Collaboration of Clinical and Financial Operations

GA HFMA Revenue Cycle Forums Committee Presents

“Collaboration of Clinical and Financial Operations”

PREPARE NOW!!! RAC Audits are coming to Georgia as of January 1, 2009

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Come learn about the four reimbursement methodologies that require financial and clinical collaboration:

• New pay for Performance Initiatives for 2009
• 2009 MS-DRG’s for IPPS
• Pricing Transparency
• Medicare’s ACE Demonstration for Inpatient Services

Speaker: Linda Corley, BS, MBA, CPC
Corporate Compliance Officer, Perot Systems Healthcare

Linda Corley is Perot Systems’ Corporate Compliance Officer for Revenue Cycle Solutions. She has more than twenty years experience working directly for or with hospitals in the areas of Patient Financial Services and Accounting. Since joining Perot Systems, she has directed more than one hundred Charge Description Master reviews and has performed numerous coding and compliance audits.

Prior to Perot Systems, Ms. Corley served as Chief Accountant/Controller for a university owned four-hospital group—which included acute, rehabilitative, outpatient, and long-term care settings. Ms. Corley has performed financial review analysis audits and developed reporting guidelines for cost and revenue variances to enhance operations effectiveness within hospital departments. She was instrumental in establishing quarterly hospital financial analysis and training sessions for medical department heads (Hospital Reimbursement for Clinical Managers).

Ms. Corley holds a Bachelor of Science degree in Business Administration along with a Masters of Business Administration and is credentialed as an AAPC Certified Professional Coder (CPC). Active in local professional accounting organizations and a member of HFMA, Ms. Corley serves on the Georgia UB-04 Committee and the State Medicare/Medicaid Crossover Claims Task Force. She was recognized as the Georgia HFMA’s Most Valuable Member for a series of presentations provided on Medicare’s Outpatient Prospective Payment Systems (OPPS) and was awarded the Bronze Merit Award by HFMA for her work with CPAR (Certified Patient Account Representative) training.

Summer Education Session & Luncheon

The Georgia Chapters of AAHAM & HFMA jointly present

“Summer Education Session & Luncheon”

Friday, August 15, 2008
8:30 am - 3:00 pm

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Topics Include:

President's Message
By Christine Wagner, President – Georgia Chapter of AAHAM

"Paying before you pass GO", Collecting, Co-pay
or Self-Pay payments before elective procedures
By Cindy Bryant, Pt. Access Director - Northeast Georgia Health System

Medicare Recovery Audit Contractors (RACs)
and 2008/2009 Legislative Updates
By Robert Bolden, Sr. Director of Data Services - Georgia Hospital Association

“Survival” A Team Building & Problem Solving Simulation
By John Currier, CPAM, PFS Director - IL Valley Community Hospital

“What’s New” EDI Update & HIPAA 2
By Jim Whicker, CPAM, Director of EDI, Revenue Cycle - Intermountain Healthcare

Georgia Medicaid - Contract status, NPI updates, Contacting ACS
By Michelle Meador, Field Representative - Hospital Services, ACS Inc.

Discussion on CMS IMM Process Change & Regulation
By Andrea Orzechowski, CPAR, Manager Patient Access - Northside Hospital

Webinar - Modernizing Patient Access, Let Automation Work For You

Webinar

“Modernizing Patient Access, Let Automation Work For You!"

Thursday August 21
10:00- 11:30am ET

Click here for more information
http://www.hfma.org/site/emeetreg/main/MtgInfo.cfm?mtgcode=0839GA10

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SUMMARY:
More than ever, the complexity of insurance benefits and the variability in reimbursement with each payer are making revenue cycle operations management very challenging. When most of the required billing elements on a UB92/04 claim originate at the point of access, any errors create reimbursement delays and re-work. Collecting and entering the correct information, and verifying third party coverage at pre-registration/registration is vital to an efficient revenue cycle. It has become imperative for hospitals to leverage new technology to improve front end effectiveness, and increase the opportunity to collect more from third party payers and patients. This session will discuss the importance of a strong QA program and eligibility verification process to improve claims management, accelerate revenue and improve the overall bottom line. It will also demonstrate how technology can help you identify and correct patient registration errors prior to claim drop to reduce claims on hold and denials, and create reports to monitor staff and identify areas for training.

LEARNING OBJECTIVES:

• Learn ways to measure and report a positive return on investment for QA technology and eligibility systems
• Discover best practices for implementing a front end QA tool and real time eligibility system
• Understand how technology can be used to measure and educate registration staff, including registration areas that do not report to  revenue cycle

SPEAKER:
Shari Bailey, SPHR, Verité Healthcare Consulting, LLC

Shari L. Bailey recently joined Verité Healthcare Consulting, LLC as Vice President with the firm. Shari brings experience as a revenue cycle director for Mercy Health Partners of Southwest Ohio, based in Cincinnati. In that role, she was responsible for access management, self-pay accounts receivable management (front to back end), governmental billing, and centralized scheduling and insurance verification. In addition, Shari brings extensive clinical and operations management experience which she gained as director for  Mercy Health Solutions,  five urgent care and occupational medicine centers. Prior to working in acute care, Shari served as practice administrator of a multi-specialty physician practice. Shari has a B.S. of Medical Technology from Miami University, Oxford, OH.

TARGET AUDIENCE:
Patient Access Management Professionals, Revenue Cycle Professionals

POS Collections Opens the Door to Financial Advocacy and Bad Debt Reduction

GA HFMA Revenue Cycle Forums Committee Presents

“POS Collections Opens the Door to Financial Advocacy & Bad Debt Reduction”

8:00 – 12 noon

September 12, 2008
Northeast Georgia Medical Center – Lanier Park Campus
661 White Sulphur Road
Gainesville, GA 30501
www.nghs.com

September 19, 2008
Floyd Medical Center
420 E 2nd Ave. Ste 101
Rome, GA 30161
www.floyd.org

September 26, 2008
John B. Amos Cancer Center
1831 5th Avenue
Columbus, GA 31904
www.columbusregional.com

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How do you open the door to identifying a patient’s financial needs? Ask the patient to pay what they owe. In our world of confusing insurance plans, medical saving accounts, more knowledgeable patients, and higher out-of-pocket patient liability, patients want to know how much the services will cost them. Do you and your staff know how to ask for money and open the door?

This workshop will provide tips and scripts on how to ask for money, how to respond to variances excuses and/or reasons the patient can’t or won’t pay and the steps to implementing strong point of service collections.

Speaker:
Ann Chandler, BA, FHFMA
Senior Project Architect, Zimmerman, LLC

Ann has over twenty five years experience in the healthcare arena which includes Patient Access, Patient Financial Services and Medicaid eligibility. Ann was previously the Regional Patient Access Director as well as Director of Insurance Verification and Insurance Precertification for HCA in Atlanta. Currently she is responsible for implementing front end and back end processes to ensure consistency of processes. Ann received a degree in Business Administration from Georgia State University. She also recently received the HFMA Founders Medal of Honor for her hard work and dedication to the Georgia Chapter and has published several articles in the Georgia Scroll.

Harnessing the Capital of Human Power – The Key to Revenue Cycle Excellence

Tom Morris, Consultant
Gustafson & Associates, Inc.

October 8, 2008
Atlanta North TBA

October 10, 2008
Atlanta South TBA

Managing Managed Care

Gail Scarboro-Hritz, AS, CHFP, Managing Partner
Barbara Noon, RN, MSN, MBA, Partner
HRITZ NOON ASSOCIATES, LLC

October 28, 2008
Piedmont Resource Center - Atlanta, GA

October 29, 2008
Houston Medical Center - Warner Robins, GA

October 30, 2008
Memorial Medical Center - Savannah, GA