GEORGIASCROLL - Georgia Chapter HFMA

GEORGIASCROLL
GEORGIASCROLL
PRESIDENT’S MESS A GE
Moving Forward!
Where do you begin in drafting a New Year’s message? With well-intentioned resolutions? With a GPS target toward stretch goals? Or, by
acknowledging solid foundations that will allow each of us to move forward? Yes. The answer is, yes.
Thank You!
A heart-felt Thank You to my family, my Emory Healthcare co-workers,
and our HFMA-member family for their support and the fun they provided
in Brasstown during our May installation festivities. They – YOU – will
make this year’s possibilities work!
Thank You to Jane Gray for giving us all a solid foundation from which we
can move forward. I am excited and enthusiastic about what we, as an
HFMA team, can do to Advance the Possibilities for our profession and to
strengthen our roles – and achievements – within our own work environments.
Thank you, too, to this year’s chapter officers: Jonathan Skaggs - Program
Chair, Kimberly Farmer - President Elect, Todd Cox – Treasurer, and
George Ann Phillips - Secretary and Corporate Sponsor contact. This
team, along with Donna Fincher - President’s Liaison, began working with
me months before I was officially installed as President. They are the
best!!!
For those who don’t know me, I’d like to share a little bit about myself. I
am the PFS Director for Emory Hospitals and have been with Emory for
more than 35 years. My son, Jason, and his wife, Allison, have two wonderful daughters - Madison and Emerson. Honestly, I really think my
favorite work is not in health care, but in being their “Gigi”! I am also
very close to my Mom who, at 86 years young, lives independently and
close by. The best part of my “day job” is working with my Emory
Healthcare team. I love working with employees, mentoring them and
watching them grow. This year, I bring my philosophy that if you surround
yourself with intelligent, loyal, and supportive people, you will be successful and have fun!
I certainly have a great team at work and within our HFMA Officers,
Board, Chairs, and volunteers to ensure we have a fun and successful
year.
Lead through Exciting, Challenging Times
This year, our HFMA Board, Officers and TEAMS are committed to making
the most of our resources, resources that include YOUR leadership and
participation! My theme this year is “Advancing the Possibilities
Through HFMA”, and my colors are red and black. (No comments, please,
about the possible connection to financial balance sheets or even the lit2 GA Chapter HFMA • www.georgiahfma.org • Summer 2014
tle football team that wears the same colors!) My hope is that we can ADVANCE
what we accomplish in the value that we
bring to you as HFMA members.
Here’s a sneak, abbreviated preview at
what’s ahead for Georgia HFMA this year:
Roxann Arnold
>>> O ur HFMA teams need your support!
We need and want your help. If you
are not involved, please call me and, together, we will find the best
place for your talents!
>>> If you are a vendor, we would love for you to invite your provider
clients and colleagues to become a part of HFMA. Please share the
Scroll with them and encourage them to join HFMA. Your sponsorships and your support help make our chapter one of the top HFMA
chapters in the country – Thank You!
>>> Watch for expanded outreach and partnerships with other health
care organizations. It is important for us to collaborate more in our
daily jobs and we will do the same with other organizations.
Collaboration and cooperation - beyond our own individual organizations – will make us all stronger, and increase the value of HFMA for
members and potential members. Enhanced educational outreach
and networking will be the foundation of Institutes, one day forums,
road shows, and webinars.
>>> Look for us to think “outside the box” with creative ways to offer
education, more innovative and progressive speakers, and intentional
inclusion of physician offices, groups and practice managers.
>>> Activity around the Georgia Chapter’s 60th Anniversary
Can you believe our chapter is nearly 60 years old? Ten years ago, my
colleague and friend, Cathy Dougherty (Gwinnett Medical Center) began
her HFMA president’s message noting our Nifty Fifty birthday. Ten years
later, it is time to begin anniversary planning which culminates in a
birthday celebration during Kimberly Farmer’s year as president (June
2015.).
Thanks to all of you for allowing me to serve as your President and thank
you for your support as we set our GPS toward Advancing the
Possibilities. Let’s have fun!
Sincerely,
Roxann Arnold
Roxann Arnold
HFMA President 2014-2015
2014 - 2015
OFFICERS & BOARD
TABLE OF CONTENTS
2
President’s Message
4
Letter From The Editor
Program Chairperson • Jonathan Skaggs, CPA
5
Get Acquainted with Region 5…
Treasurer • Todd Cox, CPA, FHFMA
6
Introducing Your 2014-2015 Georgia HFMA Board And Officers
9
Get Certified!
President • Roxann Arnold
President-Elect • Kimberly Farmer, FHFMA
Secretary • George Ann Phillips
Immediate Past President • Jane Gray, CPA, FHFMA, FACHE
GHA Designee • Robert Bolden, FHFMA
Board Members
Stephen Ross - Communications
Bridget Cutchen - Forums
Shawn McBride - Technology
Ann Chandler - Professional Development Council
Pam Harper - Membership Council
Elizabeth Richards - Outreach and ProAction Council
Kim Whitley - Quality Council
Robert Bolden - GHA Liaison
Scroll Committee
Kelly Thrift, Editor
Lori Lipocky, Assistant Editor
Amy Johnson
Daron Tarlton
Stephen Ross, Board Member
10 Risk Capability: Enabling Providers to Thrive in a
Risk-Based Environment
14
Spring Institute 2014 Photo Gallery
18
Volunteer Form
19
Mentoring Moments
20
Welcome New Members
21
Sponsors
25
Upcoming Georgia HFMA Education Events
26
Summer Institute Agenda
Editorial Policy: Opinions expressed in articles or features are those of the author(s) and do
not necessarily reflect the view of the Georgia Chapter, the Healthcare Financial
Management Association, or the Scroll Committee. Questions regarding articles or features
should be addressed to the author(s). The Healthcare Financial Management Association and
the Scroll Committee assume no responsibility for the accuracy or content of any
articles or features published in The Georgia Scroll. We also reserve the right to edit all
submitted articles.
The Scroll Committee reserves the right to accept or reject contributions whether solicited or
not. All correspondence is assumed to be a release for publication unless otherwise indicated.
All article submissions should be forwarded via e-mail (MS Word Document) to Kelly Thrift at
[email protected].
HFMA Webpage: www.georgiahfma.org
Mission Statement: To provide informative articles that promote the well-being and
educational enhancement of the healthcare professional and the community.
Scroll Deadlines: Fall 2014 - September 18, 2014
Winter 2015 - December 2, 2014
Spring 2015 - March 13, 2015
Summer 2015 - May 18, 2015
GA Chapter HFMA • www.georgiahfma.org • Summer 2014
3
GEORGIASCROLL
LETTER FROM THE EDITOR
I have worked with so many people devoted to making the Georgia Chapter
of HFMA one of the most active and acclaimed chapters in the nation. I am
grateful to have the opportunity to be the editor of the Georgia Scroll this
year and be a part of Roxann’s Team that will carry on that tradition.
In writing this letter to you, I naturally read (um… re-read) inaugural letters from the editors from our past. I found a common theme among these
letters – few of us had any idea what we actually agreed to or what we
were doing. Just a few notable quotes from the past on being the Scroll
Editor that have given me comfort:
As the summer edition is being finalized, I find it quite similar to Keanu
Reeves character, Neo, in the Matrix. No one can tell you what it’s like to
be the Scroll Editor. You have to experience it for yourself to understand.
I guess a lot of things are like this in Healthcare. For instance, trying to
understand or explain a patient bill, trying to re-open a cost report with
Cahaba, or figuring out how to get a Georgia or National HFMA certification
(actually, this one is explained quite well on page 9).
Kimberly Farmer (2008) - “to serve as Scroll Editor, my first thought”
was “are you crazy?”
Enjoy the 2014 Summer Edition of the Scroll. If you ever have any ideas for
improvement, please do not hesitate to email or call me with suggestions.
See you at the Fall Institute in Savannah (see page 13 for more information).
Donna Casey (2009) – “Oh my goodness, what have I done?”
I look forward to your feedback and input!
Elizabeth Richards (2013) – “I was sure that this was going to be the
worst scroll issue in history.”
Kelly Thrift,
[email protected]
GEORGIA SCROLL ARTICLE SUBMISSION
Become a published author and accumulate Founders Points!
SUBMISSION DATES:
Issue
Deadline
Fall 2014 ........................... September 18, 2014
Winter 2015....................... December 2, 2014
Spring 2015....................... March 13, 2015
Summer 2015.................... May 18, 2015
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 for Half Page, 700-1500 for full to 2 page feature. Articles that are longer are accepted, reviewed and welcomed.
Submit your articles in word, and please proofread your submissions!
Contact: Kelly Thrift, Georgia Scroll Editor - [email protected]
4
GA Chapter HFMA • www.georgiahfma.org • Summer 2014
Get Acquainted
with Region 5…
By Kim Shrewsbury, CPA, FHFMA, Regional Executive
Greetings from your Region 5, Regional Executive! I am so excited to serve
our region over the next year. Region 5 is an outstanding region with
extremely successful chapters. Our region includes the states of Alabama,
on over
the Georgia,
next year.
Regionand5 Tennessee.
is an
Florida,
South Carolina,
es of Alabama, Florida, Georgia, South
Region 5 leadership consists of the Presidents and President-Elects of the
five chapters, in addition to a Regional Executive and a Regional
Executive Elect. As the current Regional Executive (RE), my role is to:
Serve as the
volunteerExecutive
and policy linkand
between the chapters
ers, in>>>
addition
toprimary
a Regional
and the Association
>>> Assist chapter leaders in serving members
he Association
>>> Promote and lead change efforts to drive HFMA’s strategies
>>> Foster dialogue and communication at all levels of HFMA
>>> Represent the needs and interests of chapter leaders to the HFMA
Board and staff
>>> Work to create a seamless system of service for HFMA’s members
and staff
>>> Encourage chapters to collaborate and help other chapters
In short, the RE position serves as link between the chapters and the
national office of HFMA. An RE takes concerns, comments, and ideas,
from the regional board meetings, and conveys them to National. These
comments,
concerns
andconcerns,
recommendations
are shared with the National
of HFMA.
An RE
takes
comments,
HFMA Board. So, what this means is “chapters actually have a voice on
comments, concerns and recommendations
how HFMA operates at all levels.”
Georgia – The Charles Mehler Gold Award of Excellence for Education,
Award of Excellence for Membership Growth and Retention-Bronze and 3
Helen M. Yerger Awards.
South Carolina – The Sister Mary Gerald Bronze Award of Excellence for
Education.
Tennessee – The John M. Stagl Silver Award for Excellence for Education.
As a Region, Region 5 won 3 Yergers in total: 2014 Region 5 Dixie
Institute, Region 5 Webinars, and Region 5 Multi-State Certification
Practicum Webinars.
A successful year, indeed for our Region! Congratulations!! I am looking
forward to continuing the tradition of leadership in healthcare for HFMA
Region 5.
As a HFMA member, if you know of projects or initiatives that would make
sense for our region, please contact me by email at [email protected]. Look for additional regional updates throughout the
year in the chapters’ newsletter. I look forward to communicating with you
throughout the year.
have a voice on how HFMA operates at all
It will be difficult to follow in the footsteps of Cathy Dougherty, our outgoing RE; I want to thank her for her mentoring and friendship that will
have a lasting effect on our region. HFMA’s Annual National Institute just
ant tofinished
thankupher
for
herRegion
mentoring
and
in Las
Vegas.
5 showed out
with multiple awards for
itute just
finished
up in
Vegas.
our individual
chapters
andLas
the region
as a Region
whole! The5following chapters
were following
recognized: chapters were
ole! The
Alabama – The Henry Hottum Award for Education Performance
Improvement (highest honor), The Platinum Award of Excellence for
Education,The
the Award
of Excellence
for Certification-Bronze,
and 2 Helen
est honor),
Platinum
Award
of
M.
Yerger
Awards.
len M. Yerger Awards.
r Membership
Florida – The Growth
John M. Stagland
SilverRetention,
Award for Excellence for Education, Gold
Award for Membership Growth and Retention, Award of Excellence for
Certification-Bronze,
and 3 Helen
M. Yerger
ellence
for Membership
Growth
andAwards.
GA Chapter HFMA • www.georgiahfma.org • Summer 2014 5
GEORGIASCROLL
L E A D S T OR Y
Introducing Your 2014-2015
Georgia HFMA Board And Officers
As we get set to “Advance the Possibilities” here at Georgia HFMA, we thought it would be a good time to have you get to know your recently installed Officers and Board
Members. We asked them each to provide a little information about themselves and to tell us what they think will be different in healthcare in 10 years.
ROXANN ARNOLD
President
Professional Job:
Roxann is director of Patient Financial Services
at Emory Healthcare and has been employed in
the Emory system for more than 37 years.
Roxann is well known for her leadership, management skills and industry knowledge, and she
has been on, or co-chaired, numerous HFMA
committees and projects before being chosen to
serve as the current President of our chapter.
About Roxann: Roxann is Mom to her son, Jason and daughter-in-law, Allison.
Many of you have seen Jason’s picture, maybe have played golf with him, or you
just know of his passion for the Georgia Bulldogs. Jason and his wife, Allison,
are the proud parents of 4 year old Madison and 19 month old Emerson. She
enjoys shopping, tennis, beach time and boating.
Healthcare in 10 years:
• Fewer Inpatient admissions resulting in fewer beds and more outpatient care
• More wellness services
• Rewards for quality care and treating patients in outpatient settings
• More organized systems to ensure better communications between specialists
and primary care physicians
• Fewer independent hospitals, even more consolidation with larger healthcare
systems
• ACOs will continue to incentivize providers to control cost within a continuum
of care model
KIMBERLY FARMER,
FHFMA
President Elect
Professional Job:
Kimberly is Vice President of Bottom Line
Systems, Inc.
About Kimberly: She and her husband, Stacy,
live in Habersham County with their 9 year old
son, Tyler. Kimberly enjoys reading, going to the
beach, watching her son play sports, and following the Atlanta Falcons, Georgia Bulldogs and Atlanta Braves.
Healthcare in 10 years:
I think it is tough to begin to speculate what healthcare will be like in 10 years.
The impact of the expectation to deliver a higher level of care, while the reimbursement for the care continues to decrease, remains to be seen. We have seen
so much change in the last 10 years; I don't think anyone can say where healthcare will end up in the next 10 years.
6
GA Chapter HFMA • www.georgiahfma.org • Summer 2014
Jonathan Skaggs
Treasurer
JONATHAN SKAGGS, CPA
Program Chair
Years in G eorgia HFMA: 12
Professional Job: Pershing Yoakley & Associates
Professional Job:
Family: Carmen, Nathan and Logan
Jonathan is a Senior Manager at Pershing
Hobbies: G olf
Yoakley and Associates.
A few things you m ay not know about Jonathan:
About Jonathan:
He enjoys
playing golf…sometimes.
I use Just for Men Moustache B rush in Color.
My favorite book is The Intelligent Investor biny 10
B enjamin G raham.
Healthcare
years: We
should expect to see
changes in Medical Records that will impact
patient, providers, and the payers.
TODD COX, CPA, FHFMA
Treasurer
Professional Job:
Todd Cox serves as the Director of Corporate
Reimbursement for Athens Regional Health
System. Todd has more than twenty years of
diverse healthcare experience and is a Fellow of
Healthcare Financial Management Association
and American College of Healthcare Executives.
Todd is also a CPA in the state of Georgia.
About C
Todd:
Todd ox Todd and his wife of 18 years Julie have two children, Russell who
enjoys
golf
Secretary and basketball and Kristen who enjoys cheerleading and tennis.
Healthcare in 10 years: The next ten years will see the growth of the individual
healthcare consumer in the U.S. This consumer will demand choice and high
quality at market competitive prices. Successful providers will provide high
quality care and find ways to interact with their customers in a transparent
manner.
GEORGE ANN PHILLIPS
Secretary
Professional Job:
Georganne is the Administrative Directory of the
Revenue Cycle for University Health Care System
in Augusta, Georgia.
About Georganne:
She has been married to her husband, David, for
30 years and has two children, Bo who is 25 years
old and Hannah who is 19 and a sophomore in college. Georganne enjoys cooking, traveling, reading and spending time with her family.
(Continued on next page)
Healthcare in 10 years:
Healthcare in the next 10 years will look very different than it does today.
Healthcare will follow in the ways of the airline industry. There will be several large
scale Healthcare chains.
JANE GRAY, CPA, FACHE,
FABC, FHFMA
Immediate Past President
Professional Job:
Jane Gray is the Assistant Vice President for the
Revenue Cycle at Central Georgia Health System in
Macon, Georgia. Jane Gray is the Assistant Vice
President for the Revenue Cycle at Central Georgia
Health System in Macon, Georgia.
About Jane:
Jane and her husband, Tracy, live in Forsyth and have three grown children. After
leaving the game of tennis at the ripe old age of twelve, she returned nearly thirty
years later and plays as often as possible. She has been an active USTA player and
captain, is a member of Healy Point. Other hobbies include retail therapy and a love
of the beach.
Healthcare in 10 years:
As we currently begin to test the waters with new reimbursement models in healthcare, in ten years, life as we know it today will be dramatically different. With new
incentives based on lower costs, evidenced-based protocols, improved provider
coordination and fewer interventions, healthcare providers will be paid based on
their effectiveness in keeping patients out of the hospital. Virtual visits will aid in
reducing unnecessary visits to the ED, and most people will have personal health
monitors that track a variety of conditions and provide real time guidance as to
when they will need to see a doctor or head straight to the emergency room. More
resources will be shifted out of the hospital to overall health management and
addressing the psycho-social issues that create health challenges. Reimbursement
will be primarily based on capitation agreements, and most physicians and hospitals will be part of a mega health system. Boutique healthcare will become more
prevalent for those who want greater choice outside of what their health insurance
will cover. The next ten years will set the foundation for the next frontier in healthcare – a world of high tech, high quality, personal health management, and fewer
hospital days.
STEPHEN ROSS
Board Member Communications
Professional Job:
Stephen Ross is Director of Physician Hospital
Integration for Northeast Georgia Health System
and is a Fellow of the Healthcare Financial
Management Association and Certified Lean Six
Sigma Black Belt. Stephen is currently pursuing a
master’s degree in healthcare administration from
Ohio University.
About Stephen:
Stephen and his wife Anna live in Gainesville, GA with their four children ages
twelve to three years old and delight in spending time outdoors and also serving
together in their church. Having lived in Russia for several years, Stephen and
Anna enjoy taking teams of young people to the former Soviet Union each summer
to conduct children’s camps for youth and orphans.
Stephen enjoys camping, hiking and all other outdoor activities that involve his
children!
Healthcare in 10 years:
I believe one thing that will be different ten years from now is that organizations
across the provider spectrum will have better capabilities and find significant
value through big data technology. With vast quantities of data being collected
through EMRs and financial platforms in support of patient encounters, I believe
big data will lead to improved analysis and decision making particularly in the
areas of patient care delivery (e.g. the ability to accurately predict critical events
such as cardiac arrest before occurrence via the presence of multiple clinical indicators) as well as supporting outcome driven payment models as we shift from
“volume to value” and learn what it means to deliver on population health.
BRIDGET CUTCHEN
Board Member Forums
Professional Job:
Bridget is the Assistant Director of Patient
Financial Services for Emory Healthcare.
About Bridget:
She is married to Chuck and lives in Newnan, GA
and Shady Grove, AL with their dog , Shotgun.
Bridget enjoys traveling, being with family, gardening and her new hobby of restoring old furniture,
which is a work in progress!
Healthcare in 10 years:
Seeing friends and family that are currently ill, I am going to take it from the clinical side and hope that within 10 years, we will make greater strides in research to
better help people with certain illnesses, be it with prevention, or faster recovery.
SHAWN MCBRIDE
Board Member Technology
Professional Job:
Shawn J. McBride is Vice President of Healthcare
Financial Services in the Business Banking division of Wells Fargo. Based in Atlanta, GA, he manages the Professional Services Group, (PSG), a
team of bankers specializing in healthcare and
professional services providing project financing,
commercial real estate financing and a wide variety of banking services to healthcare practices, community hospitals, outpatient centers, law firms and accounting
firms in the Southeast. Shawn is a dual major honors graduate of East Stroudsburg
University with a Bachelor’s Degree in English and Communications.
Healthcare in 10 years:
I believe we will find ways to deliver healthcare more efficiently in the next 10
years. Leveraging new technology and maximizing the healthcare dollars through
improved efficiecies are critical to the long term viability of our current healthcare
delivery system. Moving more towards socialized medicine will be a monumental
mistake for the U.S.
(Continued on next page)
GA Chapter HFMA • www.georgiahfma.org • Summer 2014 7
GEORGIASCROLL
ANN CHANDLER
Board Member Professional Development
Council
Professional Job:
Ann is employed by RMB, Inc. as the Team Executive
over Business Office Services and Support Services.
Ann’s twenty five year work history includes Patient
Access Director and Regional Patient Access
Director, Patient Accounts Director, and Consultant. Ann passed the first CPAR test
given in Georgia in 1982 and now holds the HFMA FHFMA certification.
About Elizabeth:
Elizabeth’s hobbies include reading, cooking, shopping, drinking wine and going to
the beach!
Healthcare in 10 years:
I believe there will be less large hospital facilities and more smaller / cost-effective
clinic type atmospheres.
KIM WHITLEY, RN CHAM
Board Member Quality Council
Professional Job:
Kim is the Director of Patient Access, Clinical
Review and Intake Services at the Central Georgia
Health System. Kim has an Associate of Science
Degree in Nursing from Perimeter College and a
Bachelor of Science Degree in Health Services
Administration from Middle Georgia State College.
About Ann:
Ann has known her husband and best friend since she was 2 years old. They have
three children and nine grandchildren. Ann enjoys traveling, reading and crochet.
Healthcare in 10 years:
In the next ten years, many of the small hospitals will either close or be absorbed
by large healthcare networks in the State.
PAM HARPER
Board Member Membership Council
Professional Job:
Pam has been a member of the Transworld
Systems family of companies for over 8 years and
is based in Tulsa, Oklahoma. Pam is a member of
MGMA, NRHA, and is a second year Board member
of the Georgia Chapter of HFMA. She received her
Bachelor of Science Degree from Oklahoma State University on an athletic scholarship and was an All American twice in her four years at the university.
About Kim:
Kim is married to Ernie and has one daughter, Lindsey, who graduated from
Valdosta State University in May 2014. Kim likes to read, shop, and attend the theater. She enjoys spending time with her daughter and looks forward to having her
back as she pursues her Masters in Family and Marriage Therapy. Kim also enjoys
spending time with her friends creating new memories.
Kim loves to sing and hopes one day to be able to do this more often! Perhaps that
can be her retirement plan!
Healthcare in 10 years:
In the next 10 years I can only imagine the changes we will have endured in
Healthcare, the shift to outpatient care, population management, diminishing inpatient care and disease prevention just to name a few. Healthcare is very challenging
and has been an exciting career for me. My Registered Nursing Degree has afforded
Robert
Bolden for which I am grateful. Although I love healthcare, perhaps in
me many opportunities
10 years,
I could be retired loving on and spending time with my grandchildren!!
GHA
Liaison
About Pam:
Pam is an avid gardener and enjoys converting boring or unused outside sites into
beautiful and functional areas with her designs. She also enjoys cooking and entertaining, especially using what she’s grown in the summer and fall gardens.
ROBERT BOLDEN
GHA Liaison
Healthcare in 10 years:
I believe concierge physicians will be much more prevalent in our industry because
more and more people want a dedicated physician who takes the time to get to
know them and their medical needs more in depth. This will have a far reaching
impact on the healthcare industry.
ELIZABETH RICHARDS
Board Member Outreach Council and
ProActive Council
Professional Job:
Elizabeth is an attorney at Clinton A. Harkins, P.C.
specializing in Third Party Healthcare
Reimbursement. She is married to Brett and has
one son named Hudson who is two. She is a “double Dawg” with an undergraduate
degree in Finance.
8
GA Chapter HFMA • www.georgiahfma.org • Summer 2014
Professional Job:
Robert is the Vice President of Data Services for
the Georgia Hospital Association, where he has
been employed since 1992. He has a B.S. Degree
from the University of Georgia, and an MBA and a
Master of Health Science in Health and Hospital
Administration degree from the University of
Florida.
About Robert:
He is married to his best friend, Melony M. Bolden. Robert’s hobbies include tennis,
reading and visiting
National Parks.
Professional
Job:
Robert
is in
the
Healthcare
10 Vice
years:President of Data Services for the Georgia Hospital
Ten
years
from
now
health care,
I hopea that
hospitalfrom
industry
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employed sincein1992.
He has
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Degree
the
produce a patient bill that people can actually understand and that everyone will
Health
Science in Health and Hospital Administration degree from the
have health insurance.
About Robert:
He is married to his best friend, Melony M. Bolden. Robert’s hobbies
National Parks.
Healthcare in 10 years:
Get Certified!
Who doesn’t want to grow professionally? Certifications can open doors,
both internally and externally and provide a competitive edge in the marketplace. Certifications are validations that an individual has the knowledge necessary to do specific jobs. HFMA offers various certifications at
the state and national levels.
FHFMA
Once the CHFP certification is obtained, a FHFMA can be obtained by meeting certain requirements and through consistent participation in professional development activities and service to the healthcare finance industry.
Georgia Certifications
CTS
The CTS program was designed to provide comprehensive technical education by testing knowledge and skills required by specific functional areas.
There are four separate programs offered under the CTS program:
CPAR
In 1982, the Certified Patient Account Representative Program (CPAR) was
organized by the Georgia Healthcare Financial Management Association.
This certification validates that the individual has the knowledge necessary to be a high achieving member of a healthcare organization’s revenue
cycle division. A study manual and coaching sessions are offered to assist
in preparation for the annual certification test. Study manuals are updated
annually and are available through the Georgia HFMA website. Specific
information about study sessions are posted on the Georgia HFMA Chapter
website. Once certified for CPAR, an Advanced CPAR certification can be
obtained by attending Advanced CPAR Certification education sessions.
CFC
In 2005, the Georgia Chapter of HFMA again led the way with the implementation of the Certified Financial Counselor Program (CFC). The CFC
focuses on the underinsured and uninsured and tests healthcare financial
professionals on the tools and skills necessary to secure payment and
funding sources and determine the best financial solution available for
patients. Like the CPAR, the CFC certification is obtained through an
annual test. The study guide for the CFC is concise, and the test is
straightforward. Preparation for this certification does not require months
of study.
National Certifications
Nationally, there are four certifications, Certified Healthcare Financial
Professional (CHFP), Fellow of the Healthcare Financial Management
Association (FHFMA), Certified Technical Specialist (CTS), and the Certified
Revenue Cycle Representative (CRCR).
CHFP
The CHFP tests the skills of a seasoned, mid-level healthcare professional.
We strongly suggest that those taking the CHFP have three to five years
healthcare provider experience. This test is recommended for the following
positions, Director Patient Financial Services, Director, Reimbursement,
Patient Accounts Manager, Billing Director, Controller, Director Business
Services, Director Finance, General Manager Finance, Business Office
Manager, Treasury Manager, Partner and Principal as well as senior
accountants and senior financial analysts.
>>> Certified Technical Specialist: Accounting and Finance Program
>>> Certified Technical Specialist: Managed Care Program
>>> Certified Technical Specialist: Physician Practice Management
>>> Certified Technical Specialist: Business Intelligence
CRCR
Today’s revenue cycle staff must have a broader understanding of the
entire revenue cycle and how it influences the outcomes of the healthcare
organization. The CRCR program is designed to test those skills and
knowledge. This test is recommended for hospital revenue staff and associated staff for the following areas:
>>> Patient Access
>>> Financial Representative
>>> Patient Accounts
>>> Health Information Management
>>> Case Management
>>> Finance
>>> Compliance
>>> Managed Care Operations
>>> Decision support
Both Chapter and National Certifications benefit individuals and the
Georgia HFMA Chapter. HFMA certifications are widely recognized among
healthcare finance professionals and organizations. Many organizations
are now requiring certifications as a means to demonstrate skills and
knowledge for specific organizations. Individuals with certifications have a
competitive edge when competing for positions in the industry. The Georgia
Chapter wants to help you get certified. Learn more by contacting Ann
Chandler (404-964-8053) and/or attending the Summer Institute in
Oconee or the Fall Institute in Savannah.
GA Chapter HFMA • www.georgiahfma.org • Summer 2014
9
GEORGIASCROLL
Risk Capability: Enabling Providers
to Thrive in a Risk-Based Environment
By Bill Hannah and Melinda Hancock with DHG Healthcare
This article originally appeared in the May 2014 issue of HFMA's HFM
magazine. Used with permission.
The healthcare industry is in a time of profound change. This change is
greater than anything the industry has seen in generations. Passage of the
Affordable Care Act of 2010 (ACA), while politically controversial, has created unique opportunities for the healthcare industry to examine and
change both how it delivers care and how that care delivery is financed. An
important dialogue is continuing to emerge related to how providers will
shift from fee-for-service payments to risk-based, patient-centered payment models.
Risk is defined as “the possibility that something unpleasant (such as an
injury or a loss) will happen.” Capable means “able to do something; having the qualities or abilities that are needed.” “Risk Capable” then could
be defined as the ability to prevent something unpleasant from happening.
As the healthcare industry continues to change and transition it will be
important for providers to become Risk Capable. Providers will need to
develop the capabilities to manage new financial and performance-based
risk in order to survive and succeed in the future. This article will describe
what it means to be Risk Capable and introduce the abilities required to
identify risk, mitigate risk and succeed in a new payment environment.
Accepting, and Managing, the Risk of Population Health
Traditional fee-for-service revenue streams are beginning to shift to patientcentered and risk-based payments. The combination of an unsustainable
growth in national healthcare costs and passage of the ACA brought a new
level of urgency to the dialogue related to the lack of sustainability in the
healthcare economy. These two factors have accelerated the shift of risk
from payers to providers. Current literature suggests that the future of riskbased contracting is bright – and some recent advisory opinions offer insight
into that fact. The Advisory Board reported last summer that risk-based,
total-cost-of-care contracts with large multi-hospital systems had more than
doubled since 2011 from 14 to 35 percent. Similar results for bundled payments have occurred with commercial payers around the country. United
Healthcare, the nation’s largest health insurer, announced they will double
their accountable care contracts by 2017 ($20 billion of United Healthcare’s
2013 payments were tied to quality and cost efficiency measures.)
Successful voluntary governmental projects (i.e., Bundled Payments,
Comprehensive Care Initiatives, ACOs) are giving rise to new payment
models based on risk-sharing arrangements and shared savings models
predicated on achieving defined financial and clinical outcomes. Such
risk-sharing arrangements often create new levels of anxiety for governance and executive management as payers proactively approach providers to enter into these agreements. Providers frequently feel unprepared to
10
GA Chapter HFMA • www.georgiahfma.org • Summer 2014
analyze the impact of risk-sharing agreements but feel a level of urgency
to participate to keep pace with the changing reimbursement market.
One of the critical issues for any provider to understand is the pace of
change to prepare their health system to successfully operate in a fully
risk-capable environment. The risk hierarchy diagram below demonstrates
a typical progression away from fee-for-service towards acceptance of risk
for total population health. The speed at which a market moves will be
complicated as competitors look to shift market share while payers and
employers create new contracting or private label health plan options.
As the mandatory elements of reform progress at CMS, it is important to
recognize that some providers are already dealing with and learning to
manage the transformation that is underway. This transformation ties payments to clinical outcomes. What we knew as Pay-for-Performance under
the previous Administration has transformed itself into Value-Based
Purchasing, Readmission Penalties and other performance based risk
sharing payment models. As governmental innovation models (i.e.,
Medicare Shared Savings and Bundled Payments) expand, we can expect
wider application in years to come as other commercial payers drive these
types of payment mechanisms through their manage care contracts.
The most important question for both governance and healthcare executives
is how quickly will payers and competitors in their market move up the risk
hierarchy toward Population Health cost-risk contracting. Each level of the
risk hierarchy requires increasing levels of clinical alignment among physicians, hospitals, ambulatory providers and post-acute care facilities.
Similarly, each successive level of financial risk, along with the increasing
size of the population that is covered, emphasizes the need for organizational
re-design and profound management, regardless of the specific market.
Lack of readiness to participate at a level equal to or ahead of your competition could be a failed market strategy. A new set of leadership skills is
required to design and implement the organizational transformation processes, technology and people requirements to successfully provide services in a risk-based environment. Clearly – not everyone is going to survive
this transformation.
INSERT HIERARCHY OF RISK TAKERS
(Continued on next page)
Becoming risk-capable and embracing population risk-based payment
models requires organizations to first understand and address the fundamentals. If a provider has not mastered the basics in the mandatory elements of the CMS programs (Value-Based Purchasing, Readmissions
Reduction Program and Hospital-Acquired Conditions for acute care, for
example), it will be difficult to quickly respond to the increased complexity
of adding commercial programs, state-sponsored efforts or voluntary elements associated with the ACA. The mandatory elements enforced through
CMS represent the lower levels of risk for providers on the widest base of
patients – Medicare beneficiaries. Mastering the “simple not easy” standardization of clinical processes that result in positive financial results
takes time, but will benefit the provider interested in increasing its risk tolerance and moving up the risk hierarchy ladder. Progressive cultures based
on continuous improvement at every step of the delivery process will stand
the best chance of reacting to increasing performance levels as the bar is
raised in subsequent years.
Key Element # 1: Business Intelligence
Traditional market assessment processes and financial/clinical analytics
that view each component of the delivery system independently will be
insufficient to meet the business intelligence needs in the fully risk-capable environment. Advancing levels of risk require more sophisticated analytical models with potential payer partnerships that can access data sets
offering insights into the expected cost and quality of care for a given population.
A simple process model as demonstrated in the diagram below will require
interdependent systems, tools and resources. Negotiating risk contracts
may mean new partnerships for improving the chance of success – including outsourcing components that enhance accuracy and enable quicker
measurement and evaluation of outcomes. For some organizations a build
strategy is an option – but costs of this endeavor require detailed planning
in the “buy versus build” decision process.
Value-Based Purchasing 2015
Take one element of Value-Based Purchasing as an example. For the federal fiscal year 2015, Medicare introduced a single item worth a staggering
20 percent of the entire payment of the at-risk pool: the Medicare Spend
per Beneficiary. The performance period for this component has passed
and at this time we are preparing for the 2016 performance period where
the percentage for this item increases to 25 percent of the 1.75 percent of
inpatient Medicare payments to a facility or health system. Providers working on this component of Value-Based Purchasing should be focusing on
all discharge readmissions, hospital-acquired conditions and the postacute cost components of the continuum. Organizations will need to continue to develop clinical integration efforts in order to provide the right
care at the right location at the right time.
These are the same, now mandatory, fundamentals that drive success for
the voluntary Medicare Shared Savings Program.
Are You Prepared?
So, how does a provider assess readiness within each advancing level?
This assessment can be accomplished by the evaluation of three core organizational competencies required to be successful in a fully capitated environment. The key elements of Risk Capability are demonstrated by the diagram here:
Defining the population of individuals in the risk group might be done in
partnership with a commercial or government payer, assuming the appropriate trust can be developed such that the relationship can be a success
for both parties. The ability to derive and evaluate longitudinal, continuumbased data on the medical spending profile of the members in the population will be critical. The provider’s ability to understand the information
provided and combine it with valuable episodic financial and clinical data
is the first variable in solving the risk equation. Understanding the nature
of the risk rates is pivotal as insights come from the data and are likely to
already be, in part, established up front. Comprehensive answers to the
following questions will be a “rite of passage” for an organization’s future
success in this new payment environment.
>>> Is the model an incremental PMPM payment given for participation in
care management models sponsored by the payer?
>>> Is it a “shared savings” program that rewards both parties for eliminating unnecessary utilization, resulting in lower than expected costs?
>>> Or is the relationship full capitation, where all risk falls on the provider to manage within a capped annual payment for each patient?
>>> In some states concepts of Global Budgeting are emerging, capping
revenues based on all care provided for anyone living in certain geographic regions. Is this a model for consideration?
>>> Ability to manage within any of these risk models requires an in-depth
understanding of utilization and costs while being aware of the
responsibility versus accountability equation. How much control will
providers actually have in influencing or mandating the care patterns
of individuals within the risk population?
(Continued on next page)
GA Chapter HFMA • www.georgiahfma.org • Summer 2014
11
GEORGIASCROLL
Answering these questions (among others) enables forecasting of volumes
and staffing levels in the optimal building of the budget and creates an
understanding of what emerges as lower per-patient utilization, resulting
in a reduction in unnecessary or redundant care accompanied by an
increase in volume as more patients are managed within the network
Key Element #2: Clinical Enterprise Maturity
Success in mitigating and managing risk, is dependent on a high-performing, clinically-integrated network of care that aligns incentives toward
population health management. A first step may be to align providers
within a clinically integrated network (CIN) and then proactively seek out
payer partners and employers to develop new value-based contracts in a
more comprehensive high performance network. Developing a mature clinical enterprise will require the ability to improve health outcomes of individuals and populations coupled with the ability to manage utilization and
costs to drive change in the care model delivered in the marketplace.
The objective of an integrated clinical enterprise is to organize, design,
build and operate a network that allows sets of providers to be financially
successful for delivering outcomes envisioned in the Institute for
Healthcare Improvement (IHI) triple-aim framework. The diagram below
identifies the process components needed for the success of a network that
can assume accountability for the health of populations and aggressively
pursue risk-based contracting.
CONTRACTING HERE
cy systems but also what new processes need to be implemented is critical
to build and model new revenue streams.
What are the gaps in the infrastructure and what is the plan of attack to
start filling those gaps, internally or externally? Answering this question
requires an assessment of the creative financial experience and ability of
staff and leadership. The static financial models of the past will no longer
be sophisticated enough to satisfy the need for information as payment
models continue to change. Providers will need to develop and nurture
dynamic financial modeling capabilities in order to monitor and measure
the impact of reform and to strategically allocate capital, people and other
scarce resources. The diagram below illustrates the steps necessary to
understanding Revenue Transformation and evaluating risk-based contracting opportunities.
Providers need to be sure that traditional revenue cycle components are
operating optimally while the new processes are being built and implemented. A full financial capability assessment at each level of the risk
hierarchy should be completed to assure timely processing of claims, distribution of funds, tracking performance and optimizing contracts.
One increasingly important component of revenue transformation is price
transparency. The roll- out of the healthcare marketplaces will raise awareness of pricing to a new level as potentially millions of Americans will be
covered under high-deductible health plans for the first time.
Patient Perspective
The gold standard for clinical integration is a well-conceived and codified
program based on the model described above, that can be routinely tracked
for all participating providers to assure compliance and adherence.
Organizational requirements for a CIN have become clearly documented.
The Federal Trade Commission no longer requires the individual application
and approval process to proceed with such organizations. The clinical
enterprise should be set up broadly enough to result in population health
while narrow enough to accomplish the protocols and measures against a
road map to achieve a status of care accountability for a defined population. In the future, competitive walls regarding care coordination need to
be bridged for improved patient outcomes as network effectiveness is critical to creating the ultimate care coordination entity.
Key Element #3: Revenue Transformation
The central tenet of the ACA is the Patient. Today, as healthcare business
models evolve and diverge into new forms of governance and operation, the
health of communities and the ability to bring all individuals, regardless of
economic status, into organized, efficient systems of care is the top priority. The expansion of wellness and prevention screening services in the ACA,
as well as the emphasis on transitions and end-of-life care all seek to recognize the dignity of individuals toward achievement not of healthcare –
but of health. The role of a provider is to organize systems of care that promote the overall health of a population. As this responsibility increases,
providers will continue to assume greater levels of risk. The rewards today
seem elusive and difficult to envision as uncertainty continues around
healthcare reform and the status of programs as they roll out, but the reality is constant. Americans also want and deserve healthcare that promotes
an exceptional patient experience across both the care delivery and financing continuums.
Managing Revenue Transformation emphasizes the need for designing a
revenue cycle platform that can accept risk, manage risk, optimize reimbursement, process claims, distribute funds and incentivize performance
against defined objectives. Understanding the impact on not only the lega-
(Continued on next page)
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GA Chapter HFMA • www.georgiahfma.org • Summer 2014
References:
Conclusion
Every provider recognizes they must learn to operate in this time of transformation but many are wondering what to do next. At the same time, the
challenge is that providers are in different stages of risk capability.
Solutions and strategies are not one-size-fits-all. This article suggests your
readiness assessment should focus on three key elements:
Webster’s Dictionary
Becker’s Hospital Review, July 10, 2013, United Healthcare to Double Value-Based
Contracts with Providers by 2017, Bob Herman http://www.beckershospitalreview.com/
accountable-care-organizations/unitedhealthcare-to-double-value-based-contractswith-providers-by-2017.html
Becker’s Hospital Review, July 15 2013, Number of Providers With Risk-Based Contracts
More Than Doubles Since 2011, Molly Gamble http://www.beckershospitalreview.com/
racs-/-icd-9-/-icd-10/number-of-providers-with-risk-based-contracts-more-than-doubles-since-2011.html
>>> Business Intelligence
>>> Clinical Enterprise Maturity
>>> Revenue Transformation
Transformation to a fully risk-capable organization will not happen overnight. Having a game plan specific to your organization and your market is,
however, essential for survival.
The Advisory Board, June 5, 2013, Survey Results: Percentage of Providers Taking on
Risk Doubled Since 2011, http://www.advisory.com/Research/Health-Care-AdvisoryBoard/Blogs/Toward-Accountable-Payment/2013/05/Accountable-payment-survey
Eight components of a successful Clinically Integrated Network, June 2013
DHG Healthcare website
Institute for Healthcare Improvement, The IHI Triple Aim http://www.ihi.org/offerings/initiatives/tripleaim/pages/default.aspx
GEORGIA HFMA FALL INSTITUTE 2014
The Westin Savannah Harbor Golf Resort & Spa
November 5-7, 2014
Keynotes
Mel Robins
New Member
Reception
Mel Robbins is one of the top authorities on managing
change and leadership and one of the most provocative
motivational speakers in America. Her TED Talk on the “5
Second Rule” has gone viral, and her book on managing
change and increasing productivity, “Stop Saying You’re
Fine”, is an international bestseller.
Quint Studer
Quint Studer is the Founder of Studer Group, Inc. and a
proponent of Evidence-Based LeadershipSM (EBL). EBL
creates a culture of execution that empowers
organizations to move quickly and effectively. Studer’s first
book, Hardwiring Excellence, is still one of the most widely
read books in the history of healthcare leaders.
Networking
Opportunities
William S. Custer
Vendor Fair
Bill Custer is an expert in the areas of employee benefits,
health care financing and health insurance. Bill is the
director of the Center for Health Services Research and
holds a joint appointment in the Department of Risk
Management and Insurance at Georgia State University.
Dale E. Baker
Dale Baker is the President of Baker Healthcare
Consulting, Inc. a consulting firm serving over 1,000 acute
care hospital clients . Dale is also registered as a federal
lobbyist, and works with hospitals throughout the country
on selected Medicare payment issues that might be
favorably impacted through coordinated national
legislative and/or regulatory efforts.
Call Now to Make Your Hotel Reservations:
1-912-201-2000 www.westinsavannah.com
Book by Tuesday, October 14 to qualify for
the HFMA rate: $199/night +$19/night resort fees + tax
FOR MORE DETAILS OR TO REGISTER,
PLEASE VISIT GEORGIAHFMA.ORG
Online registration opens 09/22
Register by 10/14 to get the Early Bird Rate!
GA Chapter HFMA • www.georgiahfma.org • Summer 2014
13
GEORGIASCROLL
SPRING
INSTITUTE
2014
14
GA Chapter HFMA • www.georgiahfma.org • Summer 2014
SPRING
INSTITUTE
2014
GA Chapter HFMA • www.georgiahfma.org • Summer 2014
15
GEORGIASCROLL
the hfma
conference
you don’t leave
home for.
SIGN UP FOR OUR
VIRTUAL CONFERENCE
SERIES STARTING
IN FEBRUARY.
Experience HFMA’s Virtual Conference created for healthcare finance leaders.
This interactive, live 4-day event includes influential speakers, dynamic education sessions, online networking
opportunities, industry solutions, and CPE credits.* Attend these online events available from the comfort
of your home or office. Available online and in real-time. hfma.org/virtualconference
* Up to 3 CPE credits are available for each event date. Attend all 4 events for a maximum of 12 CPE credits.
16
GA Chapter HFMA • www.georgiahfma.org • Summer 2014
H E A LT H C A R E
I S
O U R
B U S I N E S S !
HEALTHCARE IS CHANGING,
Leaders Wanted!
VSU’S New ONLINE MBA in Healthcare Administration (HCAD)
will take YOU there!
Healthcare is changing at a lightning pace - requiring talented, innovative leaders to
design and deliver the healthcare of tomorrow. Decisions made by healthcare executives
improve the lives of hundreds, even thousands of people every day. Use your talents
and business skills to ensure that the most effective, efficient and quality healthcare
systems are available to those in need.
WHAT WILL YOU STUDY/LEARN?
Students will take graduate courses in
the following areas:
• Healthcare Information Systems
• Healthcare Economics
• Insurance & Risk Management
• Healthcare Operations Management
• Financial Management in Healthcare
CAREER OPPORTUNITIES WITH EXCELLENT EARNING POTENTIAL:
Healthcare is the largest industry in the United States and the second largest employer with more
than 11 million jobs. Virtually all new private sector jobs over the past 5 years are healthcare
related.
The 2014 Occupational Outlook Handbook projects 73,300 new healthcare administrator
positions by 2022. According to the Bureau of Labor Statistics, health services managers have
• Health Systems and Policies
• Healthcare Strategic Leadership
• Legal Aspects of Healthcare
• Advanced Quantitative Methods
• Marketing Strategy
the potential of earning an average annual salary of $88,500 (2014) - with the top 10% earning
$150,560!
WHERE WILL YOU WORK?
• Hospitals
VISIBLE AND VALUED ROLE IN
THE COMMUNITY:
Healthcare
respected
executives
members
typically
of
their
• Physician Practices
are
highly
communities.
• Clinics
• Consulting Firms
• Health Insurance Organizations
Hospitals and other healthcare organizations
• Healthcare Associations
are among the largest employers in many
• Nursing Homes
communities and their organizations positively
• Mental Health Organizations
impact the health of the populations they serve.
• Public Health Departments
• Rehabilitation Centers
CAREER FLEXIBILITY:
• Skilled Nursing Facilities
The VSU MBA with a concentration in HCAD
• Universities & Research Institutions
offers long term career potential with multiple
career paths for success. Students can expect
to be competitive within many different areas in
WHAT WILL YOU DO?
healthcare administration as well in business.
• Specialty Practice Management
Graduates have the opportunity to change fields
• Information Systems
without having to pursue additional higher level
• Human Resources
education.
• Contracting Administration
WHY THE LANGDALE COLLEGE OF
BUSINESS ADMINISTRATION (LCOBA)
AND VALDOSTA STATE (VSU)?:
•
Our AACSB accreditation attests to our
program quality. (Top 5% of all business
schools worldwide.)
•
Established (LCOBA has a long-standing
history of delivering the MBA.)
•
Affordable (VSU’s MBA tuition is among
the lowest 10% nationally.)
•
Flexible (all classes are available online;
100% distance delivered.)
• Healthcare Finance & Insurance
• Marketing & Public Affairs
• Health Systems Integration
• Supply Chain & Logistics Management
• Quality & Patient Safety
• Medical Staff Relations
• Nursing Administration
• Patient Care Services
• Pharmaceutical Industry
• Government Relations
MORE QUESTIONS:
Contact Dr. Mel Schnake (MBA Director) via email at
[email protected] or by phone at (229) 245-3822.
GA Chapter HFMA • www.georgiahfma.org • Summer 2014
17
GEORGIASCROLL
In our hectic professional and personal lives, it is difficult to find the time to volunteer. Yet, as we all face
the challenges of the transforming healthcare industry, education and sharing is more important than ever.
There are many benefits of volunterring for Georgia HFMA, and finding the right TEAM match that suits your
time constraints is easy. If you have not signed up for a TEAM, please complete the information below and
send it in!
Volunteer Form
Thank you in advance for Volunteering! I look forward to a successful year with you in Georgia HFMA.
Fax the completed form to ATTN: Roxann Arnold, Fax: 404 686-4887 or [email protected]
Name:
Title:
Email Address:
HFMA Member #:
Advanced Member: r CHFP r HFMA
Company Name:
Address:
City: State:
ZIP Code:
Telephone Number:
Fax Number:
Committee Preference: Please consider which committee can best benefit from your knowledge and experience.
1st Committee Choice:
2nd Committee Choice:
3rd Committee Choice:
Uncertain & want to discuss it? r Yes
Are you interested in serving as a Team Leader? r Yes
r No .... If yes, which committee:
If not interested in leading at this time, are you interested in being Mentored? r Yes
If yes, which role.... r Chairing a Committee
r Board of Directors
What benefits are you looking for from the Georgia HFMA Chapter?
18
GA Chapter HFMA • www.georgiahfma.org • Summer 2014
r Officer
r No
membership
Mentoring
Moments
mentorship
The GA HFMA Mentoring Committee is proud to sponsor the “Mentoring Moment” in the Georgia SCROLL. The Mentorship icon will be your guide
for finding this “moment” that you can use in any mentoring situation.
outreach
Mentoring Moment #1
>>> Remember the three R’s –
Be Responsible; Be Respectable; Be Ready;
Mentoring Moment #6
>>> Seed your mentee’s growth – find a balance between supporting and chalcertification
lenging; encourage setting high standards of practice, innovation and creativity; foster autonomy and independence; encourage preparation
Mentoring Moment #2
>>> Actively listen – resist the urge to act and make decisions; instead ask
questions and probe for thoughts
$
Mentoring Moment #7
>>> Establish clear expectations – express expectations and commitments;
establish clear communication channels and timelines for interactions; be
assertive in advice in you feel strongly
revenue cycle
Mentoring Moment #3
>>> Live up to professional standards – create a comfort level for sharing and
expressing concern; create a safe place to ask questions and discuss concerns
finance
Mentoring Moment #8
>>> Enjoy the mentoring ride – savor being proud of the mentee’s success; the
mentee may turn out to be a life- long friend or colleague
Mentoring Moment #4
>>> Share your network – this accelerates the process for the mentee especially
in a career mentorship role
.
webinars
Mentoring Moment #5
>>> T ake an interest in the mentee – explore their interests, dreams and aspirations
Chapter Chatter
For those of you missing “Chapter Chatter”, it will continue in the
Fall 2014 edition of the Scroll. Please send your news to [email protected].
GA Chapter HFMA • www.georgiahfma.org • Summer 2014
19
GEORGIASCROLL
Welcome New Members
Charles H Jefts IV
Gwen Y Holston
Kenneth L Kramer
David Kenny
Michele Hester
Maureen Cotter
Kim J. George
Katherine Chan
David G Hamilton
Tal Ovadia
Alex Arauz
Tevya Harley
James Thomas Jr.
Jody L Wilson
Charles Patrick Braley
Sarah Wright
Steve P Williamson
Robert S. Thigpen
Nick Challen
Travis Storin
Clint Lauer
Selena R Wynn
Tina L. Chumley
Debra Berry
Douglas R Ingram
Damian Donati
Klaire Strickland
Todd Perman
Cindy Holeva
Deborah L Erickson
Nortasha DeGracia
Virginia Scott Harrison
Paul Nolan
Eric Villines
Melody Ellis
Christopher B Schwartz
Mallory Mitchell
Tamara A Nilmeier
Joelle Holder
Jennifer Hall
Rebecca K. Smith
Zach S Scarboro
Tammy Knight
David A Leibovitz
Thomas L Carnes III
Deidra V. Baerwald
Lakista McElroy
Charles Q Wright IV
Shan C Zhang
Katie Coleman
Cassandra Mims
Michael M Beeghley
Tony Wagner
Elizabeth H Loudermilk
Ella Perry
Brian D Fromhold
Cindy O'Neill
Amy Johnson
Jodi Powell
LaSheena Morant
Courtney D Bates-Griggs
Jerry Miller
Russell A Autry
Tyler Long
Christen Sallions
Meet Our New
Members
Melissa Tindall
The Georgia chapter would like to officially welcome the approximately 70 new members who have
joined so far this year! Since there are going to be quite a few new faces at our upcoming meetings, we
want to introduce you to some of our new members as follows:
Meet Our New Members
The Georgia chapter would like to officially welcome the approximately 70 new members who have
joined so far this year! Since there are going to be quite a few new faces at our upcoming meetings, we
want to introduce you to one of our new members.
Patrick is a graduate of University of Notre Dame and is married with two children. He enjoys golf,
coaching baseball, and travel.
An interesting fact that everyone may not know:
Patrick is a native of Atlanta and was a Northside Baby!
What does Patrick hope to get out of joining HFMA?
“I look forward to connecting and knowledge sharing with other healthcare finance professionals
around Georgia”
Patrick Braley, Partner
Bennett Thrasher, LLP
Patrick Braley
Partner
If you are a new member and would like to be profiled in upcoming issues, please contact Lori Lipocky at [email protected].
Bennett Thrasher, LLP
20
GA Chapter HFMA • www.georgiahfma.org • Summer 2014
2014-2015 GEORGIA HFMA
CORPORATE SPONS ORS
AXEA Solutions
Bottom Line Systems, Inc.
Capio Partners
Chamberlin Edmonds
Commerce Bank
Connance, Inc.
Draffin & Tucker, LLP
Healthcare Receivable Professionals, Inc./CAH
Hollis Cobb Associates, Inc.
HSI Financial Services, Inc.
KPMG LLP
PFS Group
Pricewaterhouse Coopers LLP
SAI Global/Compliance 360
Siemens
Xtend Healthcare
Allgood Professional Services, LLC.
AppRev
Bank of America, N.A.
Care Payment
Cleverly & Associates
Conifer Health Solutions
GE Healthcare
Hritz Management Services
JPMorgan Chase Bank, NA
MDS
MedAssist
Nemadji Research Corporation
Parallon Business Performance Group
PatientCo Holdings, Inc
Pershing Yoakley & Associates
PNC Healthcare
Precyse
RelayHealth
RevClaims
SSI
Triage Consulting Group
UCB, Inc.
Accelerated Claims, Inc
Adreima
Aspirion Health Resources
Avadyne Health
Avectus Healthcare Solutions
Benefit Recovery
Bennett Thrasher PC
CBOSS
Clark, Mascaro & Aziz, P.C.
Collection Choice Corporation
CSC Healthcare Group
DATAMATX
DataTrac Receivables Recovery
DECO
Decosimo Certified Public Accountants
EnableComp, LLC
Georgia Hospital Health Services, Inc.
Healthcare Insurance Resources (HCIR)
Healthcare Receivables Group
HIMformatics LLC
IMA
King & Spalding
Med A/Rx
MedAssets, Inc.
Meridian Leasing
Prestige Staffing
Quality MedCare
RCA
RGL Associates, Inc.
RMB, Inc.
Salucro
Sherloq Solutions
SunTrust
The ROI Companies
Emory Healthcare
Gwinnett Health System
Medical Center of Central Georgia
Northside Hospital
University Hospital
GOLD
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PR O VI D E R
GA Chapter HFMA • www.georgiahfma.org • Summer 2014
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GA Chapter HFMA • www.georgiahfma.org • Summer 2014
Ev e n t S p o n s o r s h i p
E
NOTE to Greg> all of these do not need to be used in the Summer Issue
v e n t S p Chamberlin
o n s Tier
o rEdmonds
Is h i p
Tier II
Gold
Silver
Tier III
Bronze
Non-Sponsor
Tier Edmonds,
I
Tier
III serves as a patient advocate
Chamberlin
an II
EmdeonTier
company,
to hospitals
nationwide.
Our$5,000
comprehensive ser
Gold
Silver
Bronze
2014 Summer Institute Reception Day 1 - Lake Oconeeand enrollment
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2014 Summer Institute Reception Day 2 - Lake Oconeegrowing $1,000
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bad debt and increasing
on reimbursement
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2015
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$1,000 $2,000
$2,000 $4,000
$4,000 $5,000
$5,000
2014Spring
Summer
Institute
Reception
Day1 1- -Brasstown
Lake Oconee
$1,000
www.chamberlinedmonds.com
2015
Institute
Reception
Day
Bald
2014Spring
Summer
Institute
Reception
Day2 2- -Brasstown
Lake Oconee
2014
InstituteReception
LuncheonDay
- Lake
Oconee Bald
2015Summer
Spring Institute
1 - Brasstown
$1,000
$1,000
$2,000
$2,000
$4,000
$4,000
$5,000
$5,000
$2,000
$1,000
$4,000
$2,000
$6,000
$4,000
$8,000
$5,000
2015Fall
Spring
Institute
Reception
Day 2 - Brasstown Bald
2014
Institute
Luncheon
- Savannah
2014Spring
Summer
Institute
Luncheon
- Lake Oconee
2015
Institute
Luncheon
- Brasstown
Bald
$1,000
$2,000
$2,000
$4,000
$4,000
$6,000
$5,000
$8,000
$2,000
$2,000
$4,000
$4,000
$6,000
$6,000
$8,000
$8,000
2014Spring
Fall Institute
Luncheon - Banquet
Savannah- Brasstown Bald
2015
Board Installation
2015Spring
SpringGolf
Institute
Luncheon
- Brasstown
Bald
2015
Tournament
- Brasstown
Bald
$2,000
$15,000
$2,000
$3,000
$4,000
$18,000
$6,000
$22,000
$8,000
$25,000
$4,000
$6,000
$6,000
$8,000
$8,000
$9,000
PFS Group
2015Fall
Spring
Installation
Banquet - Brasstown Bald $15,000
2014
GolfBoard
Tournament
- Savannah
$3,000 $18,000
$6,000 $22,000
$8,000 $25,000
$9,000
PFS Group provides custom-designed accounts receivable enhancement
2015 Spring Golf Tournament - Brasstown Bald
$3,000
$6,000
$9,000
healthcare
regulations,
clients rely $8,000
on us for our leading-edge
technology
2014 Fall Golf Tournament - Savannah
Gold Sponsor Profiles
Chamberlin Edmonds
latest industry
Clients benefit
from our compassionate
account res
$3,000 news.$6,000
$8,000
$9,000
seeing a decrease in patient complaints, increase in ROI and the upholdin
the patient community and healthcare industry.
http://www.pfsgroup.org
HSI Financial Services
NOTE to Greg> all of these do not need to be used in the Summer Issue
Chamberlin Edmonds, an Emdeon company, serves as a patient advocate
Chamberlin Edmonds
and provides custom-tailored eligibility and enrollment services to hospitals nationwide. Our comprehensive services examine a wide spectrum
of uninsured and underinsured patients, including inpatient, outpatient
HSIFinancial
FinancialServices,
Services
HSI
LLC has been providing innovative collection and r
and emergency department cases. With growing bad debt and increasing
HSI
Financial
Services,
LLC has
been providing
innovative
and
exclusively to healthcare
providers
since 1983.
As a collection
healthcare-owned
fir
Chamberlin
Edmonds,
an
Emdeon
company,
serves
as
a
patient
advocate
NOTE
to
Greg>
all
of
these
do
not
need
to
be
used
in
the
Summer
Issue
pressure on reimbursement rates, our full suite of solutions and technolorecovery
enhancement
solutions and
exclusively
to healthcare
providers
since care,and
make
healthcare
knowledge
expertise,
compliance,
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and 1983.
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gy-enabled services help ensure healthcare businesses succeed.
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healthcare-owned
firm,to
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HSI’s culture service
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Chamberlin
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knowledge
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www.chamberlinedmonds.com
[email protected]
or 770-240-3763
growing
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enabled
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to ourservices
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www.chamberlinedmonds.com
[email protected]
or 770-240-3763
Hollis
Cobb Associates
Chamberlin Edmonds, an Emdeon company, serves as a patient advocate and provides custom-tailored eligibility
and enrollment services to hospitals nationwide. Our comprehensive services examine a wide spectrum of
PFS Group
uninsured
PFS Groupand underinsured patients, including inpatient, outpatient and emergency department cases. With
growing
debt custom-designed
and increasing pressure
on reimbursement
rates, our full suite of solutions and technologyPFS Groupbad
provides
accounts receivable
enhancement
enabled
services
help
ensure
healthcare
businesses
succeed.
programs. In the face of ever-changing healthcare regulations, clients
www.chamberlinedmonds.com
Hollis Cobb Associates is a professional collection service agency founded
rely on us for our leading-edge technology, expert professionals and extwenty-eight years of experience in the credit and collection industry. As
pertise in the latest industry news. Clients benefit from our compassioncontinue to thrive in the healthcare industry by building long-term relatio
ate account resolution experience for their patients, seeing a decrease in
PFS
Group
exhibition of strong Ethics, Integrity, and Unparalleled Personal Service w
patient complaints, increase in ROI and the upholding of their excellent
Business
Model. custom-designed accounts receivable enhancement prog
PFS
Group provides
reputation throughout the patient community and healthcare industry.
healthcare
regulations,
clients rely on us for our leading-edge technology, ex
http://www.pfsgroup.org
latest industry news. Clients benefit from our compassionate account resolu
seeing a decrease in patient complaints, increase in ROI and the upholding o
the patient
community and healthcare industry.
GA Chapter HFMA • www.georgiahfma.org • Summer 2014
23
http://www.pfsgroup.org
GEORGIASCROLL
Save the Date
S
2nd Annual
WOMEN in HEALTHCARE
LEADERSHIP Summit
DECEMBER 11TH, 2014
Atlanta, Georgia
WiHL is a forum for leadership and professional development
designed to inspire and motivate women to make a meaningful
difference in their personal and professional lives.
WiHL
desig
differ
This one-day conference features keynote addresses, workshops and
panel discussions from thought leaders brought together to engage all
levels of healthcare professionals on important issues.
This
pane
levels
Leave feeling energized, empowered and ready to thrive.
Leav
Applause for the innagural WIHL Summit:
“Interactive, Informative and relevant.”
“The topics were very interesting and very focused on challenges,
opportunities on career development for professional women.”
“I didn’t feel there was the same stigma about being a vendor versus
provider at this conference.”
“
“I d
“It was empowering.”
Visit website for updates: www.WiHL.org
Join us on LinkedIn, search Groups: WiHL
Women in HEALTHCARE LEADERSHIP
24
GA Chapter HFMA • www.georgiahfma.org • Summer 2014
Connect Develop Advance
Women
Upcoming Georgia HFMA
Education Events
DATE
TOPIC
LOCATION
8/8/14
2014 Georgia Legislative and Budget Update
8/21/14
Understanding How Predictive Tools Help Expedite Value Analysis
Online - Free
8/2014
340B Update - More Info to Come
Online - Free
9/3/14
Accounting and Auditing CPE Benefiting Toys for Tots
Grady in Atlanta
9/26/14
Accounting and Auditing CPE Benefiting Toys for Tots
Athens Regional
10/16/14
Controlling Costly Physician Preference Items
10/2014
2 Midnight Rule - More Info to come TBD
10/2014
Fall Payer Forum - More Info to come
TBD
11/2014
OIG Update - More Info to come
12/11/14
Women in Healthcare LEADERSHIP Summit
Augusta
Online - Free
Online - Free
Atlanta
** Please see the Georgia HFMA website for more information on these events. **
-your-
PEERS
-your-
STAFF
-your time to-
SHARE
Member - Get - A- Member Program
HFMA members are leading the change in the healthcare finance industry.
Help build the momentum. Invite your peers, your staff, and others in your
organization to join the nation’s leading membership organization for
healthcare financial management executives and leaders – HFMA.
Win cash, an iPad Mini, or other exciting rewards for each new
member you recruit. Visit hfma.org/mgam for details on the program.
“I turn to HFMA to keep up with
the rapid change in the profession,
enhance my career, and strengthen
our chapter. HFMA delivers the
essential information that healthcare
financial management professionals
require to stay on top of their game
and ahead of the curve.”
Mark A. Hartman, FHFMA,
CPA, Arkansas Chapter
GA Chapter HFMA • www.georgiahfma.org • Summer 2014
25
GEORGIASCROLL
IN CASE YOU MISSED IT!
2014 Summer Institute July 16 - 18, 2014
Conference at a Glance - Wednesday - Friday
Wednesday, July 16, 2014
15-Jul-14
Chapter Activity
CPAR / ACPAR
Strategic Finance and Accounting
Operations
Revenue Cycle
Professional Development
Board Meeting (Dinner
Provided)
6:00pm - 9:00pm
8:00am - 10:00am
Session 1 -
10:00am - 10:15am
CPAR Break
10:15am - 12:15pm
Session 2 -
12:15pm - 1:30pm
Lunch on Your
Own
1:30pm - 3:30pm
Session 3 -
Registration Desk Open 2:00pm - 5:00pm
3:30pm - 4:15pm
Session 4 - HFMA 101 & 201 Educational Session
5:00pm - 6:30pm
Session 5 - Vickie Austin - You, Inc., Part I: Positioning Yourself for Career Success
6:30pm - 7:15pm
Pre-Dinner Reception (All Attendees & Guests)
7:15pm - 10:00pm
Dinner and Evening Entertainment
Thursday, July 17, 2014
Registration Desk Open 7:30am - 12:00pm
7:00am - 7:45am
Breakfast
7:45 am - 9:00 am
Session 6 - General Session/Keynote
Day Egusquiza - Attacking the Two Midnight Rule
9:00 am - 9:10 am
Networking Break
9:10 am - 10:00 am
Session 8 - A&A Part 1
Draffin & Tucker
Session 9 - Exlporing an Integrated
CDI Program
Day Egusquiza with AR Systems, Inc.
Session 7 - Certification Coaching:
Susan Clark, PYA
10:00 am - 10:50 am
Session 10 - A&A Part 2
Draffin & Tucker
Session 11 - Improving Denials
Management Through Data Analytics
Adam Gobin with Emory
Session 12 - You, Inc., Part II: Mapping
Your Plan for Career Success
Vickie Austin
2:00 pm - 2:50 pm
3:00pm - 6:00pm
5:30pm - 6:00pm
6:00pm - 7:00pm
Friday, July 18, 2014
7:00pm
Session 13 - Reimbursement
Roundtable
Butch Bullock,
Todd Cox, FHFMA,
Ebbie Erzuah, and
Sam Chambers
Session 14 Ritz Carlton
It's All About Leadership
(part I)
Session 15 - Lunch and Key Note Speaker
Patrick Hammond with Emory Healthcare
Development of a Clinically Integrated Network
Session 16 Enterprise Risk Management and the
Hospital's Portfolio
Bob Willis
Session 17 How to Gain Control of Your Coding
and Billing Edit Volumes
Susan Gatehouse with Axea
Session 18 Ritz Carlton
It's All About Leadership
(part II)
Free Time
New Member Reception
Reception (All Attendees & Guests)
Dinner On Your Own
9:00pm - 11:00pm
After Dinner Mingle
7:00am - 8:00am
Joe Adamson Prayer Breakfast
The Value of Giving Back - Buffy Loveday with Emdeon
7:00am - 8:00am
Breakfast
8:00am-9:30am
Session 19 - Keynote / General Session
Andy Miller
9:30am-9:40am
Networking Break
9:40 am - 10:50 am
Session 20 Session 21 - The 2015 Proposed
Myths About Your Retirement Portfolio Inpatient Prospective Payment System
Bob Willis
(IPPS) Regulation Revisions
Linda Corley with Xtend Healthcare
Networking Break
10:50 am-11:00 am
11:00 am - 12:00 pm
12:00 pm
26
Networking Break
10:50 am - 11:00 am
12:00 pm - 2:00 pm
Teams Meeting
2:30pm - 3:30pm
Chairpersons' Meeting
4:00pm - 5:00pm
11:00 am - 12:00 pm
Invitation Only
Session 22 - Medicare DSH: Litigation
Update / Uncompensated Care Methodology
Hal Guthrie and Chris Keough
Session 23 - Revenue Cycle
Roundtable
Moderator: Linda Corely
Closing Remarks, Adjournment and Door Prizes
GA Chapter HFMA • www.georgiahfma.org • Summer 2014