Webinars - at the HFMA Tennessee Chapter

Tennessee Trains On Tuesdays

 The healthcare industry is changing. From readmissions to ICD-10 to Accountable Care to the Patient Protection and Affordable Care Act. Hospitals and health systems are under tremendous pressure to not only keep up with the changes, but also to understand the drivers and how they affect their organizations. To strengthen its commitment to educating members, the Tennessee Chapter of HFMA is now offering Tennessee Trains on Tuesday, a once a month webinar series to discuss top trends in healthcare.

Tennessee Trains on Tuesday will occur the second Tuesday of every month and is complementary. Members who attend these sessions will walk away with key takeaways and actionable plans to keep their organizations on the path of success. Additionally, you can earn continuing education credits (CPE) by attending.

Questions about webinars should be sent to webinars@tnhfma.org.  If you’re interested in presenting a webinar, please complete our Presentation Proposal Form.


Check out our Calendar section at any time for full details and to register.



Upcoming Webinars

Archived Webinars

  • 9 Dec 2014 10:00 AM | Ronald Gallagher (Administrator)
    Speakers: Michael Orr and Travis Skinner

    Summary:
    The speakers will describe the EHR audit process and requirements and provide practical tips on common pitfalls and best practices for surviving EHR audits.
    • EHR Tentative Settlement Letters
    • 2014 Criteria for Stages 1 & 2
    • “Flexibility” Final Rule
    • PPS & CAH Penalties
    • HITECH Payment Audits
    • EHR Meaningful Use Audits
    • EHR “Roadmaps”

    Learning Objectives:
    • Attendees will be able to explain the different types of EHR audits underway
    • Attendees will be able to list best practices, common pitfalls, and mitigation strategies related to EHR audits
    • Attendees will learn how to identify potential EHR reimbursement opportunities

    Take Away:
    Surviving EHR audits require planning and hard work.

    Speaker Biography:
    Michael Orr has more than 20 years of experience in the health care industry, including four years of payer experience with Blue Cross Blue Shield, eleven years of health care consulting and seven years of provider experience. He has experience in turnaround situations and implementing metrics management, helping clients improve the bottom line, managed care contracting issues, and improving revenue cycle processes. He was CFO of a vertically integrated not-for-profit hospital and health care group and prior to that, Mike was a CFO for a Nashville-based for-profit hospital chain. He has spent much of the last three years focused on Medicare and Medicaid Electronic Health Records (EHR) Incentive Programs reimbursement and audit issues. Mike is a graduate of the University of Maryland, Baltimore County, with a B.A. degree in economics, and Loyola University Maryland, Baltimore, with an M.B.A. degree.

    Travis Skinner is a member of the BKD National Health Care Group, Travis has more than 10 years of experience in health care consulting and reimbursement. He works with several types of health care providers, including critical access, Medicare dependent, sole community and prospective payment system hospitals. Travis has three years of significant expertise in the Medicare and Medicaid Electronic Health Record (EHR) Incentive programs. He has a proven track record helping facilities with confirming and increasing reimbursements for both programs as well as assisting facilities through the various EHR audits. His other areas of focus include cost reimbursement for hospitals, nursing homes, home offices, square footage projects and the 340B prescription pricing program. Travis is a member of the American Institute of CPAs and Texas Society of Certified Public Accountants. He is a 2003 graduate of the University of Mary Hardin-Baylor, Belton, Texas, with B.B.A. degree in accounting.

    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
  • 11 Nov 2014 10:00 AM | Ronald Gallagher (Administrator)
    Speakers: Debbie Scott and Karen McGrath, MPA from Cahaba GBA

    Summary:
    This webinar will cover information related to the Medicare Cost Report for all Hospitals including STAC, IRF, CAH and LTAC. Bad Debit Listing and cost issues will be discussed for all Hospitals, SNFs and ESRD providers.
    Learning Objectives:
    • Identify and generate reports with the Provider Statistical and Reimbursement (PS&R) Reports System
    • Prepare Bad Debt Listings
    • Identify requirements and changes for Disproportionate Share Hospitals

    Take Away:
    Knowledge to submit the Medicare Cost Report without common issues and errors

    Speaker Biography:
    Debbie Scott is an Audit Manager for Cahaba GBA with 16 years of medicare experience.

    Karen McGrath, MPA, is a Provider Outreach and Education Consultant for Cahaba GBA. She is responsible for the development, implementation, coordination, and management of educating providers and their staffs about fundamental Medicare programs and policies, new Medicare initiatives, and significant changes to the Medicare program. She earned her BA from the University of Notre Dame and her MPA from the University of Tennessee at Chattanooga. Prior to coming to Cahaba GBA in 2009, she held positions as a life and health insurance specialist and as a Medicare Consultant for beneficiaries.

    Field of Study: Specialized Knowledge
    Delivery Method: Group Internet Based
    Program Level: Basic
    Prerequisite(s): None
    Advanced Preparation: None
    Cost: Free
    CPE Hours: 1.0 Hours CPE
  • 10 Oct 2014 11:00 AM | Ronald Gallagher (Administrator)

    Summary:
    As the industry sets its sights on ICD-10, organizations can accelerate readiness strategies by leveraging the power of analytics. The financial risk associated with the assignment of ICD-10 diagnosis codes to DRGs can be significant. Nearly all aspects of your operation will be affected, but one of the greatest impacts is the potential DRG shift assignments between ICD-9 and their corresponding ICD-10 claims. Use analytics to identify where the DRG shifts are occurring, understand why the shifts have occurred and what is needed to prevent the shifts. Long-term success will require proactive identification of risk points and the developing strategies to mitigate these risks.

    Learning Objectives:
    • Identify the sections in ICD-10 CM & PCS that have the greatest financial impact.
    • List the disruptions in revenuce cycle expected in ICD-10.

    Speaker Biography:
    Deborah Szymanski began her career in healthcare as an Emergency Department nurse at the University of Colorado Hospital in Denver. After nine years in the ED as a nurse and nursing instructor, Deborah joined Picis (now Optum) in 2009. At Picis Deborah worked with the professional services team implementing EMR’s and outpatient revenue management software. In 2013, Deborah joined Health Language (HLI) and is a Revenue Cycle Solutions Specialist, focusing on ICD-9 to ICD-10 remediation.

    Dr. Steve Ross is a physician informaticist who joined Health Language (HLI) in 2012. He has over 10 years of experience in the development, implementation and research of medical informatics projects at the University of Colorado School of Medicine. In addition to his work at Health Language, Dr. Ross continues to practice ambulatory internal medicine as associate clinical professor in the Division of General Internal Medicine.

    Field of Study: Specialized Knowledge
    Delivery Method: Group Internet Based
    Program Level: Basic
    Prerequisite(s): None
    Advanced Preparation: None
    Cost: Free
    CPE Hours: 1.0 Hours CPE
  • 9 Sep 2014 11:00 AM | Ronald Gallagher (Administrator)

    Summary:
    Obtaining and maintaining Medicare and Medicaid billing privileges has become increasingly more complicated. Many healthcare providers have been faced with denials and revocations of billing privileges, even for innocent mistakes. Because Medicare and Medicaid are the primary source of patient revenue for most healthcare providers, mistakes and errors in maintaining billing privileges can have a costly impact.

    This session will educate healthcare providers on recent developments in Medicare and Medicaid enrollment. General topics to be covered include:
    • Overview of the Medicare and Medicaid enrollment processes, including a discussion of recent changes to these enrollment processes.
    • Recent examples of common problems providers and suppliers face in completing Medicare and Medicaid enrollment applications.

    Learning Objectives:
    • Review routine types of enrollment filings and how new developments in Medicare and Medicaid enrollment requirements (and the enforcement of such requirements) have changed the enrollment process.
    • Take home at least 10 practical tips on how to avoid costly Medicare and Medicaid enrollment mistakes.
    • Identify ways to strengthen the healthcare provider’s compliance program to protect its Medicare and Medicaid billing privileges.

    Speaker Biography:
    Emily Towey is a director with Hancock, Daniel, Johnson & Nagle, P.C. Ms. Towey partners with healthcare providers to provide regulatory support during both the strategic planning and implementation phases of all types of development projects. With expertise in Certificate of Need (“CON”), licensure, Medicare and Medicaid enrollment and certification, Ms. Towey develops project timelines, completes regulatory filings, and troubleshoots the regulatory approval process on behalf of healthcare providers. The CON, licensure, Medicare/Medicaid enrollment and certification processes are paper-work intensive, time-consuming, and demand a fervent attention to detail. One small mistake could delay reimbursement for months and put financial strain on a healthcare organization. With so much at stake, healthcare providers routinely turn to Ms. Towey and her team to keep their organizations moving forward financially and to avoid time-consuming and costly mistakes in the implementation of their business goals and development plans.

    Colin P. McCarthy is an associate at Hancock, Daniel, Johnson & Nagle, PC in Richmond, Virginia. He advises healthcare providers on compliance with the complex and evolving laws and regulations governing Medicare and Medicaid reimbursement. He represents clients in administrative appeals of claims denials MACs, RACs, ZPICS, State Medicaid programs, and commercial payers.

    Field of Study: Specialized Knowledge
    Delivery Method: Group Internet Based
    Program Level: Basic
    Prerequisite(s): None
    Advanced Preparation: None
    Cost: Free
    CPE Hours: 1.0 Hours CPE
  • 12 Aug 2014 11:00 AM | Ronald Gallagher (Administrator)
    Speaker: Mark Polston

    Summary:
    In fiscal year 2014, CMS adopted the so-called two midnight rule which changes Medicare’s standards for when it will pay for services on an inpatient basis. At the same time, CMS also adopted more strict rules requiring physician orders and certifications as a condition of Medicare payment. These rules have been controversial, so much so that Congress has even required CMS to delay medical contractor review of inpatient claims using the two midnight standard. This presentation will cover at some level of detail the requirements of the two midnight rule and physician order and certification requirements. The presentation will also cover CMS’s most recent guidance interpreting these new rules. And it will also cover the most recent developments surrounding the rule, such as CMS’s Probe & Educate review program, Congressional action and what, if anything, CMS says about the two midnight rule in the FY 2015 proposed IPPS rule.

    Learning Objectives:
    • Learn the details of how the two midnight rule has been interpreted by CMS.
    • Learn the detailed CMS guidance regarding the two midnight rule and the physician order and certification requirements.
    • Learn the basics of CMS’s Probe & Educate program.
    • Identify when claims for payment can be bill because they are in compliance with the two midnight rule and the physician order and certification requirements.

    Speaker Biography:
    Mark D. Polston is a partner in the healthcare practice at King & Spalding. Mr. Polston has over 20 years of experience in federal litigation, most of which has focused on Medicare, Medicaid and Affordable Care Act regulatory policies, as well as health care fraud litigation, enforcement and investigations.

    Prior to King & Spalding, Mr. Polston served as the Deputy Associate General Counsel for Litigation in the Office of the General Counsel, CMS Division at the U.S. Department of Health and Human Services where he advised senior HHS officials on CMS litigation. He has broad familiarity with Medicare payment, coverage and compliance issues, having managed virtually all federal court challenges to CMS regulatory policies and final Medicare reimbursement decisions during his tenure with the U.S. Department of Health and Human Services. Mr. Polston’s significant experience in Medicare provider reimbursement litigation includes serving as lead government negotiator in the $4 billion dollar settlement to resolve claims challenging CMS’s application of the budget neutrality adjustment to the Medicare hospital wage index rural floor (Cape Cod Hospital v. Sebelius) and the $667 million multi-party settlement in In re Medicare Reimbursement(Disproportionate Share Hospital)litigation.

    Prior to his role as Deputy Associate General Counsel for Litigation, Mr. Polston was a Supervisory Attorney within the CMS Division’s Program Integrity Group, where he served as the senior CMS liaison to the Department of Justice and the Department of Health and Human Services Office of Inspector General on significant health care fraud and False Claims Act matters. Mr. Polston also represented qui tam relators in private practice for several years before joining HHS. He began his legal career at the Department of Justice as a member of the Attorney General’s Honors Program where he served in the Civil Division’s Fraud Section enforcing the False Claims Act.

    Field of Study: Specialized Knowledge
    Delivery Method: Group Internet Based
    Program Level: Basic
    Prerequisite(s): None
    Advanced Preparation: None
    Cost: Free
    CPE Hours: 1.0 CPE Hours
  • 8 Jul 2014 11:00 AM | Ronald Gallagher (Administrator)
    Speaker: Dave McAuley

    Summary:
    Communication is the connecting point between team members and for a team to function at it’s best, good communication is essential. Team leaders who understand the Five Levels of Communication are much more effective in getting their team to work well together.
    Learning Objectives:
    • List the Five Levels of Communication
    • Explain the value in intentionally finding time to listen
    • Explain how to use a team member’s opinion to gain their buy-in and improve performance

    Take Away:
    Good communication will not happen on its own. Leaders have to be intentional about taking their team to deeper levels of communication in order to build trust and enhance performance.

    Speaker Biography:
    Dave McAuley is the Founder, President and CEO of Summit Leadership Foundation as well as a Founding Member and an Independent Certified Coach, Speaker and Trainer of the John Maxwell Team. Summit Leadership Foundation is a 501(c)3 non-profit Christian ministry located in Johnson City, TN. Summit serves as a relational hub for “Connecting, Consulting, Coaching and Caring” for leaders. Dave has a broad background of leadership experience in business, non-profit and church settings. His undergraduate degree is in Mass Communications and he holds a graduate Seminary degree in Biblical Studies. Dave became a student of John C. Maxwell’s teaching on leadership in the early 1990’s and continues to learn and grow as a leader every day. Two phrases that resonate with Dave are “Everything Rises and Falls on Leadership” and “Leadership is Influence.” His passion in life is to add value to the lives and vocations of leaders in order to help them be successful and add value to the lives of those they serve. Dave’s personal mission is to model, mentor and multiply servant leadership in all his spheres of influence. Leading group coaching sessions and teaching leadership through workshops and conferences are at the heart of his passion. Dave and his wife Susan and I have been married for 35 years and have three adult sons.

    Field of Study: Specialized Knowledge
    Delivery Method: Group Internet Based
    Program Level: Basic
    Prerequisite(s): None
    Advanced Preparation: None
    Cost: Free
    CPE Hours: 1.0 CPE Hours
  • 10 Jun 2014 11:00 AM | Ronald Gallagher (Administrator)
    Speaker: Jackie P. Boswell, MBA, FACMPE

    Summary:
    Like the patients you serve, the financial health of your practice requires regular check-ups and the monitoring of financial vital signs. This session will discuss how successful practices and practice managers manage business decisions utilizing key financial data, also known as Key Performance Indicators (KPI). Practice metric analysis centers on charges, payments, adjustments, A/R, proper coding and provider productivity. The good news is that you do not have to be a financial wizard to track certain measures and produce the necessary reports.

    Learning Objectives:
    • Discuss the importance of benchmarking in your practice.
    • Describe methods to manage, measure, and monitor key performance indicators and best practices.
    • Identify important elements of a dashboard report.

    Take Away:
    Better performing practices use benchmarking to objectively answer the question, “How are we doing?”

    Speaker Biography:
    Jackie Boswell is employed by State Volunteer Mutual Insurace Company as a Senior Medical Practice Consultant. Her background includes over 25 years as a medical management executive including hospital and physician practice administration. She obtained a Bachelor’s degree in Computer Information Systems from Murray State University. In 1996, she earned a Masters Degree in Business Administration from The Massey Graduate School at Belmont University. She is a Fellow in the American College of Medical Practice Executives and serves as Committee Chair of the MGMA Financial Management Society. Jackie is a trustee of the Board of Directors at Three Rivers Hospital in Waverly, Tennessee, where she serves as Secretary of the Board and a member of the Finance Committee. She also serves on the United Way Allocations Committee in Humphreys County.

    Field of Study: Specialized Knowledge
    Delivery Method: Group Internet Based
    Program Level: Basic
    Prerequisite(s): None
    Advanced Preparation: None
    Cost: Free
    CPE Hours: 1.0 CPE Hours
  • 13 May 2014 11:00 AM | Ronald Gallagher (Administrator)
    Speaker: Paul Kim

    Summary:

    Although healthcare providers and patients typically view physician supervision as a clinical or quality of care issue, CMS has mandated supervision by a physician as a condition of payment for several types of services and various categories of healthcare providers. Consequently, the lack or insufficiency of such supervision or its documentation has attracted much attention and scrutiny from the lawnforcement arms of the federal government, such as the Office of Inspector General and the Department of Justice, as well as whistleblowers. This webinar will not only help you understand the different levels of physician supervision required by Medicare but also teach you to locate the sources that govern which services or providers warrant supervision.

    Three levels of physician supervision; requirements for complying with each level of supervision; what services or providers required which level of supervision; where are the requirements located.


    Learning Objectives:
    • Identify the three levels of physician supervision
    • ILocate the sources of the supervision requirements
    • Identify the services or healthcare providers that require supervision

    Take Away:
    Physician supervision is a real compliance issue with serious consequences.

    Speaker Biography:
    Paul W. Kim is a principal in the Health Law Group at Ober|Kaler who represents health care providers and manufacturers. Paul advises clients in all aspects of health law – from corporate compliance counseling to reimbursement litigation. Having worked on reimbursement, fraud and abuse, privacy and clinical research issues from the patient, provider, payor and government perspectives, Paul has a unique understanding of the health care industry and an in-depth knowledge of the issues and challenges today’s clients face. For manufacturers, Paul obtains for their products the three C’s of Medicare: coverage, coding, and cash. He also negotiates various agreements with their distributors. For providers, Paul appeals overpayment assessments by recovery audit contractors (RACs) and other Medicare contractors. He also pursues administrative law judge (ALJ) hearings to obtain or maintain their Medicare enrollment and billing privileges. For more about Paul, please visit http://www.ober.com/attorneys/paul-kim.

    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
  • 11 Mar 2014 11:00 AM | Ronald Gallagher (Administrator)

    Speaker: Paul Kim


    Slide Deck:
    Download in PDF
    Video:


    Summary:

    CMS has deployed an alphabet of auditors to identify overpayments and pursue recoupment. Whether your organization has been audited by the OIG, MAC, ZPIC, or RAC, this webinar will help you understand the Medicare claims appeal process. It will not only explain what you need to do to fully exert your appeal rights but also teach you practical tips and insights to maiximize your chance of winning your appeals.

    Five-step appeal process; requirements for perfecting each appeal level; when to retain an attorney or consultant; how to suppress the commencement of recoupment; what format of hearing to request; which payments accrue interest.


    Learning Objectives:
    • Identify the Medicare claims appeal process.
    • Identify the requirement elements for each appeal level to avoid a dismissal.
    • Know the various deadlines to prevent recoupment.

    Take Away:
    You can win only if you appeal.

    Speaker Biography:
    Paul W. Kim is a principal in the Health Law Group at Ober|Kaler who represents health care providers and manufacturers. Paul advises clients in all aspects of health law – from corporate compliance counseling to reimbursement litigation. Having worked on reimbursement, fraud and abuse, privacy and clinical research issues from the patient, provider, payor and government perspectives, Paul has a unique understanding of the health care industry and an in-depth knowledge of the issues and challenges today’s clients face. For manufacturers, Paul obtains for their products the three C’s of Medicare: coverage, coding, and cash. He also negotiates various agreements with their distributors. For providers, Paul appeals overpayment assessments by recovery audit contractors (RACs) and other Medicare contractors. He also pursues administrative law judge (ALJ) hearings to obtain or maintain their Medicare enrollment and billing privileges. For more about Paul, please visit http://www.ober.com/attorneys/paul-kim.

    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
  • 14 Jan 2014 10:00 AM | Ronald Gallagher (Administrator)

    Speaker: Marjorie Green


    Slide Deck:

    Summary:

    How to identify large uncaptured opportunity and drive improvement in revenue cycle operations. Learn about the application of Lean methods to improve revenue cycle operations.

    “If you cannot measure it, you cannot improve it.” –Lord Kelvin

    Revenue cycle metrics are traditionally comprised of measures that do not reflect true revenue cycle operational performance, but rather represent the mixed outcome of volume, payer mix, business generation, accounting/finance policy and revenue cycle decisions.

    This webinar will focus on how healthcare provider organizations can utilize Lean methods to measure operational performance within the revenue cycle in order to clearly identify specific opportunities for performance improvement as well as sustainable improvements in cash flow.


    Learning Objectives:
    • Identify how traditional evaluations of monthly measurements of the revenue cycle mask large opportunities for increased cash.
    • Design a set of revenue cycle operational metrics that are de-constructible to the transaction/ account level and drive the right behavior.
    • Use precise operational metrics to prioritize audit paths and facilitate root cause corrective action.

    Take Away:
    Actionable strategies to establish a set of Lean based revenue cycle metrics that enable you to both accurately and precisely measure the effectiveness and operational performance of your revenue cycle.

    Speaker Biography:
    Marjorie Green is the co-founder of the Healthcare Excellence Institute (HEI). She is a Master Black Belt Trainer in Six Sigma techniques and a Master in Lean Manufacturing. She holds a bachelors of Science in Metallurgical Engineering from the University of Missouri-Rolla and a Masters in Mechanical Engineering from Texas A&M University. Over the past 16 years, Marjorie and the HEI Team have led large scale projects in revenue cycle process redesign and enterprise wise improvement initiatives in hospitals across the US, including 2 HFMA MAP Award winning facilities.

    Field of Study: Management Advisory
    Delivery Method: Group Internet Based
    Program Level: Basic
    Prerequisite(s): None
    Advanced Preparation: None
    Cost: Free
    CPE Hours: 1.0 hours CPE
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