HFMA Show-Me Chapter Summer Conference July 29-31, 2015
e h t s ’ t i e … ly N i NO, l L a e t r N e x here’s liNe?? h t s i e N lik r a fi e
ev
This brochure, including any updates, can be found on the HFMA Show-Me Live Education page at http://www.hfmashowme.org/live-educational-programs
Agenda at a Glance
2
Agenda at a Glance
3
Hotel Information Once again, we are excited that the
HFMA Show-Me Chapter Summer Conference will be at the beautiful Camden on the Lake Resort, Spa and Yacht Club! There are a limited number of hotel rooms available under the HFMA block rate! To reserve your room under the block rate, please contact Camden on the Lake by June 30. Room Rates: Double Studio: King Studio: 1 Bedroom Grand Suite: 1 Bedroom Jacuzzi Suite:
$155.00 $155.00 $195.00 $195.00
Phone Reservations: 1.888.365.5620 Identify yourself with Healthcare Financial Management Association or with Group Code HFMA0715 You may make your reservation directly by clicking on the Camden logo below: Select GROUP RESERVATIONS: Group ID: HFMA0715 Group Password: HFMA0715
Camden on the Lake * 2359 Bittersweet Rd * Lake Ozark, MO 65049
4
Wednesday Sessions July 29, 2015 Time
Session
12:00 - 3:30 Registration Desk Opens 1:00
Welcome to the 2015 HFMA Show-Me Summer Conference Susan Duncan, HFMA Show-Me President
1:00 - 2:00 Mosaic’s Journey to Transform from Health Care to Life Care Martha Davis, Mosaic Life Care Institute Using the theme of Hill-Skill-Will, the presentation will focus on the industry, region and organizational barriers and challenges Mosaic Life Care faces; the new skills leaders, providers and the front-line staff have to develop in order to prepare for these challenges; and how the role of will is critical when forging a new culture and set of consumer-oriented offerings. As organizations increasingly face disruption due to an increased population health focus and shift from volume to value, it’s time to create a new continuum of offerings that engage and activate consumers—not just patients. This presentation will describe what Mosaic Life Care Institute has done to prepare, how they have engaged providers and workforce in the journey, as well as what Mosaic has done well along with hard lessons learned.
2:00 - 3:00
Monitoring and Managing Payor Contracts Pam Hannah, CRCR, Cerner Corporation This session will discuss differences in payer rate structures, payer contract pricing, and will prepare users to analyze and recover payer underpayments. Understanding how to model proposed contract pricing methods and understanding how to negotiate payer contracts will help to ensure healthcare organizations are maximizing their reimbursement potential. After This Session Participants Will have a better understanding of payer contracts and processes used to monitor and manage payer reimbursements, minimizing the risk of unmonitored under payments.
3:00 - 3:30
Break
3:30 - 5:00
Payor Panel Connie Demetrulias - Moderator, VHA Mid-America Tina Bradshaw, Aetna Better Health of Missouri Annie Brozio, Home State Health Brenda Bryant, United Healthcare of the Midwest Bob Burnett, United Healthcare of the Midwest Doreen Kombrink, Multiplan Todd Lucas, Aetna/Coventry Lynn Schleper, Anthem Blue Cross Blue Shield Resmi Schrieber, Aetna Better Health of Missouri
5:00 - 7:30
Opening Reception & Trade Show *First Flight of Minute Race Games*
5
Thursday Sessions July 30, 2015 Time
Session
7:00 - 11:30 Registration Desk Open 7:00 - 8:00
Breakfast and Trade Show
8:00 - 9:30
Keynote Speaker Work Smart – Live Smart: How to Go From Surviving To Thriving Dr. Tim Crowley, Crowley Leadership The subject of stress has become a favorite subject of everyday conversation. It is not unusual to hear ourselves talk with friends, coworkers, and family members about the difficulty we have with managing the stress of everyday living. We talk about being burned out, overwhelmed and “losing it.” For many people, every day stress can build to a level that seems too difficult to handle. Our reactions to the daily stressors can leave us exposed to a variety of illnesses and injuries or can take us away from our life goals. This engaging, entertaining and relevant presentation demonstrates valuable stress and resiliency techniques that can boost and nurture our energy, restore focus, while helping us all to get the most out of work and life!
9:30 - 10:00 Break and Trade Show 10:00 - 11:00 Accountable Care in Rural America Lynn Barr, National Rural ACO In this session, Lynn will describe the journey of the National Rural Accountable Care Organization, who began as a single ACO with nine members in three states and is currently applying for 40 ACO’s in 30 states with 200 rural health systems. We will discuss the unique challenges of rural providers, how Rural Health Clinic, FQHC and Critical Access Hospital billing affects value-based payments, and the need for policy changes to preserve access for rural beneficiaries.
11:00 - 12:00 Succeeding at Risk-Based Care: Episodic Valuation Eric Rogers, BKD Multiple market forces are driving transformation from FFS to value-based reimbursement. Health systems must prepare for risk by understanding CMS sanctioned reform, retail influences, and increased competition for patient loyalty. Implementing bundled payments for episodic care will position providers for successful relationships with commercial and governmental payers as well as improve operational efficiencies while FFS rules still apply.
12:00 - 1:00 Lunch and Awards Presentation 1:00 - 1:15 New HFMA Certification Jon Branstetter, Ste. Genevieve County Memorial Hospital
6
Thursday Sessions July 30, 2015 Time
Session
1:15 - 2:15 ICD10 Survival Guide Janice Redden, Norton Healthcare With all indicators looking like ICD10 is going to happen October 1, providers and physician practices can no longer put off recognizing the infrastructure that will be needed and the possible revenue impacts to survive this monumental change. Janice Redden, CCS, COC is the System Director of Revenue Integrity at Norton Healthcare in Louisville, KY and has been preparing the Norton system for ICD10 for five years. In this session, Janice will discuss Norton's preparation plan for their large tertiary care facilities as well as their smaller hospitals and integrated physician practices. Janice will also touch on "must haves" under the new coding system and what providers and physician groups who may not have prepared well can do to survive the implementation of ICD10.
2:15 - 2:30 Break 2:30 - 3:30 Telehealth in Missouri: What’s Happening and What’s New Rachel Mutrux, Missouri Telehealth Network Aaron Zook, Hannibal Regional Medical Group Reaching patients through telehealth continues to drive and reshape care in rural America and throughout Missouri. With the addition of a new ECHO program, Missouri is on the cutting edge of care delivery. In this session, you’ll learn how Hannibal Regional Hospital, a prominent adopter of telehealth, has improved access to care and how your facility can reach more lives than ever before.
3:30 - 4:00 Break and Trade Show 4:00 - 5:00 Legislative and Regulatory Update for Rural PPS Hospitals Brad Brotherton, BKD Learn about the latest proposed and final regulations related to the Medicare program and other recent legislation affecting rural PPS hospitals. In this session, you’ll understand the impact of bundled payments and quality initiatives on rural PPS hospital finances and take away checklists of pending reimbursement changes and best practices for quality initiatives and bundled payment programs.
5:00 - 6:30 Reception *Final Flight of the Minute Race Game*
7
Friday Sessions July 31, 2015 Time
Session
7:00 - 8:00 Registration Desk Open 7:00 - 8:00 Hot Breakfast 8:00 - 9:00 340b Updates and Compliance Concerns David Pointer, Pointer Law, PC Jeremiah McWilliams, Ozarks Medical Center This presentation will cover the ever-increasing complexity surrounding the federal 340B drug discount program. After providing an initial overview of the origin, purpose and scope of the program, the presentation will focus on practical concerns facing hospitals seeking to implement and maintain effective and compliant 340B programs, including effective internal audit programs. Particular attention will be given to recent guidance provided by HRSA that impact important aspects of the program. These will include the GPO exclusion, orphan drug exception, and patient definition issues. The results of recent HRSA audits of 340B-eligible covered entities will also be addressed.
9:00 - 9:15 Break 9:15 -10:30 StarkWars - Return of the Federal Regulators Andy Ramirez, Lathrop & Gage, LLC Every transaction between a hospital and a referring physician must comply with the Stark Law. This presentation will review the basics of the Stark Law and those Stark Exceptions that hospitals need to understand in order to avoid a significant compliance concern. The speaker will also discuss his experience representing clients in self-disclosures to the OIG, AUSA and CMS.
10:30 -10:45 Break
8
Friday Sessions July 29, 2015 Time
Session
10:45 - 12:00 Missouri Healthnet Update Steve Renne, Missouri Hospital Association In this session, Steve will provide an update on initiatives of Missouri Healthnet, including * SFY 2016 Budget Update – Medicaid funding increases and decreases, Governor’s withholds and caseload projections * Medicaid Managed Care Expansion – Proposal to expand Managed Care statewide for adults and children. Timeline and process to implement * National Drug Codes – OIG Audit and the state response and impact to hospitals * Update on the Marketplace and Missouri’s uninsured - 2015 Open Enrollment Results - impact of premium subsidies and impact on the uninsured rate * Medicaid Expansion in Missouri– or Not – prospects for the next Legislative Session
12:00
Closing Remarks Tina Gillespie, HFMA Show-Me Vice President
Exhibit Hours Please take some time to view the technology, products and services that can help you compete in the healthcare race in the exhibitors’ area. The exhibitors’ area will be open from 5:00 Wednesday, July 29, through 4:00 on Thursday, July 30, during all meals, breaks and the reception on Wednesday evening.
Minute Race Games Curious yet? Be sure to be at the Wednesday Reception when we will be kicking off the Great Minute
Race games of 2015! 9
Thank you to the 2015 HFMA Show-Me Chapter Summer Chapter Sponsors!
10
Registration Information HFMA Show-Me Chapter Summer Conference Camden on the Lake Resort, Spa and Yacht Club 2359 Bittersweet Rd * Lake Ozark, MO 65049 888-365-5620
To register online click here: Name____________________________ Title __________________________ Organization_____________________________________________________ Address______________________________ City______________________ State______ Zip __________ Phone (
) _________________________
Email ___________________________ HFMA Member ID#______________ $ $ $ $
MEMBERS $160 received by July 10 $210 recevied after July 10 $125 Show-Me Student Member
$ $
NON MEMBERS $200 received by July 10 $250 recevied after July 10
$250 CONFERENCE SPONSOR (Available to Show-Me Chapter Sponsors Only) Receive complimentary registration plus exhibitor space, recognition at all breaks, meals and receptions. MULTIPLE FACILITY DISCOUNT If three (3) or more register from the same facility, each registration will be discounted $25. Must be registered at the same time using MULTIPLE discount code when registering online.
$
Total Amount Due
Full Conference includes all sessions, meals, receptions and entertainment
Registration deadline is at 6:00 p.m. (Central) on July 22, 2015. Cancellation Policy: For cancellations received by July 22, 2015, a full refund minus a $25 processing fee per registrant - will be granted. Cancellations made after July 22 and non-attending registrants are responsible for the full registration fee. Substitutions are encouraged.
If you are paying by check, you should first complete your online registration and select Pay By Check as payment option.
Payment by Check: Please make your check payable to: HFMA Show-Me Chapter Please mail to: Jean Nyberg BKD 910 E. St. Louis St. Springfield, MO 65801 Registration Questions Jennifer Ogden Office: 770-360-1756
[email protected]
Accommodations at the Camden on the Lake Please call (888)365-5620 and ask for the HFMA discount (HFMA0715) to ensure you receive the group discount rate of $155.00/night, Special rate is subject to availability and will expire on Tuesday, June 30, 2015. We’ve gone green! Session materials will not be distributed at the 2015 Summer Conference. Materials will be posted on the HFMA Show-Me website and you may save them to your tablet or laptop. A link to the handouts will be emailed to all registrants prior to the conference. Internet access will be FREE in the conference rooms and all guest rooms.
11
