hfma sunspots newsletter winter 2016
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DOUBLETREE ORLANDO AT SEAWORLD, ORLANDO, FL
NO. 6WINTER 2016
SUNSPOTS
JANUARY 20-22, 2016
THE
ANNUAL MiDWiNTER CONFERENCE
FORUMSARE HERE
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SUNSPOTSHFMA Florida Chapter Newsletter
JANUARY 2016
When What WhereJanuary 20th HFMA FL Chapter Mini Leadership Training OrlandoJanuary 20-22nd HFMA FL Chapter Mid-Winter Conference OrlandoFebruary 5th Regional Education Session Cape CanaveralFebruary 17th Regional Education Session TampaFebruary 18th Social Event JacksonvilleFebruary 26-29th 2nd Annual HFMA Florida Chapter Cruise BahamasMarch 20-23rd HFMA Region 5 Dixie institute 2016 Nashville TNMarch 24th Regional Education Session PensacolaMarch 25th Regional Education Session Space CoastApril 7th Regional Education Session TampaApril 21st Regional Education Session JacksonvilleMay 15-18th HFMA FL Chapter Spring Conference and Annual Meeting Saint PetersburgJune 26-29th 2016 ANi Las Vegas NVSeptember 14-16th
HFMA FL Chapter Fall Conference Delray Beach
UPCOMING EVENTS
TABLE OF CONTENTSEditor's Note ��������������������������������������������������������������������������� 3
Board Report ��������������������������������������������������������������������������� 3
President's Message ������������������������������������������������������������ 4
Bill's Board �������������������������������������������������������������������������������� 5
Forums – Hot Topic Discussions that You Should Join ����������������������������������������������������������������������� 8
Midwinter Highlight ������������������������������������������������������������ 15
Succeeding in Medicare Bundled Payments �������������������������������������������������������������� 16
Volunteer Spotlight – Robert Howey ���������������������������� 18
Members on the Move & New Members ���������������������������������������������������������������������� 22
A Sea of Change in Reimbursement Parity for Behavior Health ������������������������������������������������ 24
Certification Corner – Have You Considered a Scholarship? ���������������������������������������������� 26
Charity – Tampa Bay Heart Walk a Success! ������������������������������������������������������ 27
iCD-10 Could Become a Case Study in Large Scale Preparation ����������������������������������������������� 30
Sponsorship – 2016 Corporate Benefits and Application �������������������������������������������������� 32
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MEAGEN LANEVP of the Southeastern Region at Choice Recovery – HFMA FL Chapter Newsletter Chair
A NOTE FROM THE EDITOR:Welcome to the winter issue of SunSpots! i hope you have all had a magical holiday season and a smooth start to 2016�
With the holiday shenanigans behind us, new year responsibilities imminent, and tax season sneaking up around the corner, i also hope that we can all find a moment to take a deep breath before getting swept away again!
if you are being swept away, where better to be swept away to than the upcoming Mid-Winter conference?
Your HFMA chapter volunteers have once again outdone themselves in putting together this event� Please turn ahead a few pages for sneak peaks at the conference’s Forum Sessions and Payer Presenters�
See you soon,Meagen Lane
BOARD
REPORT
Our Fall Conference in Delray Beach was a tremendous success with 305 people in attendance, 35% of which represented provider organizations� Candice Tettamanti, the Director of Education, and her team did an excellent job of providing a broad spectrum of healthcare finance education to our members, helping them identify and bridge the gaps in their healthcare organizations by establishing an event filled with knowledge-sharing and best practices�
Gloriann Sordo, Chair of the Founders Committee, has reported that 6 Members of the FL Chapter of HFMA have earned a Bronze Follmer Award this year for their volunteer service to HFMA� Formal awards will be presented to these individuals during our Mid-Winter Conference�
The following members will be recognized:
Arjun Bhatia – Accenture
Greisy Carril – Emdeon
Cindy Kushner – Crowe Horwath LLP
David MacDougall – UHS
Kristy Summers – Orlando Health
Carol Tannenbaum – BayCare Health System
Congratulations to all and thank you for your service to the Chapter!
We have recently added a new committee called the Data Management Committee� The Chairperson for this new committee is Teresa Loomis from Orlando Health� A few months back the Chapter contracted with a Jacksonville company called Health Asset Management, inc� to utilize their PaperTracer database application for managing membership data, sponsorship data, and a variety of other data for FL HFMA� Teresa will work with her team to ensure that all data is secure and properly maintained for the benefit of the Chapter�
Senior VP of Sales & Marketing at DaVincian Healthcare inc – HFMA FL Chapter Secretary
By MIKE BICKERS
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A LETTER FROM OUR PRESIDENT
At the halfway point in my year as Chapter President, it seems like a good time to provide a quick update and let you know about some of the future events�
Education - All the planned educational sessions have been successfully held thus far, with many more listed on the website over the next five months� With the continuing changes in our healthcare laws and policies, it’s fortunate to have an active Curriculum Committee to recommend the most up-to-date speakers and topics� in addition, planning is underway to host at least one Chapter Webinar this spring, and open it up to invite members of all chapters within the southern states of Region 5�
Membership – A tremendous effort is being led by Dan Phippen and his Team to build a new and expanded infrastructure for the Membership Engagement Committees� The group has added a number of dedicated team members who are creating plans for sustainable growth of the Chapter well into the future� We have an on-going contest to Get-A-Member, with the winners receiving an iPad, and other cash prizes throughout the year� Other initiatives include getting our membership message out to Providers, Payers and Physician Groups, as well as each of the Universities within Florida� Through their efforts we have had over 100 new people join the Florida Chapter and many more re-new since June�
Sponsorship – We continue to have great support from the vendors that generously sponsor the Florida Chapter� This helps provide the quality education we appreciate� When you select a vendor, please take into consideration if they are one of the over 80 companies that currently sponsor the Florida Chapter� Check the website at FloridaHFMA�org for the latest Buyers Guide�
Networking – There is still room to sign-up for The 2nd Annual Cruise on the Norwegian Sky, sailing to The Bahamas, February 26-29th from The Port of Miami� Join your colleagues for a relaxing weekend with over 30 members and friends at very reasonable group rates�
It is a pleasure serving the Florida Chapter!
Thank you,
Chris Durkin, President, HFMA Florida Chapter
ChRIS duRkINVP Controller at Baptist Health, Pavilion Health Services Inc
HFMA Florida Chapter President
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Director at Matheny Stees & Associates PC – HFMA Region 5 ExecutiveBILL'S BOARDBy WILLIAM MATHENy
Since my last communication, South Carolina and Georgia HFMA chapters participated in the lip-sync challenge put forth by the Oregon chapter, and most HFMA chapters hosted a well-attended fall meeting� Renee Jordan, your Region 5 Executive Elect, attended the Regional Executive Council meeting in Chicago with me, and together we represented your chapter’s interests� Personally, i was involved in two other HFMA chapters’ fall meetings� My first opportunity was the Tennessee chapter meeting in Gatlinburg, where i was the early meeting speaker and warm-up act for Melinda Hancock, who was to speak on bundled payment education� i presented the perspective of post-acute providers and Melinda took the crowd deeper, with her excellent presentation on the entire spectrum� Later, the Annual Swersky barbeque presented a great networking opportunity� As usual, Gregg Swersky did an excellent job honoring his brother Kurt, one of my first HFMA mentors� He was taken from us way too soon, but his brother Greg continues to do a great job keeping our memories of Kurt alive; thanks, Gregg! With the barbeque in progress, the chapter also sponsored the Medic blood drive, a collective and individual opportunity to give back; sometimes in our busy careers, we neglect to do that�
My second opportunity was to attend the Georgia Chapter Fall institute in Savannah� The Georgia chapter team did a great job organizing an excellent educational offering and several networking events� i started off my Georgia experience by meeting with their Board at a dinner meeting on Tuesday evening� Wednesday evening however, was different - we did “Dinner with a Stranger” where i got to spend time with about eight of their chapter members, to get to know them a little better� i would highly recommend this type of networking exercise for other chapters� Thursday continued the educational offering, and afterwards the “party” began with the chapter members dressing in their favorite decade attire and continuing the lip-sync video� Kudos to the Georgia chapter leaders, Kimberly Farmer and
Jonathan Skaggs, and all the Georgia chapter members who made my experience memorable�
On November 8th and 9th, Renee and i attended the National HFMA Regional Executive Council Fall meeting in Chicago� The format was somewhat different from past council meetings in that we had round tables with the RE and REE from each region together� Presentations were made by the National iT department on analytics, by REs on an assigned section of the Chapter Balanced Scorecard (“CBSC”), and by an innovation speaker whose group exercise helped us gain a better understanding of how to innovate� The Council then discussed actual Scorecards, and made some changes for next year’s leadership grading� Metrics were added for educational quality, innovation, and networking� These changes were considered necessary to move HFMA as an organization, to where it needs to be�
As i am writing this, i am already reminiscing on the holiday season� i hope you were able to spend time with friends and family during this special time, and that you are continuously thankful for your blessings and for the men and women who each day put their lives on the line to ensure we are free�
I wish each and every one of you a happy, safe, and prosperous New Year.
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INFORMATION TEChNOLOGYForum
Vice President at KPMG [email protected] Chair: JANINE PRATT
Name Position Title Organization Phone E-Mail
Janine Pratt Chair - IT Forum VP KPMG 954-553-1966 [email protected]
Rick LairdForum
Communica-tion
Sr Account Manager
Healthcare FLLexmark 813-528-9954 [email protected]
Jim Mckeen
Business Development
Manager Healthcare
AAJ Technologies 954-448-4974 [email protected]
Jim Wilder Forum Advisor
VP and Market CIO
JSA Healthcare DaVita
Helathcare Partners
727-828-2356jim.wilder@jsahealthcare.
com
The information Technology Forum has a mission to develop education for iT Leaders to help foster collaboration with their counterpart finance leaders� We have identified shared goals of the group by asking Finance and iT leaders to be contributors to education�
This year’s iT forum education has an overall theme of Population Health highlighting the Strategic, Financial, and Technological transformation to be successful� Each session focuses on a track that supports our focus�
Our mid-winter forum will be a roundtable discussion focused on Transitions of Care� The session will engage the speakers and the audience members in a lively discussion around the clinical and financial impact and opportunities facing organizations today� The learning objectives are:
Learn how your local organizations are facilitating Transitions of Care and the financial impact on the following objectives:
identify process and technology workflows
Structured process outcomes
Patient experience
Our spring forum will be a roundtable discussion targeting Cost of Care� it will focus on contract management, reimbursement, and value based payment models, while understanding the technology used to support this approach� The learning objectives will be:
identify and assess which outcomes will be key to optimizing reimbursement going forward�
Understand key quality indicators to optimize reimbursement and the technology used to support this initiative�
How value based payment models are impacting your revenue, future financial performance and cost of care�
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AudITING & ACCOuNTING and Financial Operations Forum
Discussion Points for 2016
Welcome to the Auditing & Accounting and Financial Operations Forum! This is a round table discussion about hot topics that healthcare finance teams are facing� We discuss what our peers are doing to address these issues so that we are all better empowered to address them in our own organizations�
Current Topics Include:
FASB and GASB changes
Continuous budgeting
Rolling forecasts
Long-range financial forecasts
Cost accounting
Strategic planning
Margin improvements
Strategies for cost reports
And MORE���
The result of our discussions will be the building blocks for future ongoing focus group discussions on the hot topics selected by the group�
Future Planned Sessions Include:
Continuous Budgeting and Rolling Forecasts
This discussion will focus on the concept of contin-uous budgeting in the healthcare setting� How will it impact your budgeting process?
Cost Accounting and the Charge Master
How can healthcare organizations leverage cost accounting systems to better position pricing to be more in line with actual cost?
Strategic Planning
What are the best practices in strategic planning? We will discuss long range financial planning strate-gies and share what our members are employing at their own facilities� What are the best tools used and KPi’s to track?
Controller at Parrish Medical Center [email protected]
Forum Chair: MICHAEL SITOWITZ
Controller at Flagler Hospital Fang�Xia@flaglerhospital�org
Co-Chair: FANG XIA
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Forum Chair: Carol PlatoAssistant Vice President and Martin Health System [email protected]
Co-Chair: Rudy BracciliExecutive Director of Revenue Cycle Services at Boca Raton Regional Hospital [email protected]
REVENUE CYCLE FORuMDiSCUSSiON POiNTS FOR 2016
This is a roundtable forum discussion to address best practices in current at future payment methodologies, including alternative payment models for physicians and hospitals� Examples will include:
ACOs
CiN’s
Bundled Payments
Risk Arrangements
Future Sessions will address:
House based physicians (contracted physicians like ED & Anesthesia) and billing issues with patients�
Presenters from house based groups will discuss contracting difficulties and best practices for educating patients�
Readmissions
Contracting and Revenue Cycle issues
Penalties
Various contracting methodologies
Revenue cycle tracking for no-pay readmits
Denied days by payers and no post-acute options
The impact of Managed Care and the lack of post-acute providers on LOS increases�
Contracting options and best practices from our peers to highlight how some facilities are monitoring/counting these avoidable days�
Welcome to the Revenue Cycle Forum!
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This is a roundtable discussion to share best practices in reimbursement and to provide overviews and explanations of legislative policies and changes� Upcoming sessions will discuss actions that providers can take to address the following issues:
Emergency Department Service & Reimbursement for Services Rendered to Illegal Aliens
AHCA’s policy change with respect to the retroactive denial of emergency services presents significant challenges�
Impact of Health Insurance Exchanges and their Influence on the Ballooning of Patient Deductibles
With the implementation of the health insurance exchanges (Obamacare), many insurers
are developing high deductible plans with significant patient responsibility�
We will provide an overview of exchange plans and steps that providers are taking in order to collect from patients with high deductibles�
Population Health Management
Data collection
Care Coordination
Patient Communication & Engagement
Medicaid Outpatient Payment Changes Being Considered
Calculating Medicaid APR DRGs
REIMBuRSEMENT AND LEGISLATIVE FORUM
Discussion Points for 2016
Forum Chair: TOM MAGRI Director of Payer Analysis & Decision Support at Bethesda Health tmagri@bhinc�org
Co-Chairs: ROBERT FELDMAN Business Development Manager at Emdeon rfeldman@emdeon�com
THERESA OTT Manager of Reimbursement at Sarasota Memorial Health Care System theresa-ott@smh�com
Welcome to the Reimbursement & Legislative Forum!
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CIGNA - Total Population Health Solutions
Paul FruhwirthVice President, Consumer Health EngagementPaul is responsible for developing and executing Cigna’s strategy for Consumer Health Engagement, which includes all of Cigna’s health management programs and services� Paul supports the Cigna organization in ensuring that Cigna’s customers engage with and benefit from the care management programs that are available to them� These programs include disease management, behavioral care, lifestyle |management, health and wellness programs and preventive services� Topic:
Paul will be discussing Cigna’s unique approach to total health management across a population and how Cigna leverages technology to enhance the customer experience as well as assisting in navigating the complex health care system�
FLORIDA BLUE – What’s new at Florida Blue
Kirk Fischer
Vice President, Delivery Systems
Kirk Fischer is Florida Blue’s Vice President of Delivery Systems� in this role, Fischer is responsible for providing leadership for local market network management, provider contracting, payment innovation, network operations, credentialing, provider
issues management, provider education, statewide ancillary contracting, network financial performance, medical cost management, professional relations and provider connectivity solutions�
Topic:Keep up with the latest news and information from Florida Blue� Learn about Florida Blue’s improvement in HMO plan models, prevailing Health information Technology, Quality Revenue Management programs and other helpful tips that benefit patients and assist providers in receiving quality service�
AETNA – Network Update
Pam Milburn
Network Operations Head, Southeast Region
Ms� Milburn is responsible for implementation of network initiatives and innovations to support market competitiveness and value for twelve states of the Southeast Region� She is the Network Operations Head responsible for implementation of cross-market initiatives, support of financial goals and provider contract management and compliance� Ms� Milburn joined Prudential HealthCare, subsequently acquired by Aetna, in 1994 and has worked in various capacities within the organization� She spent 17 years developing and managing provider networks and initiatives across Texas and Florida� After working with National Accounts to represent the provider networks nationally for Aetna plan sponsors, she began her current position to support the Network Management teams of the Southeast Region� She holds a B�B�A� in Business Administration from Texas A&M University and an M�B�A with an emphasis in Health Care Management from Our Lady of the Lake University�
PAYERhIGhLIGhTS
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Topic:
Learn about Aetna’s strategic approach and alternatives for Value-Based Contracting� Understand the network models create to support Exchange Networks and products� Receive an introduction and updates about new policies, procedures and enhancements when working with Aetna�
FIRST COAST SERVICE OPTIONS - Part A Update and Hip & Knee Bundle
Ursula Weaver
Provider Relations Representative
As a provider relations representative at FCSO, Ursula utilizes her communication skills and Medicare knowledge to create face-to-face events, webinars and website communications for healthcare providers� She is also the project manager of First Coast’s annual symposium Medicare Speaks, which depends on coordination of internal and external presenters to ensure success� Ursula started her career with First Coast in 2003� Ursula holds a Master’s degree in Business Administration�
Topic:
This presentation will highlight some of the important changes applicable to the provider community affecting potential payments and billing processes� it will include updates to the Medicare program that are effective January 2016 and forward� The presentation will also include a high level overview about the Comprehensive Joint Replacement (CJR) Model�
UNITED HEALTHCARE
Michelle Barry
Vice President, Florida Provider Relations
Michelle Barry is the Vice President, Florida Provider Relations at UHC� in this role, she is responsible for developing and
implementing business initiatives and overseeing a team of professional educators who offer outreach opportunities to Florida providers� She has worked in the healthcare industry for over 30 years� Her experience includes working with multiple payers and providers throughout the East Coast focusing on technical implementations and education� Her information technology experience includes leading and managing end-to-end strategy implementations, project planning, data conversion/transformation, enterprise data warehouse, business intelligence, design, quality assurance, content management, requirements gathering, and mainframe/legacy modernization�
Ruth Fricke
Regional Vice President, Accountable Care
Ruth Fricke is the Regional Vice President, Accountable Care, at UHC� in this role, she is responsible for overseeing strategy development, implementation of services and the ongoing management of contracted ACOs for United Health Care in the Southeast Region� She has worked in the health care field over twenty-five years� Her experience includes working with multiple providers developing ACO arrangements along the Eastern Seaboard including the launch of a co-branded health plan�
Topic:
Value-based care can help you lead the healthiest life possible� imagine every health care professional you see understanding all of your health conditions, what care you have previously received and what you need moving forward� imagine feeling the power of collaboration, rather than confusion, when you visit the doctor� That’s value-based care� it’s a health care system that puts the patient at the center and pays for quality and results, rather than how many tests are ordered or treatments provided�
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Audit | Tax | Advisory | Risk | Performance crowehorwath.com/hc
When Precision Counts The Crowe Horwath LLP healthcare services group:
& Crowe is ranked as one of the largest healthcare management consulting firms in the United States†
Affects net revenue in more than 700
hospitals* $$$$$$
Provides services to the
5 largest not-for-profit healthcare systems
Boasts 3 patented software solutions
* Based on consulting work performed for Crowe performance consulting clients 2013-2014. † According to a 2014 Modern Healthcare survey.
Crowe Horwath LLP is an independent member of Crowe Horwath International, a Swiss verein. Each member firm of Crowe Horwath International is a separate and independent legal entity. Crowe Horwath LLP and its affiliates are not responsible or liable for any acts or omissions of Crowe Horwath International or any other member of Crowe Horwath International and specifically disclaim any and all responsibility or liability for acts or omissions of Crowe Horwath International or any other Crowe Horwath International member. Accountancy services in Kansas and North Carolina are rendered by Crowe Chizek LLP, which is not a member of Crowe Horwath International. © 2015 Crowe Horwath LLP HC-16000-100
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At this year’s 2016 Mid-Winter Conference and Annual Payer Summit, healthcare finance leaders will engage with hospital and physician providers, as well as payers and vendor organizations while participating in education focused sessions� These sessions will cover relevant topics such as payer contract performance, value-based care, bundled payments, risk-adjusted models, and other key elements on our journey to quality and value�
Our Keynote Speaker, Mary Mirabelli, HFMA National Chair Elect, will identify trends in healthcare finance, describe how these trends impact our organizations and discuss strategies for success in our ever changing healthcare environment� Other speakers will appeal to attendees by discussing the expectations in the remaining days of the Obama Administration, the Presidential and Congressional elections, and the key upcoming regulatory issues that stakeholders must prepare for in 2016 and beyond�
Our Accounting and Audit members will be provided with two A&A specific education credits related to Navigating the New Revenue Recognition Standard (ASC 606) and a regulatory update�
Our signature Provider Best Practice Vignettes will feature Flagler Hospital, Florida Hospital, and Martin Health System� These best practices will present implemented successes on Hospital Quality and Efficiency, Redesigning Care Management, and Aligning Payments to Value�
The Provider Forums – including Reimbursement, Revenue Cycle, iT, Accounting and Audit, and Senior Executive Forums – will be coordinating individual round table discussions to collaborate on hot topics and burning issues�
Finally, a social networking evening will be provided by the HFMA Florida Chapter� We are looking forward to interactive games, live music from the sounds of DJ Ray, great food, and a fun time with old and new friends! As always great giveaways and prizes will be shared with some of our lucky attendees! You don’t want to miss a wonderfully informative education experience and good times to be had by all!
Assistant Vice President at Martin Health System – HFMA FL Chapter Director of Education
By: CANDICE TETTAMANTI
GREAT THINGS ARE HAPPENING AT THE
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in the push to control costs, the federal government is turning to bundled payments, a strategy of paying a flat price for care associated with a condition or event� Starting in April 2016, hospitals in large metropolitan statistical areas throughout Florida will be required to take bundled payments for Medicare hip and knee surgeries�
Under Medicare’s Comprehensive Care for Joint Replacement (CJR) model, hospitals and health systems will be financially accountable for the quality and cost of care beginning with hospital admission and ending 90 days post-discharge� The flat payment incentivizes care coordination between physicians, hospitals and post-acute providers� Hospitals may share financial accountability with their network, as well� With just four months to go, here is a look at the work that needs to be done:
Design
First, hospital leaders must see the opportunities bundles create for both cost reduction and quality improvement� Data integrated across electronic health records, practice management systems and claims data can tell you things like: What volume of Medicare hips and knees do we do? What are our outcomes? Do variations exist in providers’ length of stay and procedures, does the use of different devices- and pharmaceuticals- drive cost variations? Next, you must engage physicians� Bundling payments has been shown to improve provider and patient communication through the understanding of clinical best practices for a given episode� it can reduce waste and lower readmissions–which boost patient function and health and overall
efficiency of care� The silver bullet is to truly engage physician leaders in the vision for a bundle’s clinical success, and to ask them to challenge peers to achieve the vision�
Third, you must create the optimal care pathway� Providers will develop a map of how the patient progresses through each episode, using common language that covers activities, procedures, timing and their relationship to getting the patient to a desired state of functioning� This also involves forming trusted partnerships with the right set of outpatient, home-based and inpatient acute care providers�
Finally, you should establish a provider panel� You can selectively contract with any provider who commits to the pathway, or screen specialists based on historic quality outcomes, length of stay and/or cost� You can also let all providers participate initially, later sharing data about cost and quality to drive improvement and potentially refine the panel�
Implementation
Unfortunately, because healthcare today is delivered in silos, you will need to build a care coordination infrastructure to guide patients through the episode� You can buy, build or outsource the staffing, service solutions and technology to share information and manage everyone’s work� Bundles will bring together a more diverse set of providers than many organizations have needed to manage in the past�
Care coordinators oversee patients’ progress; liaising with patients and their families, overseeing inpatient stays, post-acute and home care� To fill this role, you may use RNs, community health workers and/or social workers� if you wrap care coordinators into your bundles, you will have to decide where these dedicated coordinators will reside� Also, are these new hires or existing staff members? Are they working full-time or part-time?
SuCCEEdINGAT MEDiCARE BUNDLED PAYMENTS
MIChAEL MCMILLANVice President for Strategic Solutions, Valence Health
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Bundle-specific reporting dashboards within population health management solutions can also help clinicians communicate� Such tools must identify patients and their care team as well as clearly document and share agreed-upon metrics, care transitions, and patient progress across the provider ecosystem�
To predict costs, some providers assign each new patient to a patient cluster or type that corresponds to an anticipated pattern of care� They then track each patient according to expected versus actual utilization� The financial impact of bundled payments is best seen in a system that can track costs and utilization in as real-time as is possible� Your success depends on integrating with employed or independent providers, and everyone’s ability to share cost and utilization data with the bundle’s providers�
Operations
Medicare’s CJR pilot will use a retrospective payment model� Medicare will give providers a target price for each episode at the beginning of the year� The price will be based on a blend of hospital-specific and regional costs and will reflect a discount from expected episode spending� During the year, providers will be paid under existing Medicare payment systems� At the end of the year, Medicare will reconcile claims to determine how well the hospitals did–financially and qualitatively–in delivering against the target budget and anticipated health outcomes�
in the first year, hospitals will not be responsible for repaying spending above the target� However, in subsequent years, savings or penalties will be calculated as the difference between the actual spend and target price, and shared according to predetermined contractual arrangements�
These retrospective programs are highly sensitive to data quality, and providers should have the ability to track their own data and be prepared to compare their information to all data presented by the payer� What’s more, administering claims and paying specialists and ancillary providers will likely be new and complicated� Providers should budget and plan either for outsourced expertise or additional internal staff time to manually process claims and address any financial issues�
Next Steps
As your hospital sorts through the design, implementation, and operational questions of bundled payments, it may make sense to work with an experienced partner� By working with external experts who have the established infrastructure and experience in paying claims, reporting quality metrics and tracking outcomes, hospitals and their partners can avoid much of the cost and risk associated with building these capabilities internally� Even if a hospital ultimately intends to insource its bundles related administration, outsourcing often provides speed to market or lower entry risks, which can be transitioned over time� Hospitals should look for vendor partners that have proven experience in claims processing and working with a variety of payers and providers� Further, as you become adept in Medicare bundled payments, your organization may also decide to pursue a bundled payment strategy with private health plans, employers or Medicaid for other relevant health conditions�
Learn How Valence Health Can Help Your Organization with Bundled Payments
Valence Health has 20 plus years of experience helping providers with all phases of value-based product design, implementation, and operation� To learn how we can help you with bundled payments, or set and achieve other population health and value-based care goals, please call us at 888�847�0250 or email information@ValenceHealth�com
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ROBERT HOWEY Revenue Cycle Manager at Mayo Clinic
What is your current volunteer role within HFMA?I am currently serving as Chair of the Education Committee in the Jacksonville region.
Where did you grow up?My dad was in the U.S. Navy so I’ve lived in several places. I was born in Taipei, Taiwan, and moved to Maryland, Hawaii, San Francisco, Norfolk, and Seattle. My dad’s last duty station was in Jacksonville where he eventually retired, and I’ve resided in the Jacksonville area since 1982.
Where did you attend college?I graduated from the University of North Florida with a degree in accounting. I’m currently a graduate student at UNF and pursuing dual master’s in business and health administration. My expected graduation date is August 2016.
Where do you currently call home?I currently live in Ponte Vedra Beach, FL.
Can you tell us about your family?I have two children ages 19 and 15. My son is a freshman at Valencia State College in Orlando, and my daughter is a high school sophomore.
How do you prefer to spend your free time? I enjoy playing golf at the many beautiful courses in the North Florida area. When not studying for school, I enjoy spending time with friends and family. I’m also an original season ticket holder for the Jacksonville Jaguars and take an occasional road trip. Go Jags!
How did you become involved with HFMA?Lisa Mathews was our vendor contact for a project at Mayo Clinic. Through various discussions, we both learned that we were HFMA members. I shared with Lisa
that I wanted to be more involved in the chapter. Lisa invited me to present at a Regional Conference and that was the first of several presentations. I was then asked to become the co-chair of the North Florida Education Committee in 2014 and assumed the chair position in 2015.
What do you enjoy about it?First and foremost is the learning environment. HFMA provides many resources on complex topics that have benefited me in my career. Second are the networking opportunities. The relationships and contacts that I have made in the past few years have been tremendous.
Tell us a about your path to healthcare finance.While obtaining my undergraduate degree, I was an accounts payable intern at a home health agency. After graduation, I was offered a job within their consulting division. My consulting career progressed to KPMG and subsequently to Mayo Clinic. I’ve been fortunate to remain in the regulatory and reimbursement segment of healthcare finance throughout my career.
What are the greatest strengths of the organization you work for, Mayo Clinic?The greatest strength at Mayo Clinic is our core value of
VOLuNTEER SPOTLIGHT ROBERT HOWEY
19 http://floridahfma.org SUNSPOTS / WINTER 2016
the needs of the patient come first. It establishes the foundation and guidance as we accomplish our job functions.
What are some of the challenges that Mayo Clinic and/or the Healthcare Industry have faced in recent years? What are some changes or challenges that you’ve had to navigate in your leadership role?The passage of the Affordable Care Act has forced the industry to evaluate how care is provided, charged, and reimbursed. Also, the shift of government payers from being a purchaser of quantity to quality through value-based purchasing has significantly affected reimbursement. The impact to finances has affected the use and availability of resources. The challenges as a leader have been focused on prioritization, time management, process efficiencies, and stress management.
How has healthcare reform shaped or affected operations and finance at Mayo Clinic?The Affordable Care Act has provided the opportunity for many to obtain health insurance not previously available. This has also contributed to many patients navigating the health care delivery system for the first time. Operations have been affected with educating an increased number of patients on coinsurance/ deductibles, covered services, and explanation of benefits. Finances have been affected with new health care plans, demands for price transparency, and increased collections.
What are the leaders of Mayo Clinic doing to create a great team?Mayo Clinic continues to invest in talent and technology through promoting a team culture, improving staff competency and engagement, and investing in information systems. The upcoming implementation of an electronic medical record system shared by all Mayo Clinic facilities is another step in achieving total integration.
Using your crystal ball, how do you envision Mayo Clinic / the Healthcare Industry will look in ten years?I foresee Mayo Clinic expanding its reach on a global scale, transforming care delivery models, creating meaningful relationships, and generating expanded business and partnership opportunities to grow the patient base.
If I am a healthcare professional looking for a great place to work, what would you say to me about Mayo Clinic?If you enjoy working on a team and making a difference in patients’ lives, then Mayo Clinic is an excellent place to work. In 2015, Fortune named Mayo Clinic to its list of the “100 Best Companies to Work For,” marking the 12th consecutive year.
What would you like the HFMA Florida Chapter to accomplish or provide for its members? I would like the chapter to continue to sustain excellence in education and service through quality seminars and conferences, increase the engagement of members through networking opportunities, and grow the membership.
By: Craig Fainstein Area Vice President, Arthur J. Gallagher & Co.HFMA Florida Chapter Committee Member
20 SUNSPOTS / WINTER 2016 http://floridahfma.org
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22 SUNSPOTS / WINTER 2016 http://floridahfma.org
WELCOME OUR NEWEST MEMBERS TO THE FLORIDA CHAPTER
First Name Last Name Company Title CityJorge Arrubla Morrison Brown Argiz & Farra Staff MiamiSherine Craig Homestead Hospital Director, Emergency Services HomesteadJoe Dresevic Pay-Plus Solutions, Inc. Regional Sales Director ClearwaterJared Durgan MiamiChristina Durr Miami Children's Health System Denials Managment
RepresentativePalmetto Bay
Michelle Escandell MedAssist Vice President HollywoodJessica Goodbred-War-
renPatientMatters, LLC Marketing Specialist Orlando
Donna Harkins RelayHealth VP, Product Management Pompano BeachKristin Harrison Bank of America Director/Treasury Sales Officer TallahasseeAndrea Iturrizaga Sentry Data Systems, Inc. Director, Sales Operations Deerfield Beach
it’s amazing how quickly the New Year approached� The holidays are always such a festive time with all of the hustle and bustle� it gives us the opportunity to reflect on the past year and to look forward to the coming year with excitement and anticipation� it’s a joyous time and we wish to express to our HFMA Florida Chapter how thankful we are to be blessed with such amazing friends and associates�
Our HFMA Florida Chapter family continues to grow and change with each passing year� As we look towards our winter conference, we would like to take a moment and highlight an exciting career change for one of our members that has taken place since the last edition of “MEMBERS on the MOVE”.
Kimberly Zeltsar, Co-Chair of HFMA’s Education Committee in Tampa, has accepted a position with Kaiser Permanente� Kimberly’s new role is Executive Director, Revenue Cycle, Hawaii Region for Kaiser Permanente� Kimberly relocated from Florida to Oahu, Hi with her husband and 2 dogs in November� As we will certainly miss Kimberly here in Florida we wish her all the best with her new endeavor� Please join us in congratulating Kimberly on her new move�
The HFMA Florida Chapter would like to invite our members to share announcements regarding future “MEMBERS on the MOVE” articles by sending information to Lynn Wilson at lwilson@profitstars�com, HFMA Florida Newsletter Committee Member� Please forgive us for any omissions, as we rely on you, our Members, to keep us informed and up to date�
By Lynn WilsonProduct Marketing Specialist, ProfitStars – HFMA FL Chapter Chair of the Women’s Leadership ForumMOVE:
MEMBERS ON THE
KIMBERLY ZELTSAR
23 http://floridahfma.org SUNSPOTS / WINTER 2016
For information on the benefits of membership, please contact Dan Phippen, Director of Member Services, at [email protected], or visit the HFMA FL Website at http://www.floridahfma.org/member.htm
First Name Last Name Company Title CityMarilyn James Broward Health Medical Center Revenue Management
CoordinatorFort Lauderdale
Karen Jodat NationalRad COO Deerfield BeachDouglas King Central Florida Healthcare Accountant Avon ParkJeanette Langenbahn Baptist Health Accounts Payable Director Saint JohnsBradley Leuchtman AMS Health Care Mortgage Corpora-
tionAssociate
Carol Lipman Impact Advisors Senior Advisor AventuraAshley Mackendrick BayCare Saint PetersburgAjay Mangal Zawna Health, LLC Chief Executive Officer WindermereTammy Marshall Watson Clinic, LLP Manager Patient Financial
ServicesLakeland
Michael McKee University of Florida Vice President and Chief Financial Officer
Gainesville
Stephanie Perrino Consultant DunedinJulie Richards Business Development Director Fernandina BeachPaul Stockwell Palm BayJennifer Sweet Integral Health Plan Inc., dba Integral
Quality CareChief Executive Officer Tampa
Sheryl Sypek HealthNET Systems Consulting, Inc. Vice President Spring HillJody Taylor Cerner Revenue Cycle Executive OviedoBonnie Thomas Health First Inc. Director, Revenue Patient
AccountsRockledge
Brandon Thompson Mayo Clinic Florida Revenue Analyst JacksonvilleFrank Toral Frank Toral DavieMichael Walker McKesson Strategic Sales Executive MelbournePaula Zalucki JupiterElias Mualin Brickell Financial Chief Executive Officer MiamiChris Naum Orthopaedic Surgery
AssociatesChief Executive Officer Boynton Beach
Michael Neuman GE Healthcare Sales Executive TampaMatthew Oakes Direct Insite Fort LauderdaleGuy Perry PwC TampaCarmen Pla Accretive Health Vice President Regional Operations Miami LakesRob Purinton Florida Hospital Administrative Director, Quality/PI OrlandoKelly Rodopoulos Vizant National Advisory Consultant Atlanta GAJoanne Rosa Vitas Healthcare Mgr, Managed Care Coordinator Pembroke PinesReinhard Rott Abigail Saba Professional Healthcare of Pinellas SeminoleKenya Seard Adventist Health Systems Patient Financial Services
ResidentOrlando
Donald Smith Baptist Health Director - Decision Support JacksonvilleJason Stanckiewitz Crowe Horwath Manager PlantationJames Staska Sentry Data Systems Regional Vice President Deerfield BeachHolly Taylor Zirmed Area Vice President-Enterprise Sales SarasotaSandra Tenorio Accretive Health Operations Lead JacksonvilleWesley Thompson BayCare Health System Manager, Training & Support ClearwaterManuel Valido Palm Springs Hospital VP of Finance & CFO HialeahTim Vertz Huntington Technology Finance Vice President of Development,
HealthcarePonte Vedra Beach
24 SUNSPOTS / WINTER 2016 http://floridahfma.org
A SEA OF ChANGE in REIMBuRSEMENT PARITY FOR BEHAVIORAL HEALTH
The behavioral health market has been undergoing a transformative shift making it ripe for growth and consolidation� With the sheer volume of patients now insured for behavioral health needs outpacing the availability of services to treat them, investors foresee compelling opportunities to enter the marketplace� Recent developments continue to set the stage for opportunity�
Underlying these occasions for investment and expansion is a subsector of healthcare that has often faced low reimbursement rates and lack of payment for behavioral health interventions� in 2008, Congress took a proactive step to address these issues and passed the Mental Health Parity and Addiction Equity Act (MHPAEA)� it mandated that behavioral health issues and medical issues be treated under the same terms and conditions when covered by health insurers, and later revisions to the act required most insurance plans cover mental health and substance abuse services� Also in 2008, Congress passed the Medicare improvements for Patients and Providers Act (MiPPA), which increased access to mental health in federal programs� in 2013, Congress issued clarifying legislation imposing penalties and sanctions on insurers that did not comply with these requirements� This spate of legislation was a welcome change for patients, mental health professionals and healthcare providers�
Less discussed, however, is the salutary effect this legislation will have on investments in behavioral health� The MHPAEA has resulted in a sea change breakthrough in reimbursement� This improved reimbursement has
already resulted in an increase in investment activity in the behavioral health arena, especially in the many states where true behavioral health parity has been achieved�
Unfortunately, the reality of “parity” has been a mixed state-by-state patchwork of coverage (or lack thereof), which has resulted in an ongoing tussle between payers, treatment providers and regulators� Now New York State offers an intriguing model in which regulators are enforcing mental health parity laws as part of a proactive two-year campaign� Most recently, in March of 2015, New York State Attorney General Eric Schneiderman announced a settlement with Excellus BlueCross BlueShield, headquartered in Rochester, N�Y�, after alleging that Excellus had violated the state and federal mental health parity laws by using inappropriate behavioral health reimbursement criteria�
According to the attorney general’s investigation, Excellus required that members fail outpatient treatment multiple times before getting inpatient care� Such a protocol contradicts state law and is not applied by Excellus to medical care� Schneiderman alleged that some denials appeared arbitrary, and Excellus did not appropriately cover residential treatment for behavioral health conditions in its standard contract�
As a result, the nonprofit health insurer now must notify its 3,300 clients who were denied inpatient behavioral health services of their right to appeal, cover the cost of the attorney general’s $500,000 investigation and may be required to reimburse approximately $9 million�
William Bithoney, MD, FAAP, and Rachel Laureno, The BDO Center for Healthcare Excellence & Innovation
25 http://floridahfma.org SUNSPOTS / WINTER 2016
This is an important moment in shaping the industry’s trajectory, as Excellus is one of five major companies to recently reach such a settlement regarding violations of the MHPAEA� Previously, Schneiderman’s office settled with ValueOptions, MVP Health Care, EmblemHealth and Cigna for parity violations�
With the aggressive enforcement of the federal MHPAEA mandate, the tide is continuing to shift toward greater coverage for patients with substance abuse and mental health issues in New York—which may now serve as a model for other states as they address issues of behavioral health and medical illness “parity�” This will provide an additional boost in behavioral health revenues, particularly for inpatient and substance abuse treatment centers� it will also set the stage for increased investment in behavioral health by healthcare investors, who will continue to see room for growth as reimbursed revenues increase�
Over the next five years, we envision more and more consolidations, mergers and acquisitions in this field as investors recognize the unique confluence of investment opportunities inherent in a market dominated by small niche behavioral health programs� As these programs join together, they will be able to create value for patients, communities and investors� The efficiencies created should result in improved care delivered by highly profitable, clinically excellent programs�
Dr� William “Bill” Bithoney, FAAP, is a Managing Director and Chief Physician Executive for The BDO Center for Healthcare Excellence & innovation, where he co-leads clinical strategy� He can be reached at [email protected]�
Rachel Laureno is a Director in The BDO Center for Healthcare Excellence & innovation� She can be reached at [email protected]�
This article first appeared in the blog of The BDO Center for Healthcare Excellence & innovation at healthcareblog.bdo.com�
As these programs join together, they
will be able to create value for patients,
communities and investors�
Bolder Healthcare Solutions (BHS) is the parent company of several healthcare-exclusive revenue cycle organizations, including:
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26 SUNSPOTS / WINTER 2016 http://floridahfma.org
The Florida Chapter has a Scholarship program that will reimburse any Florida Member (provider or vendor) who takes and passes both sections and receives the CHFP Certification, a total of $600�00�
What is the cost?
The total cost is $700� For members the first Module is $400 and the second Module is $300�
How is the new CHFP different from the previous CHFP?
The new CHFP program has evolved to include a new, contemporary approach to certification that educates healthcare leaders to thrive in the new healthcare environment� The program has evolved from a “validation of experience and expertise” to a learning environment that addresses the dynamic shift in healthcare delivery and payment� The newly updated CHFP incorporates HFMA’s strategic vision on the issues relevant to our dynamic environment in healthcare finance�
New CHFP program features
• Alearningprogramdesignedtobuild comprehensive industry understanding and sharpen business skills
• Two-modulestructure
1� HFMA’s Business of Health Care -
Healthcare finance overview, risk mitigation, evolving payment models, healthcare accounting
and cost analysis, strategic finance, and managing financial resources� CHFP candidates are presented with a 75 multiple –choice question examination at the end of the module� Successful completion of the examination is the first step in becoming a CHFP�
2� HFMA’s Operational Excellence exam -
Healthcare industry Stakeholder’s Business Challenges; exercises and case studies on the application of business acumen in health care� This module is structured as a three (3) hour assessment� Eight (8) case studies, each with seven (7) multiple choice questions are presented to the candidates� This module assesses awareness of and application of business concepts presented in HFMA’s Business of Health Care� Module ii is the second and final step in earning the CHFP designation�
The CHFP designation is earned by successful completion of both modules and HFMA Membership�
What is the pass rate for the New CHFP?
The overall pass rate for the CHFP (old and new exam) is 70% - this aligns with NASBA guidelines for testing modules� HFMA is currently experiencing a 93% pass rate for the new program - a strong pass rate for a learning-based program, and a testament to the change in format to a learning based module� As with any new certification program, HFMA is monitoring the pass rate and utilizes psychometric expertise to manage the pass rates with updated questions and case studies as needed�
CERTIFICATION CORNER
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Are there non-finance folks, early careerists, etc…that have taken it and passed?
While it is early in the process, we have noted strong interest in the Business of Healthcare and the Operational Excellence exam� Between June 25th and August 30th, 262 individuals have purchased The Business of Healthcare�
Those interested in taking Module 2: Operational Excellence exam will purchase that module separately�
What is the value of HFMA certification?
The CHFP certification provides the business competencies essential for healthcare leaders� This certification (addressing provider, payer and physician business issues) offers a comprehensive, integrated explanation of the contemporary healthcare business reality� Additionally, HFMA Compensation Survey results show that Certified Members are more highly compensated than non-Certified members� Click HERE for the 2015 Survey�
How do I get started?
Contact Cheryl Spanier cspanier@meddatsys�com to get the scholarship agreement� Sign an agreement to study and take the exam before 4/15/16� Sooner is better!• PurchaseModuleIandcompletetheendof course test� You have up to a year to do this�• PurchaseModuleII(youcanonlypurchaseif you pass Module i)• PassModuleIIwhichistheactualexam.• NotifytheCertificationChair cspanier@medddatsys�com of your passing�• Submitacheckrequestforreimbursement ($600) along with backup supporting documents• Celebrate!Thenapplyforfellowship…. you may qualify after the CHFP�
Thank you for all you do to support the industry and HFMA�
ChARITY hIGhLIGhT
HFMA teamed with ACHE to increase awareness of heart disease and stroke by walking in the 2015 hEART WALk OF TAMpA BAY at Raymond James Stadium in Tampa�
Sixteen (16) members joined our efforts and teamed up to raise $1,700!
Thanks to Jessica Robin Bellman, Director of Business Development at JE Dunn Construction for spearheading this effort!
28 SUNSPOTS / WINTER 2016 http://floridahfma.org
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29 http://floridahfma.org SUNSPOTS / WINTER 2016
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30 SUNSPOTS / WINTER 2016 http://floridahfma.org
ICd-10 cOuLD BEcOmE A cASE STuDY IN LARGE-ScALE PREPARATION
After two months of working full-time with iCD-10-CM/PCS, what do we know about the success of providers’ transition efforts? in general, it’s too early to tell� it will likely be 90-to-120 days from implementation before we have solid revenue cycle data to determine the financial impact of iCD-10�
But in the meantime, organizations can assess how well they prepared for the transition and what they need to do going forward to ensure success�
in that spirit, we surveyed Optum360 clients to find out how they fared in terms of productivity, accuracy, documentation quality and other performance metrics� The findings indicate that, at least among the small population of health care providers we surveyed, that organizations were well prepared�
For this survey, we were particularly interested in under-standing whether the use of computer-assisted coding has improved the success of the transition� Overall, those who fully implemented a computer-assisted coding (CAC) solution seem to be doing better than those who did not�
While industry estimates for productivity forecasted an initial decrease between 25 and 50 percent, the majority of our clients with CAC installed experienced steady productivity levels� Also of interest, a majority of our clients without CAC experienced a productivity drop of about 20 percent� From our initial review of the data and our understanding of our clients, it seems like the clients without CAC who did not see a significant drop can attribute their success to dual coding�
On the documentation side, we anticipated that we would see a jump in the number of physician queries related to coding� However, the overall number of queries that our clients are reporting remained flat� Other numbers reported, including discharged not final billed and case mix index, were also flat� (Because CMi doesn’t necessarily change on a dime, this number will need more study�)
What can these results tell us? While we can’t draw hard conclusions—this was a non-scientific survey with a non-random, self-reporting population—we can say with confidence that the results show preparedness as key to the successful transition�
Most of the iCD-10 headlines since October 1 for the Centers for Medicare and Medicaid Services (CMS) have emphasized the mildness of the initial reaction about the new code set� For example, iCD-10 earthquake barely caused a shake, iCD-10 day one saw small glitches, and Hospitals tout success on day 1 of iCD-10 transition, etc� The generally mild reaction after more than six years of hand-wringing shouldn’t be dismissed� This isn’t a case of much ado about nothing� This is a case study for being prepared�
Some observers compared the iCD-10 challenge to the Y2K challenge� it’s easy to see why� Both had significant iT implications, came with dire predictions and threatened to roar like a lion� But it seemed after the fact that both brayed like a lamb� However, the hype around iCD-10 was real�
Magnus Leblanc, Senior Consultant, Optum360
31 http://floridahfma.org SUNSPOTS / WINTER 2016
Those for whom iCD-10 shaped up to be a “non-event” likely spent three-to-four years of effort getting ready� They trained and prepared professionals from multiple departments not only in what they needed to know about the transition, but also to help these departments know how to work together� They upgraded iT systems and tested with vendors, clearinghouses, payers and various other business vendors� Without all this preparation, iCD-10 would not have been a non-event; it would have been a “can we keep our doors open?” event�
While the implementation delay from 2014 to 2015 was disheartening for many in the industry, there is no doubt that the additional year of preparation helped� The fallout from iCD-10 would have been large and loud in 2014� But providers made good use of the extra time� They got their physicians and their coders better educated� They focused on EMR optimization and efficiencies, expanding CAC implementations, and enhancing clinical documentation and physician query templates�
While much of the hard work is behind us, there is still work to be done� Providers need to measure and manage around reimbursement analytics that will indicate revenue challenges ahead:
• Days in account receivables (A/R): Review A/R days outstanding by dividing the last 12 months’ revenues by the net collectible accounts receivable outstanding at a point in time multiplied by 365 days
• Discharged not final billed: Attend to held/suspended accounts, accounts awaiting clinical documentation and accounts awaiting query response from provider
• Denial experience: Denial rates can be measured by first-pass resolve rate, clean claim rate, payer rule errors, utilization review denials, medical necessity denials, held or pended claims, etc�
• Actual payments verses expected payments: Assess this metric by examining historic reimbursement data and trends, creating payer scorecards, analyzing payer cost neutrality and determining financial variation
• Clinical documentation improvement program key performance indicators: KPis include CMi, severity of illness, risk of mortality, complications and co-morbidities capture rates, chart review rate, query rate, physician response rate, and physician agreement rate
The industry will learn more about the effects of iCD-10 in the coming months� But everyone involved in iCD-10 preparation should take pride in the fact that the codeset conversion was seen as anti-climactic�
This article is being repurposed from an original article published by iCD10monitor�com� iCD10monitor is the industry leader for news and information on iCD10� www.icd10monitor.com
32 SUNSPOTS / WINTER 2016 http://floridahfma.org
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2016 SpONSORShIp
Levels & Benefits Summary
Spring Conference – Private luncheon or cocktail party to include only Diamond Sponsors and Provider Attendees
Mid-Winter Conference - Speed Networking Event
Sunspots – Half page advertisement in all newsletter publications
Mid-Winter Conference - Speed Networking Event
Sunspots – Half page advertisement in all newsletter publications
Mid-Winter Conference – Speed Networking Event, if available, at additional cost of $400
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There are many benefits to becoming a Florida HFMA Corporate Sponsor� in addition to all of the benefits, our chapter works hard to remind providers to use those corporate partners that help pay for our continued educational events� if you are new to our organization, please contact Carol Plato directly to hear more about the benefits of becoming a sponsor� if you are already established with our organization, please act now to renew your sponsorship for 2016!
For additional information on the HFMA Florida Chapter
2016 Corporate Sponsorship Program, please visit
www�floridahfma�org or contact Carol Plato, HFMA FL
Chapter Sponsorship Chair at 772�223�5656 or
carol�plato@martinhealth�org
33 http://floridahfma.org SUNSPOTS / WINTER 2016
Name of Organization: Contact Name:
Address: ________________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Phone Number: ( ) ______________________________ Fax Number: ( ) ______________________
Contact Email: ___________________________________________________________________________________
We commit to the Sponsorship Level identified below and hereby agree to pay the Sponsorship fee within 30 days of the Signature Date and no later than January 31, 2016� Sponsorship benefits and recognition begins upon receipt of payment� We understand that this is a binding Agreement which may not be canceled�
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SpONSORShIp LEVEL: (CHECK ONE)
□ Diamond $11,000 □ Platinum $6,500 □ Gold $4,500 □ Silver $3,500 □ Bronze $2,200
2016
SPONSOR WILL BE INVOICED Carol Plato, HFMA Florida Chapter Sponsorship Chair 2015-2016Phone: 772-223-5656 | E-Mail: carol�plato@martinhealth�org
CORPORATE SPONSOR PROGRAM AGREEMENT
JANUARY 1, 2016 – DECEMBER 31, 2016
34 SUNSPOTS / WINTER 2016 http://floridahfma.org
CORpORATE SPONSORS CORpORATE SPONSORS
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Gulf Coast Collection Bureau, Inc.Contact: Dick [email protected]
Healthcare Retroactive Audits, Inc.Contact: Theresa [email protected] www.healthcareaudits.net
Med-MetrixContact: Jon [email protected]
Moore Stephens Lovelace, P.A.Contact: Jeff [email protected]
Parallon Business SolutionsContact: Jennifer [email protected]
SILVER SPONSORS
Bacen & Jordan, P.A.Contact: Dwight [email protected] www.bacenjordan.com
Berkeley Research Group, LLCContact: Lisa [email protected]
Health Asset Management, Inc.Contact: Linda [email protected]
Letter LogicContact: Kennon Askew [email protected] www.letterlogic.com
Optum Executive Health ResourcesContact: Kelly [email protected] www.ehrdocs.com
OVAG InternationalContact: Darrell [email protected]
PatientcoContact: Buddy [email protected]
Penn Credit CorporationContact: Philip [email protected]
PwC Contact: Jennifer [email protected]
RSourceContact: Lane [email protected]
35 http://floridahfma.org SUNSPOTS / WINTER 2016
CORpORATE SPONSORS
Interested in becoming A CORPORATE SPONSOR? >>>
Please contact Carol Plato, FL HFMA Sponsorship Chair, at [email protected]
Smart SourceContact: Barb [email protected]
The SSI Group, Inc.Contact: Jeremiah [email protected]
Sunbelt Medical InternationalContact: Elliot [email protected]
TruBridgeContact: Tabitha [email protected]
United Collection Bureau, Inc.Contact: Jeff [email protected] www.ucbinc.com
BRONZE SPONSORS
AccessOne MedCard, Inc.Contact: Gary [email protected]
Advanced Patient AdvocacyContact: Abby [email protected]
Avadyne HealthContact: Chris [email protected]
Avery Partners HealthcareContact: Lillian [email protected]
BCA Financial Services, Inc.Contact: Jose [email protected] www.bcafs.com
BESLER ConsultingContact: Misty [email protected]
Cardon OutreachContact: Tim [email protected] www.cardonoutreach.com
CliftonLarsonAllenContact: Gregg [email protected]
Credit Solutions, LLCContact: Shawn [email protected]
HCFS, Inc.Contact: Jeff [email protected]
Healthcare Payment SpecialistsContact: Karen [email protected] www.healthcarepayment.com
J.P. MorganContact: Charlie [email protected] www.jpmorgan.com
NHI Billing ServicesContact: Jeff [email protected]
PatientMatters, LLCContact: Doug [email protected]
The PNC Financial Services GroupContact: Andrea [email protected]/healthcare
Professional Recovery ConsultantsContact: Emily [email protected] www.prorecoveryinc.com
RevClaimsContact: Jacki [email protected]
SHERLOQ SolutionsContact: Sherri [email protected]
Skanska USAContact: Bryan [email protected]
Xtend HealthcareContact: Doug [email protected]
36 SUNSPOTS / WINTER 2016 http://floridahfma.org
COMMITTEE ROSTER
Volunteering for an HFMA Florida Chapter committee or event is a great way to get the most out of your HFMA membership!
Contact a committee chair listed above to become more active today or go to http://www.floridahfma.org/committees.
COMMITTEE Chair/Co-Chairs
Bylaw ComplianceStacy GearhartGloriann Sordo
CertificationCheryl SpanierHarry Kimball
Communications Greisy Carril
CurriculumDoug WolfeRob Deloach
Data ManagementTeresa LoomisCharlie Beale
DCMSDon StittSteve Bender
Finance Joanne Aquilina
Forum, Accounting and AuditMike SitowitzFang Xia
Forum, Senior ExecutiveFred Wilson Chuck Cleaver
Forum, Revenue CycleCarol Plato Rudy Braccili
Forum, ReimbursementTom Magri Theresa Ott
Forum, Technology Janine Pratt
Forum, Women's Leadership Lynn Wilson Linda Gillis
FoundersGloriann SordoStacy Gearhart
History Debbie Vaidya LINK David Wildebrandt Membership Renee Burger Newsletter Meagen Lane
Nominating Chris Durkin
PolicyLisa Sasso Jim Grigsby
PPAC Billie Jean Mounts Program Cheryl Spanier Regional Education - Cape Canaveral
Govind Goyal
Regional Education - OrlandoJeremy KraftBrandon Slauter
Regional Education - TampaMcCrae Bennett Kimberly Zeltsar
Regional Education - GainesvilleDion GabbSusannah Cowart
Regional Education - Jacksonville
Robert Howey
Regional Education - Destin Glen Gill
Regional Education - South FLDoug WolfeJon Levine -SE FLSue Slaght -SW FL
Registration Charlie Strader Scholarship Mindy Arroyo Social Rhonda Kaliban
SponsorshipCarol PlatoSeth Avery
Strategic AllianceGlenda Thornton Charlie Beale
Website Greisy Carril
37 http://floridahfma.org SUNSPOTS / WINTER 2016
FLORIdA ChApTER BOARD
REGIONAL DIRECTORS
President Chris Durkin, FHFMAVice President Controller at Baptist Health, Pavilion Health Services, Inc.(904) [email protected]
President - ElectLisa MathewsDirector of Business DevelopmentBerkeley Research Group, LLC(904) [email protected]
Immediate Past President Billie Jean Mounts, FHFMAChief Reimbursement OfficerProvidence Health & Services(239) [email protected]
Secretary Mike BickersSenior Vice President of Sales & MarketingDaVincian Healthcare, Inc.(404) [email protected]
Treasurer Kristy Summers, CHFPCall Center ManagerOrlando Health(321) [email protected]
Director of Education / Program Chair Candice Tettamanti, BS, RHITCorporate Director - Reimbursement, Revenue Integrity, Medical Coding and CDIMartin Health System(772) 781-2754 [email protected]
Director of Policy / Finance Fred Wilson, FHFMACEO, HCA - East Florida DivisionParallon Supply Chain Services(954) [email protected]
Director of Administration Natalie BilloContract Manager/Managed CareLakeland Regional Health (863) 687-1100, 5203 Fax: (863) [email protected]
Director of Member Services Dan Phippen, FHFMAPrincipalTriage Consulting Group(404) [email protected]
Regional Director, North Region David WildebrandtPartnerBerkely Research Group(850) [email protected]
Director of Education, Interactive Learning Victor MunozRegional ManagerMeridian Group International(954) [email protected]
Regional Director, Central Region Abby BirchDirector of Client DevelopmentAdvanced Patient Advocacy(407) [email protected] Regional Director, South Region Douglas A. Wolfe, Esq.Douglas A. Wolfe, Esq.Kozyak Tropin & Throckmorton(305) [email protected]