September 2010

Healthcare Financial News Update

A monthly member benefit of the Georgia Chapter HFMA

September 2010

In This Issue:
• Advanced CPAR Program - September 17
• Revenue Cycle Forum - September 23
• 2010 Fall C.A.R.E. Education Forum - October 15
• Advanced CPAR Program - October 15
• Medicaid Training Workshops - August through October
• Advanced CPAR Program - November 3
• Fall Institute 2010 - November 3-5
• 2010 CPAR & CFC Program Information
• Upcoming Advanced CPAR Events

Ongoing:
• Georgia HFMA has a group on Facebook
• Georgia HFMA has a group on LinkedIn
• Georgia Scroll Article Submission
• E-Learning Lessons Provided Through HFMA
• Corporate Sponsorship
• Newsletter Schedule

Advanced CPAR - September 17

by 9/10/2010

Friday, September 17, 2010

Houston Healthcare
1601 Watson Blvd
Warner Robins, GA 31093

1. 8:00am - 10:00am
   Session 1 - Patient Access to Billing

   Brenda Stodghill, ACPAR, CHFP, FHFMA
   PAS Director, Tift Regional Medical Center
   This session will be an overview of the UB-04 fields and how Patient Access effects billing.
   
   (1 ACPAR class or 2.4 Credit Hours for ACPAR re-certification)

2. 10:15am - 12:15pm
   Session 2 - Managed Care
   Ann Yarbrough, CPAR, ACPAR
   Managed Care Contract Analyst, Satilla Regional Medical Center
   The session will be an overview of Managed Care techniques
   
   (1 ACPAR class or 2.4 Credit Hours for ACPAR re-certification)

3. 1:30pm - 3:30pm
   Session 3 - Customer Service
   Julie Mello, CPAR
   
   The session will be an overview of Customer Service information and techniques.
   
   (1 ACPAR class or 2.4 Credit Hours for ACPAR re-certification)

COST: $40.00 per session
Lunch is on your own
Registration deadline is Friday, September 10, 2010

Contact: Denise Abercrombie and Brenda Stodghill
Denise.Abercrombie@McKesson.com
ph: (229) 353-6306
fx: (404) 338-5116

Call Brenda (# above)....Or email or mail to Denise: ADV CPAR Continuing Education Forum, C/O Denise Abercrombie, 1400 Market Place Blvd, Box 172, Cummings Ga 30041

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Revenue Cycle Forum - September 23

by 9/10/2010

HFMA REVENUE CYCLE FORUMS COMMITTEE PRESENTS:

• Optimizing Reimbursement Through Compliant Practices for Revenue Integrity

• Implementation of new statutory provision pertaining to Medicare 3-day payment window

• Implementation of HIPAA 5010 brings changes in claims data requirements

September 23, 2010
Registration 8:30
Time: 9:00 am – 4:00 pm
Lunch Provided

Registration Fee: $40.00

Location;
Southern Regional Medical Center
11 Upper Riverdale Road S.W.
Riverdale, Georgia 30274
Classroom B

Time: 9:00-12:00pm

Topic: Optimizing Reimbursement Through Compliant Practices for Revenue Integrity 
Medicare outpatient reimbursement depends on a hospital’s methodology for capturing the appropriate charge represented by the correct code(s) charging for the “reimbursable” service in the proper setting!  And, now that Medicaid reimbursement requirements often conflict with Medicare – how does your facility ensure appropriate charging, coding and billing guidance is followed by payer?  Commercial payers are adopting “their” version of Medicare requirements – how are these defined per contract and how are they met for optimum reimbursement?  Although facilities have focused on “charge capture” for several years, 2010 and 2011 present new challenges.  Join our detailed review of best practices and updated procedures to ensure optimum – but compliant – reimbursement as we move into the new year.

What you will learn
After completion of the session, the participant will be able to:

• Discuss the CMS provider agreement requirements for determination of medical necessity before providing the service.
• Understand the flow of clinical data necessary to support and earn optimum reimbursement.
• Know the five “do’s” and “don’t’s” regarding 2010 and 2011 charge capture and revenue integrity.
• Detail the best practice checkpoints for billing and account resolution to increase payment.
• Understand why reimbursement is a hospital-wide responsibility – not just PFS or the Revenue Cycle team.

Time: 1:00-2:30 pm

Topic: Implementation of new statutory provision pertaining to Medicare 3-day payment window
On June 25, 2010, President Obama signed into law the “Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010.”  A provision in the law pertains to Medicare’s policy for payment of outpatient services provided on either the date of a beneficiary’s admission or during the three calendar days immediately preceding the date of a beneficiary’s inpatient admission.  The new language changes a long-standing procedure for combining only diagnostic outpatient services and unrelated non-diagnostic (or therapeutic) services based on matching principal diagnoses.  Find out how your facility should revise current billing practices to comply with the provision requirements and what financial impact will result. 

What you will learn
After completion of this session, a participant will be able to:

• Understand the changes in the language for Medicare’s 3-day payment window
• Discuss the process for determining whether or not outpatient services should be combined with an inpatient claim
• Plan for appropriate review of outpatient services and put in place a billing procedure to meet the new law’s provision
• Determine the financial (payment) reduction as result of combining 3-day outpatient services to inpatient claims

Time: 2:30-4:00 pm

Topic: Implementation of HIPAA 5010 brings changes in claims data requirements
The current HIPAA Transaction Code Set 4010 standard is widely recognized as outdated and lacking in the functionality currently needed by the health care industry. Version 5010 will correct the outdated transaction standard and enhance administrative data exchanges. To accomplish the improvements, the electronic claim formats, entitled 837 institutional and professional transactions, will undergo significant changes. The new level of detail under HIPAA 5010 requires specific revisions in claims data for appropriate processing and payment.  This session will discuss changing billing requirements and best practice procedures for implementation of 5010.

What you will learn
After completion of this session, a participant will be able to:

• Understand the differences between HIPAA 4010 and Version 5010
• Plan for required billing data element revisions
• Determine source of additional billing information
• Discuss the important components required for implementation of 5010 

Who should attend

• Revenue Cycle 
• Revenue Integrity staff members,
• CFOs,
• Clinical Department Managers,
• HIM staff,
• Nurse Auditors and/or
• Patient Care Managers,
• PFS staff,
• CDM Managers

Faculty:
Linda J. Corley, MBA, CPC, is Dell Services Corporate Compliance Officer for Revenue Cycle Solutions (RCS). She has more than twenty-five years experience working directly for or with hospitals in the areas of Patient Financial Services, Coding and Accounting. An experienced hospital accounting manager and accomplished college professor, Linda has twenty years experience working with financial accounting systems in hospitals and more than twenty-five years experience in training accounting professionals, patient financial services staff and coders for the medical environment.  Since joining Dell Services, she has directed more than one hundred Charge Description Master Review projects and has performed numerous coding and compliance audits. She currently leads the Learning and Development team for RCS in addition to her Compliance Officer role.  Linda routinely presents Compliance and Revenue Cycle updates to associates as well as coverage, coding, billing and collections training. She has been an integral part of the Revenue Cycle Solutions group for more than twelve years. Linda is a frequent HFMA speaker and is known throughout the U.S. for her lively and interactive, yet fact filled, hospital financial management presentations.

Please complete the registration form below and mail with a check payable to
GA HFMA to:

Lillian Kloock, VP
Medical Staffing Resources
9755 Dogwood Road
Roswell, Georgia 30075
Fax 770-552-0176
www.msrstaffing.com

For program information please contact: Lillian Kloock 770-998-7779 Ext. 167 or
lkloock@msrstaffing.com

Space is limited so please email your registration to make sure you reserve a space. Registration fees can be mailed or brought to workshop. No credit cards are accepted!  

Registration Fee   $40.00 per person
Date September 23, 2010

Click here to download the registration form

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2010 Fall C.A.R.E. Education Forum

Georgia Chapter of Healthcare Financial Management Association Presents
2010 Fall C.A.R.E. Education Forum

Friday October 15, 2010
9:00am to 3:00pm

St. Joseph’s Hospital
Carroll Conference and Education Center
5665 Peachtree Dunwoody Road NE, Atlanta, GA 30342

2010 Fall C.A.R.E. Education Forum
(Compliance, Audit, Risk, Ethics)

Greetings from the Georgia Chapter of HFMA! Many of you are already involved with Georgia HFMA and aware of the wonderful resource HFMA provides to its members for networking and for staying on top of issues and challenges the healthcare industry presents. HFMA is a national organization of approximately 35,000 healthcare professionals in 68 Chapters around the country. Georgia boasts one of the largest Chapters at approximately 1,260 members. One of my goals this year as the Chapter President is to "invite more people to the table" to obtain all of the benefits I feel strongly HFMA has to offer. One of those areas is Compliance. It is a critical, fundamental, and necessary part of any successful healthcare organization. Most of you deal with Compliance issues every day. Other departments don't deal with Compliance issues quite as frequently. Regardless, they need to be sure they are making decisions and applying processes that are within the guidelines of the organization's compliance policy. Lack of attention to such details can be costly.

So why C.A.R.E.? C.A.R.E. is an acronym for Compliance, Audit, Risk and Ethics. The idea was suggested to me by a former member of the New Jersey Chapter of HFMA. The purpose of the C.A.R.E. Committee is to provide educational opportunities for Georgia compliance, audit, risk and ethics professionals and leaders in the healthcare industry. Leaders and professionals in these areas include, but are not limited to, Directors of Compliance/Compliance Officers, Compliance Auditors/Analysts, Audit Directors/Managers, Internal Auditors, Risk Managers, and Ethics Officers. It is imperative that we encourage collaboration between Compliance and the Revenue Cycle, Information Systems, and Patient Access departments among others.

Marge Scott, Linda Corley, and Kelly Dziedzic have offered to help me bring this Committee to life in the Georgia Chapter. I thank them for their leadership and ideas. We realize there are other resources available to you around the state through HCCA and GHA. It is not our intention to duplicate or replace what these groups are doing. Rather we want to expand the dialogue and collaboration throughout the state and provide additional venues for healthcare financial and compliance professions to network and interact as we work collectively with HCCA and GHA.

We would like to invite you to our first such educational forum. We hope you will make plans to join us for this outstanding event. We will be hosting another Education Forum in early 2011.

Sincerely,
Bill Eikost
Georgia HFMA
2010-2011 Chapter President

Program:

8:00a – 9:00a
Registration & Continental Breakfast
Hallway Registration Desk

9:00a – 10:40a
Opening Remarks / General Session –TOPIC/TITLE
Sara Kay Wheeler, Partner – King & Spalding
Emily Winship Woodruff Auditorium

10:40a – 11:00a
Break

11:00a – 11:50a
Session # 1 – Fraud: Alive and Well in the Health Care Sector
Jim Creamer, Partner – Draffin & Tucker
Emily Winship Woodruff Auditorium

12:00p – 1:00p
Lunch

1:00p – 1:50p
Session # 2 – ACOs: What They Are and Their Impact on Compliance
Denise Hall, Shareholder – Pershing Yoakley & Associates
Emily Winship Woodruff Auditorium

2:00p – 2:55p
General Session – TOPIC/TITLE
Linda Corley, Corporate Compliance Officer – Dell Perot Systems
Emily Winship Woodruff Auditorium

Click here to download the registration form

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Advanced CPAR - October 15

by 10/8/2010

Online attendee registration for this event is NOT OPEN YET.

Opens Wednesday, September 15, 2010.

Online attendee registration for this event has been CLOSED.

Closed on Friday, October 08, 2010.

Online attendee registration for this event is SUSPENDED.

There are currently no sessions entered for this event. Please check back shortly.

Friday, October 15, 2010

Satilla Regional Medial Center
1800 Alice Street
Waycross, GA 31501

1. 8:00am - 10:00am
   Session 1 - Patient Access to Billing

   Jamie Exum, CFC, ACPAR,
   PAS Director, West Georgia Medical Center
   This session will be an overview of the UB-04 fields and how Patient Access effects billing.
   
   (1 ACPAR class or 2.4 Credit Hours for ACPAR re-certification)

2. 10:15am - 12:15pm
   Session 2 - Denials
   Brenda Tanner, ACPAR,
   Charge Master Coordinator
   Satilla Regional Medical Center
   This session will be an overview of information on denial management techniques
   
   (1 ACPAR class or 2.4 Credit Hours for ACPAR re-certification)

3. 1:30pm - 3:30pm
   Session 3 - Customer Service
   Brenda Stodghill, ACPAR, CHFP, FHFMA
   PAS Director, Tift Regional Medical Center
   This session will be an overview of customer services techniques
   
   (1 ACPAR class or 2.4 Credit Hours for ACPAR re-certification)

COST: $40.00 per session
Lunch is on your own
Registration deadline is Friday, October 08, 2010

Contact: Denise Abercrombie and Brenda Stodghill
Denise.Abercrombie@McKesson.com
ph: (229) 353-6306
fx: (404) 338-5116

Call Brenda (# above)....Or email or mail to Denise: ADV CPAR Continuing Education Forum, C/O Denise Abercrombie, 1400 Market Place Blvd, Box 172, Cummings Ga 30041

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Medicaid Training Workshops

Attention Providers:

HP will be conducting Medicaid Training Workshops beginning in August of 2010 through October of 2010 to familiarize providers with the new system.  The Workshops will be based on specific provider types.  Please click the link below for details on a training session that is convenient for you.

https://www.seeuthere.com/hp/GMTW2010

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Advanced CPAR - November 3

by 10/27/2010

Online attendee registration for this event is NOT OPEN YET.

Opens Monday, October 04, 2010.

Online attendee registration for this event has been CLOSED.

Closed on Wednesday, October 27, 2010.

Online attendee registration for this event is SUSPENDED.

There are currently no sessions entered for this event. Please check back shortly.

Wednesday, November 03, 2010

Fall Institute
Hyatt Regency
Two W Bay Street
Savannah, GA 31401

1. 8:00am - 10:00am
   Session 1 - Medical Necessity

   Brenda Stodghill, ACPAR, CHFP, FHFMA
   PAS Director, Tift Regional Medical Center
   
   Jane Sirmans, CPAR, ACPAR, CPAM
   Manager, Billing, South Georgia Medical Center
   This session will be an overview of Medical Necessity requirements and processes.
   
   (1 ACPAR class or 2.4 Credit Hours for ACPAR re-certification)

2. 10:15am - 12:15pm
   Session 2 - Medicare Secondary Payer
   Linda Corley, MBA, CPC
   Senior Leader – Compliance and Associate Development, Dell Services, Revenue Cycle Solutions
   This session will be an overview of Medicare Secondary Payment regulations, billing and colletionsguidance and appropriate UB-04 coding for compliant payment..
   
   (1 ACPAR class or 2.4 Credit Hours for ACPAR re-certification)

3. 1:30pm - 3:30pm
   Session 3 - Managed Care
   Tim Beatty, FHFMA
   This session will provide information on Managed Care information and issues.
   
   (1 ACPAR class or 2.4 Credit Hours for ACPAR re-certification)

COST: $40.00 per session
Lunch is on your own
Registration deadline is Wednesday, October 27, 2010

Contact: Denise Abercrombie and Brenda Stodghill
Denise.Abercrombie@McKesson.com
ph: (229) 353-6306
fx: (404) 338-5116

Call Brenda (# above)....Or email or mail to Denise: ADV CPAR Continuing Education Forum, C/O Denise Abercrombie, 1400 Market Place Blvd, Box 172, Cummings Ga 30041

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Fall Institute 2010

Fall Institute 2010
Wednesday, November 03, 2010 to Friday, November 05, 2010
Hyatt Regency, Savannah, GA 

Online attendee registration for this event is NOT OPEN YET.

Opens Tuesday, September 28, 2010.

Attendee Registration

Institute Highlights

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Georgia HFMA has a group on Facebook

For those of you who enjoy networking through Facebook or want to begin, Georgia HFMA has set up a group on Facebook to promote HFMA and get the younger generation involved. After joining Facebook, search through the groups. We are listed as Healthcare Financial Management Association, Georgia Chapter.

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Georgia HFMA has a group on LinkedIn

HFMA Georgia Chapter now has a group on LinkedIn®

LinkedIn is a powerful business tool that allows you to stay connected with business contacts as well as stay updated on current, relevant issues. If you are already on LinkedIn, search for HFMA Georgia Chapter to join the group

Benefits of joining the HFMA Georgia Chapter group on LinkedIn include

• Increased connection to other healthcare financial management colleagues in Georgia
• Email notification of events, member postings or blog updates
• Easy way to ask and answer questions , share your knowledge, and help your network

Who uses LinkedIn?

• 40 million affluent, ambitious and influential professionals
• Over 30 million visit the site monthly, 3.6 million/day

HFMA Georgia Chapter is also has a Legislative Blog that has key healthcare legislative information that you do not want to miss! Updates are also posted to the LinkedIn Group.

GA HFMA Legislative Blog http://gahfmalegislativeupdate.blogspot.com/

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Georgia Scroll Article Submission

Become a published author and accumulate Founders Points!

Did you know that you receive two Founders Points for every published article in a Local Chapter or National HFMA publication? There are two types of articles published in the Georgia Scroll. The first are "columns" submitted by various committees as established in the deliverables of the committees. Some committees require submission for every issue; others require two articles per year. When submitting an article on behalf of a committee, please identify the committee and the author(s) in case questions arise.

The second type of articles are those written by various members of the Georgia Chapter, articles from national HFMA, or articles published in other Chapter newsletters or publications. These should be of an educational nature and for purposes of improving the skill level or knowledge base of the readers.

Submission of article: Article should be proof read and edited prior to submission.Submit a sub-caption (heading) for use in the index of the Scroll. Please make sure you name the authors and give a 2-3 line bio at the end of the article.

Send your article by email to jiodice@gwinnettmedicalcenter.org. Name your file in a manner that will be easy to identify the title and the issue for which you are submitting it. Keep in mind that the Editor may receive 15 to 20 or more submissions, if the name of every file is "Scroll Article" or something similar, it will be difficult to differentiate them. Examples of simple file names for columns and articles are:

CPAR_Scroll_Winter 09_Author Name
Title_ Scroll_Winter 09_Author Name

Topic: Write an article in the third person and should not be an advertisement for your company or product. It should contain relevant and informative information for the membership.

When writing the article: Use bullet points and graphs, also insert gray areas (sidebars) with statistical information. Use sub headings when possible.

Ideal Length: 200-400 words. Articles that are longer are accepted and welcomed.

Contact:
John Oidice, Georgia Scroll Editor
jiodice@gwinnettmedicalcenter.org

Alan Cobb, Assistant Georgia Scroll Editor
acobb@holliscobb.com

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E-Learning Lessons Provided Through HFMA

National HFMA has a wide array of e-learning lessons available through its website. The Georgia Chapter can receive credit for educational hours for each lesson as well as a 20% rebate from National for e-learning lessons purchased through HFMA's website by individuals.

When ordering lessons, just be sure to indicate Georgia Chapter in the space provided (drop down box) on the purchase form . The lessons are affordable for individual purchase or for an organization that needs to train only a few staff members. The price ranges from $99 to $199 per curriculum. The curricula topics are healthcare finance related; billing, accounting and finance, admissions, patient financial services, HIPAA, managed care, physician practice management, medical terminology, compliance and more. Each curriculum has multiple lessons that cover a variety of content for that main topic. The learner can submit for CPE credits by sending the certificate of completion provided to their State Board of Accountancy under self-study.

To purchase individual lessons go to www.georgiahfma.org and click on Education at the top of the home page and select e-learning. You will be directed to the HFMA eLearning site. Or you can go to www.hfma.org and click on education programs. Scroll down to the eLearning section of the page and click on "lessons for individual purchase" to view the different curricula available for purchase. Get educated and support your Chapter!!

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Corporate Sponsorship

The Georgia Chapter would like to thank those companies that have committed to sponsoring for the coming year. We appreciate your support so much. We could not do it without you. This year's campaign is drawing to a close.

Anyone interested in learning more about the Georgia HFMA Corporate Sponsorship Program should contact Roxann Arnold at (404) 686-7544 or by email at roxann.arnold@emoryhealthcare.org. Look for details about this year's Corporate Sponsor Speed Dating Event coming up in November in Savannah at our Fall Institute.

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Newsletter Schedule

If you would like information included in the newsletter, please email the items to Eric Bergeon at ebergeon@execuhealth.com. All items must be submitted by the 1st of each month to be included in the newsletter. Any items received after the deadline will be included in the next month's email, provided the information is not date sensitive.

Thank you for your support.
PR Committee

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Georgia Chapter Officers

President
Bill Eikost
Regional VP, Eastern Division
AHC, Inc.
1161 Bowerie Chase
Powder Springs, GA 30127
T: 770.317.8480
www.ConvergentAHC.com
beikost@convergentahc.com

President-Elect
Karen Newton
Director
Clinton A. Harkins, P.C. Attorney At Law
Healthcare Receivable Professionals, Inc.
4901 Olde Towne Pkwy, Ste 300
Marietta, Ga. 30068
office - 770-261-1043

Program Chairperson
Cynamin Kinard
Director, Patient Access
Gwinnett Medical Center
P.O. Box 1190
Lawrenceville, GA 30346
(678) 312-5635
ckinard@gwinnettmedicalcenter.org

Treasurer
Jane P. Gray, CPA, FABC, FACHE, FHFMA
AVP, Revenue Cycle
Medical Center of Central Georgia
P.O. Box 6000, Hosp Box #64
Macon, GA 31208-6000
(o) 478 633-2097
(f) 478 633-4071
gray.jane@mccg.org

Secretary
Roxann Arnold
Director, Patient Financial Services
Emory  University Hospital Midtown
Phone  404 686-7744
Fax    404 686-4887

Immediate Past President
Carmen V. Sessoms, FHFMA
McKesson
Manager, HzERM HBM Requirements Management
Revenue Cycle Solutions
Office 404-338-5779
www.mckesson.com
carmen.sessoms@mckesson.com

Georgia Scroll Archives

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General Information
The Georgia Chapter HFMA Public Relations Team thanks all of you who contributed to the information contained in this month's Chapter News. Please keep the details coming! If you are interested in having us distribute a message for you in the October Newsletter, please send all articles to Eric Bergeon at ebergeon@execuhealth.com no later than October 1, 2010.

Confidentiality Notice
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This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by e-mail and destroy all copies of the original message. This is a post-only e-mail intended for members of the Georgia Chapter of Healthcare Financial Management Association. Please do not reply to this message. This e-mail address is not monitored for responses.