October 1, 2012
CARE H E ALTH
I N G S N E P P A H
Fall Newsletter Inside this issue:
ATTITUDE: The 8-Letter Word that Spells Either Boom or Doom for Your Business I‘d challenge you to find a kid over the age of 8 who hasn‘t been lectured to death about the importance of a positive attitude. They get it from their parents, from their teachers, from their coaches and, yes, from their employers. Why then do managers struggle relentlessly to keep their front lines staffed with friendly, cheerful, enthusiastic young people? First, it‘s just not cool to be positive. From James Dean to Fonzie and from Pink to Puck, the hippest icons for youth generally sport a giant chip on their shoulders and are always looking for a fight. Hundreds if not thousands of examples of bad attitudes invade the consciousness of today‘s youth, and the worst offenders usually get the most attention and the biggest contracts. Smiling, happy teens are viewed by their peers as goofy, spoiled, naïve kiss-ups. But if you‘re dismissive, have an edge, or create havoc everywhere you go, you‘re in good company. Trendy teen fashion stores such as Hollister, Aeropostale, Guess, and Abercrombie & Fitch employ – almost exclusively-the young, elite, pouty-faced cool kids in their communities who stare off into space as if they have something more important to do than help moms buy overpriced jeans for their kids. (Cont Page 14)
Upcoming Events You Won‘t Want to Miss October 24-26 To Register:
Joint Fall Conference
Hilton Garden Inn
Columbia, MO
http://events.r20.constantcontact.com/register/event?oeidk=a07e6ci7 bk23e050d0c&llr=ntje9ecab
Reservations— 573-814-5464 mention you are with HFMA to receive discount or online: http://hiltongardeninn.hilton.com/en/gi/groups/personalized/C/COUMHGI-HFMA20121024/index.jhtml?WT.mc_id=POG
President‘s message
2
Social Corner— Summer Conference
3-4
Checking Benefits & Eligibility, Chastity Werner
5
Sponsorship Drive
6
Affiliation, David A. Neuendorf
7
MHA Update
8
S-!0 Reimbursable Impacts
10
Region 8 Update
11
Fall Presidents Meeting/ MSU Career Day
12
National Webinar Calendar
13
Upcoming conferences
15
Member News
1617
Job Bank Listing
18
About our Sponsors
1920
See Page 15 for more information on the Joint Fall Conference
November 7-9 November 30
MHA Conference Tan-Tar-A, Lake Ozark. MO (see page 9 for more info) Education/Networking with University of MO 12-3pm
Region 8 Webinars
Columbia, MO (see page15 for info)
See page 11 for a listing of upcoming webinars
Visit our website, www.hfmashowme.org
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HEALTHCARE HAPPENINGS
Message from our president Greetings Show Me Members, I'm sure everyone is thankful for the cooler weather after the heat of the summer!! As we move past the vacations and activities of summer and head into the fall, the chapter has a lot of educational opportunities in store for you! Check out our website for all of the events. Many of you attended the Annual Show-Me Chapter conference at Camden on the Lake in July. We had great speakers and several opportunities to network with other members and sponsors of the chapter. The chapter may need to change the time of our annual conference due to the new Region 8 conference that is being planned for August of 2013 in Chicago. I included a survey regarding this in my President's notes that went out previously. So if you want your voice heard in this decision, please fill out the survey. The link is in the email I sent.
Kyle Lee (president-elect) and I just returned from the Fall President's Meeting. We had meetings with all of the other chapter presidents and president-elects in our Region and were asked to share the "New to Healthcare" conference idea during the presentation section of our meeting. We brought back some ideas that others present that we can incorporate into our plans for the future. I hope to see many of you at our Fall Conference in Columbia October 24-26th. Be sure to get your hotel reservations soon as the rooms will go quickly. As it is MU Homecoming weekend following the conference, there will be a lot of activity going on!! Regards,
The chapter is trying to build a relationship with both MU (in Columbia) and MSU (in Springfield). We had a booth at the MSU College of Business Career Fair later this month. In November, we are partnering with MHA to present an educational program and social event for MU students. These students could potentially have jobs within the healthcare industry, so we are trying to get our name out there as a valuable organization to join if they do.
Janet C. Taylor
“Laughing at our mistakes can lengthen our own life. Laughing at someone else’s can shorten it.” -Cullen Hightower
Important Chapter Information Chapter Survey
— National will be sending out the annual chapter survey by email on October 29. PLEASE participate—it will only take a few minutes to complete and it is so important to our chapter—leadership relies on the feedback from the survey to plan conference dates, topics, and make your HFMA membership as beneficial to you as possible. Not only does it help the Show-Me Chapter leadership make decisions, our chapter is actually graded by National on the satisfaction of our members.
Chapter Balance Score Card
- Every year National sets goals for each chapter— we wanted to keep you updated throughout the year on how we are doing. The reporting year runs from May 1, 2012—April 30, 2013. Membership
Goal 251 members
Actual 234 members
Education Hours
Goal 3,975 hours
Actual 2,094.5 hours
Education Hours/member
Goal 15.9
Actual
On-time reporting
First quarter 5/5 events reported
Certification
Goal 8.2% of members certified or 4 exams taken
8.4 Actual 8.0% of members / 2 exams taken
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HEALTHCARE HAPPENINGS B US INESS NAME
Social Corner
Social Corner
HFMA Summer Conference July 25-27 Osage Beach Dennis Decker working the registration desk!
The New to Healthcare conference on Wednesday was a huge success.
New to Healthcare lunch Wednesday.
CFO Panel that started off the conference—Tina Gillespie (not pictured), Hugh King, Chris Knackstedt, Roberta Nierhueser, and Matt Levsen
Tracy Packingham, Stephanie Fennewald, Kyle Lee
Left: Susan Duncan visiting Jeff Morgan and Lincoln Fish with Avadyne Health booth. Above: Shirley Mason with Berlin Wheeler talking to Bryan Coffey. Above right: Mike Dewerff, Region 8 Regional Executive, spoke on ACOs.
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HEALTHCARE HAPPENINGS
Stephanie Fennewald and Shelly Hunter were presented with their Medal of Horor Awards by Jennifer Ogden and Janet Taylor received her Reeves Silver Merit Award. Below, Mike Simonett and Dudley Medlock at the reception.
2012 Show-Me Chapter Sponsors were recognized at lunch on Thursday
Left, April Fitzgerald, Linda Hudspeth and Bonnie Baker
Josh ―Cow Bell‖ Wilks Glen Beussink, Mary Beasley, Linda Hudspeth
Stephanie Fennewald, Shelly Hunter, Tracy Packingham, and Jennifer Ogden Far Left: Jon Branstetter, Janet Taylor, Susan Duncan, Ron Christensen and Connie Stimpson Left:
Show-Me Chapter is Number 1!!!!! BUS IN ESS N AME
Social Corner
Social Corner
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HEALTHCARE HAPPENINGS
Checking Benefits & Eligibility Your Key to Improved Patient Collections
Chastity D. Werner, NCP Health Care Consultant AMD Health Care Services
Throughout health care, patient financial responsibility continues to grow. In 2011, the average American household faced a $2,000.00 annual family deductible! Patient responsibility as a proportion of your A/R continues to increase at a rapid rate. By explaining to your patients their financial responsibilities and getting a commitment to pay on the front side, you will increase your revenue and save time and money on the backside in collection and followup. The first step in explaining financial responsibility is to identify third-party payer benefits. Benefits and insurance eligibility should be verified on every patient prior to the patient‘s encounter in the practice. If you are a busy practice, this can present itself as a daunting task. There are effective processes your practice can implement: Use online eligibility tools whenever possible, such as your clearinghouse or the specific payer websites. Group the patients to be verified by payer so that you can efficiently check multiple patients at a time. Document the verification in charts/accounts (copy and paste into their notes when possible). Mark the schedule with * or some other flag if the patient is responsible for deductible, co-pay or other co-insurance. Determine a financial threshold that would trigger contact with the patient prior to the appointment to notify them of financial obligations. (For instance, if the patient has no insurance, or will be responsible for more than $200 at their time of service.) It‘s better to have the conversation prior to the visit, than at the front desk during check-in. Create a standardized script for confirming financial responsibility, triggered by the information you need most: Deductible remaining Maximum out-of-pocket benefits Co-insurance Co-pay Non-covered services you provide (for instance, flu vaccinations, physicals, or allergy shots) Create a uniform format for documentation in the patient‘s record, such as this example: 12/1/2012 tt Jennifer at HealthLink, Plan effective 01/01/2012, Deduct remaining 2000.00, Renews 01/01/2013, Coinsurance 20%, $5,000 out of pocket max, $50.00 Copay for specialist, Testing applies to deductible.
Healthcare Humor
Laughter is the Best Medicine
The Mechanic & The Cardiologist A mechanic was removing a cylinder-head from the motor of a Harley motorcycle when he spotted a well-known cardiologist in his shop. The cardiologist was there waiting for the service manager to come and take a look at his bike when the mechanic shouted across the garage: "Hey Doc, want to take a look at this?" The cardiologist, a bit surprised, walked over to where the mechanic was working on the motorcycle. The mechanic straightened up, wiped his hands on a rag and asked, "So Doc, look at this engine. I open its heart, take the valves out, repair any damage, and then put them back in, and when I finish, it works just like new. So how come I make $40,000 a year and you get the really big bucks ($1,500,000) when you and I are doing basically the same work?" The cardiologist paused, smiled and leaned over, then whispered to the mechanic ... "Try doing it with the engine running." got it at MediJokes.Com :)
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HEALTHCARE HAPPENINGS
2013 CORPORATE SPONSOR PROGRAM The Show-Me Chapter would like to offer you the opportunity to participate in our 2013 Corporate Sponsorship Program. We host three conferences per year, one in May with the Greater St. Louis Chapter, our own in the summer at Lake Ozark, and one in the fall with both Heart of America and Greater St. Louis Chapters... and NEW for 2013—potentially a Region 8 (9 chapters if all participate) conference planned for August 2013!
Thank you for your support!!
2012 Sponsors
For more information on becoming or renewing your sponsorship, please contact Jennifer Ogden,
[email protected]
Diamond Level
$2,250
Bronze level benefits plus:
Gold BKD CliftonLarsonAllen
Ad in quarterly newsletter (Full page) ($350 value)
Missouri Medical Collections
Ad in the membership directory Featured sponsor of our Region 8 webinar which is distributed to all 9 chapters
Silver
Complimentary vendor booth at one of the Joint conferences—Spring/Fall ($500 value) Two free job bank listings on the Show-Me website and in the newsletter ($200 value) Receive three free company registrations to educational sessions. ($525 value)
Human Arc
Receive two free provider registrations to educational sessions. ($350 value)
Kramer & Frank
Receive the registration list for meetings one week prior to event.
Gold Level
Berlin-Wheeler
MedTranDirect $1,500
Bronze level benefits plus:
Bronze
Ad in each of the four quarterly newsletter (6.5‖x4‖) ($200 value)
Account Resolution
Ad in the membership directory Two free job bank listings on the Show-Me website and in the newsletter ($200 value) Receive two free company registrations to educational sessions. ($350 value)
Corporation
Receive one free provider registration to educational session. ($175 value)
Avadyne Health
Receive the registration list for meetings one week prior to event.
Consumer Collection
Silver Level
$800
Bronze level benefits plus:
Management Commerce Bank Professional Credit
Ad in quarterly newsletter (4‖x4‖) ($150 value) Ad in the membership directory One free job bank listing on the Show-Me website and in the newsletter ($100 value) Receive one free registration company registration to educational session. ($175 value)
Management CACi D-MED Corporation
Bronze Level
$500
Logo with link to company website on the Show-Me chapter website Recognition and logo in our quarterly newsletter Sponsor recognition on all meeting information distributed to our members Free vendor booth at the Show-Me Chapter Conference ($500 value) Logo on our sponsor banner at all chapter meetings Company description will be included in one of the quarterly newsletters Recognition and company description will be available at the registration desk at each meeting Listing in the Show-Me chapter online membership directory Receive membership directory, newsletters, notice of meetings and first opportunity for event sponsorships.
Emdeon HRS Erase Midland Group Meridian Leasing
PAGE 7
To Affiliate or Not to Affiliate, that is the question!
HEALTHCARE HAPPENINGS David A. Neuendorf, FHFMA, FACHE President and CEO Audrain Medical Center
In act three, scene one, of Shakespeare‘s Hamlet, the Prince of Denmark speaks these now famous words, ―to be or not to be, that is the question…‖ In his case he was contemplating whether to continue to exist or not. His challenges seemed overwhelming and he wasn‘t sure if he wanted to go on facing them. It is overly dramatic to apply this question to the plight of community hospitals in the current health care environment. However, many community hospitals seem to be faced with insurmountable challenges right now and affiliating with a larger health care system is one way of dealing with them. As with Hamlet it is the fear of the unknown that keeps us putting up with the evils that we know rather than embracing others we don‘t know. Health care is one big cottage industry in this country. Most other industries consolidated long ago to gain size and scale in the marketplace. Yet health care continues to be dominated by a couple of thousand independent hospitals and a few dozen large health care systems. This structure has led to an expensive health care system with lots of waste and duplication that produces outcomes inferior to many other developed countries. It can be no surprise that policy makers in this country want to see a change in the way health care is delivered. Think of telemedicine, medical homes, and accountable care organizations as a few examples. If this is the wave of the future, stand alone hospitals must ask themselves if they can continue to improve the health and well being of their communities as the hospital is currently structured. We all know of small community hospitals separated from other hospitals by distance that are doing well under the critical access designation. Limited to no more than 25 beds and enjoying cost reimbursement plus 1% from the Medicare program, which is most often their largest payer, they seem to survive and some even thrive. Slightly larger community hospitals that are closer to other hospitals often face a more daunting challenge. For example, both Skaggs Regional Medical Center in Branson and Audrain Medical Center in Mexico have decided they are simply too close to major medical communities to survive on their own and plan to join a larger health care system later this year or early in 2013. Regardless of the size, location, or designation of a community hospital, affiliation is an opportunity that bears exploring. The benefits of gaining greater access to capital, more leverage in commercial payer contract negotiations, and the ability to share overhead costs cannot be ignored. The trade-off can be a loss of local governance which must be carefully weighed. There are many more models of affiliation or consolidation in play today than in the past. It seems the industry is getting better at this if the current volume of activity is any measure. Anyone interested in knowing more about the affiliation process can find a plethora of articles in the current literature. I recommend Lisa Goldstein‘s article entitled ―the new wave of hospital consolidation‖ in the April 2012 issue of HFM. She does an admirable job of laying out the factors driving consolidation. For an update on the latest trends in community hospital transactions I recommend Kathleen Roney‘s article entitled ―3 Emerging Trends in Community Hospital Transactions‖ in the June 5, 2012 issue of Becker‘s Hospital Review. If your hospital is considering the possibility of affiliation it is important for you and your board to communicate often and early with your community, medical staff, and employees. This will help minimize the fear of the unknown among key stakeholders. There are a number of skilled consultants available to assist with affiliation and given the magnitude of the transaction it is advisable to engage one to help. Audrain Medical Center has been an independent community hospital since 1918. Our mission of caring for the sick and injured and improving the health and well being of the communities we serve has never changed. Going forward we will accomplish that mission with the help of a partner. To answer Hamlet‘s question ―to be or not to be‖, we choose to be affiliated as we face the challenges of the future.
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HEALTHCARE HAPPENINGS
MHA Update: 2013 Updates to the Prospective Payment Systems MHA Staff Contact: Andrew Wheeler The Centers for Medicare & Medicaid Services has been very busy during the past quarter issuing final updates to the fiscal year 2013 inpatient and long-term care hospital prospective payment systems and proposed updates to the skilled nursing facility, inpatient rehabilitation facility, hospice, outpatient, ambulatory surgical center, home health and end-stage renal disease PPSs. As a result, the Missouri Hospital Association has performed financial analyses, published issue briefs and written comment letters on behalf of hospitals within the state. The updates to FY 2013 inpatient PPS were released in early August. Fortunately, the changes made to the final rule as compared to the proposed updates improved nationally from a 1.6 percent increase in payments to 2.1 percent. On average, the state will see an increase of 2.2 percent. These calculations include marketbasket updates, reductions mandated by the Affordable Care Act, wage index updates, GAF updates, value-based purchasing and readmission adjustments, and the changes to hospital specific rates caused by the loss of Medicare Dependent Hospital reimbursement. Through its advocacy efforts, MHA continues to work to extend MDH payments for one year, amounting to $14.7 million, and to reverse a section of the ACA that allows Massachusetts hospitals to use a rural floor component that is costing Missouri $15 million per year. Missouri will see a reduction of $9.1 million due to the new readmission adjustment. Although a budget neutral incentive, the state will realize a reduction of $506 thousand due to the value based purchasing adjustment; moneys that is being paid to other states who are reporting better performance or improving at a faster rate. Final updates to the LTCH PPS also were released in early August. National payment increases were modest at 0.1 percent while Missouri should expect a slightly higher increase of 0.3 percent. The increase reflects updates to the marketbasket, ACA mandated reductions, wage index, labor-related share, and MS-LTC-DRG. The Medicare outpatient PPS and the ambulatory surgical center payment system proposed updates were released early July. The proposed updates to the outpatient PPS system includes ACA mandated reductions, wage index, case-mix and outliers. Nationally, the expectation is an increase of 2.1 percent while Missouri should see an increase of 2.8 percent. The average wage index throughout the state increased, allowing Missouri to realize a higher increase in payment than the national average. MHA chose to write comments on several subjects outlined in the proposed rule. MHA commented on the supervision of hospital outpatient therapeutic services, clarification of Medicare policy on inpatient verses outpatient status, rural payment adjustments for sole community hospitals, recalibration of OPPS weights, standards for quality improvement organizations, health information technology for economic and clinical health, and much more. Proposed CY 2013 updates also have been released for the home health PPS, which includes proposed FY 2014 hospice quality reporting measures. Updates to the home health PPS include a national increase in payments of less than 0.1 percent; Missouri should expect a reduction of 0.3 percent. Updates to the payment rate include marketbasket updates, ACA mandated reductions, coding adjustments and wage index. MHA wrote a comment letter supporting flexibility in meeting the ―face-to-face‖ requirements and therapist reassessment requirements, while voicing concerns about the direction CMS is taking in proposals related to survey and enforcement regulations. (Cont on page 9)
PAGE 9
HEALTHCARE HAPPENINGS
The Show-Me of Missouri Chapter will be providing an education track and lunch at the Annual MHA Convention and Trade Show on Wednesday, November 7. We will also be hosting a booth in the Exhibit Hall, drop by and say hi! Noon—Room 61—HFMA member lunch—(no charge) ticket is required, so please mark on your registration form 1:30 - Room 61—‖Financial Implications of Health Care Reform and Evolving Shared Savings Arrangements‖ Rob Schile, partner, CliftonLarsonAllen 3:00 - Room 61—‖Fighting Healthcare Fraud‖, Michael Badolato, special agent, FBI St. Louis To register : https://www.mhanet.com/mhaconvention/conventionreg.aspx Make your hotel reservations and pay for rooms directly with Tan-Tar-A Resort by calling 573/348-3131 or register online. Use the group access code ―MHAR‖ to access group reservations. http://web.mhanet.com/aspx/nav.aspx?navid=63&pnavid=3 link to the full conference brochure on MHA website
MHA UPDATE
(Cont from page 8)
Medicare inpatient rehabilitation facility PPS reimbursement is proposed to increase 1.9 percent; Missouri should receive an average of a 2.0 percent increase. Updates include ACA mandated reductions, wage index, labor-related share and case-mix grouping updates. Proposed changes to the CY 2013 physician fee schedule and other Part B services include many components, such as value-based modifiers, outpatient therapy caps, preventive service updates, severity/ complex modifiers for therapy, CRNA definition change and much more. It is difficult to determine the overall financial impact at this time because the sustainable growth rate is currently set to reduce payments by approximately 27 percent. In the past, Congress has intervened to extend the reduction and will need to do so this year to avoid the SRG reduction. MHA is confident that Congress will do so. MHA published a comment letter discussing CRNA and chronic pain management service clarification and the reporting of seven new ―G‖ codes and 12 new modifiers for therapy services. Medicare reimbursement has seen much change and will continue changing at a very fast pace. One of the key drivers to the PPS updates at this time is the ―fiscal cliff‖ the nation is facing. While Congress works to reduce the national debt and deficit, part of these activities could include up to a 2 percent reduction to all Medicare payment systems through the ―sequestration‖ process. Sequestration may start as early as January 1, 2013. At this time, this 2 percent reduction has not been calculated or included in any of the materials mentioned in this article. MHA published the following issue briefs that explain many more details about each respective payment system update. Final Inpatient and LTCH PPS Proposed Physician and Other Part B Services Proposed Outpatient, PPS and ASC Proposed HH PPS, Hospice Quality Reporting and HHA Surveys
PAGE 10
HEALTHCARE HAPPENINGS
Worksheet S-10 Reimbursable Impacts By: David Verbaro, BESLER Consulting
June 30th has come and gone and summer is well under way. All hospitals have now had their first encounter with the new 2552-10 Medicare cost report forms. Although the cost reports have been submitted, the impact these changes to the cost report forms will have on a hospital‘s reimbursement remains to be seen. No worksheet has seen more alterations than Worksheet S-10. Hospital CFOs and reimbursement directors should understand how the changes to this worksheet will influence the amount of reimbursement they currently receive. So what is the potential impact the new S-10 will have on hospitals? Until recently, the S-10 form had no reimbursement impact and, in fact, the Centers for Medicare and Medicaid Services (CMS) did not even require that hospitals complete the form. Starting in 2010, CMS has instructed all acute care and critical access hospitals to complete the form to calculate hospitals‘ cost of providing care for which they are not compensated. Going forward, Worksheet S-10 will play a vital role in the distribution of a hospital‘s Electronic Health Record (EHR) incentive payments and may be used in the calculation of future Disproportionate Share (DSH) payments. To determine a hospital‘s uncompensated care costs on Worksheet S-10, a hospital records charges and payments, and calculates costs (using the cost-to-charge ratio (CCR) from Worksheet C) for the following: services to Medicaid patients; services to SCHIP patients; services to patients covered by a State or local government indigent care program; and services to patients who are given a discount under a hospital‘s charity care policy. In addition, Worksheet S-10 includes costs (again, using the CCR from Worksheet C) for: non-Medicare and non-reimbursable Medicare bad debt. Worksheet S-10 Impact on EHR Payments A hospital‘s EHR payment is driven by the amount of charity care it provides. Higher documented charity care will result in a more substantial EHR payment. The hospital‘s uncompensated care amount consists of charity care and bad debt, both non-Medicare and nonreimbursable. This amount of uncompensated care is now calculated on line 20 of the 2552-10 Worksheet S-10. A hospital‘s individual charity care policy will determine what services are eligible for line 20. A less stringent charity care policy will most likely result in a higher amount of reported charity care. Accordingly, hospitals should continue to review their charity care policy, which are usually governed in part by State regulations. If a hospital fails to submit any information on the S-10, it may put EHR payments at risk. This omission could jeopardize millions of dollars in payments. Calculating EHR payments may not be the sole purpose of the Worksheet S10. Worksheet S-10‘s Possible Impact on Future DSH Payments Beginning in federal fiscal year (FY) 2014 (October 2013) hospitals will receive only 25% of their current DSH payments. The remaining 75% (or most of it) will be included in an uncompensated care pool. A hospital will receive funding from this pool based upon its ratio of uncompensated care provided compared to the ratio of uncompensated care provided by all hospitals. The Medicare statute [42 U.S.C. §1395ww(r)(2)(C)(i)] states that ―appropriate data‖ will be the basis for a hospital‘s amount of uncompensated care. CMS has not issued a rule specifying the specific data it will use. It seems very likely, however, that CMS will use data on Worksheet S-10 to calculate the amount of a hospital‘s payment from the uncompensated care pool. Regardless of the specific source of data, hospitals should begin to shift their focus from the current DSH methodology to refining their methods of capturing uncompensated care payments. Hospitals will soon have to contend with an increased amount of hospitals eligible for these payments. Now is the time for hospitals to evaluate their charity care policies to determine they are in accordance with CMS regulations. Hospitals should ensure they have included all of the proper documentation to support their amounts, while also trying to maximize their share of the uncompensated care pool. Conclusion Hospitals have a significant number of issues to consider when completing their Worksheet S-10. These considerations include data collection, classification of uncompensated care, and various reporting requirements. With regards to data collection, hospitals will now have to determine who is responsible for obtaining the necessary information to support their amounts. Each line of the Worksheet S-10 may have its own interpretation. For example, hospitals will need to determine how they will record partial payments from charity care patients. Data collection will be a key factor in completing this form. Understanding the impact that this data will have on your reimbursement will be critical to maintain your current level of payment. Hospitals may have an additional opportunity to review their submission, but it is not certain, so careful preparation and review is essential. For more information about the changes to the Worksheet S-10 and the impact on reimbursement, please contact David Verbaro at
[email protected] or (732) 392-8242
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HEALTHCARE HAPPENINGS
Region 8 Connection Greetings HFMA Region 8 Friends and Colleagues! I hope you all enjoyed your summer and were able to stay cool during the record dry spell. Next comes fall with back to school, football and baseball games, and an election this year! This year‘s election could be a ‗game-changer‘ in terms of Medicare and healthcare reform! In addition, the fall months bring you, as HFMA members, so many opportunities to enjoy outstanding programming and networking experiences. Be sure to watch for upcoming events available to you at the local and national level that will help you keep up to date on the latest in healthcare finance as well as to allow you to network with other HFMA members. The monthly Region 8 webinars are again in full swing. This year they are scheduled for the third Tuesday of each month from 12:00 noon – 1:30 pm through April 2013. Be sure to put a placeholder on your calendar for these great webinars. They are an excellent way for you and your staff to participate in an outstanding educational event with minimal expense. The Region 8 chapter leaders have committed to providing these webinars at a minimal cost to members. The fall is also a perfect time for you to begin to work toward achieving certification in HFMA. There are two levels of certification. The first level is the Certified Healthcare Financial Professional, CHFP. This is achieved with three to five years of healthcare financial management experience, a current and active HFMA membership, and through the successful completion of a standard examination. The second level of certification is FHFMA, a Fellow of the Healthcare Financial Management Association. After successful achievement of CHFP status, the FHFMA can be earned with five years of HFMA membership, a bachelor‘s degree and by volunteering your time in the healthcare finance field and/or in HFMA. The reasons to believe you can and should achieve certification in HFMA: It will demonstrate that you are a proven leader in your organization. It will demonstrate your commitment to healthcare industry. Employers tend to look for the HFMA certification when evaluating potential employees. Survey results show a strong link between HFMA certification and career advancement. Please contact your chapter‘s Certification Chairperson for additional information about becoming certified, as well as whether your chapter offers any form of financial assistance to chapter members for the study materials and/or the exam. Thank you again for the opportunity to serve Region 8. In the winter edition of the Region 8 Connection, I will provide an update on recent meetings with the chapter Presidents and Presidents Elect. When you see your chapter leaders at meetings and networking events, please thank them for their tireless efforts leading the chapters on to what is sure to be an exceptional year! I welcome your questions and comments, any time! My telephone number is 515-574-6603 and my email address is
[email protected]. Mike Dewerff, FHFMA HFMA Region 8 Regional Executive 2012-2013
For more information on becoming certified please contact Janice Janssen,
[email protected]
Webinar listing October 16, 2012, 12:00-1:30
ICD-10 and its potential impact mainly on non-HIM functions of the hospital, Day Egusquiza to register—http://www.hfma.org/Templates/InteriorMaster.aspx?id=34141
November 13, 2012 12:00-1:30
TBD
December 11, 2012
TBD
12:00-1:30
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HEALTHCARE HAPPENINGS
Fall Presidents‘ Meeting
September 16-21
By Kyle Lee Janet Taylor and I just returned from the Region 8 Fall Presidents‘ Meeting (FPM) which took place in Miami and on a Caribbean cruise September 16 – 21. Leaders from chapters in our region – Greater St. Louis, Heart of America (Kansas City area), Iowa, Minnesota, Nebraska, North Dakota, South Dakota, Sunflower (Kansas), and Show Me – met with our Regional Executive - Mike Dewerff, Regional Executive-Elect – Randy Hoffman, National Board Representative – Mike Allen and Eileen Crow – Director of Chapter Relations at the National HFMA office. During the course of our meetings, we addressed various strategic planning issues, shared ideas and provided feedback to National on multiple topics. Our agenda also included the approval of our Regional Operating Agreement and extensive discussion about a Region 8 Conference, tentatively planned for August 2013 in Chicago. We would like to congratulate Julie Norton, of the South Dakota Chapter, who was elected to the Regional Executive-Elect position for the 2013 – 2014 year. It‘s of great benefit to network with others in our region and from the National office. We are fortunate to be a part of the largest and one of the most dynamic HFMA regions in the country! The FPM is a great way to keep Show Me Chapter informed of upcoming items and inspire new ideas in successful chapter management and it was an honor to represent our chapter! Paul & Janet Taylor with Kyle & Kaye Lee
Missouri State University Career Fair
September 24, 2012
On September 24, Show Me chapter participated in the Missouri State University College of Business Career Fair in Springfield. As a part of Show Me‘s strategic plan, our intent is to introduce students to healthcare as a potential career path and try to involve those with an interest in healthcare with HFMA early. Our day spent at the Career Fair was a big success and we met lots of enthusiastic students just starting on their career paths! Many of these students are not only interested in post graduate employment, but also internships which are invaluable upon their graduation. If you may have an opportunity for a recent grad or intern, please contact Janet Taylor (
[email protected]) and she can share with you the resumes we received. Brian Coffey and Jean Nyberg working the HFMA booth at the MSU Career Fair Special thanks go out to those Show Me members who volunteered their time to make our Career Day outing such a success: Susan Duncan – Ozarks Community Hospital Jean Nyberg – BKD Brian Coffey – SAC-Osage Hospital Todd Lutes – Ozarks Community Hospital Suzan Winters – Skaggs Regional Medical Center Beth Hill – Ozarks Community Hospital
Susan Winters, Todd Lutes, Janet Taylor and Kyle Lee
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HEALTHCARE HAPPENINGS
Healthcare Financial Management Association's live webinars offer you convenient ways to earn CPEs and obtain the information you need on pressing healthcare finance topics. HFMA also offers on-demand webinars that qualify you for DCMS education hours. Most live and on-demand webinars are free for HFMA members and $99 for non-members.
UPCOMING LIVE WEBINARS OCTOBER Healthcare Reform and Clinical Research: How Investment in Research Can Help Drive Quality Programs October 4: After this webinar, you will be able to describe reasons that hospitals participate in research programs; identify how research programs can be leveraged to support quality and cost reduction initiatives; explore the infrastructure needed to effectively manage research and how this infrastructure is organized at other institutions; and review risks (regulatory, financial) and other considerations. How Perioperative Partnerships Between OR Management and Anesthesia Leadership Impact Productivity and Quality October 9: After this webinar, you will be able to implement a strategy that aligns the objectives of the anesthesia team to the goals of the facility; understand the ways the anesthesia provider impacts efficiency (reducing cancelled surgeries, increasing patient throughput, and decreasing length of stay); develop a quality management program in conjunction with the anesthesia provider that will improve patient safety scores and increase reimbursement rates; and evaluate your anesthesia services to determine if their current infrastructure allows for a functional perioperative partnership (i.e., is strong anesthesia leadership in place?). Harnessing Data Normalization to Drive Product Savings October 25: After this webinar, you will be able to understand the methods used to conduct data normalization. Computer Assisted CDI: A Collaborative Approach October 30: After this webinar, you will be able to evaluate the types of CDI programs in the market; assess the value of NLP-driven CDI for your individual facility; understand how NLP-driven CDI will enhance staff productivity and accuracy as well as compliance and patient safety; and identify potential revenue gained by implementing CDI technology. NOVEMBER Promote Patient Safety and Efficiency with Real Time Clinical Intelligence November 15: After this webinar, you will be able to use technology and information to change behaviors and improve patient care; use visual feedback to improve patient safety and quality measure adherence; and promote real time documentation of care and improve care consistency. DECEMBER Using Attribution to Drive Product Rationalization and Savings* December 6: After this webinar, you will be able to identify a technique for aligning product attributes in order to support a product rationalization program and lower costs.
On-Demand Webinars If you missed a live webinar, you can find the ondemand version here and view it at your convenience. http://www.hfma.org/Education-and-Events/DesktopLearning-Center/Webinars/Recorded-Webinars/OnDemand-Webinars/
One of the most important HFMA-sponsored education programs for the chapter year – HFMA‘s MAP Event – takes place in San Diego on October 28-30, 2012. MAP Event is a peer-to-peer program where you‘ll take away tools to make real-life performance improvements, instill proven practices, extend accountability, and achieve revenue cycle excellence. What is HFMA‘s MAP? HFMA‘s MAP gives you the revenue cycle tools you need to Measure performance, Apply evidence-based strategies for improvement, Perform to the highest standards across the board, and receive recognition for your success. How do I learn more and register? Visit www.mapevent.org
PAGE 14 Reviving Work Ethic(Cont from Page 1) A second explanation is that they see work as a bad thing. You‘re supposed to hate work; everybody does. Why should they be happy at work when work is the very thing the authority figures around them (parents, teachers, bosses, et al) constantly complain about? How many times can they hear things like ―Work sucks.‖ ―I‘m calling in sick.‖ ―As soon as I can find something better, I‘m outta there!‖ without it completely eroding their view of work? The third reason young employees aren‘t as happy as they used to be is that they can‘t go anywhere these days without experiencing-up close and personal-stories about death, destruction, terrorism, chaos, and, what appears to be all our anarchy. This media-filled world won‘t allow them to escape the ranting political activists, the news of terrorism and natural disasters around the world, reports of crime, disease, scandals, and poverty. The world has its share of these kinds of problems when we were young too, but we weren‘t continually inundated with hi def surround sound reminders of all of them every waking moment of our lives. With all they are exposed to, it‘s an uphill battle for any kid to stay positive. As parents, educators, and workforce leaders, our challenge is to inoculate ourselves from taking on their negativity and, instead, help them embrace a positive attitude. This is not done by telling them the joke of the day or forcing a smile in their direction, but rather by taking sustainable measures to breed positivity into your interactions. Here are four steps you can take to impact the attitudes along your front lines: Remove the Negative. Enter your workplace through the backdoor and see your operation form your employees‘ perspectives. There‘s a big difference between a sign on the employee entrance that says, ―All Employees Must Park in the Back Lot‖ and one that says, ―Our customers Pay Our Wages, So Let‘s Save the Closest Parking for Them.‖ Carefully edit the negative language and overtones out of employee emails, notices, and other forms of communication that could be stated in a more positive way. Take steps to remove the drab and dreary signs, colors, and broken items that have a way of infesting themselves in the back areas allowed by managers because ―employees are the only ones exposed to it.‖ You can‘t isolate them from all the negativity that surrounds them, but you can take steps to remove some of the nastiness from your workplace.
HEALTHCARE HAPPENINGS Provide blind 360 degree feedback that comes from their coworkers. Conceal individual identities, but remove the ―me vs. you‖ stigma from an attitude assessment by allowing them to see themselves through varying perspectives. (Young people love this; that‘s why their Facebook page is so important to them.) If their peers tell them to ditch their bad attitudes, you may see instant improvements. Be on the lookout for those glimpses of the attitude you‘re trying to instill in your people, and be prepared to call attention to it. ―Thanks for being so willing to pull a double, Jake. Your positive attitude is an example for the others, and I‘ll make sure the folks at corporate hear about this.‖ Don‘t get so caught up in dealing with all the bad attitudes that you overlook the good things that happen as a result of positive ones. Remember, what draws the most attention is what gets repeated. You Lead the Attitude in Your Culture A positive attitude at work is infectious, so the more you call it out to others and encourage it in key employees, the easier is will be for you to radiate it throughout your culture. This starts with the small things you do, like calling out to the guy who went overboard for a customer or the receptionist who braves the blizzard to open on time, but it continues with how you highlight those kinds of things each day. Positive shifts in your culture occur only if you modes the attitude you want them to have, and after you begin sharing good things that are happening throughout your business with your young people. When you can‘t share positive news about your company, shine the light on something good that‘s taking place in your community, the nation, or the world. Make it your mission to be a purveyor of good tidings. Schedule pre-shift huddles solely to share success stories of individuals, of the team, and of the company. Even though talk is cheap, what they hear from you can be invaluable. As they say, ―attitude is contagious,‖ so let them catch the right virus from you and see coming to work as the brightest part of their day. It will be directly reflected in how they interact with your customers, which will give you even more to rave about. Eric Chester is the President and Founder of Reviving Work Ethic, Inc., the author of four business books, including Reviving Work Ethic: A
Leader's Guide to Ending Entitlement and Restoring Pride in the Emerging Workforce (Greenleaf, 2012) and Getting Them to Give a Damn—How to Get Your Front Line to Care About Your Bottom Line
(Dearborn 2005), and is an award-winning speaker available through www.RevivingworkEthic.com or by calling 303-239-9999.
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Joint Fall Conference
October 24-26
Show-Me of MO, Greater St Louis, Heart of America Chapters 8800 Vandiver Dr, Columbia, MO 573-814-5464
Topics include: Wednesday will include a certification review course from 9:00-1:00 Healthcare Reform Update—Chad Mulvany, HFMA Washington Technical Director Creating a Patient Profile Prior to Arrival—Stephen Kruzick, Emdeon Minimizing the Effects of Reimbursement Costs, Brent Hardaway, Premier, Inc Pearls of Wisdom, What‘s New with RAC, MAC, OIG, Medicaid , Day Egusquza, AR Systems You Can Be a Great Leader Only If You Have a Heart, Walt Stasinski Denial Prevention: An End-to End Approach, Christine Fontaine, Optum Ensuring Clinical Revenue Integrity in a Value Based Purchasing World, Mel Tully, J.A. Thomas Whole Patient Experience, Scott Morgan, Avadyne Health Redesigning the Revenue Cycle in the Face of healthcare Reform, Christine Fontaine, Optum Managing/Controlling Labor Cost Across System Hospitals—Case Study with SSMHospitals Hospital OIG Compliance Audits—What Hospitals Need to be Reviewing to Ensure Compliance, Scott Englun, OIG
Thursday Night - Dinner and back by popular demand—Comic Hypnotist Brian Powers To view the full brochure, please go to: http://www.hfmashowme.org/brochures/HFMAFallConference2012.pdf Registration— http://events.r20.constantcontact.com/register/event?oeidk=a07e6ci7bk23e050d0c&llr=ntje9ecab Questions, please contact Brian McCook Hotel Reservations: http://hiltongardeninn.hilton.com/en/gi/groups/personalized/C/COUMHGI-HFMA-20121024/index.jhtml?WT.mc_id=POG Vendor Fair—Please contact Elaine Watson for more information—
[email protected]
FREE Education/Networking Event November 30, 2012
Columbia, MO
12:00-1:30 Education Session 1:30-3:00 Networking/Social—catered
Healthcare Reform Update The Affordable Care Act: The Policy Landscape After the Supreme Court Decision — Implications of the Health Reform Ruling Financial Modeling – Revenues and Rating Agency Outlook Navigating Medicare Medicaid Coverage and Infrastructure Mapping the Congressional Landscape
Presented by: Steve Renne, Vice President of Children‘s Health and Medicaid Advocacy, MHA Andrew Wheeler, Vice President of Federal Finance, MHA The Show-Me Chapter along with the MU Faculty have collaborated to bring you this event!
RSVP
-
[email protected]
MU Health Care Campus One Hospital Drive CS&E Building Room CE705
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MEMBER NEWS Congratulations to Andrew Wheeler, MHA—he was the winner of the free conference registration for answering our last newsletter survey!! Dan Probstfield Retiring from Lake Regional Health System Dan Probstfield, who has been a member of the Show-Me Chapter since 1974, will retire on February 1, 2013 following 26 years of service to Lake Regional Health System. Probstfield‘s current position at LRHS is Senior Vice President/Chief Financial Officer. Dan is the recipient of the Chapter‘s Founders Medal of Honor, the Frederick T. Muncie Gold Award, the Robert H. Reeves Silver Award and the William G. Follmer Bronze Award for outstanding service to HFMA. He served three terms on the Chapter‘s Board of Directors. Probstfield serves on the River Region Credit Union Board of Directors in Jefferson City and is a member of Lake Ozark Rotary. A native of Verona, MO, Dan currently resides in Linn Creek with his wife, Barba.
St. John‘s — Joplin, MO The old St. John‘s hospital towers, an icon of the disaster from the May 22nd Tornado, began coming down in late July. The 7-story West Tower was the original building opened in 1968. The remaining 9-story East Tower will be felled by late August.
Dan and Barba enjoy traveling and have plans to visit various parts of the United States in their RV and to take cruises and other trips outside the country. They also enjoy family get-togethers with their four children and six grandchildren.
Congratulations to David Halsell, CFO for Bothwell Regional Health Center in Sedalia, MO. David is the Show-Me Chapter‘s newest certified member!!
A TRADITION OF QUALITY, PERSONALIZED HEALTHCARE…. In 1929 Samaritan Hospital began with a tradition of quality, personalized healthcare through the generosity and commitment of Theodore Gary to the people in the Macon area. Today, Samaritan proudly boasts a new 60,000 sq ft modern facility and carries on the tradition of personalized medical care and dedication to people in the community. The first floor of the new facility opened Feb. 13 housing Emergency Services, Laboratory, Radiology, Surgery and Admitting. The new surgical suites are designed for a variety of surgeries ranging from Cataract, General, Gynecological, Orthopedic to Podiatry. On March 1, Dr. Roger Bautista joined the staff as a full time General Surgeon. The new first floor facility also serves as the hub for Macon County Ambulance, a lifeline for emergency care in the area. Samaritan provides a 24/7 Emergency Room and helicopter access for Staff for Life and Air Evac. On March 12, the second floor opened housing 25 private patient rooms, Pharmacy and Social Services. The new private patient rooms have their own bathrooms and are equipped with new beds, cardiac telemetry and nurse call system. In addition to inpatient care, Samaritan offers Skilled Nursing care. Samaritan Outpatient Specialty Clinic allows area patient access to physicians in 15 specialties from Allergies, Cardiology, ENT, OB/GYN, Orthopedics, Pain Management, Sports Medicine, Rheumatology, Urology to Ophthalmology without traveling long distances. The staff at Samaritan Hospital takes pride in providing the community with personalized, quality health care. At Samaritan your health is their priority.
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Hunter Named One of 15 Most Influential Women 2012. JOPLIN, Mo: Mercy Hospital Joplin is pleased to announce Shelly Hunter, FHFMA, MBA, CFO was named in this year‘s class of the 15 Most Influential Women of 2012, awarded by The Joplin Tri-State Business Journal. Shelly is a life-long Joplin resident. She earned a Bachelor of Science degree in Computer Information Systems and Bachelor of Science degree in Business Administration-Accounting from Missouri Southern State University and a Masters of Business Administration from Pittsburg State University. Shelly has served as board president for both Joplin NALA Read and Show Me Missouri Chapter of Healthcare Financial Management Association, where she is still an active volunteer at both the state and national levels. Shelly is a member of the Joplin Rotary. Shelly‘s volunteer efforts have also included the Joplin Area Chamber of Commerce, United Way, Soroptomist International as well as other entities in the medical community. Honorees are nominated by the public and fill out applications that are scored by an independent panel of judges. The awards luncheon were held on Friday August 24th, at the Joplin Holiday Inn.
New Members
Audrain Medical Center held its annual Foundation golf tournament, pictured are Mary Edwards, Greg Shaw, Jennifer Ogden and Shirley Mason.
Michelle Heidt
Rebecca Cunningham
Integrity Home Care, Inc.
Salem Memorial District Hospital
Springfield, MO
Salem, MO
James Filkins
Tricia Bohle
Beacon Partners
John Fitzgibbon Memorial Hospital
Gurnee, IL
Sedalia, MO
Damon Longworth Southeast Missouri Mental Health Farmington, MO
October is Breast Cancer Awareness Month The National Breast Cancer Awareness Month (NBCAM) is a collaboration of national public service organizations, professional medical associations, and government agencies working together to promote breast cancer awareness, share information on the disease, and provide greater access to services. Although October is designated as National Breast Cancer Awareness Month, NBCAM is dedicated to raising awareness and educating individuals about breast cancer throughout the year. We encourage you to regularly visit these sites to learn more about breast cancer, breast health, and the latest research developments.
Please send me any information you have on promotions, retirements, new services offered at your facility, or any life changes! I want to make the newsletter interesting, personal and beneficial to our membership. If you have suggestions for our newsletter, please contact me. All feedback is appreciated!!
Jennifer Ogden, Newsletter Editor 573-582-8095
[email protected]
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HEALTHCARE HAPPENINGS
Job Bank Listing Reimbursement Specialist—CliftonLarsonAllen LLP CliftonLarsonAllen is one of the nation's top 10 certified public accounting and consulting firms. Structured to provide clients with highly specialized industry insight, the firm delivers assurance, tax and advisory capabilities. CliftonLarsonAllen offers unprecedented emphasis on serving privately held businesses and their owners, as well as nonprofits and governmental entities. The firm has a staff of more than 3,600 professionals, operating from more than 90 offices across the country. For more information about CliftonLarsonAllen, visit www.cliftonlarsonallen.com. Overview: The primary focus of the Reimbursement Specialist will be to work within the Healthcare Group serving a variety of healthcare entities (hospitals and health systems, clinics, skilled nursing facilities, home health agencies, etc.) by providing Medicare and Medicaid reimbursement related services. The Reimbursement Specialist will work with CliftonLarsonAllen team members and clients to plan, coordinate, prepare and review reimbursement reports and consulting projects and will report to Healthcare managers and partners. Essential Duties and Responsibilities Plan, Coordinate, Prepare and Review Medicare and Medicaid cost reports Review Medicare and Medicaid fiscal intermediary audit adjustment reports Coordinate and prepare reimbursement related consulting projects Calculate interim payment rates and prepare interim rate change requests Maintain a working knowledge of rules and regulations of the Medicare program and State Medicaid programs Develop familiarity with managed care contracts and methods of payment by managed care organizations Research various topics as necessary for clients or CliftonLarsonAllen personnel related to Medicare and Medicaid regulations Assist in the development of services to provide to CliftonLarsonAllen clients and potential clients Become actively involved in practice management; i.e. participating in professional organizations and associations which develop/build relationships with clients, potential customers, and industry leaders, writing/developing proposals, etc. Research related to Medicare and Medicaid reimbursement and developing a reimbursement library Required Education and/or Experience Four-year degree, preferably in accounting Two or more years experience with hospital Medicare and Medicaid reimbursement Knowledge of Medicare program and state Medicaid program rules and regulations Use of Medicare cost report software Required Skills and Knowledge: Strong PC skills and working knowledge of participant recordkeeping software applications Analytical, yet creative thinking to enable effective decision making. Strong goal orientation/self-motivation. Ability to handle pressure in a positive professional manner. Excellent interpersonal skills - client service orientation.
Solid written communication skills to enable incumbent to prepare accurate and detailed work papers and reports.
Well organized and detail-oriented
Demonstrated flexibility Ability to function independently, with limited supervision Additional Requirements:
Ability to travel to client sites.
Physical Demands Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. FLSA Status: Exempt To apply for this position please visit www.cliftonlarsonallen.com and select the following links: Careers Experienced Opportunities LarsonAllen Job Board Requisition # ―SL1142‖
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HEALTHCARE HAPPENINGS
About our Sponsors BKD Health Care Group, a division of BKD, LLP, one of the 10 largest CPA and advisory firms in the U.S., serves thousands of health care providers nationwide. BKD provides a wide range of accounting and consulting services including assurance, compliance, reimbursement, forecasting, performance management, clinical consulting and information technology. www.bkd.com CliftonLarsonAllen provides assurance, accounting, tax, financial and strategic consulting, and advisory services to health care providers across the nation. Approximately 225 people, including more than 50 principals, exclusively serve health care clients from locations in Arizona, Florida, Idaho, Illinois, Massachusetts, Minnesota, Missouri, North Carolina, Pennsylvania, Texas, Washington, Washington DC, and Wisconsin. Missouri Medical Collections provides state of the art outsourcing programs to help you with Accounts Receivable Management. We have a fully electronic medical collection service with predictive dialer. Our recovery rate is in excess of the national average and we offer credit and collection seminars, credit bureau reporting and physician billing services. We are also members of the Missouri Collectors Association, American Collectors Association, AAHAM, and HFMA. (800) 749-9797 or
[email protected] Berlin Wheeler Inc., has provided collection service to our healthcare clients since 1970. Extended Business Office (Early Out Service): ARTS/EBO customizes the “Early Out” process to meet your individual needs. Bad Debt Collections, our training, technology and experience have enabled Berlin-Wheeler collection service to provide our clients with exceptional customer service along with returns above the national average.. Our objective is to "Exceed the needs of the people we serve.” Human Arc delivers innovative solutions to income issues faced by hospitals, clinics, teaching centers and healthcare systems across the United States. These include governmental health coverage program eligibility/enrollment services for providers, disproportionate share funding program compliance and qualification, healthcare receivables management, denial appeal and many other services. www.HumanArc.com MedTranDirect is a software development company that provides web-based systems that allow healthcare providers or service agencies to conduct HIPAA billing related transactions directly with payers. Our products include electronic billing and claim status management (837Direct and 277Direct) and electronic remittance processing (835Direct and PC Print Plus). These products can be integrated with any HIS and have no transaction fees. See our web site, www.rss.net or contact Kalon Mitchell (417) 581-9585 Kramer & Frank, P.C. Attorneys at Law - Innovative solutions for all of your collection needs. Since 1975, Kramer & Frank, P.C. has dedicated its practice exclusively to the representation of creditors. Today its team of lawyers, collectors, and staff operate from offices in St. Louis Missouri, and Kansas City to achieve maximum collections throughout Missouri, Kansas and southern Illinois. In addition we are part of network of attorneys that spans the nation. http://www.lawusa.com Account Resolution Corporation is a collection agency specializing in first and third party collection programs. Our collection processes include extensive calling/letter campaigns, credit bureau reporting, nationwide skip trace searches, courts of law, and debtor conferences/negotiations. ARC will also conduct a first party program to resolve your accounts without the threat of a “collection agency”. www.arc1.biz
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HEALTHCARE HAPPENINGS
About our Sponsors CACi’s Accounts Receivable Management services include First Party Services, Bad Debt Recovery, Staff Supplementation, Skill Development Workshops, and Receivables Work Down Projects. Our Certification through ACA International’s Professional Practices Management System underscores our commitment to exceeding the expectations of our clients. www.cacionline.net Consumer Collection Management is a full service collection agency. We assure the best service and complete resolutions of your accounts. For further information contact: Tracy Packingham at 314570-3580 or
[email protected] For more than 140 years, Commerce Bank has been meeting the financial services needs of businesses by providing a diversified line of financial services, including banking, wealth management, estate planning, investments and has operating subsidiaries involved in mortgage banking, leasing, credit-related insurance, venture capital and real estate activities. www.commercebank.com Avadyne Health is a revenue cycle workflow technology and patient-focused business process outsourcing services firm. Our customer service, self-pay management, insurance/government account follow-up, bad debt, and pre-access services are complemented with front and back-office workflow, denial management, employee productivity tracking, and dashboard reporting software solutions. The results are improved process control , increased cash and account resolution, account transparency, and improved patient satisfaction and loyalty. D-MED Corporation provides Revenue Cycle Consulting and Management services along with cash recoupment and cash enhancement programs. We can perform revenue cycle reviews, provide temporary Interim staff on site, utilize a “swat team” for special projects or back-logs, etc. If you are looking for extra cash, or to insure “BEST PRACTICES” are utilized in your current revenue cycle program, or temporary staffing, call Dudley Medlock at D-MED Corporation at 800-695-2404 extension 210. Emdeon is a leading provider of revenue and payment cycle management and clinical information exchange solutions, connecting payers, providers and patients in the U.S. healthcare system. For more information, visit www.emdeon.com. HRS Erase provides Revenue Cycle Solutions including eligibility enrollment services, workers compensation, out-of-state Medicaid and aged receivables services. We have found by putting our focus on the patient first, delivering more value added service and a higher level of client service we have a solid recipe for success. Professional Credit Management, Inc is a regional financial services company specializing in debt recovery. Since 1980, PCM has provided premier billing and recovery services to healthcare providers. Our services portfolio includes overdue account collection, early-out services, pre-collection work, payment plan management, account scoring and more. PCM operates from multiple locations and is poised and capable of handling services or projects of any size to resolve your specific accounts receivable needs. Meridian Leasing is one the largest independent leasing companies in the United States, offering creative lease financing for a broad variety of equipment types and industries, including laboratory and medical equipment, IT, communications, industrial and manufacturing. Our team of experts provides full-service support, a dedicated, single point of contact and superior back office administration. Established in 1989, The Midland Group is a leader in providing hospital revenue cycle services, including public benefits eligibility, financial counseling, Social Security disability appeals, third-party billing and lien services, and an extended payment program for hospitals patients. Midland is owned and controlled by the Independence Charitable Trust (ICT), a 501(c)(3) charitable trust. ICT is directed by a board of
