Hotel $219 all nights (single/double occupancy)

LUXOR

$69 Sunday – Thursday / $109 Friday – Saturday (single/double occupancy)

HFMA rates at all properties will be honored through May 29, 2012.

Join us for the leading healthcare finance conference. Register by May 24 to take advantage of EARLY BIRD SAVINGS.

sunday7: 4 5 P M – 1 0 : 4 5 P M

POST-WELCOME RECEPTION AT HOUSE OF BLUES

monday7: 0 0 P M – 1 0 : 0 0 P M

ULTIMATE VEGAS PARTY AT EYE CANDY NIGHTCLUB

wednesday6 : 0 0 P M – 1 0 : 0 0 P M

ANNUAL CHAIR’S RECEPTION AND BANQUET

Enjoy free admission as well as cocktails and hors d’oeuvres at the House of Blues in Mandalay Bay. This is an opportunity to continue your networking with other 2012 conference attendees after the Opening Reception. Must have a 2012 ANI registration badge to attend. No one under the age of 21 will be admitted.

Sponsored by:

Join your fellow Conference attendees for this exciting networking event at Eye Candy Night-club, located right in the middle of the Casino floor at Mandalay Bay. Registered attendees will be treated to complimentary beverages and hors d’oeuvres, and will be able to mix, mingle and be entertained by special guests Elvis, Marilyn, and the Rat Pack. Must have a 2012 ANI registration badge to attend. No one under the age of 21 will be admitted.

Sponsored by:

Join us for the Annual Chair’s Reception and Banquet, one of the most memorable events of ANI. Enjoy dinner and entertainment, installation of HFMA’s new Board of Directors and the pre-sentation of the Frederick C. Morgan Individual Achievement Award, the Association’s highest honor for career-long contributions to healthcare finance and HFMA.

Sponsored by:

the networking opportunities

OTHER NETWORKING OPPORTUNITIES INCLUDE:• First Timers Get-Acquainted Session• Sunday Opening Reception• Certification Lounge (current Certified members only)• Forum Networking Lounge (current Forum members only)• Interactive Early Riser Sessions• Lunch and Learn • Exhibit Hall Receptions (Monday and Tuesday)

SUNDAY • JUNE 24

7:00 AM – 2:00 PM Golf Outing

8:00 AM – 5:00 PM Preconference Full Day Seminars • Exclusive seminar for provider leaders:

Value-Based Leadership: People and Culture (P CS1) • Medicare Cost Reporting for Optimal Reimbursement (P CS2) • Get Exam-Ready: HFMA Certification Candidate Practicum (P CS3)

8:00 – 11:30 AM Preconference Morning Workshops • Buy-In, Accountability, and Metrics: Lead Your Revenue Cycle Team to Success (PCW1) • Integrating MAP Peer Comparison Data into your Organization to Set Realistic

Performance Targets (PCW2) • Getting Buy-In: How to Engage Medical Staff in Effective Financial

Decision-Making (PCW3) • Lessons Learned: Best Practices for Designing Accountable Care Financial

Systems (PCW4) • Sustain Breakthrough Improvement and Cultural Change with Six Sigma and

Lean Principles (PCW5)

1:00 – 4:30 PM Preconference Afternoon Workshops • Get Best Practices: Cost Accounting for the Quality-Driven Reimbursement Era (PCW6) • How to Successfully Navigate the ICD-10 Transition (PCW7) • Bethesda Memorial Hospital Optimizes Revenue Cycle with Lean Sigma (PCW8) • Increasing Patient Collections: New Tools to Boost Employee Morale and Patient

Satisfaction (PCW9) • Novant Health: Strategies to Survive—and Thrive—During a System Conversion (PCW10)

4:30 – 5:00 PM First Timers Get-Acquainted Session

5:00 – 6:15 PM Keynote Speaker Carl Lewis: Going the Distance

6:15 PM Opening Reception

7:45 – 10:45 PM Post-Welcome Reception at the House of Blues

MONDAY • JUNE 25

7:00 - 7:50 AM Early Riser Sessions • “Future-Proofing” Through Accountability, Quality Improvement, and Patient Safety • Boca Raton Regional: Website Transformation Increases Point-of-Service

Collections by 14 Percent • Survival Strategies for Critical Access Hospitals under Healthcare Reform • Exploring Strategic Alternatives in an Era of Mergers and Acquisitions and

Private Equity

8:00 – 9:30 AM Keynote Speaker Chesley B. (Sully) Sullenberger III: Passion for Excellence

10:00 – 11:15 AM Updates, Legal Trends, and Compliance • Legislative and Regulatory Success Strategies for Rural PPS and Critical

Access Hospitals • How to Minimize Organizational Risk in Physician Employment and

Acquisition TransactionsFinancial Management: CFO Strategies • To Partner or Not? A Panel Debates Strategic Options in the Consolidating

Healthcare Industry • An Executive Event: Meet Chesley B. (Sully) Sullenberger III (A04)

(This session is available only to senior-level executives in a provider setting. Preregistration is required.)

• How to Transition to Value-Based Care: Case Studies from Phase 2 of HFMA’s Value Project

Finance and Accounting Operations and Results • Create a High-Performance Cost Accounting Strategy: Tips, Tools, and Answers

from Experts • Overview of the 2012 AICPA Healthcare Audit and Accounting Guide Managed Care/Payment/Reimbursement Strategies • Current Issues in Managed Care Contracting • Partner with Payers for Product Line Growth: An Oregon Health & Science

University Case StudyPFS/Revenue Cycle/Patient Access • Vanguard Health System: How to Implement a Best Practice Denials

Management Program HFMA Peer Review ® Program Session* with Executive Health Resources

• University Medical Center Uses Revenue Integrity Culture to Improve Revenue and Payer Mix

• ICD-10 Readiness: Provider Panel Shares Lessons Learned, Costs, and Risks

2:45 – 4:00 PM Featured Speaker Sessions • Kaiser Permanente’s CEO George Halvorson: Innovations in Providing

High-Quality, Cost-Effective Health Care

• Intermountain Healthcare’s Brent James: Clinical Transformation and Increasing Value

• UnitedHealth’s Simon Stevens: Delivery System Reform and Payment Policy

7:00 – 10:00 PM Ultimate Vegas Party at Eye Candy Nightclub

TU ESDAY • J U N E 2 6

7:00 – 7:50 AM Early Riser Sessions • Cost Report Forms 2552-10: Identifying Opportunities and Threats for Critical

Access Facilities • SSM Health Care St. Louis: Strategic Responses to Medicare Reimbursement Changes • St. Joseph’s Healthcare Uses RAC Data Mining to Improve Net Revenue

HFMA Peer Review ® Program Session* with CBIZ KA Consulting Services, LLC • WellSpan Health: Centralize Front-End Functions to Reduce Denials and Improve

Staffing Efficiencies

8:00 – 9:30 AM Keynote Speaker David Walker: Comeback America: Turning the Country Around and Restoring Fiscal Responsibility

10:00 – 11:15 AM Updates, Legal Trends, and Compliance • Keep Current: New HIPAA Provider Audit Program for CMS • Medicare Audit and Appeals: Practical Advice for RAC, ZPIC, and MAC AuditsFinancial Management: CFO Strategies • Expert Panel on Merger and Acquisition Trends in the Era of Healthcare Reform • King’s Daughters Medical Center: Reducing Cost Through Clinical RedesignFinance and Accounting Operations and Results • Doylestown Hospital: How to Align Investment Portfolio Decisions

with Corporate Goals HFMA Peer Review ® Program Session* with SEI

• Adventist HealthCare Improves Employee Health and Achieves ROI with Medical Home Model

• Apply Reliability Science to Improve Clinical PerformanceManaged Care/Payment/Reimbursement Strategies • The Arizona Experience: Managing the Medicaid Managed Care Environment • Cleveland Clinic Engages Physicians to Improve Outcomes Data and

Financial PerformancePFS/Revenue Cycle/Patient Access • Texas Health Presbyterian Hospital: Revenue Cycle Workflow Redesign for

Greater Efficiency • How to Incorporate Bundled Payment into Your Revenue Cycle • St. Vincent Health Improves Clinical Documentation Through Physician Education

2:45 – 4:00 PM Updates, Legal Trends, and Compliance • Medicare 2012 Update • Merger & Acquisition Trends: Understanding Due Diligence and Legal IssuesFinancial Management: CFO Strategies • CHRISTUS Spohn Health System: How to Create a Strategic IT Budget Through

CFO/CIO Partnership • Capital Access: What Investors Expect from Hospitals and Health SystemsFinance and Accounting Operations and Results • Using a Health Information Exchange to Create Patient-Centered Financials • Capacity to Grow: John C. Lincoln Health Network Increases Surgical Service Line

Capacity to Increase Access and Efficiency • The Effect of Lease Accounting Changes on Capital Decisions and

Financial ReportingManaged Care/Payment/Reimbursement Strategies • Defining Value Metrics: Findings from Phase 2 of HFMA’s Value Project • Shands at the University of Florida Uses Population Analytics for Optimal

Community Care Delivery ModelPFS/Revenue Cycle/Patient Access • MetroHealth System: Building a Centralized Scheduling Model to Improve

Revenue Cycle Performance • Assessing the Financial Impact of ICD-10 • Jackson Health: Billing Process Improvements and Electronic Billing Workflow

HFMA Peer Review ® Program Session* with The SSI Group, Inc.

6:30 – 10:00 PM Chapter Presidents’ Dinner and Awards (Invitation Only)

WED N ESDAY • J U N E 27

7:00 – 7:50 AM Early Riser Sessions • Best Practices for Completing a Community Health Needs Assessment • Sentara Healthcare: Using Technology and Professional Services to Efficiently

Manage Uncompensated Care HFMA Peer Review ® Program Session* with Emdeon

• Meadowlands Hospital and Medical Center Automates Care Coordination for Quality-Based Reimbursement and Transition to an ACO

• Late-Breaking Policy and Strategy Session

8:00 – 9:30 AM Keynote Speakers Kevin & Jackie Freiberg: Leading Innovation in an Era of Uncertainty

10:00 - 11:15 AM Updates, Legal Trends, and Compliance • Legal Update: Maintaining Compliance During Times of Change • Assigning a Community Benefit Rating: 30 Key MetricsFinancial Management: CFO Strategies • Closing the CFO/CIO Gap for Competitive Advantage • Panel Discussion: How to Leverage Comparative Cost-Effectiveness to Improve

Outcomes and Reduce Costs • Hackensack University Medical Center Uses Gainsharing to Promote

Cost ContainmentFinance and Accounting Operations and Results • Concord Hospital Develops Defensible Prices Without a Cost Accounting System • BJC HealthCare Lowers Expenses and Controls Spending Through Supply Chain

Payment Strategies • Christiana Care Health System and Cancer Treatment Centers of America:

Launching a Bundled Payment Program • CaroMont Family Medicine Implements a Patient-Centered Medical HomePFS/Revenue Cycle/Patient Access • Adventist Health System: Achieving Price Transparency and Accurate

Patient Estimates HFMA Peer Review ® Program Session* with Financial Healthcare Systems, a wholly owned subsidiary of TransUnion Healthcare LLC

• Using Electronic Submission of Medical Documentation to Increase Revenue Cycle Performance

• UIMC Uses Performance Metrics to Improve Managed Care Revenue Cycle

11:30 AM – 1:30 PM Lunch and Learn MAP Award Winners—Creating a High-Performance Revenue Cycle

1:45 – 3:00 PM Featured Speaker Sessions • Fitch Ratings’ James LeBuhn: Capital Market View of the Healthcare Industry

• Gregory Meier, CPA, and Dottie Bringle, RN: Tragedy in Joplin: A Hospital’s Response to a Deadly Tornado

3:15 – 4:30 PM Updates, Legal Trends, and Compliance • The Changing Landscape of Healthcare Reform: Legislative Challenges and

Election ImplicationsFinancial Management: CFO Strategies • Ardent Health Saves $1.8 Million Managing Labor Costs & Liabilities • Spectrum Health Uses Patient Engagement to Improve Satisfaction and

Financial Performance • Creating Low-Cost Inpatient and Outpatient Encounters While Maintaining QualityFinance and Accounting Operations and Results • Susquehanna Health Uses Balanced Scorecard to Benchmark

Operational Performance • Accounting and Auditing Update: New Requirements to Maintain Compliance• Finding Profitable Revenue Opportunities in Existing Service Lines Managed Care/Payment/Reimbursement Strategies• Operationalizing Performance-Based Reimbursement• Beyond Wellness: Baptist Birmingham Saves $1.6 Million in Employee Health CostsPFS/Revenue Cycle/Patient Access• Gwinnett Health System Improves Revenue Cycle Performance Through Culture

of Accountability• Summit Medical Group: Advanced Strategies for Troubleshooting the Employed

Physician Revenue Cycle• St. Joseph’s of Atlanta Uses Documentation to Overturn Denials and Ensure

Managed Care Compliance

6:00 PM Annual Chair’s Reception and Banquet

CERTI FI C ATI O N E X AMS

MONDAY, JUNE 25 1:00 – 5:00 PM

The exams will be held at Castle Worldwide’s Las Vegas test center; transportation will be provided. Registration for the exam is separate from ANI registration and can be completed at hfma.org/certification. You must register for the exams prior to ANI.

E XH I B IT HALL

MONDAY, JUNE 25 11:15 AM – 2:30 PM (Exhibit Hall Lunch) 4:00 PM – 6:00 PM (Exhibit Hall Reception)

TUESDAY, JUNE 26 11:15 AM – 2:30 PM (Exhibit Hall Lunch) 4:00 PM – 6:00 PM (Exhibit Hall Reception)

FO RU M N ET WO RKI N G LO U N GE

SUNDAY, JUNE 24 2:00 PM – 6:00 PM

MONDAY, JUNE 25 7:00 AM – 4:30 PM

TUESDAY, JUNE 26 7:00 AM – 4:30 PM

WEDNESDAY, JUNE 27 7:00 AM – 11:30 AM

Members of HFMA’s four Forums – CFO, Legal & Regulatory, Payment & Reimburse-ment, and Revenue Cycle – can exchange ideas with their Forum peers. A complimentary breakfast, soft drinks, and coffee will be available throughout ANI.

* HFMA Peer Review® Program Session are CPE-eligible sessions featuring an application of an HFMA Peer Reviewed product or service. Vendors and providers will co-present. For more information on HFMA’s Peer Review, visit hfma.org/peerreview.

register

early and save

hfma.org/ani

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HFMA’s ANI Registration

QUESTIONS? CALL : (800) 252–4362, extension 2

save Register between March 1 and May 24, 2012 Take $100 off the total conference registration rate. >>BADGE INFORMATION (please print clearly)

Member # (optional) Non-Member

F I R S T N A M E / M I D D L E I N I T I A L / L A S T N A M E

J O B T I T L E E M P LOY E R

T E L E P H O N E M O B I L E P H O N E

Nickname for badge

A D D R E S S ( N O P.O . B OX E S P L E A S E ) This is my: B U S I N E S S H O M E

C I T Y / S TAT E / Z I P CO D E

E- M A I L A D D R E S S / A LT E R N AT E E- M A I L A D D R E S S

S O U R C E C O D E : 2 A N I 2 0 1 2

SELECT YOUR PROGR AM PACK AGE

M E M B E R N O N - M E M B E R *

Conference $1,035 $1,210 Includes all receptions; keynote addresses; breakout sessions M-W; all lunches; Wednesday’s Chair’s Banquet; and M-Tu Exhibit Hall sessions.

Preconference Seminar / 2 Workshops $ 650 $ 750 Includes Sunday lunch.

One Preconference Workshop $ 385 $ 435 Does not include Sunday lunch.

Single-Day Conference $ 650 $ 750 Includes lunch and two Exhibit Hall sessions.

M O N DAY T U E S DAY W E D N E S DAY

* If you are new to HFMA, this registration includes an HFMA membership. N O T H A N K S .

Additional tickets

Sunday Opening Reception tickets @ $65 $ Annual Chair’s Banquet tickets @ $95 $ Exhibit Hall sessions tickets @ $35 $

M O N . LU N C H M O N . R E C E P T I O N T U E S . LU N C H T U E S . R E C E P T I O N

Note: A separate ticket is required to attend each of the four Exhibit Hall sessions.

Additional events

Check below to register for these events.

Sunday Golf Outing P R OV I D E R (CO M P L I M E N TA RY ) V E N D O R ( $ 3 9 5 )

Executive Session (A04) with Chesley B. (Sully) Sullenberger III C H EC K I F I N T E R E S T E D. L I M I T E D TO S E N I O R- L E V E L E X E C U T I V E S I N A

P R OV I D E R S E T T I N G . S E AT I N G L I M I T E D.

CERTIFICATION EVENTS

Certification Exam Registration Registration for the certification exam on June 25th is separate from ANI registration and must be completed prior to ANI. You can register at hfma.org/certification. The exam fee ($395) is paid online upon registration.

TOTAL YOUR FEES

TOTAL $ Check enclosed (payable to HFMA Educational Foundation) Charge my: V I S A M A S T E R C A R D A M E R I C A N E X P R E S S D I S COV E R

C A R D N U M B E R E X P I R AT I O N DAT E C A R D H O L D E R ’ S N A M E C A R D H O L D E R ’ S S I G N AT U R E

PRECONFERENCE COURSE SELECTION S U N DAY S U N DAY S U N DAY ( P C S ) 8 A M – 5 P M ( P C W ) 8 A M – 1 1 : 3 0A M ( P C W ) 1 P M – 4 : 3 0 P M

Choice

RETURN THIS FORM

By Mail: HFMA Registration; PO Box 4088; Frederick, MD 21705 By Internet: Complete online registration at hfma.org/ani By Fax: (301) 694–5124 By Phone: (866) 229–3691

Please check if you require any special accessibility or accommodations, and a member of the HFMA staff will contact you after receiving your registration.

6

T O D AY


Do it again.




HFMA’S 2 0 12 ANI

ADVISORY COMMITTEE









Chicago, IL


HOTEL INFORMATION





LUXOR




sunday7: 4 5 P M – 1 0 : 4 5 P M


monday7: 0 0 P M – 1 0 : 0 0 P M


wednesday6 : 0 0 P M – 1 0 : 0 0 P M



Sponsored by:


Sponsored by:


Sponsored by:



HFMA.ORG/ANI 1

HOW-TO SOLUTIONS

reformMinimize Organizational Risk in Physician Employment and Acquisition Transactions

Incorporate Bundled Payment into Your Revenue Cycle

Legal Update: Maintaining Compliance During Times of Change

marginPartnering with Payers for Product Line Growth: An Oregon Health & Science University Case Study

The Arizona Experience: Managing the Medicaid Managed Care Environment

Capacity to Grow: John C. Lincoln Health Network Increases Surgical Service Line Capacity

revenueVanguard Health System: Implement a Best Practice Denials Management Program

Medicare Audit and Appeals: Practical Advice for RAC, ZPIC, and MAC Audits

Texas Health Presbyterian Hospital: Revenue Cycle Workflow Redesign for Greater Efficiency

valueTransition to Value-Based Care: Case Studies from Phase 2 of HFMA’s Value Project

Defining Value Metrics: Findings from Phase 2 of HFMA’s Value Project

Panel Discussion: Leverage Comparative Cost-Effectiveness to Improve Outcomes and Reduce Costs

care King’s Daughters Medical Center: Reducing Cost Through Clinical Redesign

Apply Reliability Science to Improve Clinical Performance

Cleveland Clinic Engages Physicians to Improve Outcomes Data and Financial Performance

welcome to the 2012 HFMA National Institute.

From landmark reform to downward payment pressure, today’s environment is driving once-in-a-generation

change for hospitals and health systems. At ANI, we’ll show you how to lead during this time of transition

by delivering value in your organizations — cutting costs while improving quality. Thought leaders and

pioneering providers will show you proven approaches to market positioning, physician integration, cost

management, revenue cycle improvement, and many other critical components of value.

The change required may seem impossible. Join us at ANI, and see how to do the impossible.

THE ISSUESREFORM

Reform Implementation Understand the implications of government and private– sector actions implementing health reform

MARGIN

Margin Pressure Manage operating costs, reengineer services, and rethink cost structure to reduce margin pressure

REVENUE

Revenue Cycle Use metrics, technology, process improvement, and training to improve your revenue cycle

VALUE

Value Focus on quality, efficiency, transparency, patient outcomes, and accountable care models

CARE

Transformation of Care Delivery Improve costs and outcomes of care through collaboration, business intelligence, and risk management

THE LINEUPKEYNOTE SPEAKERS

Carl Lewis, the nine-time Olympic gold medalist and world record holder, tells what it takes to overcome the odds and achieve your goals.

Going the Distance

Chesley B. (Sully) Sullenberger III, the heroic pilot who landed his plane on the Hudson, talks about his lifelong commitment to excellence and safety and offers lessons for the work we do in health care.

Passion for Excellence

David Walker, former U.S. Comptroller General, spells out how America’s budget challenges affect healthcare finance and discuss solutions to restore fiscal sustainability.

Comeback America: Turning the Country Around and Restoring Fiscal Responsibility

Kevin & Jackie Freiberg, bestselling authors of Nanovation, share proven strategies for collaborating, thinking creatively, turning liabilities into assets, and finding ideas from beyond health care.

Leading Innovation in an Era of Uncertainty

FEATURED SPEAKERS

George Halvorson Chairman and CEO, Kaiser Permanente

Innovations in Providing High-Quality, Cost-Effective Health Care

Brent James, MD Chief Quality Officer, Intermountain Healthcare

Clinical Transformation and Increasing Value

Simon Stevens Executive Vice President, UnitedHealth Group

Delivery System Reform and Payment Policy

James LeBuhn Senior Director, Fitch Ratings

Capital Market View of the Healthcare Industry

Gregory Meier, CPA Executive Director of Finance, MercyDottie Bringle, RN COO and Chief Nursing Officer Mercy St. John’s Regional Medical Center

Tragedy in Joplin: A Hospital’s Response to a Deadly Tornado

4 jam-packed days

29priceless CPEs

85in-depth, expert-led sessions

the numbers

AVAIL ABLE SOON

Download the FREE ANI Mobile App launching on iPhone and Andriod devices. Search “HFMA ANI” in your app store to download.

HFMA.ORG/ANI 3

table of contents

CPE INFORMATIONTotal CPE hours for Early Riser Sessions, Breakout Sessions, and Keynote Addresses: 20

See individual descriptions of Precon-ference Seminars and Preconference Workshops for CPE hours.

Prerequisites/pre-work not required unless otherwise noted under individual session description.

The CPE Field of Study for sessions is Specialized Knowledge and Applications, unless otherwise indi-cated in each specific description.

Instructional Method: Group Live

REGISTRATION HOURS6 : 0 0 A M – 7: 0 0 P M Sunday, June 24

6 : 0 0 A M – 6 : 0 0 P M Monday, June 25

6 : 0 0 A M – 6 : 0 0 P M Tuesday, June 26

6 : 3 0 A M – 2 : 0 0 P M Wednesday, June 27

CERTIFICATION LOUNGE HOURS2 : 0 0 P M – 6 : 0 0 P M Sunday, June 24

7: 0 0 A M – 4 : 3 0 P M Monday, June 25

7: 0 0 A M – 4 : 3 0 P M Tuesday, June 26

7: 0 0 A M – 1 1 : 3 0 A M Wednesday, June 27

HFMA Certified Members can drop by the Certification Lounge to connect with other certified members.

SUNDAY Sunday Golf Outing 4

First Timers Get-Acquainted Session 4

Opening General Session: Carl Lewis 4

ANI Opening Reception in the Mandalay Bay Bayside Foyer 4

Post-Welcome Reception at the House of Blues 4

HFMA Value-Based Leadership Program 5

Preconference Seminar Descriptions 5

Preconference Workshop Descriptions 6–8

MONDAY Keynote Address: Chesley B. (Sully) Sullenberger III 9

Exhibit Hall and Lunch 9

HFMA Certification Exams 9

Exhibit Hall and Reception 9

Ultimate Vegas Party at Eye Candy Nightclub 9

Early Riser Session Descriptions 10–11

Monday Breakout Session Descriptions 11–14

Monday Featured Speaker Session Descriptions 15

TUESDAY Keynote Address: David Walker 16

Exhibit Hall and Lunch 16

Exhibit Hall and Reception 16

Chapter Presidents’ Dinner and Awards 16

Tuesday Early Riser Session Descriptions 17

Tuesday Breakout Session Descriptions 18–24

WEDNESDAY Keynote Address: Kevin and Jackie Freiberg 25

Annual Chair’s Reception and Banquet 25

Wednesday Early Riser Session Descriptions 26

Wednesday Breakout Session Descriptions 27–35

Wednesday Lunch and Learn 31

Wednesday Featured Speaker Session Descriptions 31

WHAT YOU NEED TO KNOW Registration and Hotel Information 36

4 HFMA NATIONAL INSTITUTE

SUNDAY KEYNOTE ADDRESS5: 0 0 PM – 6 :15 PM 1.0 CPE

CARL LEWISNine-Time Olympic Gold Medalist

Going the DistanceDuring his career as an Olympic athlete, Carl Lewis was part of five American Olympic teams, winning 10 medals, nine of them gold. His impressive track and field performances earned Lewis recognition as one of the greatest athletes of our time. Having lived his life saying “I can do that,” Lewis shows what it takes to win, overcome the odds, and develop a champion mindset. In his inspiring story, Lewis shows how determination, dedication, and a focus on goals will prepare you for what it takes to turn dreams into realities—in your healthcare career and beyond.

SUNDAY • JUNE 24 • OVERVIEW

REGISTRATION6 : 0 0 A M – 7: 0 0 P M

PRECONFERENCE SEMINARS8 : 0 0 A M – 5 : 0 0 P M

PRECONFERENCE WORKSHOPS8 : 0 0 A M – 1 1 : 3 0 A M 1 : 0 0 P M – 4 : 3 0 P M

CERTIFICATION LOUNGE(current certified members only)2 : 0 0 P M – 6 : 0 0 P M

FORUM NETWORKING LOUNGE (Forum members only)2 : 0 0 P M – 6 : 0 0 P M

SUNDAY GOLF OUTING7: 0 0 A M – 2 : 0 0 P M

This highly anticipated event will be held at Rio Secco Golf Course, considered one of the best courses in Las Vegas. Buses will depart at 6:30 AM from the Mandalay Bay South Convention Center for an 8:30 AM shotgun start, followed by a 19th hole reception. Register by May 21. Free for providers; vendors $395.

FIRST TIMERS GET-ACQUAINTED SESSION4 : 3 0 P M – 5 : 0 0 P M

KEYNOTE SPEAKER5 : 0 0 P M – 6 :1 5 P M

OPENING RECEPTION IN THE MANDALAY BAY BAYSIDE FOYER6 :1 5 P M – 7: 4 5 P M

Kick off your conference experience at the Opening Reception to greet old friends and make new ones. The reception immediately follows the Sunday Opening General Session.

POST-WELCOME RECEPTION AT HOUSE OF BLUES7: 4 5 P M – 1 0 : 4 5 P M

Enjoy free admission as well as cocktails and hors d’oeuvres at the House of Blues in Mandalay Bay. This is an opportunity to continue your networking with other 2012 conference attendees after the Opening Reception. Must have a 2012 attendee badge to attend. No one under the age of 21 will be admitted.

Sponsored by:

HFMA.ORG/ANI 5

Exclusive seminar for provider leaders: Value-Based Leadership: People and Culture (PCS1) 9 CPEs

With anticipated changes to healthcare payment and delivery models, it’s critical for healthcare finance leaders to achieve leadership competencies defined through the HFMA Value Project. Lead your organization in the transition from volume to value by learning how to develop people and culture to drive value. As part of this in-depth program, you will assess your individual performance and identify develop-ment goals based on defined competencies.

TOPIC ARE A

Financial Management: CFO Strategies

AFTER TH IS SESSION , YOU WI LL B E AB LE TO :

• Define a strategic vision for value in your organization

• Build multi-disciplinary teams focused on achieving value

• Manage and reward employee engagement • Re-orient care around the patient experience • Successfully transition your organization from

volume to value

LEVEL

Advanced

PREREQU ISITES/PRE-WORK

Management experience in a healthcare finance setting; online skills assessment to be completed prior to the live program

TOOL S AN D TAKE AWAYS

Individual performance assessment, personal development plan based on defined competencies

SPE AKERS

Andrew N. Garman, PsyD, MS, Chief Executive Officer, National Center for Healthcare Leadership; Todd Nelson, MBA, Technical Director, Healthcare Financial Practices Group, HFMA; James Landman, JD, PhD, Director of Thought Leadership Initiatives, HFMA

Medicare Cost Reporting for Optimal Reimbursement (PCS2) 9 CPEs

In this session you will study new hospital cost reporting forms, identify focus items for cost report preparers and reviewers, learn how to calculate Medicare profitability through the cost report, understand how to apply the profitability tool to other payers, and discover how the Affordable Care Act affects the cost reporting process.

TOPIC ARE A

Managed Care/Payment/Reimbursement


• Use a crosswalk to identify new forms and changes to existing forms in the CMS 2552-10

• Develop cost report preparation and review protocols to enhance reimbursement function operations, performance, and accountability

• Focus resources on key cost report elements and data sources

• Calculate your hospital’s Medicare margin and apply this calculation to other payers

LEVEL

Update


General knowledge of Medicare cost report forms and process


Sample cost report test case, crosswalk from 2552-96 to 2552-10 form set, margin analysis template

SPE AKERS

K. Michael Nichols, FHFMA, CPA, Managing Director, RSM McGladrey, Inc.; Chad Krcil, FHFMA, Director, RSM McGladrey, Inc.

Get Exam-Ready: HFMA Certification Candidate Practicum (PCS3) 9 CPEs

Through short lectures, detailed case studies, and interactive discussion, you’ll measure your knowledge in the six areas of the Certified Healthcare Finance Professional (CHFP) core curriculum: revenue cycle, budgeting and forecasting, financial reporting, internal controls, disbursements, and contracting. Improve key competencies to prepare for the exam by solving practical, common healthcare finance problems in this group setting.

TOPIC ARE A

Compliance/Legislative/Legal, Finance & Accounting, Operations & Results, Managed Care/Payment/Reimbursement, PFS/Revenue Cycle


• Apply best practices to develop realistic solutions to complex problems

• Practice problem-solving skills, including calculating variances, operating indicators, ratios, key perfor-mance indicators, and reimbursement under the inpatient and outpatient prospective payment systems; analyze clinical quality indicators and other key CHFP concepts

• Test your knowledge in a practical, real-world setting

LEVEL

Intermediate


A minimum of three to five years of healthcare financial management experience—accounting/finance or revenue cycle—in a hospital provider or physician practice setting or equivalent experience in an allied healthcare organization; prior to the practicum, participants will receive access to an electronic packet of pre-read materials


Multiple case study examples of healthcare finance concepts, 12-month access to HFMA’s online certifi-cation study guide

SPE AKER

Christopher Stauder, FHFMA, CPA, President, Stauder Consulting

SUNDAY • JUNE 24 • PRECONFERENCE SEMINARS 8:00 AM – 5:00 PM


SUNDAY • JUNE 24 • PRECONFERENCE WORKSHOPS 8:00 – 11 :30 AM

Buy-In, Accountability, and Metrics: Lead Your Revenue Cycle Team to Success (PCW1) 3.5 CPEs

Get tools and processes for revenue cycle leadership to enhance cross-functional team results, including team agreements for a common vision and shared accountability, plus methods to leverage positivity and cross-functional diversity of knowledge, perspectives, and process improvements. Use measurement tools to leverage team strengths and identify weaknesses to enhance performance.

TOPIC ARE A

Revenue Cycle


• Create and leverage team agreements with shared accountability and an aligned vision to drive revenue cycle team communication and performance

• Optimize cross-functional team results by enhancing relationship dynamics, gaining buy-in, and creating ownership at all levels

• Measure team strengths/weaknesses and integrate key performance indicators into a strategic plan to maximize revenue cycle success

LEVEL

Intermediate


General knowledge of revenue cycle processes and workflows


Case examples of specific team agreements and techniques to create buy-in and accountability for cross-functional revenue cycle teams, tips to enhance team relationship dynamics, techniques to measure team strengths and weaknesses, measures of team effectiveness, strategic action plan template to enhance team performance, resource list

SPE AKER

Cheryl Mann, President, GoalsInSight

Integrating MAP Peer Comparison Data into your Organization to Set Realistic Performance Targets (PCW2) 3.5 CPEs

High performers excel because they use relevant comparison data to conduct in-depth analysis of their current performance, understand and manage trends, identify opportunities for process improvements, and leverage the data to change behaviors and exceed established benchmarks. This session will share proven strategies for improving revenue cycle perfor-mance from a high-performing provider. In addition, participants will discuss how to identify metrics that will drive operational improvements, including patient satisfaction and financial outcomes.

TOPIC ARE A

PFS/Revenue Cycle/Patient Access


• Identify the MAP Key performance indicators crucial to improving your organization’s performance

• Develop performance goals for creating a measurable difference

• Create a plan for evidence-based, revenue cycle improvement practices

LEVEL

Intermediate


Basic understanding of healthcare finance and revenue cycle operations


Sample performance measurement reporting using MAP Keys, list of hospital performance improvement initiatives that you can implement immediately in your organization, and strategies to streamline processes, maximize revenue cycle efficiencies, and meet patient satisfaction goals

SPE AKERS

Suzanne Lestina, FHFMA, CPC, Director, Revenue Cycle MAP, HFMA; Charles Behl, Jr., Vice President, Revenue Cycle, Rush University Medical Center

Getting Buy-In: How to Engage Medical Staff in Effective Financial Decision-Making (PCW3) 3.5 CPEs

Improve physicians’ financial and management literacy with a complete and fully modular curriculum to use with your medical staff and residency program. This business curriculum—which leverages one key, intuitive concept from each of eight core management disciplines that compose a first-year MBA program—engages clinicians in more effective stewardship of a broad range of health system resources.

TOPIC ARE A



• Enable physicians to deliver critically important management skills

• Frame many ways that your hospital, health system, and physicians can demonstrate core competencies around these management methods and tools

• Engage physicians in learning, embracing, and applying these basic tools in diverse settings systemwide

LEVEL

Intermediate


Basic knowledge of general business and leadership principles


White papers, case studies, written and interactive exercises, tests, and external links to further readings and resources

SPE AKERS

David Butz, PhD, Faculty, Ross School of Business, University of Michigan

Lessons Learned: Best Practices for Designing Accountable Care Financial Systems (PCW4) 3.5 CPEs

Based on effective strategies and lessons learned by a large health system in creating an accountable care organization (ACO), this session offers a ‘how-to’ primer on developing critical financial systems and integrating them effectively with clinical programs and technology initiatives. This presentation will cover financial performance indicators, clinical quality measures, clinical integration strategies, and key technology resources.

TOPIC ARE A



• Establish clinical and financial measures for organizational accountability

• Plan clinically integrated programs that reduce costs and improve outcomes for specific populations

• Combine clinical outcomes measures with claims data to track the cost of care

• Negotiate accountable care contracts using a risk- based, value purchasing or performance-based model

LEVEL

Advanced


Familiarity with current and proposed reimbursement models, basic health IT systems, basic concepts of evidence-based medicine and population health; general knowledge of accountable care, clinical integration, and risk-based managed care contracting


Sample medical practice metric reports to track and manage accountable care initiatives, examples of clinical integration program initiatives, goals, and performance measures for multiple stakeholders

SPE AKER

Daniel Marino, President/CEO, Health Directions, LLC

HFMA.ORG/ANI 7

SUNDAY • JUNE 24 • PRECONFERENCE WORKSHOPS 8:00 – 11 :30 AM

Sustain Breakthrough Improvement and Cultural Change with Six Sigma and Lean Principles (PCW5) 3.5 CPEs

Get a roadmap for how to sustain breakthrough internal improvements to compete in an era of declining reimbursement, workforce shortages, underinsured patients, and an increasing focus on safety. Use Six Sigma to reduce re-work and the cost of “non-value added” activities, and get a primer on Lean principals that improve both quality and cost-effectiveness.

TOPIC ARE A

Financial and Accounting Operations

CPE FI ELD OF STU DY

Business Management and Organization


• Test principles and create an implementation plan to apply Lean and Six Sigma concepts to your organization

• Assess the impact of the direct link between healthcare reform and Lean/Six Sigma

• Outline a plan for improving corporate culture through performance improvement initiatives

LEVEL

Overview


Basic understanding of financial reporting and healthcare finance environment


Real-time roadmap for testing of principles, case study material outlining implementation, internal infrastructure, and learning enterprise needs

SPE AKER

Ian R. Lazarus, FACHE, Principal, Creative Healthcare Solutions

How to Successfully Navigate the ICD-10 Transition (PCW7) 3.5 CPEs

With the implementation date of ICD-10 rapidly approaching, you’ll hear from provider organizations that will share their experiences with obstacles and successes and offer insights into effectively managing the transition, including implementation timelines, budgets, staff training and development, and other action points. Learn about implications for managed care contracts and potential solutions, as well as the importance of key process improvements.

TOPIC ARE A



Business Management and Organization


• Define change management strategies to empower stakeholders to accept and embrace the transition to ICD-10

• Identify elements of an effective communication plan• Maximize opportunities for a successful transition

LEVEL

Overview


General knowledge of revenue cycle processes and coding


ICD-10 implementation checklist, sample awareness education and communication pieces, sample revised managed care contracting language

SPE AKERS

Rose Dunn, FHFMA, CPA, FACHE, RHIA, Chief Operating Officer, First Class Solutions; Carole A. McEwan, ICD-10 Project Manager, SSM Health Care

Get Best Practices: Cost Accounting for the Quality-Driven Reimbursement Era (PCW6) 3.5 CPEs

This workshop will guide participants through the planning pitfalls and opportunities in designing a best practice cost accounting system that is consistent with today’s complex reimbursement environment. Prepare now for the evolution of simple pay-for-performance demonstration projects and never event exclusions to Medicare value-based purchasing, readmission restrictions, and bundled payments.

TOPIC ARE A

Finance and Accounting Operations and Results


Accounting


• Document existing situations and use new cost allocation strategies, methodologies, and rules

• Understand tools you can use to address survey cost accounting system capabilities and limitations

• Distinguish key cost allocation sort keys and their uses in determining profit and loss (including patient days, admits and discharges, square footage, FTEs, total direct/indirect costs, physicians, departments and service lines, depreciation expense)

• Examine the implications of revenue offsets and grant allocation issues

LEVEL

Intermediate


Basic understanding of cost accounting


Examples of a best-practice general ledger and cost allocation structures

SPE AKERS

David C. Hammer, Partner, Accenture; Ylone Xavier, President, Healthcare Performance Management Consultants, LLC

SUNDAY • JUNE 24 • PRECONFERENCE WORKSHOPS 1:00 – 4:30 PM


SUNDAY • JUNE 24 • PRECONFERENCE WORKSHOPS 1:00 – 4:30 PM

Bethesda Memorial Hospital Optimizes Revenue Cycle with Lean Sigma (PCW8) 3.5 CPEs

Bethesda Memorial Hospital will share the Lean Sigma process and performance-based incentives it used to optimize its revenue cycle for results in just four months, increasing cash receipts from $18 to $23 million (28 percent); decreasing dollars attributed to discharged, not final billed (DNFB) cases from $40 to $15 million (63 percent); and reducing the time to schedule appointments by fax by 80 percent. Learn how to use simple tools and metrics to consolidate scheduling and registration processes, eliminate the need for double data entry, optimize capabilities of legacy software for billing productivity, and more.

TOPIC ARE A



• Use Lean Sigma methods to transform your healthcare finance organization into cohesive units to efficiently accomplish strategic goals

• Understand how to implement standard Lean Sigma/Six Sigma tools, including DMAIC (Define, Measure, Analyze, Improve, Control), SIPOC (Supplies, Inputs, Process, Outputs, Customers), VSM (Value Stream Mapping), and current and future state process map

• Examine the process of maintaining, sustaining, and continuously improving the revenue cycle

LEVEL

Intermediate


General knowledge of revenue cycle operations


Sample deliverables that show how to execute projects and obtain successful solutions to root cause issues

SPE AKERS

Joanne Aquilina, Vice President of Finance/CFO, Bethesda Healthcare System; Eileen Littel, Director of Process Optimization and Revenue Cycle Services, OptumInsight

Increasing Patient Collections: New Tools to Boost Employee Morale and Patient Satisfaction (PCW9) 3.5 CPEs

Learn hands-on techniques in this workshop for revenue cycle, business office, and billing/collection directors on how to improve the patient experience while increasing cash flow. Improve employee morale and loyalty by bringing some fun to the collections process through an easy-to-implement competition and reward process based on a unique set of key billing and collection metrics.

TOPIC ARE A



• Explore a tracking system to measure effectiveness and demonstrate the role of data in improved patient collections

• Discover collection scripts and competition/reward scenarios to increase patient collections and satisfaction and apply them in a hands-on setting

• Diagram a goal-oriented program and illustrate its role in the revenue cycle

• Learn leadership techniques to accelerate performance while minimizing collectors’ stress

LEVEL

Intermediate


Understanding of the complexity involved within a facility billing and collection department; knowledge of the basic rules and regulations regarding patient collections


Tracking system, reward and stress reduction program, collection scripts

SPE AKERS

Nathalie Gallet, CHFP, Senior Consultant, Transworld Systems, Inc.; James Devitt, Senior Consultant, Transworld Systems, Inc.

Novant Health: Strategies to Survive—and Thrive—During a System Conversion (PCW10) 3.5 CPEs

Novant Health, a 13-hospital integrated system with 360 clinic locations, will share real-life examples of tactics and strategies, including specific project goals and key performance indicators (KPIs), that it used to successfully implement a new revenue cycle system. Recommended for any organization preparing to or currently replacing one or more major IT systems, this session offers best practices to follow before, during, and after a conversion to ensure success.

TOPIC ARE A



• Understand necessary planning to minimize financial disruptions before a system conversion takes place

• Deploy specific tactics during the conversion month to ensure success

• Optimize cash collection of expected payer reimbursement on accounts in the legacy system after conversion, without losing revenue from legacy receivables

• Anticipate serious problems before they occur and work through potential solutions

LEVEL

Intermediate


Basic knowledge of revenue cycle process and workflows


Checklists of tactics to use before, during, and after a conversion; examples of KPIs deployed across the revenue cycle

SPE AKERS

Ronald Kelley, Executive Vice President, Revenue Cycle Management, Anthelio Healthcare Solutions, Inc.; Don Grunden, Vice President, Patient Financial Services, Anthelio Health; Danielle Weber, Vice President, Patient Financial Services, Novant Health

HFMA.ORG/ANI 9

REGISTRATION6 : 0 0 A M – 6 : 0 0 P M

CONTINENTAL BREAKFAST7: 0 0 A M – 8 : 0 0 A M

EARLY RISER SESSIONS7: 0 0 A M – 7: 5 0 A M

• “Future-Proofing” Through Accountability, Quality Improvement, and Patient Safety

• Boca Raton Regional: Website Transformation Increases Point-of-Service Collections by 14 Percent

• Survival Strategies for Critical Access Hospitals Under Healthcare Reform

• Exploring Strategic Alternatives in an Era of Mergers and Acquisitions and Private Equity

CERTIFICATION LOUNGE(current certified members only)7: 0 0 A M – 4 : 3 0 P M

FORUM NETWORKING LOUNGE (Forum members only)7: 0 0 A M – 4 : 3 0 P M

KEYNOTE ADDRESS8 : 0 0 A M – 9 : 3 0 A M

BREAKOUT SESSIONS1 0 : 0 0 A M – 1 1 :1 5 A M

EXHIBIT HALL AND LUNCH1 1 :1 5 A M – 2 : 3 0 P M

Enjoy lunch in the exhibit hall and visit with more than 400 companies offering ideas and solutions for healthcare finance professionals.

CERTIFICATION EXAMS1 : 0 0 P M – 5 : 0 0 P M


FEATURED SPEAKER SESSIONS2 : 4 5 P M – 4 : 0 0 P M

• Kaiser Permanente’s CEO George Halvorson: Innovations in Providing High-Quality, Cost-Effective Health Care



EXHIBIT HALL AND RECEPTION4 : 0 0 P M – 6 : 0 0 P M

The evening reception in the exhibit hall gives you a chance to unwind and mingle with fellow attendees and exhibitors while enjoying beverages and hors d’oeuvres.

ULTIMATE VEGAS PARTY AT EYE CANDY NIGHTCLUB6 : 3 0 P M – 9 : 3 0 P M


Sponsored by:

MONDAY KEYNOTE ADDRESS8 : 0 0 AM – 9:30 AM 1.5 CPEs

CHESLEY B. (SULLY) SULLENBERGER III“Miracle on the Hudson” pilot and bestselling author

Passion for Excellence Captain Chesley B. (Sully) Sullenberger was propelled into the spotlight as an international hero, safely guiding a US Airways jetliner to an emergency landing on the Hudson River. While many know about Sully’s heroic actions that day, few have an understanding of the depth of Sully’s preparation and dedication. He underscores the importance of passion for excellence and preparedness, and illustrates that true leaders must always lead by example. Sully will challenge and inspire you to establish a foundation of passion for your work, build trust among teams, and commit to reaching for the highest standards of quality and service that are critical in health care today.

MONDAY • JUNE 25 • OVERVIEW


“Future-Proofing” Through Accountability, Quality Improvement, and Patient Safety 1 CPE

Premier Healthcare Alliance President and CEO Susan DeVore highlights results from Premier’s accountable care collaborative QUEST, the nation’s most comprehensive hospital quality improvement initiative to date, including saving 25,000 lives and $2.85 billion in costs over 30 months. Learn how to weather a potential market downturn in healthcare and make it future-proof by re-crafting delivery with key steps and lessons learned in Premier’s 95 health systems nationwide.

TOPIC ARE A



• Implement a step-by-step process to make changes to your internal organization to support the re-crafting of the healthcare system

• Apply principles of accountability for population health

• Describe opportunities presented by new reimbursement and care delivery models

• Increase integration, coordination, efficiency, and true patient-centered care in your organization

LEVEL

Update


Knowledge of accountable care requirements and healthcare delivery systems


Examples of best practices and results achieved through re-crafting healthcare; links to Premier’s free resources (e.g., regulatory newsletters and webinars)

SPE AKER

Susan DeVore, President and CEO, Premier, Inc.

Boca Raton Regional: Website Transformation Increases Point-of-Service Collections by 14 Percent 1 CPE

Based on overwhelming patient requests to automate and implement on-line bill payment, Boca Raton Regional Hospital (BRRH) redesigned its hospital-based website and business office. The result: increased point-of-service collections by 14 percent and $4.9 million in revenue. BRRH shares its results in cost reductions, labor savings, regulatory compli-ance, and ability to meet specific IRS not-for-profit requirements of the Affordable Care Act through staff training and technology innovation.

TOPIC ARE A



• Understand how an on-line bill paying system helps reduce costs and labor spent on collections

• Implement an on-line bill pay system that offers easy account access for patients and clear understanding about their financial obligations for higher patient satisfaction

• Construct your hospital’s website to meet not-for-profit regulatory requirements as mandated by the Affordable Care Act

LEVEL

Intermediate


Knowledge of front-end revenue cycle processes


Checklist for constructing a hospital website to meet not-for-profit regulatory requirements

SPE AKERS

Veronica Small, CPAM, PFS Director, Boca Raton Regional Hospital; Patrice Wolfe, Senior VP and General Manager, Patient Solutions, RelayHealth

Survival Strategies for Critical Access Hospitals Under Healthcare Reform 1 CPE

Relieve financial pressure on your critical access hospital (CAH). This lively discussion covers survival strategies for stronger stability and financial performance in the current regulatory and legislative environment. Learn timely tools for bed management, optimal pricing, managing labor and non-labor resources, improving Medicare reimbursement performance, evaluating ancillary services, and enhancing revenue cycle management.

TOPIC ARE A



• Identify legislative and regulatory changes that impact CAHs and the strategies to combat the negative impact

• Improve financial stability with new opportunities and strategies to improve CAH margins

• Assess Medicare profitability on service lines and financial and revenue cycle performance measures

• Apply alternative pricing strategies and standards for financial and revenue cycle performance

LEVEL

Update


General knowledge of CAH payment and operational structure


Survey results, survival strategies checklist to perform a self-assessment, comparative financial data and ratios for CAH comparison, revenue cycle comparisons, and staffing benchmarks for self-check

SPE AKERS

Joseph Watt, CPA, Partner, BKD, LLP; Steve Parde, Senior Managing Consultant, BKD, LLP

MONDAY • JUNE 25 • EARLY RISER SESSIONS 7:00 - 7:50 AM

HFMA.ORG/ANI 11

Exploring Strategic Alternatives in an Era of Mergers and Acquisitions and Private Equity 1 CPE

An expert panel (hospital system operating experience, board-level experience, and transaction experience) reviews processes and decision points for exploring strategic alternatives based on case studies and trends in mergers and acquisitions. Learn the implica-tions of a sale, merger, joint venture, divestiture, clinical affiliation, and private equity investment in the context of broader market forces to develop practical process applications.

TOPIC ARE A



• Identify key internal processes, analyses, and decision points required prior to recommending strategic alternatives

• Describe key valuation methods • Explain different transaction structuring alternatives

with specific case study examples • Create a structured approach for the evaluation

and execution of a successful transaction

LEVEL

Overview


Familiarity with mergers and acquisitions and financial analyses


Finance


Process checklist for hospital executives considering strategic alternatives

SPE AKERS

Richard Henley, FHFMA, FACHE, President and CEO, Healthcare Strategic Solutions, LLC; Marc A. Cabrera, Managing Director, Morgan Joseph TriArtisan; Stephen A. Greene, Managing Director, Morgan Joseph TriArtisan; Jennifer E. Meyers, Principal, Morgan Joseph TriArtisan

Legislative and Regulatory Success Strategies for Rural PPS and Critical Access Hospitals 1.5 CPEs

This comprehensive update of federal reimbursement provisions unique to rural PPS and critical access hospitals will help you monitor key quality indicators and track progress under value-based purchasing. Take home new strategies for addressing Medicare, TRICARE, and federal Medicaid issues; tools for implementing the federal healthcare reform law; concrete examples of core processes to monitor and track progress of quality indicators; and effective methods to gain buy-in from medical and clinical staff.

TOPIC ARE A

Updates, Legal Trends, and Compliance


• Identify recent legislative and regulatory changes unique to rural PPS and critical access hospitals

• Apply effective techniques for implementing value-based purchasing, monitoring quality scores, and gaining buy-in from physicians

• Use a comprehensive checklist to optimize reim-bursement for rural PPS and critical access hospitals

LEVEL

Update


Basic understanding of Medicare reimbursement for PPS hospitals and general familiarity with the Affordable Care Act


Template for monitoring value-based purchasing quality scores, strategies to improve physician and clinical staff buy-in for quality measures, checklist of effective reimbursement strategies for rural PPS and critical access hospitals

SPE AKERS

Timothy Wolters, CPA, Director of Reimbursement, Citizens Memorial Hospital; Brad Brotherton, CPA, Partner, BKD, LLP

MONDAY • JUNE 25 • EARLY RISER SESSIONS 7:00 - 7:50 AM

How to Minimize Organizational Risk in Physician Employment and Acquisition Transactions 1.5 CPEs

Use the latest tools and best practices to minimize organizational risk when determining fair market value (FMV) and commercial reasonableness in physician employment/contractor arrangements and practice acquisitions. Avoid common pitfalls in physician contracting and acquisitions; learn how to collect accurate physician/practice data; and take advantage of key processes for conducting FMV and commercial reasonableness assessments.

TOPIC ARE A



• Identify key legal, regulatory, and documentation issues that impact FMV and commercial reasonableness

• Assess organizational risk associated with physician employment/contractor arrangements and practice acquisition transactions

• Analyze financial sustainability of the model • Use best practices for organizational governance

of oversight and approval of these contractual arrangements

LEVEL

Overview


General knowledge of physician employment and physician practice structures


Checklist of organizational best practices for employed/contracted physician governance practices, recommended dashboard and metrics for collecting physician/practice data to facilitate FMV and commercial reasonableness assessments

SPE AKERS

Debra Slater, Principal, Sullivan, Cotter and Associates, Inc.; Timothy Reed, CPA/ABV, CVA, Managing Principal, Sullivan, Cotter and Associates, Inc.

MONDAY • JUNE 25 • BREAKOUT SESSIONS 10:00 - 11 :15 AM


MONDAY • JUNE 25 • BREAKOUT SESSIONS 10:00 – 11 :15 AM

To Partner or Not? A Panel Debates Strategic Options in the Consolidating Healthcare Industry 1.5 CPEs

This three-member panel shares their experiences in choosing to remain independent or enter into a part-nership. Presenters detail challenges and successes and describe the process their boards used to evaluate strategic options. Discussion will also include an over-view of experiences with stakeholder and competitor responses, due diligence activities, finalization of agreements, and post-agreement integration.

TOPIC ARE A



• Use an integrated strategic financial approach to evaluate the need for a partnership arrangement

• Identify and evaluate strategic partnering options • Implement a specific partnership exploration process

to meet key hospital and leadership challenges • Take advantage of lessons learned from recently

secured partnership arrangements and decisions to remain independent

LEVEL

Overview


Knowledge of healthcare finance management, healthcare business or strategic planning


Finance


Data on current trends in hospital merger and acquisition activity, a preparing-for-consolidation framework, key criteria for evaluating partnerships, questions to ask and answer

SPE AKERS

Kit Kamholz, CPA, Managing Director, Kaufman, Hall & Associates (moderator); James Haden, President and CEO, Martha Jefferson Health System; Michael Lauf, President and CEO, Cape Cod Health Care

An Executive Event: Meet Chesley B. (Sully) Sullenberger III (A04) 1.5 CPEs (This session is available only to senior-level execu-tives in a provider setting. Preregistration required.)

Join American hero Sully Sullenberger to hear how the leadership lessons he learned in the aviation industry can be applied to improving quality and value in health care today. Captain Sullenberger will challenge and inspire you to establish a foundation of trust, passion in your team, and a commitment to setting and exceeding the highest standards.

TOPIC ARE A



• Tap leadership qualities that inspire passion and commitment on your team

• Learn how preparation, leadership, and focus are critical to overcoming any obstacle

• Apply effective strategies and techniques that motivate teams to excel

LEVEL

Advanced


Knowledge of healthcare leadership principles

SPE AKER

Chesley B. (Sully) Sullenberger III, “Miracle on the Hudson” pilot and bestselling author

How to Transition to Value-Based Care: Case Studies from Phase 2 of HFMA’s Value Project 1.5 CPEs

Learn what steps providers are taking now to prepare for accountability for value-based care while managing the impact of quality improvements on volume and revenue. Drawing on case studies from HFMA’s Phase 2 Value Project research, this session will also highlight unique strategies for different types of providers in managing the transition.

TOPIC ARE A



• Define effective steps you can take now to prepare for the transition to value-based care

• Identify new strategies for mitigating the impact of quality improvements on volume and revenue

• Evaluate options for different types of provider organizations in a value-based system

LEVEL

Intermediate


General knowledge of cost and quality issues related to health care


Outlines of value-based strategies for different types of provider organizations, case studies of providers who have begun the transition to value

SPE AKERS

James Landman, JD, PhD, Director of Thought Leadership Initiatives, HFMA; Katie Eyestone, Senior Consultant, McManis Consulting

HFMA.ORG/ANI 13


Overview of the 2012 AICPA Healthcare Audit and Accounting Guide 1.5 CPEs

Get a comprehensive overview of new standards, guidance, practices, and how-to advice for handling audit and accounting issues in health care as compiled in the most current version of the industry’s accounting bible. Covered topics include industry reform, technical updates, FASB codification, and more.

TOPIC ARE A



• Understand how this definitive industry guidance impacts you and your organization

• Apply concepts from the document and use them in practice

• Identify important changes in accounting procedures

LEVEL

Overview


Familiarity with healthcare accounting practices and standards


Auditing


Website links to online resources for next-level questions when using the 2012 guide

SPE AKER

Robert A. Wright, Partner, McGladrey & Pullen

Current Issues in Managed Care Contracting 1.5 CPEs

Keep current on the latest issues in managed care contacting, including bundling charges, payer and provider audits of pre-payment and post-payment issues, global fees, capitated payments, and special issues relating to physician contracting. Learn new tools to efficiently manage key issues raised in payer/provider contracts during the managed care contracting process.

TOPIC ARE A



• Identify how payers bundle charges and understand the authority payers are using to assert their right to bundle payments

• Recognize the impact of new ERISA regulations on providers, ERISA plans, and TPAs

• Clearly understand self-funded plan requirements by comparing new and existing ERISA regulations

LEVEL

Update


General knowledge of managed care contracts


Sample contract language, comparison chart of new and old regulations under ERISA that affect provider payments

SPE AKER

Ellen Stewart, JD, FHMA, Partner, Berenbaum Weinshienk PC

Partner with Payers for Product Line Growth: An Oregon Health & Science University Case Study 1.5 CPEs

Oregon Health & Science University (OHSU) shares a multidisciplinary stakeholder group approach successfully used to identify and overcome barriers to growth in bone marrow transplant, a high-cost procedure expected to double in volume by 2020. Presenters address financial barriers to growth of this service, offer a template for proactive and construc-tive dialogue among stakeholders, and recommend appropriate reimbursement coding practices and improved authorization procedures to grow this product line efficiently while better serving patients.

TOPIC ARE A



• Assess the value of including payers in planning for future product line growth

• Apply effective processes for working with a multidisciplinary stakeholder group

• Identify resources that can be implemented by hospitals to improve relationships with payers

LEVEL

Intermediate


Basic understanding of reimbursement, managed care and transplant procedures


Sample model benefits, sample universal autho-rization form, access to bone marrow transplant resources developed by the National Marrow Donor Program Working Group

SPE AKERS

Stephanie Farnia, Director, Payer Policy, National Marrow Donor Program; Richard Maziarz, MD, Medical Director, Adult Stem Cell Transplantation Program & Center for Hematologic Malignancies, Oregon Health & Science University

Create a High-Performance Cost Accounting Strategy: Tips, Tools, and Answers from Experts 1.5 CPEs

Develop a costing model tailored to the specific needs of your organization. This session is based on 20 years of research on comparative quality information and varying performance of costing models in real-life situations. Tour popular methods and weigh advantages and pitfalls to improve the quality of output without creating excessive staff workload.

TOPIC ARE A



• Assess the organizational climate of decision- making and connect your cost accounting strategy with the overall organizational environment

• Identify the strengths, weaknesses, risks, and advantages of the most popular generally accepted costing methods

• Develop and implement a customized best practice costing model for your organization, regardless of the software platform

• Communicate effectively with management about the selected costing process as well as its capabilities and limitations

LEVEL

Intermediate


Basic familiarity with cost accounting principles


Accounting


Decision matrix for selecting the most appropriate cost accounting methodology for your organization, cost accounting accuracy index calculation, cost accounting footnote disclosure

SPE AKERS

Paul Selivanoff, Manager of Financial Systems, St. Helena Regional Hospital System; David Blunt, MHA, CHE, CHFP, Director of Business Finance, Glendale Adventist Medical Center



University Medical Center Uses Revenue Integrity Culture to Improve Revenue and Payer Mix 1.5 CPEs

By shifting the organization’s orientation from revenue cycle management to holistic revenue integrity, University Medical Center (UMC) increased gross revenue 100 percent in its clinical departments through improved electronic charge capture and improved Medicare case mix by seven percent for a four-to-one ROI.

TOPIC ARE A



• Apply a closed-loop holistic approach of revenue integrity across all departments

• Coordinate rapid response to root causes of challenges within core revenue functions by establishing a strong collaboration between clinical initiatives and charge capture updates

• Develop tools and processes for closed-loop systems that increase efficiency and accuracy in key revenue functions, including inpatient and outpatient billing, pharmacy billing, and EHR-Chargemaster synchronization

LEVEL

Intermediate


General knowledge of revenue cycle management and reimbursement concepts


Organization chart for revenue integrity department, key performance indicator dashboard to monitor the revenue cycle, ROI analytic process, process tools to audit revenue integrity initiatives, business intelligence report examples

SPE AKERS

Micky Allen, Director of Revenue Integrity, University Medical Center Health System; Michael Najera, Professional Services Consultant, Craneware, Inc.

ICD-10 Readiness: Provider Panel Shares Lessons Learned, Costs, and Risks 1.5 CPEs

Sutter Health shares the status and results from its implementation of enterprise-wide practice standards for all clinical documentation improvement (CDI) programs; University of Michigan plans around early testing with one of its primary health plans to identify reimbursement impacts; and North Shore Long Island Jewish Health Systems leverages its past experience in reimbursement changes to forecast payments post-ICD-10 and understand potential reimburse-ment swings.

TOPIC ARE A



• Drive enterprise standardization to prepare for the new code set

• Address key risk areas and mitigating strategies • Prepare for ICD-10 with early adoption and

managed care contracting strategies; enter-prisewide standardization (e.g., CDI and HIM); computer-assisted coding; cross-walks and data management; payer, vendor, and internal testing; and training and resource retention

• Manage resource challenges amidst a major EHR implementation

LEVEL

Overview


Understanding of ICD-10 requirements and timeline


Practical insights on implementation approaches to ICD-10

SPE AKERS

Christine Armstrong, Principal, Deloitte Consulting LLP (moderator); Dan Waltz, Director of Applications, University of Michigan Hospitals and Health Centers; Tom MacMillan, OCIO Program Manager, North Shore Long Island Jewish Hospital; Danielle Reno, CHC, CCS, CCS-P, ICD-10 Program Director, Sutter Health

Vanguard Health System: How to Implement a Best Practice Denials Management Program 1.5 CPEs HFMA Peer Review ® Program Session with Executive Health Resources

By understanding current trends in denials and learning best practices for proper documentation to demonstrate medical necessity, you can substantially reduce denials by managed care organizations for inpatient care. This session details how denials can be reduced by implementing a consistent utilization management process across all payer types and patient populations.

TOPIC ARE A

Peer Review


• Reduce denials by applying your knowledge of current trends in commercial payer denials and appeals by region, payer type, and case mix

• Develop a consistent medical necessity compliance process across all patient populations and payer types, including managed Medicare and non- managed Medicare

• Optimize your hospital’s medical necessity documentation to support claims status determinations

LEVEL

Update


General knowledge of claims processing


A step-by-step best practice approach to denials management

SPE AKERS

Ralph Wuebker, Vice President, Audit, Compliance & Education, Executive Health Resources; John Zelem, Senior Director, Audit, Compliance & Education, Executive Health Resources; Victor Jordan, Regional Vice President & Controller, Vanguard Health System

This CPE-eligible session features an educational presentation showing application of an HFMA Peer Reviewed ® product or service. Vendors and providers will co-present.

HFMA.ORG/ANI 15

MONDAY • JUNE 25 • FEATURED SPEAKER SESSIONS 2:45 – 4:00 PM

Kaiser Permanente’s CEO George Halvorson: Innovations in Providing High-Quality, Cost-Effective Health Care 1.5 CPEs

In many ways, the private sector is leading the way for healthcare reform changes. Kaiser Permanente is investing heavily in clinical information systems and taking advantage of the opportunities that it allows. Kaiser Permanente Chairman and CEO George Halvorson will describe his vision and execution of successful strategies for increasing the quality of care and reducing costs through care delivery supported by information technology and other innovations.

LEVEL

Update


Basic knowledge of healthcare information technology

SPE AKER

George Halvorson, Chairman and CEO, Kaiser Permanente

Intermountain Healthcare’s Brent James: Clinical Transformation and Increasing Value 1.5 CPEs

Organizations need to standardize care delivery to ensure it is cost-efficient for the organization and cost-effective for purchasers. Intermountain Healthcare Chief Quality Officer Brent James has pioneered the standardization of clinical care through data collection and analysis on a wide variety of treatment protocols and complex care processes. Learn how he has used quality-improvement tools to better understand the cause and effect relationship between practice and environmental factors.

LEVEL

Update


Basic knowledge of clinical quality, cost, safety, and payment issues

SPE AKER

Brent James, MD, MStat, Chief Quality Officer, Intermountain Healthcare

UnitedHealth’s Simon Stevens: Delivery System Reform and Payment Policy 1.5 CPEs

In response to economic and demographic pressures, both public and private sector payers will pursue a number of strategies to reduce healthcare cost growth. Purchasers are demanding greater transparency and access to understandable and valid value information. UnitedHealth Group Executive Vice President Simon Stevens will discuss how UnitedHealth and other purchasers will be leading payment and delivery reform changes and implications for providers.

LEVEL

Overview


Working knowledge of payment and reimbursement concepts

SPE AKER

Simon Stevens, Executive Vice President, UnitedHealth Group





• Cost Report Forms 2552-10: Identifying Opportunities and Threats for Critical Access Facilities

• SSM Health Care St. Louis: Strategic Responses to Medicare Reimbursement Changes

• St. Joseph’s Healthcare Uses RAC Data Mining to Improve Net Revenue HFMA Peer Review® Program Session with CBIZ KA Consulting Services, LLC

• WellSpan Health: Centralize Front-End Functions to Reduce Denials and Improve Staffing Efficiencies

CERTIFICATION LOUNGE(current certified members only)7: 0 0 A M – 4 : 3 0 P M

FORUM NETWORKING LOUNGE (Forum members only)7: 0 0 A M – 4 : 3 0 P M



EXHIBIT HALL AND LUNCH1 1 :1 5 A M – 2 : 3 0 P M

Enjoy lunch in the exhibit hall and visit with more than 400 companies offering ideas and solutions for healthcare finance professionals.

BREAKOUT SESSIONS2 : 4 5 P M – 4 : 0 0 P M

EXHIBIT HALL AND RECEPTION4 : 0 0 P M – 6 : 0 0 P M

The evening reception in the exhibit hall gives you a chance to unwind and mingle with fellow attendees and exhibitors while enjoying beverages and hors d’oeuvres.

CHAPTER PRESIDENTS’ DINNER AND AWARDS (Invitation Only)6 : 3 0 P M – 1 0 : 0 0 P M

TUESDAY KEYNOTE ADDRESS8 : 0 0 AM – 9:30 AM 1.0 CPE

DAVID WALKERFormer U.S. Comptroller General, champion of national fiscal responsibility

Comeback America: Turning the Country Around and Restoring Fiscal Responsibility David Walker, one of America’s most capable, candid, and independent financial experts, presents the facts and proposed solutions to rein in out-of-control government spending and reform our Social Security, healthcare, defense, tax, political, and other systems. During his tenure as U.S. Comptroller General, Walker traveled the country sounding the alarm about unsustainable fiscal policies that threaten to derail the nation’s future. He has authored three books, including Comeback America: Turning the Country Around and Restoring Fiscal Responsibility. Walker was featured in the acclaimed film on the American financial crisis, I.O.U.S.A.

TUESDAY • JUNE 26 • OVERVIEW

HFMA.ORG/ANI 17

Cost Report Forms 2552-10: Identifying Opportunities and Threats for Critical Access Facilities 1 CPE

This session addresses the reimbursement risks and opportunities posed by new cost report forms 2552-10, which require critical access hospitals to provide additional information for the cost report. Gain new strategies used by successful facilities to improve Medicare cost reimbursement on the cost report while mitigating risks.

TOPIC ARE A



• Understand implications of additional provider reporting options

• Take advantage of new reimbursement opportunities and mitigate risks in the new Cost Report Forms 2552-10

• Employ reimbursement strategies and opportunities being successfully used by other critical access hospitals

LEVEL

Update


General working knowledge of the Medicare cost report principles as related to critical access hospital facilities


List of new reimbursement opportunities and threats, strategies to address these new areas

SPE AKER

Ralph Llewellyn, Partner, Eide Bailly LLP

SSM Health Care St. Louis: Strategic Responses to Medicare Reimbursement Changes 1 CPE

Learn how Medicare reimbursement rates for high-cost services are incentivizing those services to be provided in a hospital outpatient rather than a physician office setting for greater physician/hospital integration. Prepare for payment reform by analyzing various strategic approaches to capitalize on the rewards of greater alignment.

TOPIC ARE A



• Identify Medicare reimbursement changes that are driving greater levels of physician/hospital integration

• Understand recent reimbursement trends based on a detailed analysis of CMS data and how they impact select specialties

• Evaluate the implications of these changes on your organization and identify the best options to respond

LEVEL

Update


Basic understanding of reimbursement methodologies for office (Medicare physician fee schedule) and outpatient (outpatient prospective payment system) payments


Strategic approaches to alignment

SPE AKERS

Karen Rewerts, CPA, Regional Vice President of Finance/Chief Financial Officer, SSM Health Care St. Louis; Matt Nolan, Manager, ECG Management Consultants

St. Joseph’s Healthcare Uses RAC Data Mining to Improve Net Revenue 1 CPE HFMA Peer Review® Program Session with CBIZ KA Consulting Services, LLC

St. Joseph’s Healthcare shares a defined data mining methodology and systematic process for increasing net revenue through improved documentation, reducing recovery audit contractor (RAC) risk and reward cases, and overcoming internal obstacles for success. Improve outcomes, operations, and revenue for improving both reimbursement and patient care.

TOPIC ARE A

Peer Review


• Use data mining from the RAC process to improve your organization’s financial performance

• Understand how to review records to determine documentation or process shortfalls that lead to potential denials or underpayment and correct identified documentation and process issues

• Apply a protocol to review your at-risk and potential revenue-generating RAC accounts

LEVEL

Update


Understanding of the RAC recoupment process


Decision tree for RAC review, account targeting methodology, risk evaluation process

SPE AKERS

William Segal, Director of Corporate Compliance, St. Joseph’s Healthcare System; Samuel Donio, President, CBIZ KA Consulting Services, LLC


TUESDAY • JUNE 26 • EARLY RISER SESSIONS 7:00 - 7:50 AM

WellSpan Health: Centralize Front-End Functions to Reduce Denials and Improve Staffing Efficiencies 1 CPEs

Learn how WellSpan Health decreased its precerti-fication write-offs by $750,000. WellSpan created an insurance clearance center with centralized authorizations, insurance verification, pre-collections, and physician office functions for higher customer satisfaction with fewer staff.

TOPIC ARE A



• Develop a centralized insurance clearance center for key service lines in your organization

• Understand trends in the changing insurance envi-ronment to respond with appropriate management and training

• Streamline focus to reduce denials, improve authorizations, and win more appeals

LEVEL

Intermediate


General knowledge of front-end revenue cycle and patient registration functions


List of pros and cons in developing a pre-service insurance clearance department

SPE AKER

Amy Repman, Director of Access, WellSpan Health


King’s Daughters Medical Center: Reducing Cost Through Clinical Redesign 1.5 CPEs

King’s Daughters Medical Center used a multi-disci-plinary approach to engage physicians in understanding the impact of clinical practice patterns on the use of drugs, supplies, and other resources that drive costs as well as clinical outcomes. By using internal and external benchmarking, a clinician-led team reduced costs for multiple DRGs and readmissions with evidence-based process redesign.

TOPIC ARE A



• Use a clinical effectiveness methodology to drive cost-effective quality care for higher patient safety

• Develop a DRG bundling approach to engage physicians in the cost reduction process through system leadership

• Use the CE2 methodology to analyze overutilization of service and non-compliance with evidence-based clinical guidelines

LEVEL

Overview


General knowledge of benchmarking and cost reduction principles


Clinical effectiveness process redesign placemat

SPE AKERS

Dede Hartung, RN, MBA, Director, Deloitte Consulting; Kristie Whitlatch, COO, King’s Daughters Medical Center

TUESDAY • JUNE 26 • BREAKOUT SESSIONS 10:00 – 11 :15 AM

Keep Current: New HIPAA Provider Audit Program for CMS 1.5 CPEs

The U.S. Department of Health and Human Services began auditing covered entities in November 2011. Gain in-depth insight into the scope, approach, and process of HHS’ HIPAA audit program. Prepare now to address your organization’s vulnerabilities in privacy and security compliance programs, ensure your poli-cies are current, and address workforce compliance.

TOPIC ARE A



• Identify potential gaps in HIPAA compliance within your organization

• Create a plan for completing an internal review of HIPAA compliance programs

• Develop documentation that may be requested as part of an audit

LEVEL

Update


General knowledge of HIPAA requirements


HIPAA audit checklist

SPE AKERS

Michael Ebert, Partner, IT Advisory, KPMG LLP; Mark Higdon, FHMFA, CPA, Partner, Healthcare Advisory, KPMG, LLP

Medicare Audit and Appeals: Practical Advice for RAC, ZPIC, and MAC Audits 1.5 CPEs

Gain practical advice in this timely workshop on how to best prepare for the U.S. Department of Health and Human Services’ increasing audits and scrutiny as it increases focus on fraud and abuse through the use of aggressive recovery audit contractors (RACs), program safeguard contractors (PSCs), and zone program integrity contractors (ZPICs). Learn steps to streamline audit replies, how to create an efficient appeal strategies, and optimize appropriate reimbursement.

TOPIC ARE A



• Understand the impact on your organization of recent trends in RAC, ZPIC, and PSC audits

• Evaluate key organizational steps and strategies to respond appropriately to Medicare contractors and ensure successful audits and appeals

• Apply practical legal advice for appeals, navigate the tiered appeals process, and efficiently allocate time and money

LEVEL

Update


Basic knowledge of Medicare payment principles and RAC audit concepts


RAC readiness checklist

SPE AKERS

B. Scott McBride, JD, Partner, Baker Hostetler LLP; Jason Pinkall, JD, Associate Counsel, Tenet Healthcare Corporation

Expert Panel on Merger and Acquisition Trends in the Era of Healthcare Reform 1.5 CPEs

Panel experts dive deep into the trends, factors, and motivations driving consolidation in the healthcare industry as well as the blurring lines between for-profit and not-for-profit organizations and the many alterna-tive structures forming. Hear unique perspectives from a legislative expert, provider advocate, invest-ment bank executive, and public finance executive on recent merger and acquisition deals for Vanguard/Detroit and the Trinity/Loyola Payer/Health System University Hospital spin-off.

TOPIC ARE A



• Identify how healthcare reform and consolidation activity will affect providers and payers of every size as well as your patient population

• Understand how evolving healthcare reform legisla-tion will change the landscape of the industry

• Assess critical factors to consider when evaluating an M&A deal for your organization

LEVEL

Update


General knowledge of merger and acquisition concepts


Summary of up-to-the minute legislative update, three unique case studies

SPE AKERS

Andy Bressler, CFA, Managing Director, Bank of America Merrill Lynch (moderator); James Olsen, Managing Director, Healthcare Finance Group, Bank of America Merrill Lynch; Charlie Ditkoff, Managing Director, Vice Chairman of GIB, Bank of America Merrill Lynch; Chad Mulvany, FHFMA, Technical Director, Reimbursement and Regulatory Issues, HFMA

HFMA.ORG/ANI 19


Doylestown Hospital: How to Align Investment Portfolio Decisions with Corporate Goals 1.5 CPEsHFMA Peer Review® Program Session with SEI

Learn the process and outcomes of an on ongoing project to better analyze the impact of portfolio decisions around a healthcare organization’s pension, foundation and board-designated operating pool. The project viewed the three separate pools in an integrated manner and scrutinized how asset allocation changes could potentially impact the organization’s corporate financial statements and credit rating metrics.

TOPIC ARE A

Peer Review


• Identify how portfolio changes affect balances, credit ratings, and overall corporate financial health

• Describe investment strategies designed for more efficient portfolios, balance sheet protection, improved debt capacity, and stronger assessments by credit agencies

• Create strategies to improve management of pension and/or operating pool assets

LEVEL

Intermediate


Understanding of investment management


Case study and other examples of how to analyze your portfolio and develop strategies to enhance its efficiency


Finance

SPE AKERS

Al Pierce, Managing Director, SEI’s Institutional Group; Daniel L. Upton, CFO, Doylestown Hospital


Adventist HealthCare Improves Employee Health and Achieves ROI with Medical Home Model 1.5 CPEs

Adventist HealthCare’s pilot medical home delivery model improved the health of high risk employee members while increasing efficiency of healthcare delivery, better supporting their primary care physi-cians (PCPs), and cutting treatment costs. Results: Adventist reduced the number of high risk members seen by PCPs by 48 percent; decreased per-member per-month costs for pilot members by 35 percent; and reduced medical claims (excluding Rx) by 39 percent.

TOPIC ARE A

Financial and Accounting Operations and Results


• Understand the tools needed to aggregate, analyze, and make critical data elements available to improve health, increase efficiency, support physicians, and reduce costs

• Target the right populations with the right care inter-ventions and support

• Align with PCPs through resources, information and payment methodology

• Establish goals and measure outcomes

LEVEL

Overview


Familiarity with concepts of medical home, accountable care organizations, and self-insured benefit plans


Measurement tools

SPE AKERS

Erin O’Connor, Practice Leader, Cammack LaRhette Consulting; Gaurov Dayal, MD, Senior Vice President and Chief Medical Officer, Adventist HealthCare; James Lee, Executive Vice President/CFO, Adventist HealthCare; David Fontaine, Director, Managed Care, Adventist HealthCare

Apply Reliability Science to Improve Clinical Performance 1.5 CPEs

Learn a new process improvement methodology recently used at UCLA for enterprisewide, cross- continuum clinical performance improvement, as well as condition-specific clinical performance manage-ment systems. The methodology integrated previously fragmented analytic, project management, and care management functions; introduced new functions and competencies; and created a centralized analytics infrastructure with standardized tools for high performance.

TOPIC ARE A

Financial and Accounting Operations and Results


• Assess your organization’s readiness for clinical performance improvement

• Identify common features of high-performing organizations that may apply to your organization in developing this critical core competency

• Utilize effective new assessment tools and performance metrics

LEVEL

Overview


Knowledge of cross-functional healthcare teams and performance improvement initiatives


Readiness assessment tool, sample performance metrics, executive dashboard, specific condition level survey

SPE AKERS

George Sauter, Director, The Chartis Group; Michael Schwartz, Co-Founder, Biome Analytics, Inc.; Dawn Knight, Senior Vice President, Quality and Patient Safety, John Muir Health; Eric Saff, Chief Information Officer, John Muir Health



The Arizona Experience: Managing the Medicaid Managed Care Environment 1.5 CPEs

Learn how to structure a successful, comprehensive approach to Medicaid managed care, based on lessons learned from Arizona’s 20 years of experi-ence. This session details the critical factors hospitals need to understand to get paid and specific strategies and action steps to take at each phase of the revenue cycle to ensure appropriate payment outcomes are achieved.

TOPIC ARE A



• Effectively manage the complexities of a Medicaid managed care environment

• Develop a mission and strategy for managing Medicaid managed care

• Identify needs and considerations at each stage of the revenue cycle to ensure payment accuracy in a Medicaid managed care environment

• Avoid pitfalls in contracting processes and practices

LEVEL

Overview


Basic knowledge of managed care and contracting processes


Sample processes and practices from Arizona’s Medicaid managed care experience, including sample contracting language and a list of key considerations when choosing Medicaid managed care organization partners

SPE AKER

Connie Perez, CEO, Adreima

Cleveland Clinic Engages Physicians to Improve Outcomes Data and Financial Performance 1.5 CPEs

As healthcare reform increasingly aligns performance with financial incentives, Cleveland Clinic shares how to increase accuracy of quality outcomes data for higher performance ratings and optimizing reimburse-ment. By engaging physicians with automated tools and re-designed workflows for documentation, coding, and quality reporting, Cleveland Clinic improved severity of illness and mortality scores, addressed potential documentation problems prior to claims submission, and improved case mix by 5.87 percent.

TOPIC ARE A



• Analyze and assess the impact of complete and accurate clinical documentation on quality outcomes reporting, case mix, and financial performance

• Institute a workflow redesign that promotes complete documentation, abstracting, and coding of complica-tions, comorbidities, and patient severity concurrently while the patient is being treated

• Identify technology that enables concurrent capture of increased documentation specificity, including tools for the physician and for documentation specialists and coders

• Evaluate a process for validating the accuracy of outcomes reporting to federal and state agencies, payers, and other entities

LEVEL

Intermediate


Basic knowledge of coding and revenue cycle workflow


A ten-step process for aligning quality outcomes with financial performance and checklist of specific documentation issues and top DRGs that impact RAC compliance, documentation, and reimburse-ment under ICD-10

SPE AKERS

Lyman Sornberger, Executive Director, Revenue Cycle Management, Cleveland Clinic Health Systems; Sandeep Wadhwa, MD, Chief Medical Officer, 3M Health Information Systems

Texas Health Presbyterian Hospital: Revenue Cycle Workflow Redesign for Greater Efficiency 1.5 CPEs

Learn how Texas Health Presbyterian Hospital of Plano launched a successful corporate-wide strategic initiative of revenue cycle workflow redesign to standardize business practices across the enterprise and mitigate risk. Apply new tools and lessons learned to improve efficiency in your organization.

TOPIC ARE A



• Create a strategy to prevent avoidable process-related financial losses

• Implement a collaborative approach to drive performance improvement

• Describe predictive data analytics to segment self-pay accounts receivable, stratify, and simplify collections, reduce cost to collect, and comply with IRS Form 990 Schedule H

LEVEL

Overview


General knowledge of revenue cycle operations and processes


Sample dashboards and metrics, processes for using predictive data analytics, accountability and quality tracking tools

SPE AKER

James Logsdon, Vice President, Revenue Cycle Operations/Strategic Revenue Services, Texas Health Presbyterian Hospital of Plano

How to Incorporate Bundled Payment into Your Revenue Cycle 1.5 CPEs

Anticipate and overcome potential hurdles in implementing bundled or other alternative payment agreements through this review of alternative pay-ment models. This session will address the impact of bundled payment methodologies on current basic revenue cycle processes, technology challenges, and business office and payer relationships through a review of example models.

TOPIC ARE A



• Analyze how current market opportunities will affect existing processes and relationships

• Prepare and communicate effectively with contractors as you enter into agreements for alternative payment methodologies that will impact the revenue cycle

• Assess practical revenue cycle risks associated with alternative payment methodologies and learn how to mitigate them before implementation

• Understand specific limitations of some key managed care payers

LEVEL

Overview


General knowledge of revenue cycle operations and reimbursement methodologies


Revenue cycle alternative payment methodology implementation tools and flow charts

SPE AKER

Shannon Dauchot, Senior Vice President, Corporate Operations and Client Relations, Parallon Business Solutions (HCA)

HFMA.ORG/ANI 21

Merger & Acquisition Trends: Understanding Due Diligence and Legal Issues 1.5 CPEs

With healthcare mergers and acquisitions (M&A) at an all-time high, this session will explore M&A trends and key issues for healthcare leaders considering mergers and acquisitions involving hospitals, physician practices, and ancillary service providers. Learn about M&A volume, recent transaction prices, key legal issues, and important steps in the due diligence process from the perspectives of a purchaser and seller.

TOPIC ARE A



• Identify the drivers behind hospital M&A activity • Assess critical legal issues hospitals must address

in a transaction • Examine key due diligence steps a hospital should

consider when involved in a transaction

LEVEL

Update


General knowledge of M&A financing concepts


Finance


Sample due diligence checklists and information on recent market multiples

SPE AKER

Jon R. (Jay) Harris, Jr., Partner, King & Spalding

CHRISTUS Spohn Health System: How to Create a Strategic IT Budget Through CFO/CIO Partnership 1.5 CPEs

Seasoned healthcare executives share a process to create a comprehensive IT budget based on strategic initiatives and a strong CIO/CFO partnership. Learn about CHRISTUS’s budget oversight, which captures IT capital costs and results in clinical integration, asset growth, and cultural alignment.

TOPIC ARE A



• Discuss generally accepted IT structures and how they support IT planning, governance, and budgeting

• Assess multiple methods for IT strategic planning and project management

• Communicate the process for IT planning with all key stakeholders

LEVEL

Intermediate


Basic knowledge of IT requirements, governance models, and capital project planning


Priority list of major IT drivers facing healthcare in 2012 (focus on regulatory requirements), strategic IT governance and decision-making template, functional department-based IT value measurement dashboard, road maps, and project management tools for multiple initiatives

SPE AKERS

William Morgan, Senior Regional Information Management Executive, CHRISTUS Spohn Health System; Pamela Brower, FHFMA, CPA, CFO, CHRISTUS Spohn Health System

St. Vincent Health Improves Clinical Documentation Through Physician Education 1.5 CPEs

This session offers a how-to primer with best practices and lessons learned on improving medical staff clinical documentation. Review potential incentive models, effective training techniques, and a blueprint to optimize revenue capture.

TOPIC ARE A



• Overcome barriers to obtaining medical staff buy-in • Develop clinical documentation improvement (CDI)

incentive model performance targets • Lead effective CDI specialty meetings to address the

needs of both physicians and CDI specialists

LEVEL

Overview


General knowledge of revenue cycle operations and clinical documentation processes


Sample awareness tools and meeting agendas

SPE AKER

Ruth Cummins, RHIA, CCS, System Director, Revenue Cycle Operations, St. Vincent Health

Medicare 2012 Update 1.5 CPEs

This 2012 Medicare update includes mandated changes to the various prospective payment systems, potential issues resulting from recent debt ceiling actions, and changes required by the Affordable Care Act and other laws. This session prepares you for the latest legislative and regulatory changes under consideration by Congress and the Administration so you can budget more accurately, anticipate change for more effective operations, and implement cost controls.

TOPIC ARE A



• Identify the latest changes Congress and the Admin-istration are enacting or contemplating regarding Medicare payments

• Respond to the ever-changing payment environment with targeted strategic planning and more precise budgeting to minimize the impact on your organization

• Assess the impact of Medicare actions on other payers

LEVEL

Update


General knowledge of the payment environment


Tools to budget more accurately and track which pay-ment changes are being made, samples of documents to use during strategic plannings

SPE AKER

Larry Goldberg, Senior Advisor for Health Care Legislative & Regulatory Matters, Grant Thornton


TUESDAY • JUNE 26 • BREAKOUT SESSIONS 2:45 – 4:00 PM


Capital Access: What Investors Expect from Hospitals and Health Systems 1.5 CPEs

In this session, executives of a major bond fund, Wall Street syndicate desk, and commercial bank share their evaluation and decision-making processes as they weigh potential investments in your organization’s bond offering, direct bank loan, or other financing vehicle. Improve your organization’s access to capital, costs, and terms by better understanding investor expectations.

TOPIC ARE A



• Define the criteria used by investors to make investment decisions related to healthcare debt, including evidence of ability to compete in the new value-based delivery system, revenue, and utilization targets

• Identify specific investor expectations and evaluation metrics (e.g., capital structure , financial metrics, security provisions, communication requirements, and terms of the deal)

• Develop strategies to improve the success of your hospital or health system’s debt offerings in the capital markets

LEVEL

Overview


Knowledge of capital markets and investment vehicles


Metrics used by investors to evaluate investment opportunities, specific and preferred strategies for positioning, and marketing a loan or bond offering

SPE AKERS

Eric Jordahl, Managing Director, Kaufman, Hall & Associates, Inc. (moderator); executives from Citi, JP Morgan, and Franklin Fund (invited)


Using a Health Information Exchange to Create Patient-Centered Financials 1.5 CPEs

Learn how to overcome the complex analytical challenges to create patient-centered financials from a health information exchange. Learn a simple yet rigorous process for capturing clinical, operational, and financial metrics at the encounter, episode, and patient levels.

TOPIC ARE A



• Articulate the needs of your organization around interoperability, episode grouping, patient attribution, and other elements of fully integrated patient-centered financials

• Communicate the urgency of making substantial headway towards rigorous, interoperable information systems and patient-centered financial models to other leaders in your organization

• Identify specific opportunities where patient- centered financials will yield significant and demonstrable health system pay-offs

LEVEL

Intermediate


Basic knowledge of healthcare finance operations


Process tools for capturing clinical, operational, and financial metrics

SPE AKER

David Butz, PhD, Faculty, Ross School of Business, University of Michigan

Capacity to Grow: John C. Lincoln Health Network Increases Surgical Service Line Capacity for Access and Efficiency 1.5 CPEs

Learn how John C. Lincoln Health Network (JCL) overcame perioperative inefficiencies and underuti-lization at four surgery sites, including an increase in on-time first case starts by 45 percent at one surgery center and adding an additional 57 hours of weekly capacity at one hospital for a potential impact of $3.9 to $7.8 million in annual incremental margin. Speakers will share the transformational solutions JCL implemented, including leveraging historical data and physician preferences in computer modeling to optimize operating room capacity.

TOPIC ARE A



• Define the relationship between capacity, efficiencies, and the financial bottom line, especially when working to expand a service line and increase the organization’s ability to see more patients

• Increase accountability with a new governance structure that drives efficiencies

• Evaluate scenarios within your organization where increasing capacity can offer greater savings and profits, as well as improved patient access

LEVEL

Intermediate


Basic knowledge of hospital operations and healthcare finance concepts


Tools, technologies, processes, and governance strategies to improve OR efficiencies and the bottom line; example of dedicated governance structure for sustainable OR efficiency

SPE AKERS

Jeff Terry, Managing Principal, Clinical Operations, GE Healthcare Performance Solutions; Kim Hunsinger, Director, Continuous Improvement, John C. Lincoln Health Network

HFMA.ORG/ANI 23

Defining Value Metrics: Findings from Phase 2 of HFMA’s Value Project 1.5 CPEs

Providers and purchasers alike seek consistent, verifiable metrics that communicate the value of care in terms of both quality and price. Learn how payers and providers are collaborating on meaningful value metrics with this in-depth analysis of findings from HFMA’s Value Project on value metrics, including principles for costing and reporting on the financial implications of value improvements.

TOPIC ARE A



• Define the key components of meaningful value metrics

• Identify opportunities for collaboration between payers and providers

• Describe key findings of HFMA’s Value Project work on value metrics

LEVEL

Update


Basic knowledge of reimbursement strategies


A report defining essential value metrics for external and internal stakeholders, draft principles for costing and reporting on the financial implications of value improvements

SPE AKERS

Chad Mulvany, FHFMA, Technical Director, HFMA; Keith Moore, FHFMA, Chairman and CEO, McManis Consulting

Shands at The University of Florida Uses Population Analytics for Optimal Community Care Delivery Model 1.5 CPEs

In this session, learn how Shands at the University of Florida is using population analytics to better under-stand the care delivery preferences of its patients and to create community care models that address the unique medical and economic needs of its com-munity. Shands will share the results of its analytics study and how it is using the data to drive change with innovative community care programs, benefit activities, and financial assistance programs.

TOPIC ARE A



• Identify the data elements and process required to conduct a similar community care analytics study for your organization

• Understand the benefits to patients, the healthcare delivery system, and the community by analyzing the behavior, demographic, and financial make-up of your patient population

• Identify opportunities to improve your own care delivery model through community care analytics

LEVEL

Overview


General knowledge of reimbursement principles and service lines


Tools and methods to analyze the financial, demo-graphic, payer mix, diagnosis, and procedure-related data points of your patient population against service lines and care settings to determine how to treat patients better and more cost-effectively

SPE AKERS

Scott Hawig, Vice President, Finance, Shands Hospital at the University of Florida; James Bohnsack, Executive Vice President, TransUnion

MetroHealth System: Building a Centralized Scheduling Model to Improve Revenue Cycle Performance 1.5 CPEs

In 2010, MetroHealth launched its Contact (call) Center, which handles patient-related scheduling activities, physician referrals, and nurse triage services. On an annual basis, the Contact Center handles more than 1 million calls and schedules over 180,000 patient appointments for primary care clinics system-wide with ongoing expansion into specialty care services. Learn how MetroHealth is achieving its goal of increasing accessibility for patients and care providers through centralized scheduling, resulting in improvements in clinician productivity, clinic volumes, and patient satisfaction.

TOPIC ARE A



• Develop a conceptual framework of a centralized scheduling model

• Describe call center/centralized scheduling efficiencies • Identify the advantages and challenges of imple-

menting a centralized scheduling model • Create service level targets that directly impact no

show rates, continuity of care and patient satisfaction

LEVEL

Intermediate


Working knowledge of revenue cycle operations and work flows


Sample tools and decision trees to simplify the decision path for scheduling appointments, sample metrics for measuring contact center transactions and service levels

SPE AKER

Craig Richmond, CPA, Vice President-Revenue Cycle, MetroHealth; Stacy Harper, FHIA, CPC, Executive Director, Revenue Integrity, MetroHealth

The Effect of Lease Accounting Changes on Capital Decisions and Financial Reporting 1.5 CPEs

Gain insight into how the new standard for lease accounting will require organizational, reporting, and business strategy change to manage the dramatic impact on the financial profile of healthcare providers, particularly for healthcare systems that lease significant real estate and equipment. Learn how one system organized and quantified the impact of changes to lease accounting on its balance sheet and income statement; how it is preparing for change organizationally and for reporting purposes; and how it reconsidered its lease vs. own decision-making principles.

TOPIC ARE A



• Identify the basic technical aspects of the changes in lease accounting

• Assess the financial impact on your balance sheet and income statement

• Create strategies to address the financial consequences

• Organize new financial reporting protocols and system requirements

LEVEL

Update


Detailed knowledge of lease accounting principles and standards


Accounting


Examples of financial modeling for impact analysis, organizational structure, and process change

SPE AKERS

Mindy Berman, Managing Director, Jones Lang LaSalle; Brian Huggins, Senior Manager, PwC LLP




Assessing the Financial Impact of ICD-10 1.5 CPEs

Learn steps your hospital can take now to mitigate the cost impact of ICD-10 and 5010 changes, and prepare for potential changes in future reimbursement. Presenters will share a process for analyzing existing ICD-9 data to assess areas and service lines with the greatest exposure under ICD-10 to effectively prioritize impacted areas for process improvement and explain how to systematically improve clinical documentation to capture additional specificity for increased reimbursement under ICD-9 well in advance of October 1, 2013.

TOPIC ARE A



• Evaluate an approach for analyzing claims using current ICD-9 data translated under ICD-10

• Analyze potential areas of exposure by service line, MS-DRG, or ICD-9 codes and establish top priorities for attention

• Estimate the financial impact of ICD-10 in terms of both cost and reimbursement

• Identify steps for assessing and improving clinical documentation now, to ensure more accurate coding and reimbursement under ICD-9, thereby offsetting transition costs and risk to reimbursement under ICD-10

LEVEL

Overview


General understanding of coding and ICD-10 conversion requirements


Sample claims impact analysis, GEMs mapping and translation example

SPE AKERS

Wesley Smith, Vice President, Medical Center Finance and Revenue Cycle Operations, New York University Langone Medical Center; Terri McCubbin, RN, CUPR, CPC, CMC, Director, Acute Care Consulting Services, 3M Health Information Systems

Jackson Health: Billing Process Improvements and Electronic Billing Workflow 1.5 CPEs HFMA Peer Review® Program Session with The SSI Group, Inc.

Learn how automated daily balancing reporting helps to assess where improvements can be made to the billing cycle’s workflow. Jackson Health will show how it increased its clean claims rate and decreased Discharge Not Sent to Payer (DNSP) totals.

TOPIC ARE A

Peer Review


• Identify recurring errors based on daily balance reports to improve the billing process

• Use the full maintenance of all HIPAA, payer, and custom provider edits to reduce dedicated time from the IT department and the billing staff

• Identify how effective use of electronic billing workflow capabilities can increase internal controls

• Describe how billing systems can be integrated into hospital information systems

LEVEL

Overview


General knowledge of revenue cycle billing and workflows


A billing process that provides integration to the hospital information system, heat reports to improve overall efficiency

SPE AKERS

Charles Bearham, CPAM, Administrator of Revenue Cycle Services, Jackson Health; Doug Bilbrey, Executive Vice President, The SSI Group, Inc.


HFMA.ORG/ANI 25




• Best Practices for Completing a Community Health Needs Assessment (CHNA)

• Sentara Healthcare: Using Technology and Professional Services to Efficiently Manage Uncompensated Care HFMA Peer Review® Program Session with Emdeon



CERTIFICATION LOUNGE(current certified members only)7: 0 0 A M – 1 1 : 3 0 A M

FORUM NETWORKING LOUNGE (Forum members only)7: 0 0 A M – 1 1 : 3 0 A M



LUNCH AND LEARN1 1 : 3 0 A M – 1 : 3 0 P M

Winners of the MAP Award for High Performance in Revenue Cycle will present their organizations’ successful practices.

FEATURED SPEAKER SESSIONS1 : 4 5 P M – 3 : 0 0 P M

• Fitch Ratings’ James LeBuhn: Capital Market View of the Healthcare Industry


BREAKOUT SESSIONS3 :1 5 P M – 4 : 3 0 P M

ANNUAL CHAIR’S RECEPTION AND BANQUETReception 6 : 0 0 P M – 7: 0 0 P M

Banquet 7: 0 0 P M – 1 0 : 0 0 P M


Sponsored by:

WEDNESDAY KEYNOTE ADDRESS8 : 0 0 AM – 9:30 AM 1.0 CPE

KEVIN AND JACKIE FREIBERGBestselling authors of Nanovation: How a Little Car Can Teach the World to Think Big and experts in leadership and innovation

Leading Innovation in an Era of Uncertainty Kevin and Jackie Freiberg will show you how to create a culture where healthcare teams are hungry for change and inspired to find innovative ways to overcome health care’s challenges, from reduc-ing costs, to improving quality, to collaborating with new stakeholders. Join them as they share four proven innovation strategies for collaborating, thinking creatively, turning liabilities into assets, and finding ideas from beyond health care.

WEDNESDAY • JUNE 27 • OVERVIEW


Meadowlands Hospital and Medical Center Uses Automated Care Coordination to Increase Quality-Based Reimbursement and Transition to an ACO 1 CPE

Meadowlands Hospital and Medical Center (MHMC) is transitioning to a fully capitated account-able care organization (ACO). MHMC has already automated 60 to 80 percent of care coordination activities into existing workflow to reduce care coordination costs by 60 percent. By introducing coordinated care services and preventative health screenings, MHMC anticipates it will capture an additional $3,000 to $5,000 per physician per month in quality-based reimbursement opportunities.

TOPIC ARE A



• Prepare to configure a fully capitated accountable care organization, including structures for physician employment, incentives, and risk management

• Reduce risk by addressing HCAHPS patient survey issues that tie 30 percent of financial incentives to the patient experience

• List requirements for achieving National Committee for Quality Assurance level 2 and 3 recognition

• Utilize technology to streamline data collection, facilitate coordination of care, and provide a plat-form for provider-patient communication to support care planning and patient clinical compliance

LEVEL

Update


General knowledge of reimbursement principles and ACO requirements


Implementation guide for 360 care coordination

SPE AKER

Tom Gregorio, President and CEO, Meadowlands Hospital and Medical Center

Late-Breaking Policy and Strategy Session 1 CPE

Changes continue to come fast in health care. We’ve reserved this session for late-breaking information affecting your financial strategy. Visit hfma.org/ani for updated information.

Best Practices for Completing a Community Health Needs Assessment (CHNA) 1 CPE

Gain an understanding of the provisions related to the Community Health Needs Assessment (CHNA) requirements. Obtain a comprehensive methodology to conduct and document each of the CHNA require-ments within a 12- to 14-week timeline to protect your organization’s federal tax exempt status. Designed for financial managers with a role in tax reporting, this session will prepare you to meet requirements and deadlines.

TOPIC ARE A

Compliance/Legislative/Legal


• Understand the new CHNA requirements as they relate to the Affordable Care Act, including a step-by-step analysis of the IRS-published guidance describing provisions related to the CHNA requirements

• Learn how the CHNA requirements impact Form 990, Schedule H reporting

• Get an actionable work plan for project initiation, analysis, and assessment to draft a CHNA report and identify an implementation strategy

• Obtain best practices for completing a community health needs assessment in advance of the 2013 deadlines, no matter where you are in the implemen-tation process by June 2012

LEVEL

Overview


Knowledge of tax-exempt reporting requirements


Taxes


A comprehensive methodology to conduct and document the CHNA, including how to prepare the written report and implementation strategy within a 12- to 14-week timeline

SPE AKER

Gwen Spencer, JD, CPA, Partner, Exempt Organiza-tion Tax Services, National Tax Services, Healthcare Organizations, PwC

Sentara Healthcare: Using Technology and Professional Services to Efficiently Manage Uncompensated Care 1 CPEHFMA Peer Review® Program Session with Emdeon

Sentara decreased weekly eligibility-related denials by seven percent and reduced incorrect insurance denials by 16 percent, for a reduction of nearly $1 million in write-offs over five months. By improving eligibility benefits verification processes and accuracy, Sentara secured funding for $100 million in charges for 4,631 accounts, resulting in $30 million that would have otherwise been documented as uncompensated care.

TOPIC ARE A

Peer Review


• Assess the impact eligibility denials and uncompen-sated care have on your organization and the $39.1 billion impact on the industry as a whole

• Identify technology solutions and professional services you can use to increase efficiency and improve patient satisfaction through a comprehensive patient eligibility and enrollment strategy

• Apply lessons learned from this adaptable action plan

LEVEL

Overview


Basic knowledge of the revenue cycle and patient access processes


An adaptable blueprint to help your organization reduce bad debt and improve patient satisfaction

SPE AKERS

Andy Weddle, Vice President of Revenue Cycle, Sentara Healthcare; Ed Caldwell, Senior Vice President of Provider Services, Emdeon


WEDNESDAY • JUNE 27 • EARLY RISER SESSIONS 7:00 – 7:50 AM

HFMA.ORG/ANI 27

Legal Update: Maintaining Compliance During Times of Change 1.5 CPEs

Keep current on updates to legal provisions contained in the Affordable Care Act and their impact on your organization’s compliance programs.

TOPIC ARE A



• Identify the latest developments in antitrust, fraud and abuse, corporate responsibility, privacy, taxation, employment, credentialing, and other areas that are currently undergoing heightened legal scrutiny in healthcare organizations

• Implement strategies to assist with compliance in your organization

• Improve your working relationship with legal counsel

LEVEL

Update


Basic knowledge of healthcare finance and legal issues


Checklist of action steps for key compliance areas

SPE AKER

Joanne Judge, Esq., CPA, Partner, Stevens & Lee

Assigning a Community Benefit Rating: 30 Key Metrics 1.5 CPEs

This session defines 30 metrics that can be used to assess any hospital’s relative community benefit rating compared to local, regional, and national peers in a manner similar to bond ratings. These metrics fall into four categories: financial stewardship, community cost, quality of care, and community service.

TOPIC ARE A



• Identify the specific areas and metrics that determine a hospital’s overall community benefit/value rating

• Build a community benefit/value dashboard that can be used to communicate the relative value of the hospital in its community

• Calculate specific values for each of the 30 com-munity benefit/value metrics using data from hospital and public sources

LEVEL

Overview


Knowledge of community benefit ratings


Dashboard that can be used to convey information about the relative value of your hospital to the community

SPE AKER

William O. Cleverley, PhD, President, Cleverley and Associates

WEDNESDAY • JUNE 27 • BREAKOUT SESSIONS 10:00 – 11 :15 AM

Closing the CFO/CIO Gap for Competitive Advantage 1.5 CPEs

Work with your CIO to create a shared vision for how technology will help fulfill your organization’s strategic needs. Gain insight into how effective collaboration leads to accurate assessment and timely execution of IT opportunities for competitive organizational advantage.

TOPIC ARE A



• Apply new leadership tools and techniques to empower technology leadership and innovation in your organization

• Identify the role and responsibilities of the CFO-CIO partnership, as well as CIO issues to monitor and report to board members

• Understand and explain the role of cloud and mobile computing for healthcare professionals, as well as the reality of implementing enterprise resource planning

LEVEL

Intermediate


General knowledge of IT applications and their relationship to the healthcare finance function


Checklist of steps to create an effective and integrated CFO-CIO team

SPE AKER

Robert Plant, PhD, Associate Professor, School of Business Administration, University of Miami


Concord Hospital Develops Defensible Prices Without a Cost Accounting System 1.5 CPEs

This session offers a real world case study of how Concord Hospital developed unit costs to use in setting prices and managing profitability without the need for a cost accounting system. As a result, new prices have returned closer to unit cost-based prices to establish defensible prices and more accurately evaluate profitability for a significant measurable increase in net revenue.

TOPIC ARE A



• Explore the uses for unit cost development in establishing prices and managing profitability

• Recognize the importance of developing unit cost in a practical fashion for more effective management

• Differentiate the different types of costing method-ologies, RCC, RVU, and full cost accounting

• Recognize that RVU-based costing is a timely and cost efficient way to develop unit costs

LEVEL

Overview


Working knowledge of cost accounting and costing processes


Accounting


Step-by-step unit cost development instructions, sample reports, and worksheets for estimating specific hospital CDM unit costs, examples of how the derived unit costs can be used to develop cost-based and hybrid (cost and market) CDM prices

SPE AKERS

Rebecca Stodolak, COO, Panacea Healthcare Solutions, Inc.; Gregory Adams, FHFMA, President, Consulting Services, Panacea Healthcare Solutions, Inc.; Wendy Dumais, Director of Revenue Operations, Concord Hospital


Hackensack University Medical Center Uses Gainsharing to Promote Cost Containment 1.5 CPEs

Hackensack University Medical Center shares results from a 12-month pilot gainsharing plan in its outpatient surgical unit, including a 12 percent cost saving ($4200 per FTE); an increase in the unit’s patient satisfaction from the 83rd to 90th percentile; and shared savings from over $8 million in productivity and surgical supplies. Learn how to drive improvement in key performance metrics by implementing a process where teams own results and share in savings.

TOPIC ARE A



• Design, pilot, and use a gainsharing plan in order to improve customer care, cost containment, and efficiency in the current healthcare environment

• Identify and understand the importance of two key elements to a successful gainsharing plan: sharing a portion of performance improvement savings and a structured employee involvement system

• Develop and empower employee teams responsible for soliciting, evaluating, and implementing perfor-mance improvement ideas to deliver bottom line results

• Define do’s, don’ts and lessons learned in developing an effective gainsharing plan

LEVEL

Overview


General understanding of healthcare finance budgeting and financial reporting


Keys to successful gainsharing, checklist for developing an effective gainsharing plan, recommended communication and reporting tools

SPE AKERS

Robert Masternak, President, Masternak & Associates; Mike Camuso, Director of Compen-sation, Hackensack University Medical Center; Loni Garris, Administrative Director, Hackensack University Medical Center

Panel Discussion: How to Leverage Comparative Cost-Effectiveness to Improve Outcomes and Reduce Costs 1.5 CPEs

This multi-disciplinary panel of experts will explain the critical, yet little understood, distinctions between comparative effectiveness (CE) and the emerging methodology called comparative cost effectiveness (CCE), a critical decision-making tool to improve quality clinical outcomes while significantly reducing costs. Get actionable steps to optimize value at the facility level with CCE.

TOPIC ARE A



• Understand critical distinctions between comparative cost effectiveness and comparative effectiveness

• Explain how CCE serves as an effective management tool to assess total comparative head-to-head drug/device values and costs over an entire episode of patient care

• Assess how to leverage CCE as part of a facility’s participation in the Center for Medicare & Medicaid Innovation’s bundled payment initiative

• Communicate practical steps that facility management can take to increase CCE competencies aimed at improving outcomes and reducing costs

LEVEL

Overview


Familiarity with costing principles, process improvement, and performance measurement


CCE checklist for management, CCE implementation flow chart

SPE AKERS

Josh Feldstein, President and CEO, CAVA Center for Applied Value Analysis, Inc.; Thomas Lubotsky, FACHE, Vice President, Supply Chain and Clinical Resource Management, Advocate Health Care; Kevin Frick, PhD, Professor, Health Economics, Johns Hopkins Bloomberg School of Public Health

HFMA.ORG/ANI 29

BJC HealthCare Lowers Expenses and Controls Spending Through Supply Chain Payment Strategies 1.5 CPEs

BJC HealthCare offers new strategies to reduce operational expenses and improve business predict-ability with a case study on how small steps can drive big returns in streamlining business processes. Learn how to effectively address supply chain issues—the second largest operating expense for most healthcare organizations—to gain control over spending while capturing accurate data to meet meaningful use requirements for electronic health records.

TOPIC ARE A



• Use an accurate self-assessment to determine how your organization compares to best-in-class industry leaders

• Identify key business process improvement opportunities

• Define supply chain strategies that align with goals and budget

• Automate the revenue cycle through accounts payable

LEVEL

Overview


Knowledge of supply chain function within healthcare facilities


Strategies to identify process improvement opportunities

SPE AKERS

Nancy LeMaster, Vice President, Supply Chain Operations, BJC HealthCare; Matt Houston, Executive Director, Provider Product Portfolio, GHX

Christiana Care Health System and Cancer Treatment Centers of America: Launching a Bundled Payment Program 1.5 CPEs

Gain experience-based insights into the unique challenges of preparing for and launching a bundled price initiative. Presenters will explain industry drivers of bundled pricing; financial, organizational, and clinical prerequisites for success; common pitfalls; and the role of economic and clinical value in avoiding commoditization.

TOPIC ARE A



• Identify the financial and infrastructure requirements prerequisite to developing a bundled price

• Explain the use of economic and clinical value as a differentiator to avoid commoditization in a fixed-price healthcare delivery environment

• Outline common challenges and pitfalls in the development of a bundled price

• Understand how to develop bundled care offerings in areas as diverse as cardiology and oncology

LEVEL

Overview


Familiarity with initiatives designed to improve quality and lower costs; commitment to transformative change in care delivery


Baseline requirements and key processes to achieve success; tools to differentiate services based on value

SPE AKERS

Michael Abrams, Managing Partner, Numerof & Associates, Inc.; Thomas Corrigan, Senior Vice President, Finance, and CFO, Christiana Care Health System; Ben Seib, Assistant Vice President, Finance, Cancer Treatment Centers of America


CaroMont Family Medicine Implements a Patient-Centered Medical Home 1.5 CPEs

CaroMont Family Medicine offers physician and executive perspectives on preparing to care for 78 million baby boomers in an environment of declining reimbursement and higher regulatory costs. Learn how to achieve NCQA level three certification to implement an effective patient- centered medical home and the four filters (clinical quality, service quality, efficient processes for physician productivity, and operational and financial viability) to make it both sustainable and successful.

TOPIC ARE A



• Identify the factors affecting a sustainable patient-centered medical home

• Utilize an effective process to implement a sustainable patient-centered medical home model

• Describe a model for engaging physicians, executives, and support staff in implementing a successful patient-centered medical home

• Identify the four critical success filters that should drive every decision in a hospital-owned or independent medical practice setting

LEVEL

Overview


Familiarity with medical home concept and commitment to improving care delivery


”The Council Model” white paper on patient- centered medical home implementation readiness self-assessment

SPE AKERS

Marc Halley, President and CEO, The Halley Con-sulting Group, LLC; Brian Morton, Vice President, Interim Services, Halley Consulting Group; Randall Gehle, DO, Family Physician, CaroMont Family Medicine, McAdenville


UIMC Uses Performance Metrics to Improve Managed Care Revenue Cycle 1.5 CPEs

The University of Illinois at Chicago Medical Center (UIMC) staff will share results of the 2012 Chicago Managed Care Revenue Cycle Assessment, a study that examined the differences in managed care rev-enue cycle performance across participating hospitals in Chicago. Learn how UIMC used study findings to drive process and performance improvement for increases in net revenue and cash flow.

TOPIC ARE A



• Identify leading practice performance levels of at least six key revenue cycle performance indicators for providers across multiple managed care organizations

• Determine action steps you can use in your organization to benchmark managed care perfor-mance in your market

• Utilize performance metrics to improve relationships with managed care organizations

LEVEL

Update


Knowledge of revenue cycle activities


Managed care revenue cycle scorecard with per-formance thresholds for providers, hard copy of the original study (including parameters for data extraction, calculation methodology, and summary results)

SPE AKERS

Brian Sanderson, Managing Partner, Healthcare Services, Crowe Horwath LLP; Brett McMillan, Manager, Crowe Horwath LLP; Marc Devar, Director of Revenue Cycle, University of Illinois Medical Center


Adventist Health System: Achieving Price Transparency and Accurate Patient Estimates 1.5 CPEs HFMA Peer Review® Program Session with Financial Healthcare Systems, a wholly owned subsidiary of TransUnion Healthcare LLC

Price transparency and patient consumerism have evolved from industry buzzwords into cornerstones of healthcare reform. In this session, speakers from Adventist Health System will describe the process and cultural transformation required to provide credible and defensible patient estimates and accurately evaluate patients’ ability to pay.

TOPIC ARE A

Peer Review


• Create a culture of collections through education, scripting, and technology

• Develop processes and procedures to create meaningful patient estimates

• Formulate critical questions for vendors about pricing transparency and patient estimation

LEVEL

Basic


Patient estimate process checklist

SPE AKERS

Travis Gentry, President and COO, Financial Healthcare Systems, a wholly owned subsidiary of TransUnion Healthcare LLC; Kenneth Ursin, Corporate Director of Patient Financial Services, Adventist Health System; Kimberly Hurst, Manager, Patient Financial Services, Adventist Health System


Using Electronic Submission of Medical Documentation to Improve Revenue Cycle Performance 1.5 CPEs

Hear CMS and provider perspectives on solutions to minimize the administrative burdens of Medicare audits using the Electronic Submission of Medical Documen-tation (esMD) program, a CMS initiative designed to automate data transmission among providers and Medicare recovery auditors. The esMD program will enable healthcare providers to instantly send electronic health records to review contractors for a faster, more reliable, and less expensive audit process.

TOPIC ARE A



• Name best practices for shortening the revenue cycle for claims submission and gain greater visibility into the entire workflow process

• Identify how the esMD program can minimize administrative burdens on providers

• Improve the use of technology in your organiza-tion—whether small or large—to protect revenue and improve efficiency of your entire claims process

LEVEL

Overview


Familiarity with claims submission processes and intent to streamline workflow and identity efficiencies


How-to guide for submitting audit correspondence electronically, flow chart of the electronic audit management process

SPE AKERS

Melanie Combs-Dyer, Health Insurance Specialist, The Centers for Medicare and Medicaid; Tara Mondock, Vice President, Healthcare, IVANS, Inc.

HFMA.ORG/ANI 31

WEDNESDAY • JUNE 27 • LUNCH AND LEARN 11:30 AM – 1 :30 PM

MAP Award Winners: Creating a High-Performance Revenue Cycle 2 CPEs

Hospitals and health systems are facing increased pressure to significantly improve the customer service experience while simultaneously protecting financial resources. This session will highlight those hospitals that have achieved the 2012 MAP Award for High Performance in Revenue Cycle. Providers will discuss the revenue cycle metrics, characteristics, and approaches that drive the most value to their patients, physicians, and communities and provide insights into what strategies they employed to achieve this designation.

TOPIC ARE A



• Identify MAP Keys (KPIs) that provide high performance in revenue cycle operational efficiency, patient satisfaction, and financial stability

• Compare the relationship between these KPIs and a high-performing organization

• Evaluate successful practices and process improvements for your organization

• Examine how high performers leverage goals to influence positive outcomes

LEVEL

Intermediate


Working knowledge of revenue cycle operations


List of key performance indicators for revenue cycle efficiency and financial stability

SPE AKERS

Representatives of recipients of the MAP Award for High Performance in Revenue Cycle; moderated by Suzanne Lestina, FHFMA, CPC, Director, Revenue Cycle MAP, HFMA

WEDNESDAY • JUNE 27 • FEATURED SPEAKER SESSIONS 1:45 – 3:00 PM

WEDNESDAY • JUNE 27 • BREAKOUT SESSIONS 3:15 – 4:30 PM

Fitch Ratings’ James LeBuhn: Capital Market View of the Healthcare Industry 1.5 CPEs

Currently, the rating agencies hold a negative outlook on the healthcare sector due to economic pressures. How will the unfolding reforms and the drive for value affect healthcare organizations’ ability to access capital? James LeBuhn, Senior Director at Fitch Ratings, will review recent healthcare trends, Fitch’s outlook for the industry, and the impact on hospitals’ financial performance.

LEVEL

Update


General knowledge of capital market operations

SPE AKER

James LeBuhn, Senior Director, Health Care and Higher Education, Fitch Ratings

Gregory Meier, CPA and Dottie Bringle, RN: Tragedy in Joplin: A Hospital’s Response to a Deadly Tornado 1.5 CPEs

No industry should be better prepared to respond to a natural disaster than health care. But what happens when the hospital becomes a victim, too? Mercy’s Gregory Meier, Executive Director of Finance, and Dottie Bringle, COO and chief nursing officer, will share their remarkable story and lessons learned about disaster recovery after St. John’s Regional Medical Center in Joplin, Missouri, suffered a direct hit from a powerful tornado.

LEVEL

Overview


Basic knowledge of healthcare finance operations

SPE AKERS

Gregory Meier, CPA, Executive Director of Finance, Mercy; Dottie Bringle, RN, COO and Chief Nursing Officer, Mercy’s St. John’s Regional Medical Center

The Changing Landscape of Healthcare Reform: Legislative Challenges and Election Implications 1.5 CPEs

With the 2012 election season in full swing, uncertainty regarding the future of healthcare reform abounds. This session will help you navigate the unknowns with insights into progress in implementing the Affordable Care Act as well as implications of potential legislative and legal challenges.

TOPIC ARE A



• Understand key components of healthcare reform and potential implications of the 2012 elections

• Summarize key drivers of payment reform and the impact on both your organization and the healthcare industry

• Identify potential changes in healthcare reform based on recent and potential legislative and legal challenges

LEVEL

Update


Knowledge of healthcare reform concepts


Summary of health policy initiatives proposed by both parties and their implications for providers; reform implementation tips sheet

SPE AKER

Andrew Bressler, Managing Director, Bank of America



Creating Low-Cost Inpatient and Outpatient Encounters While Maintaining Quality 1.5 CPEs

Learn how to optimize margin in the face of declin-ing reimbursement with a succinct methodology to determine the magnitude of available cost savings, primary cost culprits, and actionable strategies to improve performance. Hospital case studies include a Septicemia $777 thousand cost reduction by shifting from ICU to routine nursing care units, rehabilitation savings of $624 thousand by reducing variation in physician length of stay, and $3 million in pharmacy cost savings.

TOPIC ARE A



• Simplify initial cost assessment through one primary performance metric

• Determine the key drivers for lower cost position and associated impact on quality

• Understand how appropriate action strategies can yield performance improvement

• Address concerns from team members about cost efficiency

LEVEL

Intermediate


General understanding of the relationships between cost and quality


Data from a national hospital study that describes cost relationships and low-cost hospital characteristics, specific metrics to assess and compare relative cost position across facilities after adjusting for intensity and cost-of-living differences, a methodology and structure to evaluate actionable areas of cost savings

SPE AKER

Jamie Cleverley, Principal, Cleverley + Associates

Spectrum Health Uses Patient Engagement to Improve Satisfaction and Financial Performance 1.5 CPEs

Spectrum Health shares its experience involving patients and their families to improve revenue cycle and clinical care delivery. This session highlights how they gained insight and feedback by including patients on revenue cycle and clinical performance improvement teams for greater financial performance, clinical quality, and overall satisfaction.

TOPIC ARE A



• Select patients who are best able to aid performance improvement

• Develop a culture that is conducive to involving patients

• Use patients effectively in performance improve-ment projects

LEVEL

Intermediate


General familiarity with healthcare finance and performance improvement initiatives


Ground rules for working with patients and criteria for selecting patients to involve in performance improvement projects

SPE AKERS

Joseph Fifer, FHFMA, CPA, Vice President, Hospital Finance, Spectrum Health Hospitals; Kris White, Vice President, Innovation and Patient Affairs, Spectrum Health

Ardent Health Saves $1.8 Million Managing Labor Costs & Liabilities 1.5 CPEs

Through implementation of a new vendor manage-ment system, Ardent Healthcare realized a savings of $1.8 million (7.1 percent) and greatly reduced litigation by better managing contract labor and operating expenses. This session will present a process for hospitals to implement vendor-neutral and fixed rate contracts with staffing agencies to dramatically reduce negotiation and tracking of individual contracts while improving compliance with survey entities (e.g., Joint Commision and CARF), maintaining appropriate staffing levels, and decreasing potential liability.

TOPIC ARE A



• Define criteria for choosing a vendor management system

• Standardize contracts, rates, terms, and conditions among agency vendors

• Manage credentials to decrease liability and increase quality of contract labor staff

• Create systematic and controllable contract labor procurement

LEVEL

Overview


Intermediate understanding of workforce regulations and outside agency contracting


Tips and checklist for choosing a vendor management system

SPE AKER

Stephen Forney, FHFMA, Divisional Vice President and CFO, Ardent Health Services

HFMA.ORG/ANI 33

Susquehanna Health Uses Balanced Scorecard to Benchmark Operational Performance 1.5 CPEs

Susquehanna Health used external benchmarks to improve performance in housekeeping/linen, food service, and the customer service center. This case study examines the process of benchmarking operations by creating appropriate peer groups, normalizing information for comparability, drilling down to departmental opportunities, and activating cost savings based on analysis.

TOPIC ARE A



• Implement benchmarking as a way to improve value • Demonstrate a top down analysis to examine labor

and non-labor opportunities • Drill down to departmental data to examine cost,

productivity, and utilization opportunities • Provide selected case studies to illustrate best

practices in process improvement and cost reduction

LEVEL

Overview


Basic knowledge of benchmarking and financial ratios


Thomson Reuters most recent overall benchmarks, reprint of a study on operational benchmarking in clinical technology services

SPE AKERS

Neil Armstrong, FACHE, Executive Vice President and COO, Susquehanna Health; Anthony Stanowski, FACHE, Vice President, Industry Relations, ARAMARK Healthcare; Phil Gaughan, Director of Operational Improvement, Thomson Reuters

Accounting and Auditing Update: New Requirements to Maintain Compliance 1.5 CPEs

This session provides an overview of new reporting requirements from various groups, including the American Institute of CPAs (AICPA), Financial Accounting Standards Board (FASB), and Govern-mental Accounting Standards Board (GASB).

TOPIC ARE A

Finance and Accounting Operations Results


• Identify current accounting and financial reporting requirements, including recent FASB and GASB actions

• Implement recommended changes to accounting practices to comply with these and other important requirements

• Describe other accounting standards updates applicable to healthcare entities

LEVEL

Update


Basic knowledge of healthcare financial accounting


Accounting


New reporting requirements from the American Institute of CPAs, recommendations from HFMA’s Principles and Practices Board

SPE AKER

Robert M. Valletta, FHFMA, CPA, Partner, PwC LLP


Finding Profitable Revenue Opportunities in Existing Service Lines 1.5 CPEs

Discover new ways to increase revenue from existing service lines in your organization. Through several hospital case studies, this session will demonstrate how to apply key metrics from other industries to healthcare to identify new revenue opportunities and avoid funding non-profitable strategies.

TOPIC ARE A



• Apply metrics from other industries to grow revenue in health care

• Develop and balance customer acquisition and retention strategies

• Integrate consumer and physician revenue strategies with existing billing data

LEVEL

Overview


Understanding of healthcare business development strategy


Revenue generation metrics from other industries applied to health care

SPE AKERS

Arthur Sturm, President and CEO, SRK, Inc.; Melanie Husk, VP Marketing, Baptist Health/Jacksonville


Operationalizing Performance-Based Reimbursement 1.5 CPEs

Learn clinical and financial alignment strategies to prepare now for October 2012, when Medicare moves to value-based purchasing, where acute inpatient care is reimbursed based on quality of services delivered. This session will address how to operationalize performance-based reimbursement with detailed information on bundled payment programs, budgets, and operational implications.

TOPIC ARE A



• Develop a plan for preparing and implementing performance-based reimbursement within your healthcare delivery system

• Negotiate and contract with payers for participation in performance-based reimbursement

• Identify the requirements for internal systems to monitor and manage performance-based reimbursement

LEVEL

Overview


Knowledge and experience with performance-based reimbursement programs


Checklist for preparation and implementation of performance-based reimbursement programs

SPE AKERS

Neil Pressman, President, Presscott Associates, Ltd.; David Gregory, Executive Vice President, Presscott Associates, Ltd.

Gwinnett Health System Improves Revenue Cycle Performance Through Culture of Accountability 1.5 CPEs

Gwinnett Health System (GHS) transformed its revenue cycle by aligning people, process, and technology through a culture of shared success and accountability. The results: GHS reduced days in accounts receivables (A/R) by seven days within six months, exceeded cash goals for six months, reduced aged A/R by 27 percent, and improved teamwork, cash collection, and employee satisfaction.

TOPIC ARE A



• Review revenue cycle processes to streamline and ensure exception-based work efforts

• Engage your entire revenue cycle management team in workflow redesign, team goal development, priority work efforts through exception-based tech-nology, and increasing accountability, transparency, and visibility within the revenue cycle

• Use both quality and quantity as effective productivity measures for performance improvement

• Use high level, transparent reporting to develop “Wildly Important Goals” that improve performance

LEVEL

Intermediate


Knowledge of revenue cycle processes and staff motivation techniques


Accountability and quality tracking tools, sample staff training and development plan, tools to use Wildly Important Goals within the revenue cycle

SPE AKERS

Christine Fontaine, CHFP, Vice President, Revenue Cycle Services, Ingenix; Cynamin Kinard, Director of Patient Financial Services, Gwinnett Hospital System

Beyond Wellness: Baptist Birmingham Saves $1.6 Million in Employee Health Costs 1.5 CPEs

Baptist Health System of Birmingham, Ala., imple-mented a worksite health initiative that realized a savings of $1.6 million in just two years while decreas-ing workers’ compensation reserves by $1 million, increasing productivity, and reducing absenteeism. The program also reduced employee tobacco use, high cholesterol levels, and hypertension to create a culture of healthier habits.

TOPIC ARE A



• Determine the health-related costs of your workforce, including claims, workers compensation, absenteeism and productivity

• Evaluate and recommend worksite health solutions for your organization

• Engage your workforce to participate • Measure the ROI of a formal workforce health

initiative

LEVEL

Intermediate


Knowledge of how employee healthcare expenses can impact the overall budget


Baptist Health System of Birmingham case study, employee wellness profile checklist

SPE AKER

Alan Bradford, Chief Human Resource Officer, Baptist Health System


HFMA.ORG/ANI 35


Summit Medical Group: Advanced Strategies for Troubleshooting the Employed Physician Revenue Cycle 1.5 CPEs

Learn how to diagnose complex problems in the physician revenue cycle to design and implement effective solutions using key performance metrics and data analysis to solve process problems. Summit Medical Group exceeded performance indicators for an additional $11 million in net revenue in 12 months and reduced cost of collections by over three percent for the group.

TOPIC ARE A



• Describe the framework and key drivers of the physician practice revenue cycle

• Track the financial performance of an employed physician practice using key metrics

• Use data analysis to identify performance problems and design process solutions

• Negotiate accountable care reimbursement opportunities with payers

LEVEL

Advanced


Familiarity with medical practice operations and reimbursement; initial experience with the require-ments of running an employed physician organization


Sample monthly performance reports for medical practice productivity, charge capture, billing, collections, accounts receivable, revenue and expenses; tool for analyzing payer contracts and identifying contracting opportunities

SPE AKERS

Daniel Marino, President and CEO, Health Directions, LLC; Michael Dugan, Director of Business Operations, Summit Medical Group

St. Joseph’s of Atlanta Uses Documentation to Overturn Denials and Ensure Managed Care Compliance 1.5 CPEs

Saint Josephs Hospital of Atlanta (SJHA) used docu-mentation of revenue cycle activity to overturn more than 100 claims that would have been denied without concrete proof of prior authorization. The result: recovery of nearly $200,000 in cash collections. SJHA leverages digitized and stored documents to prove the hospital has followed payer guidelines and to underscore the cost of administrative burdens when negotiating managed care contracts.

TOPIC ARE A



• Evaluate opportunities and methods for documenting activity on the business side of patient care

• Consider strategies to leverage documentation for increased reimbursement

• Discuss how a central repository for revenue cycle activity can improve workflow between departments

• Identify opportunities to improve quality and compliance by monitoring records of revenue cycle activity and establishing metrics as key performance indicators

LEVEL

Intermediate


Knowledge of the importance of appropriate documentation for optimizing reimbursement


Process to create an electronic health record for the revenue cycle; step-by-step instructions for documenting revenue cycle activity; checklist of communication opportunities to increase reimburse-ment, streamline workflow, and improve satisfaction

SPE AKER

Rebecca Black, FHFMA, CPA, Vice President, Revenue Cycle, Saint Joseph’s Hospital of Atlanta, Catholic Health East


FOUR WAYS TO REGISTER• By Internet: Complete online registration

at hfma.org/ani

• By Phone: (866) 229–3691

• By Mail: HFMA Registration; PO Box 4088; Frederick, MD 21705

• By Fax: (301) 694–5124

General ANI Questions? Call our Member Services Center at (800) 252-4362, extension 2.

MAKE YOUR RESERVATIONS EARLYWhen you register online at hfma.org/ani, you now have the option to select and reserve your hotel. Or you can contact the HFMA Housing Bureau at (301) 694-5243 or (866) 229-3691 to book at any of the Conference Hotels:

Mandalay Bay Resort and Convention Center $149 Sunday-Thursday $189 Friday-Saturday single/double occupancy

THE Hotel $219 all nights single/double occupancy

LUXOR $69 Sunday-Thursday $109 Friday-Saturday single/double occupancy


REGISTER EARLYPlease submit your registration early in order to allow ample processing time. You will receive an e-mail confirmation as soon as the registration process is completed. Any registrant who has not received an e-mailed confirmation should call HFMA’s ANI Registration Center at (866) 229–3691, to confirm that the registration has been received.

IF YOU HAVE TO CANCELA refund of the registration fee (less a $50 processing fee) will be granted if cancellation is received at least 10 days prior to the event date. Subsequent cancellations received before the date of the program may be issued an HFMA National credit certificate, good toward any future HFMA National educational programs or select products. Substitutions are permitted. Cancellations must be submitted in writing by fax to (708) 531-0665 or by mail.

OUR IRONCLAD GUARANTEEHFMA stands behind the quality of our program-ming; therefore, if you are not satisfied, we will gladly refund your money or provide you with a credit certificate toward any future HFMA National educational programs or select products. Contact HFMA directly at: Three Westbrook Corporate Center, Suite 600, Westchester, IL 60154, Attn: Professional Development, or call (800) 252-4362. Please provide HFMA with your comments within two weeks of the program.

FUTURE ANIsANI 2013 June 16–19, Orlando, FL

ANI 2014June 22–25, Las Vegas, NV

CPE INFORMATIONTotal CPE hours for Early Riser Sessions, Breakout Sessions, and Keynote Addresses: 20

See individual descriptions of Preconference Seminars and Preconference Workshops for CPE hours.

Prerequisites/pre-work not required unless otherwise noted under individual session description.

The CPE Field of Study for sessions is Specialized Knowledge and Applications, unless otherwise indicated in each specific description.

Instructional Method: Group Live

The Healthcare Financial Management Association Educational Foundation is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be addressed to the National Registry of CPE Sponsors, 150 Fourth Avenue North, Suite 700, Nashville, TN, 37219-2417. Web site: www.nasba.org

HFMA is authorized to award pre-approved Category II (non-ACHE) continuing education credits.

What You Need to Know

Don’t Miss these Fun ANI Activities

SUNDAY, JUNE 24ANI Opening Reception in the Mandalay Bay Bayside Foyer

Post-Welcome Reception at House of Blues

MONDAY, JUNE 25Ultimate Vegas Party at Eye Candy Nightclub

WEDNESDAY, JUNE 27Annual Chair’s Reception and Banquet

SUNDAY • JUNE 24

7:00 AM – 2:00 PM Golf Outing

8:00 AM – 5:00 PM Preconference Full Day Seminars • Exclusive seminar for provider leaders:

Value-Based Leadership: People and Culture (P CS1) • Medicare Cost Reporting for Optimal Reimbursement (P CS2) • Get Exam-Ready: HFMA Certification Candidate Practicum (P CS3)

8:00 – 11:30 AM Preconference Morning Workshops • Buy-In, Accountability, and Metrics: Lead Your Revenue Cycle Team to Success (PCW1) • Integrating MAP Peer Comparison Data into your Organization to Set Realistic

Performance Targets (PCW2) • Getting Buy-In: How to Engage Medical Staff in Effective Financial

Decision-Making (PCW3) • Lessons Learned: Best Practices for Designing Accountable Care Financial

Systems (PCW4) • Sustain Breakthrough Improvement and Cultural Change with Six Sigma and

Lean Principles (PCW5)

1:00 – 4:30 PM Preconference Afternoon Workshops • Get Best Practices: Cost Accounting for the Quality-Driven Reimbursement Era (PCW6) • How to Successfully Navigate the ICD-10 Transition (PCW7) • Bethesda Memorial Hospital Optimizes Revenue Cycle with Lean Sigma (PCW8) • Increasing Patient Collections: New Tools to Boost Employee Morale and Patient

Satisfaction (PCW9) • Novant Health: Strategies to Survive—and Thrive—During a System Conversion (PCW10)

4:30 – 5:00 PM First Timers Get-Acquainted Session

5:00 – 6:15 PM Keynote Speaker Carl Lewis: Going the Distance

6:15 PM Opening Reception

7:45 – 10:45 PM Post-Welcome Reception at the House of Blues

MONDAY • JUNE 25

7:00 - 7:50 AM Early Riser Sessions • “Future-Proofing” Through Accountability, Quality Improvement, and Patient Safety • Boca Raton Regional: Website Transformation Increases Point-of-Service

Collections by 14 Percent • Survival Strategies for Critical Access Hospitals under Healthcare Reform • Exploring Strategic Alternatives in an Era of Mergers and Acquisitions and

Private Equity

8:00 – 9:30 AM Keynote Speaker Chesley B. (Sully) Sullenberger III: Passion for Excellence

10:00 – 11:15 AM Updates, Legal Trends, and Compliance • Legislative and Regulatory Success Strategies for Rural PPS and Critical

Access Hospitals • How to Minimize Organizational Risk in Physician Employment and

Acquisition TransactionsFinancial Management: CFO Strategies • To Partner or Not? A Panel Debates Strategic Options in the Consolidating

Healthcare Industry • An Executive Event: Meet Chesley B. (Sully) Sullenberger III (A04)

(This session is available only to senior-level executives in a provider setting. Preregistration is required.)

• How to Transition to Value-Based Care: Case Studies from Phase 2 of HFMA’s Value Project

Finance and Accounting Operations and Results • Create a High-Performance Cost Accounting Strategy: Tips, Tools, and Answers

from Experts • Overview of the 2012 AICPA Healthcare Audit and Accounting Guide Managed Care/Payment/Reimbursement Strategies • Current Issues in Managed Care Contracting • Partner with Payers for Product Line Growth: An Oregon Health & Science

University Case StudyPFS/Revenue Cycle/Patient Access • Vanguard Health System: How to Implement a Best Practice Denials

Management Program HFMA Peer Review ® Program Session* with Executive Health Resources

• University Medical Center Uses Revenue Integrity Culture to Improve Revenue and Payer Mix

• ICD-10 Readiness: Provider Panel Shares Lessons Learned, Costs, and Risks

2:45 – 4:00 PM Featured Speaker Sessions • Kaiser Permanente’s CEO George Halvorson: Innovations in Providing

High-Quality, Cost-Effective Health Care



7:00 – 10:00 PM Ultimate Vegas Party at Eye Candy Nightclub

TU ESDAY • J U N E 2 6

7:00 – 7:50 AM Early Riser Sessions • Cost Report Forms 2552-10: Identifying Opportunities and Threats for Critical

Access Facilities • SSM Health Care St. Louis: Strategic Responses to Medicare Reimbursement Changes • St. Joseph’s Healthcare Uses RAC Data Mining to Improve Net Revenue

HFMA Peer Review ® Program Session* with CBIZ KA Consulting Services, LLC • WellSpan Health: Centralize Front-End Functions to Reduce Denials and Improve

Staffing Efficiencies

8:00 – 9:30 AM Keynote Speaker David Walker: Comeback America: Turning the Country Around and Restoring Fiscal Responsibility

10:00 – 11:15 AM Updates, Legal Trends, and Compliance • Keep Current: New HIPAA Provider Audit Program for CMS • Medicare Audit and Appeals: Practical Advice for RAC, ZPIC, and MAC AuditsFinancial Management: CFO Strategies • Expert Panel on Merger and Acquisition Trends in the Era of Healthcare Reform • King’s Daughters Medical Center: Reducing Cost Through Clinical RedesignFinance and Accounting Operations and Results • Doylestown Hospital: How to Align Investment Portfolio Decisions

with Corporate Goals HFMA Peer Review ® Program Session* with SEI

• Adventist HealthCare Improves Employee Health and Achieves ROI with Medical Home Model

• Apply Reliability Science to Improve Clinical PerformanceManaged Care/Payment/Reimbursement Strategies • The Arizona Experience: Managing the Medicaid Managed Care Environment • Cleveland Clinic Engages Physicians to Improve Outcomes Data and

Financial PerformancePFS/Revenue Cycle/Patient Access • Texas Health Presbyterian Hospital: Revenue Cycle Workflow Redesign for

Greater Efficiency • How to Incorporate Bundled Payment into Your Revenue Cycle • St. Vincent Health Improves Clinical Documentation Through Physician Education

2:45 – 4:00 PM Updates, Legal Trends, and Compliance • Medicare 2012 Update • Merger & Acquisition Trends: Understanding Due Diligence and Legal IssuesFinancial Management: CFO Strategies • CHRISTUS Spohn Health System: How to Create a Strategic IT Budget Through

CFO/CIO Partnership • Capital Access: What Investors Expect from Hospitals and Health SystemsFinance and Accounting Operations and Results • Using a Health Information Exchange to Create Patient-Centered Financials • Capacity to Grow: John C. Lincoln Health Network Increases Surgical Service Line

Capacity to Increase Access and Efficiency • The Effect of Lease Accounting Changes on Capital Decisions and

Financial ReportingManaged Care/Payment/Reimbursement Strategies • Defining Value Metrics: Findings from Phase 2 of HFMA’s Value Project • Shands at the University of Florida Uses Population Analytics for Optimal

Community Care Delivery ModelPFS/Revenue Cycle/Patient Access • MetroHealth System: Building a Centralized Scheduling Model to Improve

Revenue Cycle Performance • Assessing the Financial Impact of ICD-10 • Jackson Health: Billing Process Improvements and Electronic Billing Workflow

HFMA Peer Review ® Program Session* with The SSI Group, Inc.

6:30 – 10:00 PM Chapter Presidents’ Dinner and Awards (Invitation Only)

WED N ESDAY • J U N E 27

7:00 – 7:50 AM Early Riser Sessions • Best Practices for Completing a Community Health Needs Assessment • Sentara Healthcare: Using Technology and Professional Services to Efficiently

Manage Uncompensated Care HFMA Peer Review ® Program Session* with Emdeon



8:00 – 9:30 AM Keynote Speakers Kevin & Jackie Freiberg: Leading Innovation in an Era of Uncertainty

10:00 - 11:15 AM Updates, Legal Trends, and Compliance • Legal Update: Maintaining Compliance During Times of Change • Assigning a Community Benefit Rating: 30 Key MetricsFinancial Management: CFO Strategies • Closing the CFO/CIO Gap for Competitive Advantage • Panel Discussion: How to Leverage Comparative Cost-Effectiveness to Improve

Outcomes and Reduce Costs • Hackensack University Medical Center Uses Gainsharing to Promote

Cost ContainmentFinance and Accounting Operations and Results • Concord Hospital Develops Defensible Prices Without a Cost Accounting System • BJC HealthCare Lowers Expenses and Controls Spending Through Supply Chain

Payment Strategies • Christiana Care Health System and Cancer Treatment Centers of America:

Launching a Bundled Payment Program • CaroMont Family Medicine Implements a Patient-Centered Medical HomePFS/Revenue Cycle/Patient Access • Adventist Health System: Achieving Price Transparency and Accurate

Patient Estimates HFMA Peer Review ® Program Session* with Financial Healthcare Systems, a wholly owned subsidiary of TransUnion Healthcare LLC

• Using Electronic Submission of Medical Documentation to Increase Revenue Cycle Performance

• UIMC Uses Performance Metrics to Improve Managed Care Revenue Cycle

11:30 AM – 1:30 PM Lunch and Learn MAP Award Winners—Creating a High-Performance Revenue Cycle

1:45 – 3:00 PM Featured Speaker Sessions • Fitch Ratings’ James LeBuhn: Capital Market View of the Healthcare Industry


3:15 – 4:30 PM Updates, Legal Trends, and Compliance • The Changing Landscape of Healthcare Reform: Legislative Challenges and

Election ImplicationsFinancial Management: CFO Strategies • Ardent Health Saves $1.8 Million Managing Labor Costs & Liabilities • Spectrum Health Uses Patient Engagement to Improve Satisfaction and

Financial Performance • Creating Low-Cost Inpatient and Outpatient Encounters While Maintaining QualityFinance and Accounting Operations and Results • Susquehanna Health Uses Balanced Scorecard to Benchmark

Operational Performance • Accounting and Auditing Update: New Requirements to Maintain Compliance• Finding Profitable Revenue Opportunities in Existing Service Lines Managed Care/Payment/Reimbursement Strategies• Operationalizing Performance-Based Reimbursement• Beyond Wellness: Baptist Birmingham Saves $1.6 Million in Employee Health CostsPFS/Revenue Cycle/Patient Access• Gwinnett Health System Improves Revenue Cycle Performance Through Culture

of Accountability• Summit Medical Group: Advanced Strategies for Troubleshooting the Employed

Physician Revenue Cycle• St. Joseph’s of Atlanta Uses Documentation to Overturn Denials and Ensure

Managed Care Compliance

6:00 PM Annual Chair’s Reception and Banquet

CERTI FI C ATI O N E X AMS

MONDAY, JUNE 25 1:00 – 5:00 PM


E XH I B IT HALL

MONDAY, JUNE 25 11:15 AM – 2:30 PM (Exhibit Hall Lunch) 4:00 PM – 6:00 PM (Exhibit Hall Reception)

TUESDAY, JUNE 26 11:15 AM – 2:30 PM (Exhibit Hall Lunch) 4:00 PM – 6:00 PM (Exhibit Hall Reception)

FO RU M N ET WO RKI N G LO U N GE

SUNDAY, JUNE 24 2:00 PM – 6:00 PM

MONDAY, JUNE 25 7:00 AM – 4:30 PM

TUESDAY, JUNE 26 7:00 AM – 4:30 PM

WEDNESDAY, JUNE 27 7:00 AM – 11:30 AM

Members of HFMA’s four Forums – CFO, Legal & Regulatory, Payment & Reimburse-ment, and Revenue Cycle – can exchange ideas with their Forum peers. A complimentary breakfast, soft drinks, and coffee will be available throughout ANI.

* HFMA Peer Review® Program Session are CPE-eligible sessions featuring an application of an HFMA Peer Reviewed product or service. Vendors and providers will co-present. For more information on HFMA’s Peer Review, visit hfma.org/peerreview.

register

early and save

hfma.org/ani

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HFMA’s ANI Registration

QUESTIONS? CALL : (800) 252–4362, extension 2

save Register between March 1 and May 24, 2012 Take $100 off the total conference registration rate. >>BADGE INFORMATION (please print clearly)

Member # (optional) Non-Member

F I R S T N A M E / M I D D L E I N I T I A L / L A S T N A M E

J O B T I T L E E M P LOY E R

T E L E P H O N E M O B I L E P H O N E

Nickname for badge

A D D R E S S ( N O P.O . B OX E S P L E A S E ) This is my: B U S I N E S S H O M E

C I T Y / S TAT E / Z I P CO D E

E- M A I L A D D R E S S / A LT E R N AT E E- M A I L A D D R E S S

S O U R C E C O D E : 2 A N I 2 0 1 2

SELECT YOUR PROGR AM PACK AGE

M E M B E R N O N - M E M B E R *

Conference $1,035 $1,210 Includes all receptions; keynote addresses; breakout sessions M-W; all lunches; Wednesday’s Chair’s Banquet; and M-Tu Exhibit Hall sessions.

Preconference Seminar / 2 Workshops $ 650 $ 750 Includes Sunday lunch.

One Preconference Workshop $ 385 $ 435 Does not include Sunday lunch.

Single-Day Conference $ 650 $ 750 Includes lunch and two Exhibit Hall sessions.

M O N DAY T U E S DAY W E D N E S DAY

* If you are new to HFMA, this registration includes an HFMA membership. N O T H A N K S .

Additional tickets

Sunday Opening Reception tickets @ $65 $ Annual Chair’s Banquet tickets @ $95 $ Exhibit Hall sessions tickets @ $35 $

M O N . LU N C H M O N . R E C E P T I O N T U E S . LU N C H T U E S . R E C E P T I O N

Note: A separate ticket is required to attend each of the four Exhibit Hall sessions.

Additional events

Check below to register for these events.

Sunday Golf Outing P R OV I D E R (CO M P L I M E N TA RY ) V E N D O R ( $ 3 9 5 )

Executive Session (A04) with Chesley B. (Sully) Sullenberger III C H EC K I F I N T E R E S T E D. L I M I T E D TO S E N I O R- L E V E L E X E C U T I V E S I N A

P R OV I D E R S E T T I N G . S E AT I N G L I M I T E D.

CERTIFICATION EVENTS

Certification Exam Registration Registration for the certification exam on June 25th is separate from ANI registration and must be completed prior to ANI. You can register at hfma.org/certification. The exam fee ($395) is paid online upon registration.

TOTAL YOUR FEES

TOTAL $ Check enclosed (payable to HFMA Educational Foundation) Charge my: V I S A M A S T E R C A R D A M E R I C A N E X P R E S S D I S COV E R

C A R D N U M B E R E X P I R AT I O N DAT E C A R D H O L D E R ’ S N A M E C A R D H O L D E R ’ S S I G N AT U R E

PRECONFERENCE COURSE SELECTION S U N DAY S U N DAY S U N DAY ( P C S ) 8 A M – 5 P M ( P C W ) 8 A M – 1 1 : 3 0A M ( P C W ) 1 P M – 4 : 3 0 P M

Choice

RETURN THIS FORM

By Mail: HFMA Registration; PO Box 4088; Frederick, MD 21705 By Internet: Complete online registration at hfma.org/ani By Fax: (301) 694–5124 By Phone: (866) 229–3691

Please check if you require any special accessibility or accommodations, and a member of the HFMA staff will contact you after receiving your registration.

6

T O D AY


Do it again.




HFMA’S 2 0 12 ANI

ADVISORY COMMITTEE









Chicago, IL


HOTEL INFORMATION





LUXOR




sunday7: 4 5 P M – 1 0 : 4 5 P M


monday7: 0 0 P M – 1 0 : 0 0 P M


wednesday6 : 0 0 P M – 1 0 : 0 0 P M



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