POWERING THE CHANGEHFMA Lone Star – Winter Institute January 26-27, 2017

Hyatt Place, Garland TX

Thursday, January 26, 20177:30am – 8:30am Breakfast & Registration

8:00am – 9:00am Winning the Shift from Volume to Value – The Push towards Alternative Payment Models Course#: 170101 CPE: 1.0 Level: Intermediate Prerequisites: None Presented by Kumar Kanisan, Senior Manager, Deloitte Consulting and Nichole Ramsey, Manager, Deloitte Consulting

9:00am – 10:30am Taming the High Deductible Monster While Ensuring a Positive Patient Financial Experience Course#: 170102 CPE: 2.0 Level: Entry Prerequisites: None Presented by Chris Johnson, VP - Patient Financial Services, Carolinas Healthcare System

10:30am – 10:45am Break

10:45am – 12:15pm Billing & Collections to Reimbursement: Using Analytics to Bridge the Gap Course#: 170103 CPE: 2.0 Level: Intermediate Prerequisites: None Presented by Todd Doze, President/CEO, Healthcare Payment Specialists and Robert Howey, Manager Medicare Strategy Unit, Mayo Clinic

12:15pm – 1:00pm Lunch & Networking

1:00pm – 2:15pm Keynote Session: Laughter, The Ultimate Workplace Prescription Course#: 170104 CPE: 1.5 Level: Entry Prerequisites: None Presented by Dave Fleming, Owner, Dave Fleming Speaks, LLC

2:15pm – 2:30pm Break

2:30pm – 3:30pm Achieving Health Equity through Diversity & Inclusion Strategies with Metrics and Incentives Course#: 170105 CPE: 1.0 Level: Intermediate Prerequisites: None Presented by Marcos Pesquera, System Vice President, Health Equity, Diversity & Inclusion, CHRISTUS Health

3:30pm – 5:00pm Risk Management: The Challenges of Complex Health and Social Needs Patients Course#: 170106 CPE: 1.5 Level: Entry Prerequisites: None Presented by Christie Lawrence, VP, Business Development, KPN Health, Inc.

5:00pm – 6:00pm Reception

Friday, January 27, 20177:30am – 8:30am Breakfast & Registration

8:00am – 9:00am Telemedicine in Texas: A Regulatory Perspective Course#: 170107 CPE: 1.0 Level: Intermediate Prerequisites: None Presented by Mike Siegel, Management Consultant, Texas Care Alliance

9:00am – 10:00am 340B: Do the Evolution – A Program in Transition Course#: 170108 CPE: 1.0 Level: Intermediate Prerequisites: None Presented by Daniel Neal, Product Leader, 340B – Innovative Delivery Solutions, Cardinal Health

10:00am – 10:15am Break

10:15am – 11:15am Exposing Cracks in the Pharmacy Culture Course#: 170109 CPE: 1.0 Level: Advanced Prerequisites: None Presented by Michelle Atkins, CIA, CPA, CFE, CHC, Internal Audit Director, JPS Health Network and Louise Garrett, CIA, CFE, Senior Engagement Manager, CHAN Healthcare

11:15am – 12:15pm Medicare Bad Debt Best Practices: Common Pitfalls and Shared Experience Course#: 170110 CPE: 1.0 Level: Intermediate Prerequisites: None Presented by Joe Gumbert, Director Operations, Healthcare Payment Specialists

12:15pm – 1:00pm Lunch & Networking

1:00pm – 2:00pm Obtaining Physician Engagement Course#: 170111 CPE: 1.0 Level: Intermediate Prerequisites: None Presented by Brent Magers, FACHE, FHFMA, CMPA, Executive Associate Dean of the School of Medicine; Chief Executive Officer of Texas Tech Physicians

2:00pm – 3:00pm How to Prevent a Cyberattack from Crippling Your Organization Course#: 170112 CPE: 1.0 Level: Intermediate Prerequisites: None Presented by Sathishkumar Gopalaswamy, Cofounder / Cyber Security Consultant, Zecuris

7:30am – 8:30am Breakfast & Registration

8:00am – 9:00am Winning the Shift from Volume to Value – The Push towards Alternative Payment ModelsCourse#: 170101 CPE: 1.0 Level: Intermediate Prerequisites: None

MACRA the new Medicare payment law is accelerating the shift towards risk-bearing, value based payment models. This course will provide an overview of the emerging alternative payment models as well as practical considerations around how to implement mutually agreeable financial arrangements given the new value-driven business relationships.

Speakers: Kumar Kanisan, Senior Manager, Deloitte ConsultingNichole Ramsey, Manager, Deloitte Consulting

9:00am – 10:30am Taming the High Deductible Monster While Ensuring a Positive Patient Financial ExperienceCourse#: 170102 CPE: 2.0 Level: Entry Prerequisites: None

This session will outline the multiple avenues Carolinas Healthcare System has pursued to address the ever increasing out of pocket expenses facing patients as a result of the industry movement to high deductible health plans. Chris will provide an overview of the patient financial experience at CHS from pre-service through final account resolution including the statement redesign process, partnership with Family Advisory Councils, development of the Unified Business Office with a centralized call-center to process patient calls for the Hospital and Professional legacy billing systems as CHS migrates to Epic. Chris will also review processes currently used by CHS to expedite the financial assistance approval process as well as an overview of the account segmentation logic and long term payment options provided to patients.

Speaker: Chris Johnson, VP - Patient Financial Services, Carolinas Healthcare System (CHS)

10:30am – 10:45am Break

10:45am – 12:15pm Billing & Collections to Reimbursement: Using Analytics to Bridge the GapCourse#: 170103 CPE: 2.0 Level: Intermediate Prerequisites: None

Understanding the link between business office process and Medicare reimbursement is critical to maximize revenue. Bridging the communication gap between the Finance Department and the Business Office maximizes reimbursement opportunities.

Speakers: Todd Doze, President/CEO, Healthcare Payment SpecialistsRobert Howey, Manager Medicare Strategy Unit, Mayo Clinic

12:15pm – 1:00pm Lunch & Networking

1:00pm – 2:15pm Keynote Session: Laughter, The Ultimate Workplace PrescriptionCourse#: 170104 CPE: 1.5 Level: Entry Prerequisites: None

Laughter truly is the best medicine. It’s been scientifically proven. At the workplace, sometimes you just need some assistance in finding the humor. You see, Dave Fleming thinks conference calls are funny. And he’s right. If you look at them the way he does. So Dave will show you where the laughter can be found and how to inspire laughter in all levels of your organization. Because once you identify the humor at your office, the impact of those smiles and laughter will be significant. As you laugh to the point of exhaustion, Dave will help you discover the benefit of taking a deep breath and acknowledging the crazy stuff we all do in the office every day. And he will provide productivity and work relationship tips for everyone to use immediately back at the workplace. Finally, he will help managers, whether they are funny or not, provide platforms for laughter that will inspire their teams.

Speaker: Dave Fleming, Owner, Dave Fleming Speaks, LLC

2:30pm – 3:30pm Achieving Health Equity through Diversity & Inclusion Strategies with Metrics and IncentivesCourse#: 170105 CPE: 1.0 Level: Intermediate Prerequisites: None

In this course we will discuss strategies utilized in order to promote Equity of Care. The main areas discussed will be Diversity & Inclusion, Cultural Competent Care, Community Partnerships and Population Health. Combining these four strategies are a powerful offense strategy.

Speaker: Marcos Pesquera, System Vice President, Health Equity, Diversity & Inclusion, CHRISTUS Health

3:30pm – 5:00pm Risk Management: The Challenges of Complex Health and Social Needs PatientsCourse#: 170106 CPE: 1.5 Level: Entry Prerequisites: None

This talk will highlight challenges routinely faced by complex health and social needs patients as well as successful strategies implemented by healthcare systems to manage the associated risk of caring for these patients. It will focus on identifying:

• Why health systems need to invest in redesigning care for people with complex needs.• Provide a description of the people with complex needs.• Highlight promising care models for people with complex needs.• Outline key elements to redesigning care for managing the risk of patients with complex needs.

Speaker: Christie Lawrence, VP, Business Development, KPN Health, Inc.

5:00pm – 6:00pm Reception

Powering the Change THURSDAY, JANUARY 26, 2017

7:30am – 8:30am Breakfast & Registration

8:00am – 9:00am Telemedicine in Texas: A Regulatory PerspectiveCourse#: 170107 CPE: 1.0 Level: Intermediate Prerequisites: None

The practice of telemedicine services has become widespread throughout the country, yet Texas remains one of the most restrictive states in limiting its use. As a proven tool for expanding access to care and reducing cost, telemedicine has enormous potential for improving population health. Therefore, it is critical for regulators to enable the proper use of telemedicine, especially for those who need it most.

Speaker: Mike Siegel, Management Consultant, Texas Care Alliance

9:00am – 10:00am 340B: Do the Evolution – A Program in TransitionCourse#: 170108 CPE: 1.0 Level: Intermediate Prerequisites: None

Why it matters: 340B is a federal drug pricing program that allows participating organizations, called “covered entities”, purchase covered outpatient drugs at or below a statutorily-defined ceiling price. For many of these covered entities, 340B savings are critical part of financing their community mission. As reimbursement models change and put further pressure on these providers, understanding, managing and optimizing 340B benefits will be a crucial aspect of navigating the evolving healthcare landscape. This session will cover the history and scope of the 340B federal drug pricing program. In addition, there will be a review of key changes affecting stakeholders, including both recent, pending and potential activity at the state and federal levels.

Speaker: Daniel Neal, Product Leader, 340B – Innovative Delivery Solutions, Cardinal Health

10:00am – 10:15am Break

10:15am – 11:15am Exposing Cracks in the Pharmacy CultureCourse#: 170109 CPE: 1.0 Level: Advanced Prerequisites: None

Auditing “Culture” is a hot topic in the Internal Audit profession today and auditors are being asked by board members or key stakeholders to comment on its effectiveness. But the challenge is measuring and gauging something that appears to be nebulous. This course will examine what the internal audit staff did at a local hospital to acknowledge culture’s role in an assessment of their inpatient pharmacy operation and how drug diversion was exposed.

Speakers: Michelle Atkins, CIA, CPA, CFE, CHC, Internal Audit Director, JPS Health Network Louise Garrett, CIA, CFE, Senior Engagement Manager, CHAN Healthcare

11:15am – 12:15pm Medicare Bad Debt Best Practices: Common Pitfalls and Shared ExperienceCourse#: 170110 CPE: 1.0 Level: Intermediate Prerequisites: None

Joe will share our experiences with 500 hospitals across the country, provide case studies and best practices for maximizing Medicare bad debt reimbursement. Joe will cover the three main areas of Medicare Bad Debts. These include Traditional Bad Debts, Crossover Bad Debts and Indigent Bad debts. He will also cover sub-areas of bad debts that are commonly overlooked. Joe will provide information that will help hospital staff avoid the inclusion of bad debts in error and will also provide key areas of focus to ensure all bad debts are captured.

Speaker: Joe Gumbert, Director Operations, Healthcare Payment Specialists

12:15pm – 1:00pm Lunch & Networking

1:00pm – 2:00pm Obtaining Physician EngagementCourse#: 170111 CPE: 1.0 Level: Intermediate Prerequisites: None

Many experts in healthcare are encouraging greater collaboration between physicians and various organizations – a seamless approach. But, engaging physicians in organizational goals remains elusive.

Speaker: Brent Magers, FACHE, FHFMA, CMPA, Executive Associate Dean of the School of Medicine; Chief Executive Officer of Texas Tech Physicians

2:00pm – 3:00pm How to Prevent a Cyberattack from Crippling Your OrganizationCourse#: 170112 CPE: 1.0 Level: Intermediate Prerequisites: None

Cyber threats are continuously evolving and healthcare organizations have been under siege by hackers due to the highest per-record value of any industry. Post-breach recovery costs are crippling profitability. This course will provide an overview of healthcare security risks and explain how finance executives can act as security champions by proactively investing in cybersecurity. As risk mitigation is a journey, Zecuris will provide best practices to keep up with emerging threats and achieve HIPAA compliance.

Speaker: Sathishkumar Gopalaswamy, Cofounder / Cyber Security Consultant, Zecuris

Powering the Change FRIDAY, JANUARY 27, 2017

Upcoming Events & Chapter News

HFMA Texas State ConferenceHyatt Regency, Austin TX

March 26-28, 2017

Thank you to our Sponsors!

Silver Sponsors

Apex Revenue Technologies

Apogee Consulting

AppRev

Cardon Outreach

Connance, Inc.

GE Healthcare

GetixHealth, LLC

Grant Thornton LLP

Healthcare Payment Specialists,

LLC

Healthcare Resource Group, Inc.

Litmos Healthcare

Med A/Rx

Oracle Health Systems

Organizational Intelligence

ProAssurance

Quality Reimbursemenet

SCI Solutions

Bronze Sponsors

AMCOL systems

BESLER Consulting

Capio Partners

EnableComp

HCFS, Inc.

Medical Data Systems

MDsave

Protiviti

Resource Corporation of America

SSI Group, Inc

Triage Consultion Group

Gold Sponsors

2017 TAHFA & HFMA Lonestar Road ShowTTU – Hall of Nations, Lubbock TX

February 17, 2017

East Texas RegionalCHRISTUS Trinity Mother Francis, Tyler TX

February 24, 2017

Please Welcome Our New Academic Partner:

Spring InstituteTBD

April, 2017