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Agenda

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  • Tuesday, March 21, 2017
  •  
    10:00 AM  -  4:30 PM
    Golf Tournament and 19th Hole Reception
    Speakers:
    Fee  Optional 
    5:00 PM  -  6:00 PM
    Session 1: Kickoff Keynote Address - National HFMA Update
    The purpose of the session is to provide all members with a National HFMA update.
    Speakers:
     Optional 
    6:00 PM  -  7:00 PM
    Networking Reception
    7:00 PM  -  9:00 PM
    Region 5 Past President's Dinner

    This is an "Invitation Only" event exclusively for Past President's of Region 5.  Details to follow.

    Graciously sponsored by AppRev

     Optional 
    7:00 PM  -  9:00 PM
    SOLD OUT: Dinner with Strangers

    Region 5 Presents the Ultimate Networking Event!

    You won’t know which attendees you’ll be dining with until an hour prior to dinner time. Join the fun and sign up today. Limited seats available!

    1. You will be charged $30 that is applied towards your dinner.  If registration is full, you will be placed on a waiting list and not charged unless a space opens up.

    2. A reminder will be sent by February 28th to confirm your attendance.  If you will not be able to attend, please tell us ASAP.

    3.  Participants will meet at the hotel at 7:00 pm  and take a short walk or cab to their restaurant.

    4. Each group will include 8 “strangers”, with no two individuals from the same company and at least one individual from a provider in each group. Each group will be assigned a different restaurant.

    5. Each participant is responsible for the cost of their own meal over the $30 (including beverages, tax, gratuities and cab fare, if applicable). Dinner prices range from $15-35+.

    DO be a Stranger! Sign Up Today!

    Fee  Optional  Closed 
    9:45 PM  -  11:00 PM
    SOLD OUT: From Stranger to Danger

    Join your fellow HFMA Region 5 Dixie attendees for a haunted ghost tour of Savannah - if you dare. Meet us in Lafayette Square no later than 9:45pm after Dinner with Strangers. All are welcome. Please sign-up so we can get a headcount.

    StrangertoDanger

     Optional  Closed 
  • Wednesday, March 22, 2017
  •  
    6:00 AM  -  7:00 AM
    Thrive@Region 5k Fun Run

    Join your HFMA Region 5 Institute attendees for an early morning 5k run.

     There is no registration fee for the run but we do ask that you indicate your plan to run so we have an accurate count to ensure the water station is sufficiently stocked. Please also include your t-shirt and shoe sizes for a participation souvenir. Check out our Networking page for more information.

     Optional 
    7:00 AM  -  8:00 AM
    Continental Breakfast
     Optional 
    8:00 AM  -  9:00 AM
    Session 2: Telemedicine - Using Communication Technologies to Enhance Access to Healthcare
    Telemedicine-the remote delivery of healthcare services and information-can help address cost and access issues while improving the quality of healthcare in a variety of contexts. Telemedicine continues to evolve through the use of the latest communication technologies. In many cases, it improves access to high-quality healthcare at a significant cost savings for patients and providers.
    Speakers:
     Optional 
    9:15 AM  -  10:05 AM
    Session 3: Managing Revenue Yield through Commercial Payment Assessment
    Hospitals continue to battle with determining how to manage revenue in a changing payment environment. Payment reform and emerging competition have led hospital executives to examine current and proposed reimbursement terms. This session will evaluate the payment pressures hospitals are experiencing, as well as, the challenges and opportunities that exist in making changes. National and case study information will be presented to illustrate the key objectives, as follows: 1) Discuss the factors that are contributing to hospital payment pressure2) Discuss commercial contract strategies to help hospitals manage revenue goals3) Demonstrate how radical payment variances can result from small contract changes or differences in language interpretation4) Explain the key components of managing payment effectively
    Speakers:
     Optional 
    9:15 AM  -  10:05 AM
    Session 4: Transition to Value-Based Care
    This session will focus on the continued movement towards value-based reimbursement, bundled payment models and population health management. We will discuss legal and regulatory considerations related to such payment models; the latest in value-based reimbursement models (what is working, what is not); and how to navigate existing fraud and abuse and antitrust laws in considering partnerships between and among physician groups and hospitals related to these initiatives. We will also discuss operational considerations with embracing alternative payment methodologies, including (i) group decision dynamics for participation, (ii) engaging physicians and patient care staff in changing care models for improved patient clinical and cost outcomes, and (iii) communicating within the group about program successes and improvement opportunities. Finally, we will discuss the importance of appropriately using data to drive relationships with post-acute care partners, communicating throughout the community about patient care protocols and getting best care results for value, and the need for balancing current initiatives with the ongoing assessment for new opportunities.
     Optional 
    9:15 AM  -  10:05 AM
    Session 5: Managing Your Career in the Age of Uncertainty
    In today’s healthcare job market, financial executives must stand out in favorable ways to grab the attention of hiring companies and advance their careers. In this presentation, J. Larry Tyler, FACHE, FHFMA, CMPE, “one of the top 100 most influential headhunters in the world,” as named by BusinessWeek, discusses the roadblocks and opportunities financial executives have in the current healthcare marketplace. Author of Tyler’s Guide: The Healthcare Executive’s Job Search, Mr. Tyler also will walk attendees through the most important facets of job-change process. These include getting motivated, crafting resumes, drafting cover letters, using the Internet in a job search, networking and interviewing. He also shares insight on how to implement a personal marketing plan, complete with effective components, that gets one noticed.
    Speakers:
     Optional 
    10:20 AM  -  12:00 PM
    Session 6: Post-Acute Panel
    The Post-Acute Panel will review current trends and issues within the Skilled Nursing, Home Health, and Hospice settings, discussing both the challenges as well as the opportunities.
     Optional 
    10:20 AM  -  11:10 AM
    Session 7: Why Appointments Will Largely Disappear Over The Next 10 Years
    Outside forces are causing major disruption in the way traditional primary care is practiced. Major growth in retail clinics, urgent care centers, worksite and near-site clinics and telemedicine are all catering to consumers and employers who want more immediate and convenient options. Despite efforts to push back by medical societies, the AAFP and the AAP, it would appear consumers and employers are going to win this battle. Since 2007 Mr. Charland has lived between a world of tracking rapidly changing consumer demands in healthcare and getting health systems and their medical groups to think more like private-equity-backed independent clinic operators. He will cover the history and drivers of on-demand medicine, the underlying economics, and the top-10 focus points for large medical groups not only to survive the disruption, but become their own disruptive force in the marketplace.
    Speakers:
     Optional 
    10:20 AM  -  12:00 PM
    Session 8: CXO Panel Discussion
    As the reimbursement impact of patient satisfaction becomes increasingly significant, hospitals must develop strategies to improve performance in HCAHPS scores and enhance the patient experience. This panel of hospital “experience” experts will share their insights and successes in driving improvements in patient satisfaction. Learn how across the board ownership and the right tactics can make a difference in boosting your hospitals’ performance.
     Optional 
    11:10 AM  -  12:00 PM
    Session 9: Access Management Strategies
    Explore access management strategies to institute a holistic health system approach to patient access and uncover the best practice building blocks that successful organizations instituted to transform their patient access operations. The Principal of Access Advisors, Brent Bizwell, will guide you through the critical success factors necessary to advance patient access within multi-disciplinary health systems. The discussion will include: identifying the optimal structure to support access operations and instituting accountability across the organization, establishing the standards required to support provider capacity optimization, uncovering the key "access stories" that tie access data to simple and actionable metrics, and targeting often concealed opportunities with high capacity growth and ROI for the organization. This session will begin at the health strategy level and conclude with actionable tactics that organizations can apply quickly to impact their access operations.
    Speakers:
     Optional 
    12:00 PM  -  2:00 PM
    Session 10: Lunch and Keynote Address
    Speaker and Topic Announcement Upcoming
    Speakers:
     Optional 
    2:00 PM  -  4:00 PM
    Session 11: Managed Care Panel
    The Managed Care Panel will discuss various topics potentially including the following: Clinically Integrated Networks, Risk Sharing and Risk Mitigation, Pay-for-performance/Value Based Payments, and other relevant areas of interest.
     Optional 
    2:00 PM  -  2:50 PM
    Session 12: Changes to Provider Medicare Payment Determination Under MACRA
    Experts are calling MACRA the most significant change to clinician reimbursement in more than two decades. This Medicare payment reform is designed to help lower the cost of health care, while delivering better quality and improving health outcomes. It creates a more comprehensive value-based framework for payment and combines different quality-based measures into one system. MACRA’s impact is unique to each provider; the first step is to understand the rule and how it may affect the practices within your health system. In this session, Debbie McKay, Allscripts Senior Solutions Manager, Regulatory will break down MACRA’s final rule and walk through what it means for your hospital or health system, how to pick the most beneficial path, and how best to support physicians moving forward.
    Speakers:
     Optional 
    2:00 PM  -  2:50 PM
    Session 13: Becoming a Value-Based Enterprise: Where Do We Start and How Do We Get There?

    As the market environment continues to evolve across the Southeastern States and at a federal level, there has been and continues to be a great deal of reimbursement and care delivery model” innovation and experimentation. The common goal across virtually all of these innovation models is to redesign and transform clinical care and payment models to develop, capture and deliver value to 3rd party payers and consumers. While many hospitals, physicians and other provider organizations have determined that they will need to become a value-based enterprise, there is no singular roadmap or guide for where to start the journey or a clear picture of what the final destination looks like from an operating, a clinical care or a payment model perspective.

    Navigant’s point of view is that the “future state” value-based enterprise model will be one which represents an integrated payment/care delivery model that holds providers accountable for the total cost of care and patient outcomes. How provider organizations transition their organization’s revenue model to a risk sharing payment model while managing all associated financial, operational and competitive risks... is the focus of today’s presentation.

     Optional 
    3:10 PM  -  4:00 PM
    Session 14: The Denials Challenge - A Cross-functional Approach to Denial Prevention
    Preventing claim denials and their financial impact is a critical objective in Revenue Cycle. As many as 1 in 5 claims are delayed or denied for clinical or financial reasons. This represents a significant financial drain, ultimately costing healthcare organizations critical margin dollars off of their already-stretched net revenue stream. This session will present a cross-functional approach to denial prevention that can significantly impact the costs associated with managing denials later in the revenue cycle.
     Optional 
    3:10 PM  -  4:00 PM
    Session 15: Tax-Exempt Variable Rate Demand Bonds
    Underwriters began offering tax-exempt variable rate demand bonds (VRDBs) more than thirty years ago in response to the high interest rate inflationary times of the 1980s. Quickly, VRDBs became a fixture on most hospital balance sheets as a low cost source of long term financing. When interest rates began to decline, the market continued to grow fueled by low cost credit support, much of it provided by an assortment of international banks. Suddenly the VRDB market collapsed in 2008 and since then the application of VRDBS, at least in their original form, has markedly declined. Is the VRDB a relic of a bygone inflationary era or does it still serve a useful purpose? The presentation will consider the development, decline and possible future of the VRDBs as a funding vehicle for health care borrowers.
    Speakers:
     Optional 
    4:10 PM  -  5:30 PM
    Session 16: General Assembly – Shepherd Center
    Shepherd Center, located in Atlanta, Georgia, is a private, not-for-profit hospital specializing in medical treatment, research and rehabilitation for people with spinal cord injury and brain injury. Founded in 1975, Shepherd Center is ranked by U.S. News & World Report among the top 10 rehabilitation hospitals in the nation. Shepherd Center is a 152-bed facility. Last year Shepherd had 965 admissions to its spine and brain inpatient programs and 571 to its day patient programs. In addition, Shepherd sees more than 6,600 people annually on an outpatient basis. As a private, not-for-profit hospital Shepherd Center must differentiate itself to continue to survive in today’s healthcare environment. This presentation will provide an overview of Shepherd Center’s history as well as a summary of its quality metrics and outcomes.
    Speakers:
     Optional 
    6:00 PM  -  7:00 PM
    Networking Reception
    7:00 PM  -  9:00 PM
    Dinner On Your Own
    9:00 PM  -  11:00 PM
    Sip + Mingle

    Mingle

     Optional 
  • Thursday, March 23, 2017
  •  
    7:00 AM  -  8:00 AM
    Continental Breakfast
     Optional 
    8:00 AM  -  9:00 AM
    Session 17: General Assembly - State Association Roundtable
    The State Association Roundtable will review recent changes in the States' legal landscapes as well as an overview of the recent changes in State and National political administrations.
     Optional 
    9:15 AM  -  10:05 AM
    Session 18: Automating Correspondence Management - A Case Study
    This session will provide a case study of an actual project at Norton Healthcare, a large health system in Louisville, Kentucky. The session will discuss how to identify and engage stakeholders, the design process, and phasing of the project, as well as results achieved. Attendees will learn about how enterprise document management systems are structured, how to develop a design request for a document management IT team, and how to design a project for automated correspondence management.
     Optional 
    9:15 AM  -  10:05 AM
    Session 19: Attacking Managed Care Denials
    The new battleground… this session will walk thru the new world of Managed Medicare Part C and the challenges in 3 key areas – DRG downgrades, obs instead of inpt and readmission denials. Contracting ideas along with UM/case management strategies will be included.
    Speakers:
     Optional 
    9:15 AM  -  11:10 AM
    Session 20: CEO/COO Panel
    The panel will discuss a wide range of timely topics possibly including some of the following: Creating a Culture of Change, Innovation, Consumerism, Balancing Value with Cost, Leading Beyond the Noise, and Population Health.
     Optional 
    10:20 AM  -  11:10 AM
    Session 21: What’s Left Of Off-Campus Provider-Based? How CMS Plans to Implement Section 603 of BBA
    The OPPS Final Rule includes CMS’s attempt to implement Section 603 of the Bipartisan Budget Act of 2015, which directs CMS to pay for most items and services furnished in new off-campus provider-based departments at the applicable non-facility rate. CMS’s proposals present significant legal, financial and operational challenges to all hospitals that operate off-campus provider-based departments. When Section 603 was implemented on November 2, 2015, the new outpatient campus of Piedmont Athens Regional had been under construction for six months. Todd and Chris will discuss the significant financial challenges Section 603 created for the new outpatient campus. Attendees will learn:• What provider-based departments are subject to Section 603• What departments are exempt• What department services are affected• How CMS proposes to pay for services furnished in a new off-campus provider-based departmentThe extent to which a hospital may relocate or otherwise alter an off-campus department excepted from Section 603’s payment changes
    Speakers:
     Optional 
    10:20 AM  -  12:00 PM
    Session 22: Revenue Cycle Panel
    Leading experts will review the latest developments and trends.
     Optional 
    11:10 AM  -  12:00 PM
    Session 23: Integration - Two Stage Process (Financial and Clinical)
    More and more healthcare payers are considering "value-based" reimbursement. If providers are to operate successfully in this environment they must re-assess their strategies involving integration, both financial and clinical. This session will outline in specific detail how to systematically accomplish this transformation. It will explain the updates to be made on both stages of integration (i.e., financial and clinical).
    Speakers:
     Optional 
    11:10 AM  -  12:00 PM
    Session 24: Women in Healthcare
     Optional 
    12:00 PM  -  2:30 PM
    Lunch On Your Own
    2:30 PM  -  3:20 PM
    Session 25: A&A - 340B Update
    The 340B Program has received increased scrutiny from oversight agencies, manufacturers, and legislators in recent years. This course will focus on HRSA's increased oversight efforts and how they affect your covered entity. Additionally, this course will review recent audit findings from the 2016 HRSA audit cycle.
     Optional 
    2:30 PM  -  3:20 PM
    Session 26: Value Based Payments, What’s All The Buzz About?
    Healthcare is transforming to value based care and new payment models. The transition started with Medicare’s Value Based Purchasing Program and the “Triple Aim” as published by Institute for Healthcare Improvement (IHI). Now the employers, commercial payors and Medicaid Managed Care are adopting value-based payments. Providers are becoming more responsible and accountable for quality, costs and the patient experience. What can your organization expect from value based payments? What are the various payment models? What will providers need to do to be ready for value based payments?
    Speakers:
     Optional 
    2:30 PM  -  3:20 PM
    Session 27: What Makes a Great Provider/Vendor Relationship?
    There are providers who have the significant responsibility of leading their organization through continual change in the healthcare environment. These providers need vendors to fulfill a variety needs within the organization. Vendors have the responsibility to “sell” their products or services to the Provider organizations. In this session we will have a candid, no nonsense approach to the vendor/provider relationship. How do we have productive effective relationships that benefit both the provider and vendor. What pitfalls should vendors and providers look out for? This session will be helpful to both providers and vendors as well as creative productive work relationships throughout your professional career.
    Speakers:
     Optional 
    3:20 PM  -  5:00 PM
    Session 28: Reimbursement Panel
    The session will review the current state of Reimbursement activity, including 340B, Provider Based Status, Wage Index, Medicare and Medicaid Disproportionate Share, and other pertinent topics.
     Optional 
    3:20 PM  -  4:10 PM
    Session 29: The Hidden Costs of ICD-10 Affecting Inpatient and Outpatient Payment
    Hospitals and physicians have passed the one-year mark for diagnosis and procedure coding using ICD-10. The common response has been a big sigh of relief that claims are being processed and paid. However, now is the time to determine if the codes assigned under ICD-10 are resulting in lower MS-DRG reimbursement or causing medical necessity denials under Medicare’s OPPS. Check your facility’s percentage of charges collected for 2016 to evaluate if the total cash matched or exceeded the percentage for 2015 utilizing ICD-9. CMS continues to move toward “pay-for-performance” based on reported quality metrics and on ICD-10-CM codes representing patient acuity (diagnoses). This session discusses effective procedures for first determining an accurate “cost” of ICD-10 based on your organization’s performance, and secondly, best practice processes for eliminating any hidden costs. A review of several reimbursement trends that may have resulted from ICD-10 adoption will be reviewed along with recommendations for ensuring optimum, compliant payment for both inpatient and outpatient services under 2017 IPPS and OPPS regulatory guidance.
    Speakers:
     Optional 
    3:20 PM  -  4:10 PM
    Session 30: Section 1557 and Gender Identity Issues in Healthcare
    This session will cover an overview of the requirements of Section 1557, the non-discrimination portion of the ACA, including a review of possible Gender Identity issues in the Hospital. Providers will learn what they can do to be in compliance with the law, and prevent sexual discrimination and stereotyping at their facility. The session will also touch on Gender Identity issues surrounding the billing of insurance claims.
    Speakers:
     Optional 
    4:10 PM  -  5:00 PM
    Session 31: Key Best Practices in Prevention of Medical Necessity Denials and Recoupments
    This session will begin with a discussion of medical necessity, what it means and what it affects and will include detail regarding the types of medical necessity determinations, the criteria for determining medical necessity, what are Categorically excluded services; Admission criteria to include the Skilled Nursing Facilities (“SNF”) and Inpatient Rehabilitation Facilities (“IRF”) and the use of Advanced Beneficiary Notification (“ABN”) and Hospital Issued Notice of Non-Coverage (“HINN”) including the Outcomes and Penalties for not using ABN’s or HINN’s.
     Optional 
    4:10 PM  -  5:00 PM
    Session 32: Making Care Affordable Without Sacrificing Financial Performance
    Novant Health, a super-regional health system headquartered in North Carolina, has developed a six-point strategy with the goal of providing responsive products, pricing and partnerships that anticipate the needs of patients, employers, communities and payers. Recognizing that patients are consumers who have a voice and choice in their health care, Novant Health has made significant changes to its billing and financing processes over the past few years. These best practices and metrics are enabling Novant Health to make care affordable while still posting impressive financial performance. Learning Objectives:1. Understand how consumer trends impact healthcare2. Discuss various ways and methods that can be used to engage patients3. Determine the internal workflow challenges and changes necessary to achieve consumer-related goals4. Hear results from Novant Health’s journey, including ROI for patient investment
    Speakers:
     Optional 
    5:00 PM  -  6:00 PM
    Free Time
    6:15 PM  -  7:00 PM
    Networking Reception
    7:00 PM  -  11:00 PM
    Thrivin' & Jivin': It's a Sail-A-Bration

    Please join us for live entertainment, dinner and dancing! Get dressed in your best vintage, nautical attire. You won't want to miss it!

    Thursday night evening flyer

     Optional 
  • Friday, March 24, 2017
  •  
    7:00 AM  -  8:00 AM
    Session 34: The Ray High Memorial Prayer Breakfast
    Speakers:
     Optional 
    7:00 AM  -  8:00 AM
    Continental Breakfast
     Optional 
    8:00 AM  -  9:15 AM
    Session 35: Breakfast and Keynote Address
    Speakers:
     Optional 
    9:30 AM  -  10:20 AM
    Session 36: Stabilize and Standardize Processes before Consolidating
    In recent years, the healthcare industry has experienced a great deal of complex organizational change and we are seeing that change impact the market. Prior to consolidating revenue cycle operations - through merger & acquisition activity, streamlining the ambulatory patient experience or internal initiatives leading to hospital and physician integration - leadership teams must consider the future administrative operations of the model being considered. Corporate or shared services models are often created to better manage administrative cost, with revenue cycle usually being one of the first functions considered for consolidation. Due to forces and pressures surrounding these decisions, our experience demonstrates that it is wise to stabilize and standardize revenue cycle operations across multiple entities before beginning consolidation activities.
     Optional 
    10:20 AM  -  11:30 AM
    Session 37: CFO Panel
    The session will review current trends in healthcare finance such as Managing the Bottom Line through the Patient Experience, Value Based Payment initiatives, Population Health, Driving Sustainability, and Managing the financial aspect of Physician relationships.
     Optional 
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