Tuesday, March 14, 2017 11:00 a.m. (CDT)

Speaker: Pete Thompson

Deck: Downloads Slides (PDF)

Summary: As the prevalence of high deductibles and self-pay accounts increases, healthcare providers are evaluating new ways to work with consumers and ensure optimal recovery of patient pay. As a best practice, some healthcare organizations use a HFMA Peer Reviewed ROI Value Model to uncover patient pay improvement opportunity, in conjunction with an optimized revenue cycle workflow. In this session, learn how patient pay and consumerism are affecting healthcare organizations, and how they’re benefiting by creating a financially oriented consumer-centric care model.

Learning Objectives:

• Identify and adapt to market trends that are causing patients to assume greater financial burden for their care (i.e., patient pay).
• Recommend and execute tactics that appeal to consumers/patients by making care affordable.
• Give solution criteria, best practices and lessons learned to develop and execute a patient pay strategy.

Take Away: The importance of the Occupational Mix Survey and its implications.

Speaker Biography: Mr. Thompson has been focused on patient pay for more than a decade. He joined ClearBalance in 2004 and has served in myriad client program performance roles, including management of the funding department and director of client services. As senior solutions architect, Pete is responsible for client solution design, including financial modeling and ROI analysis. He also counsels prospective and current clients about their revenue cycle workflow to drive optimal results from the ClearBalance program. Pete is involved in client implementation to ensure all benefits are translated from paper to practice. Before ClearBalance, Pete was a senior analyst with Cardinal Health..

Field of Study: Specialized Knowledge

Delivery Method: Group Internet Based

Program Level: Intermediate

Prerequisite(s):None

Advanced Preparation: None

Cost: Free

CPE Hours:1.0 Hours CPE

Refund Policy: Request for cancellation and refund of registration fees must be received at least 10 business days prior to the event via e-mail to programs-education@tnhfma.org. An administrative fee may apply.

Questions or Complaints:Please direct questions about CPE, including certificates, to our CPE Coordinator, Lee Ann Burney, at cpe@tnhfma.org. 

For complaints regarding educational programs provided by TNHFMA please contact our Programs and Education Chair, Pam Jones, at programs-education@tnhfma.org.

The Tennessee Chapter of the Healthcare Financial Management Association (HFMA) is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.nasbaregistry.org.

Thursday, February 23, 2017 11:00 a.m. (CST)/12:00 p.m. (EST)/

Speaker: Linda Corley

Summary: Two healthcare reimbursement themes have taken center stage for 2017 — “pay for performance” and “proof of revenue integrity.” These interconnected clinical and financial requirements highlight the need for compliant processes that support collaboration of all hospital staff members. And, while the regulatory guidance is generally well-known, the structural and operational “how-to’s” for achieving clinical and financial joint performance outcomes are proving more difficult to define and implement. This missing structure for optimizing the new payment methodologies brings about a need for understanding and developing compliant “change management” strategies. Even though healthcare is experiencing its fifth year of value-based payment, many providers are still attempting to capture optimum cash utilizing outdated patient care management, charge capture, coding and billing processes and evaluation through misaligned performance metrics. This session will present practical and proven best practice revenue cycle leadership job roles and team member operational work flows to meet the challenges of 2017 compliant reimbursement.

Learning Objectives:

• Understand what regulatory changes have been made for 2017 payment methodologies, and why collaboration plays such an important role in optimum reimbursement.
• Discuss how each revision to the major payment initiatives should be (and can be) successfully implemented in the revenue cycle through organizational and leadership changes in daily processes.
• Define “patient care management” and its importance to optimum payment.
• Know what best practice processes can be utilized to improve clinical and financial operations.
• Discuss how “change management” should and can be used to drive permanent and sustainable improvement in compliant reimbursement that will withstand external audits through proof of revenue integrity.

Preparing Your Occupational Mix Survey

Tuesday, February 14, 2017 11:00 a.m. (CDT)

Speaker: K. Michael Webdale Jr.

Slide Deck: Downloads Slides (PDF) 

Video: View on YouTube

Summary: The occupational mix survey must be submitted to CMS every three years by IPPS hospitals. Using calendar 2016 salaries, the next survey’s deadline is July 3, 2017 and the data will affect the wage index for FFY 2019 through 2021.

Learning Objectives:

• List how to collect the data for the standard occupational categories.
• Describe how the occupational mix adjustment factor is calculated.
• Explain the impact it has on the wage index and payments to hospitals.

Take Away: The importance of the Occupational Mix Survey and its implications.Speaker Biography:Mr. Webdale has calculated and projected area wage indices from annual CMS updates, trained wage index seminar participants and provided assistance to hospitals filing appeals with the fiscal intermediaries and CMS. Mr.Webdale has served as the Project Manager of the Occupational Mix Survey Program for numerous hospitals and hospital associations, analyzing hospitals’ Occupational Mix and support data and preparing survey forms (CMS10079) and support documentation packages.

Field of Study: Specialized Knowledge

Delivery Method:Group Internet Based

Program Level:Intermediate

Prerequisite(s):None

Advanced Preparation: None

Cost: Free

CPE Hours:1.0 Hours CPE

Refund Policy:Request for cancellation and refund of registration fees must be received at least 10 business days prior to the event via e-mail to programs-education@tnhfma.org. An administrative fee may apply.

Questions or Complaints:Please direct questions about CPE, including certificates, to our CPE Coordinator, Lee Ann Burney, at cpe@tnhfma.org. For complaints regarding educational programs provided by TNHFMA please contact our Programs and Education Chair, Pam Jones, at programs-education@tnhfma.org.

The Tennessee Chapter of the Healthcare Financial Management Association (HFMA) is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.nasbaregistry.org.