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October 21-23, 2O15
Greenville, south Carolina
2O15 Fall Institute
ICD-10: The Aftermath
AppRev
BlueCross BlueShield of South Carolina
Avadyne Health
BKD LLP
Med A/Rx (PMAB)
PatientCo
PricewaterhouseCoopers, LLP
AccessOne MedCard, Inc
Bank of America Merrill Lynch
Bottom Line Systems
Chamberlin Edmonds / Emdeon
ParrishShaw
Resource Corporation of America
Resource One Medical Billing, LLC
South Carolina Hospital Association
The SSI Group, Inc.
Adreima
Advanced Patient Advocacy
AMCOL Systems
American Express
Avectus Healthcare Solutions, LLC
Benefit Recovery
Clear Balance
CliftonLarsonAllen
Craneware
Credit Solution$
DataTrac Receivables Recovery
DECO, LLC
Enable Comp
EOS
Haynsworth Sinkler Boyd, PA
Hollis Cobb Associates
Laddaga-Garrett, PA
Medical Data Systems (MDS)
Optimum Outcomes
Paragon Revenue Group
Parallon
PARO Decision Support
Receivables Management Corporation
RGL Associates, Inc
The ROI Companies
UCB, Inc.
Verisma Systems, Inc.
Washington & West, LLC
Xtend Healthcare Advanced Revenue Solutions
2
Welcome to Greenville!
T he HFMA South Carolina Chapter
proudly presents our Fall Institute,
“ICD-10: The Aftermath”. Topics for the
survivors include the ICD-10
implementation, 501r compliance,
accounting & auditing updates, legal
updates for the business office,
alignment, integration, EPIC and so
much more! With 15 CPE hours
available, this is education you cannot
afford to miss.
G arage fees at the Hyatt Regency
Downtown Greenville are $7.50
per day in self-parking or $15.00 per
day in Valet.
D uring the Fall Institute, we are
proudly supporting the Julie
Valentine Center. The Julie Valentine
Center is a nonprofit organization that
provides free, confidential services to
sexual assault and child abuse
survivors and their families. We are
doing this in multiple ways including a
supply drive and raffle. See the back
page for more information. To learn
more about the Julie Valentine Center,
visit www.julievalentinecenter.org.
W ednesday’s lunch is “Dine Out
Downtown”. The Chapter will
provide you with the cash for lunch, you
just need to pick one of the many
wonderful restaurants in downtown
Greenville. Be sure to pick up your
envelope at the registration desk. You
will want to be back by 1:30 pm
because we will be drawing for prizes
and EVERYONE PRESENT will have a
chance to win.
The Annual Ernie Easterling Golf Tournament will be held on
Tuesday, October 20th, at The Preserve at Verdae. Situated on
over 100 acres of green space in the heart of mid-town
Greenville in the Verdae Development, the facility features
large all grass practice areas with driving range, putting green,
chipping and short game green. The Preserve at Verdae is
committed to the environment. Their mission is ‘Striving for
Harmony Between Golf and Nature’. They have re-imagined the
landscaping along the course and created naturalized areas
reflecting native grasses and plants and reducing the amount of
water, pesticides and fertilizers required.
The registration fee is $66.00 per player which includes tee
time, cart, box lunch, and drink tickets. There will be no shuttle
service from the Hyatt to The Preserve. Tee off starts at 12:30
pm.
There are only 40 slots available!
Sponsors for this event will be announced soon!
Need help with your golf swing? Never played before? We got
you covered! A golf pro will be on hand from 11:15 am until
12:15 pm on hand to help!
We will be meeting at the Preserve Grille & Deck for the 19th
Hole and all are welcome!
Ernie Easterling was president of the HFMA South Carolina
Chapter from 1978-1979. He loved to play golf and organized
this event for many years. Upon his passing, the SCHFMA
Board voted to name the golf tournament in his memory.
3
Tuesday, October 20
11:15 am until Ernie Easterling Golf Tournament The Preserve
at Verdae
Wednesday, October 21
11:00 am—5:00 pm Registration Desk Open (will close during lunch) Studio 220
Prefunction
10:00 am—12:00 pm Chapter Board Meeting Think Tank @ NOMA
12:00 pm—1:30 pm Lunch on your own
1:30 pm—1:45 pm Welcome/Chapter Updates
Woody Turner, SCHFMA President , & Danielle Gori, SCHFMA Fall Institute Chair Studio 220 A @ NOMA
1:45 pm—3:15 pm Cuban Healthcare Delegation Highlights
Scott Mertie, Estelle Welte, Neil Koonce Studio 220 A @ NOMA
3:15 pm—3:45 pm Networking Break—Sponsored by ParrishShaw
3:45 pm—5:00 pm
Concurrent Sessions
Healthcare Audit & Accounting Update
Kristen Pannell, Dixon Hughes Goodman
Kelly Smith, Dixon Hughes Goodman
Greg Taylor Dixon Hughes Goodman
Studio 220 A @ NOMA
Best Practice Contracting for Optimal Denial Management
Linda Fotheringill, Washington & West
Studio 220 B, C @
NOMA
5:00 pm—7:00 pm President’s Reception Welcoming New Members
All Members Welcome! - Sponsored by HealthFirst Financial
SIP Rooftop Bar and
Lounge
7:00 pm until Dinner on your own
Thursday, October 22
6:00 am—7:00 am Sunrise Run
Sheila McCullough with Fleet Feet Meet in Lobby
7:00 am—8:00 am Networking Breakfast—Sponsored by Commerce Bank Mezzanine
8:00 am—5:00 pm Registration Desk Open (will close during lunch) Studio 220
Prefunction
8:00 am—9:30 am Legal Update for the Business Office
Adam Plotkin, Healthcare Outsourcing Network, LLC Studio 220 A @ NOMA
9:30 am—10:00 am Welcome to Greenville
Mayor Knox White Studio 220 A @ NOMA
10:00 am—10:15 am Networking Break—Sponsored by Med A/Rx (PMAB)
10:15 am—11:30 am
Are You Ready for Integration? (Neither Were We)
Josh Halverson, ECG
Frank Panzerella, Bassett Healthcare Network
Studio 220 A @ NOMA
11:30 am—1:30 pm Dine Out Downtown! We provide the cash, you pick the restaurant
Make sure to pick up your envelope from the Registration Desk
1:30 pm—1:45 pm Prize Drawing (Must be present to win)
Julie Valentine Center Presentation Studio 220 A @ NOMA
Thursday, October 22 (cont.)
1:45 pm—3:45 pm ICD-10: The Aftermath Panel Discussion
Bill Eikost, Moderator Studio 220 A @ NOMA
3:45 pm—4:00 pm Networking Break—Sponsored by Craneware
4:00 pm—5:00 pm
Concurrent Sessions
Aligning Your Patient Revenue Cycle Across Hospitals and Physicians’ Practices
Gail Scarboro-Hritz, Hritz Management Services
Buddy Smith, PatientCo
Studio 220 A @ NOMA
Thrive, Not Merely Survive 501r: Strategies for Ensuring Compliance with the 501r
Impact on Patient Responsibility Workflows
Steven Warner, Adriema
Studio 220 B, C @
NOMA
6:00 pm—10:00 pm Cocktail Hour—Sponsored by Resource Corporation of America
Dinner—Sponsored by Avadyne Health
Commerce Club
Liberty One Building
Friday, October 23
7:00 am—8:00 am Networking Breakfast Mezzanine
7:00 am—12:00 pm Registration Desk Open Studio 220
Prefunction
8:00 am—9:00 am
Concurrent Sessions
How to Keep Your Bottom Line From Disappearing
Gail Scarboro-Hritz, Hritz Management Services Studio 220 A @ NOMA
Evaluating Estate Claims and Tips on Third Party Liability to Maximize Collections
Sarah Clemmons, Haynsworth, Sinkler & Boyd
Mac McLean, Haynsworth, Sinkler & Boyd
Studio 220 B, C @
NOMA
09:00 am—10:15 am
Concurrent Sessions
MUSC Health - Our Epic Journey
Susan Makin, MUSC
Christine Conzett, MUSC
Studio 220 A @ NOMA
Hitting a Home Run: How Conway Regional Medical Center Transformed their Mortality
Deficiencies to the Best in the League
Marion G. Kruse, Precyse
Studio 220 B, C @
NOMA
10:15 am—10:30 am Networking Break—Sponsored by FirstPoint Resources
10:30 am—11:45 am How to Stay Fired Up, Pumped Up and Inspired in the Aftermath of ICD-10
Matt Jones Studio 220 A @ NOMA
11:45 am—12:00 pm Closing Remarks and Door Prizes
Woody Turner Studio 220 A @ NOVA
Name Badges and Lanyards Sponsored by UCB
WIFI Sponsored by BKD
Cuban Healthcare Delegation Highlights
Scott Mertie, Estelle Welte, Neil Koonce
Wednesday, 1:45 pm Studio 220 A @ NOMA
In this session, Scott Mertie, president of Kraft Healthcare
Consulting, LLC (KHC), will conduct a discussion with a panel
comprised of healthcare professionals who attended KHC’s
delegation to Cuba last fall. Delegates were able to explore the
country’s national healthcare system and the many differences
between the U.S. and Cuba. Discussions will cover various
topics, including Cuba’s:
Lack of technological advancements
100% government reimbursement model
Patient Access
Government and economy in relation to the healthcare
industry
High life expectancy rates
Inexpensive medical education
By attending this session, you will learn:
1. Cuba’s government and economy as it relates to the
healthcare industry and medical education
2. Cuba’s lack of technological advancements in medicine,
yet high life expectancies
Healthcare Audit and Accounting Update
Kristen Pannell, Dixon Hughes Goodman
Kelly Smith, Dixon Hughes Goodman
Greg Taylor, Dixon Hughes Goodman
Wednesday, 3:45 pm Studio 220 A @ NOMA*
This session will focus on new and relevant accounting and
auditing standards that are applicable to healthcare
organizations.
By attending this session, you will learn:
1. Understand the new GASB (Governmental Accounting
Standards Board) and FASB (Financial Accounting
Standards Board) standards that have been issued and
how they affect your healthcare organization
2. Understand the emerging issues being looked at by GASB
and FASB
Best Practice Contracting for Optimal Denial
Management
Linda Fotheringill, Washington & West
Wednesday, 3:45 pm Studio 220 B C @ NOMA*
The ability to prevent a claim denial or to successfully overturn
an inappropriately denied claim depends in large part on the
terms of a Provider’s contract with the payor. Yet often, the
terms of the contract are not fair to the provider when denial
prevention and denial management are concerned. Therefore,
a best-practice contract negotiation will include contributions
from all department directors as to whether the contract is fair,
and whether the contract can be administered cost-effectively
with available resources.
By attending this session, you will learn:
1. Identify contractual clauses that make or break denial
overturns
2. Understand how to preserve the legal rights provided by
your state legislature
3. Acquire additional skills in the review and modification of a
contract submitted by a payor
4. Use existing contracts to your advantage
Legal Update for the Business Office
Adam Plotkin, Healthcare Outsourcing Network, LLC
Thursday, 8:00 am Studio 220 A @ NOMA
With the myriad of legal issues facing hospital business offices,
knowledge is key. An increased knowledge of these issues and
how to deal with them will increase your compliance and your
revenue. We will address various legal issues in this session
including (GASP!) the IRS 501(r) Final Rules.
By attending this session, you will learn:
1. Current legal issues impacting the revenue cycle.
2. How to deal with the legal issues discussed
3. Trends in legal issues and potential issues coming down
the pike
*Denotes a Concurrent Session 6
*Denotes a Concurrent Session 7
Are You Ready for Integration? (Neither Were We)
Josh Halverson, ECG
Frank Panzerella, Bassett Healthcare Network
Thursday, 10:15 am Studio 220 A @ NOMA
Healthcare reform is changing the way we deliver healthcare
and how we are reimbursed for services. This will require
significant changes in operations, physician—hospital
alignment and strategic partners.
This session is a case-study with best practices and learnings
that can be applied to the participants’ organizations.
By attending this session, you will learn:
1. Outline the imperatives for performance improvement that
participants can use in their own environment (checklists/
tool used to reinforce learning)
2. Apply step-by-step transformation process to their own
organization
3. Describe key variables that have the greatest impact on
financial improvement (Participants will use a variable tool
to assess their integration readiness or current state)
4. Use specific initiatives and management interventions that
Bassett pursued to improve performance of your own
organization (What and How Job Aid for Participants)
5. Summarize best-practices and lessons learned that can be
applied at other organizations using a checklist; avoiding
pitfalls and barriers
ICD-10: The Aftermath Panel Discussion
Bill Eikost, Moderator
Thursday, 1:45 am Studio 220 A @ NOMA
Panelists include:
Seth Avery, AppRev
Douglas Burrell, Bon Secours St. Francis Health System
Kristen Cook, Palmetto GBA
Julianne Dreon, AnMed Health System
Mariann Gable, SCDHHS
Christine Lewis, Medical University of South Carolina
Zoe Sanders, Nelson Mullins
Bart Stickland, BlueCross BlueShield of South Carolina
Jason Taylor, SCDHHS
Woody Turner, Lexington Health System
By attending this session, you will learn:
1. Updates from Payers on implementation
2. Updates from Providers on implementation
3. Experts will weigh in on the process and success so far
Aligning Your Patient Revenue Cycle Across Hospitals
and Physicians’ Practices
Gail Scarboro-Hritz, Hritz Management Services
Buddy Smith, PatientCo
Thursday, 4:00 pm Studio 220 A @ NOMA*
With more physician practices becoming acquired or affiliated
with hospitals and health systems, financial leaders face the
challenge of achieving operational efficiency in the revenue
cycle while delivering a satisfactory billing experience to
patients.
In this session, Gail Scarboro-Hritz of Hritz Management
Services will answer questions based on her experience
transforming hospital system revenue cycles amidst practice
acquisitions in a "fireside chat" format.
By attending this session, you will learn:
1. Prepare your current patient revenue cycle process for an
upcoming acquisition or potential acquisition
2. Align people, process, and technology across the system
to achieve operational efficiency in the business office
3. Strategies to evaluate and integrate revenue cycle
technology for system-wide consistency and patient
satisfaction initiatives
Thrive, Not Merely Survive 501(r): Strategies for
Ensuring Compliance with the 501(r) Impact on Patient
Responsibility Workflows
Steven Warner, Adriema
Thursday, 4:00 pm Studio 220 B C @ NOMA*
The Final Regulations for IRS-501(r) will be effective for the
taxable year 2016. Preparation for addressing the operational,
financial and compliance issues of 501(r) must begin
immediately to avoid disruption in the self-pay billing cycle and
a reduction in revenue. This presentation will explore the
specific components of the IRS 501 regulations, the impact on
patient responsibility workflows and the strategies for ensuring
compliance while maintaining a positive cash flow.
By attending this session, you will learn:
1. Comprehensive understanding of 501(r) requirements
2. Explore the impact on the billing cycle and initiate workflow
changes
3. Utilize best practice guidelines to determine use of
extraordinary collection activities
4. Maintain compliance with bad debt accounts
How to Keep Your Bottom Line from Disappearing
Gail Scarboro-Hritz, Hritz Management Services
Friday ,8:00 am Studio 220 A @ NOMA*
This session offers insights about successful approaches to
avoiding and effectively managing denials utilizing technology,
auditing, and education. It also offers ideas for improving front-
end patient engagement in financial matters including pre-
services, point of service collections, and post service
collections.
By attending this session, you will learn:
1. How to best identify, organize and optimize their work
around denial prevention and management
2. How to optimize technology to overcome obstacles in
denial prevention
3. How to effectively approach collecting self-pay dollars as a
patient engagement initiative
Evaluating Estate Claims and Tips on Third Party Liability
to Maximize Collections
Sarah Clemmons, Haynsworth, Sinkler, & Boyd
Mac McLean, Haynsworth, Sinkler, & Boyd
Friday, 8:00 am Studio 220 B C @ NOMA*
The session will provide strategies for directors and personnel
of patient financial services departments in the determination of
whether to pursue estate claims and will offer practical tips in
handling third party liability accounts.
By attending this session, you will learn:
1. Explain procedures for filing creditor claims in probate
court
2. Educate attendees on recent updates to the South Carolina
probate code and how the changes affect creditors
3. Offer strategies in the evaluation of estate claims and
factors to consider when deciding whether to pursue such
claims
4. Explain steps that can be taken when no estate is open for
a deceased patient that has significant medical bills
5. Provide suggestions for maximizing collections on
accounts where third party liability monies are available
MUSC Health—Our EPIC Journey
Susan Makin, MUSC
Christine Conzett, MUSC
Friday, 10:30 am Studio 220 A @ NOMA*
Takes you through MUSC’s integrated Revenue Cycle’s Epic
implementation starting with project planning to one year post
go-live. MUSC has many wins to share, lessons learned and
also what the focus will be for the year ahead.
Hitting a Home Run: How Conway Regional Medical Center
Transformed their Mortality Deficiencies to the Best in the
League
Marion G. Kruse, Precyse
Friday, 10:30 pm Studio 220 B C @ NOMA*
With the transition to electronic medical records, meaningful
use, Value Based Purchasing, hospital inpatient quality
program, many HIM, CDI and physician leaders are feeling
burned out and change fatigued. However, sometimes life
throws you a curve ball and you lose the game. Worse yet, you
have to get back in the game even though you are sick and tired
and don’t want to play anymore. This presentation shares the
journey of a medical center making the news headlines due to
its poor mortality scores. We will explore the game plan
leadership employed to get back in the game and win big. Key
activities included: going back to the basics with
documentation, fostering a team work environment among
physician, coding and CDI staff, and employing a physician
advisor to help coach the medical staff. All of this lead to the
same medical center making the headlines a year later, and this
time it was for their home run.
By attending this session, you will learn:
1. Understand how coded data becomes publically reported
mortality scores and the methodology used for risk
adjustment
2. Identify how to design education that engages physician
staff and promotes accurate and precise clinical
documentation
3. Identify how to create and implement metrics to measure
changes in mortality
4. Implement programs to communicate and celebrate
improvement in mortality measures
*Denotes a Concurrent Session 8
How to Stay Fired Up, Pumped Up and Inspired in the Aftermath of ICD-10
Matt Jones
Friday, 9:00 am Studio 220 A @ NOMA
The ICD-10 transition like a marathon has been an endurance event. Now in the aftermath it’s still like a marathon. You will be inspired
in this marathon through the life-changing story and message from Matt Jones. He went from being a three-time cancer conqueror to
going through a bone marrow transplant and having to relearn how to walk. He has now run six marathons on six continents and is
back in training for his seventh one in Antarctica. You will gain from Matt’s talk inspiration, motivation, and strategies that will allow
you to be victorious in the aftermath of ICD-10 as well as life.
Matt’s talk offers the following benefits:
1. Reconnecting and being renewed in your passion and purpose for healthcare
2. Identifying how to Stop Stress before it Stops You
3. How to Operate at a more productive level of Excellence
4. Discover how to thrive in the midst of negativity, setbacks, and obstacles
9